Application for Kashruth Supervision and Certification Permitting Use of Seal

Truck Wash

Date of Application: Friday, 19th of April 2024

Corporate Name: *
Address *
City *	State * Zip *	Country
Telephone *	Fax	Website
Application Authorized By:
Mr. / Ms. / Mrs. / Other	Name *	Title
Email Address *		Cell #
Title of Corp. CEO or COO	Mr. / Ms. / Mrs. / Other	Name *
Email

Facility Name (if other than above)
Address
City	State Zip	Country
Telephone	Fax	Website
Contact:
Mr. / Ms. / Mrs. / Other	Name	Title
Email Address		Cell #

Washes are for (check all that apply): Food-Grade Chemicals

Product(s) to be washed (check all that apply): Dry Liquid Dairy

Product(s) to be washed:

Is certification intended for Passover use? Yes No Upon Customer Request

Is this facility presently certified kosher? If yes, then by whom?

Has this facility ever been certified kosher? If yes, then by whom?

Notes

Please tell us how you heard about the cRc:

By pressing the Submit button you are confirming that you have read and agree with the Terms of This Application.

Terms of This Application

1. The Applicant acknowledges and represents that he fully understands that by accepting this Application neither the Chicago Rabbinical Council (hereafter "cRc") nor any of its officers or representatives represent or imply that the supervision and certification applied for will be granted by the cRc.

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2. The Applicant fully understands that certification and endorsement by the cRc depends on many factors, and that the cRc may, at its sole discretion, for reasons that it may not disclose to the Applicatant, reject this Application and refuse to endorse or to give certification to the product or establishment.

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3. The Applicant promises that he will not disclose any of the negotiations that may be entered into between himself and the cRc subsequent to the date of this Application.

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4. After preliminarily reviewing this Application, the cRc will require an initial inspection of the premises. The Applicant shall make available his premises for inspection at a time convenient to both the cRc and Applicant. Applicant shall provide the cRc with all further information that the cRc will require, either prior to said inspection or subsequent thereto, including, but not limited to, a list of all ingredients used in the production, names and sources of all supplies, a description of the manner of production, etc. Applicant agrees to pay cRc an application/initial inspection fee and reimbursement for all expenses directly related to conducting the initial inspection of Applicant'sfacility. The application/initial inspection fee will be specified in writing prior to the scheduling of the initial inspection, at which time the Applicant shall have the right to withdraw this application. It is understood that the cRc shall, at its sole discretion, determine the acceptability of any endorsement or cer-tification of any product used by the Applicant in its operation.

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5. If and when certification is granted by the cRc, it shall be pursuant to certain contracts entered into by and between the cRc and the Applicant. Said contract will contain the conditions and terms upon which cRc will supervise and grant certification. Applicant clearly understands that the cRc shall charge an annual fee for its supervision and certification.

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6. The Applicant further warrants and promises that he will not publish, announce, advertise, or in any way suggest or represent to anyone by means or media whatsoever, that his product or establishments have cRc Certification unless and until he receives a letter from the cRc informing him that Certification is granted and that Applicant has permission to use the cRc emblem and to advertise this fact.

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7. The Applicant, for himself, his heirs, executors, and ensigns, releases and forever discharges the cRc, its officers, members, representatives, and agents from any and all damages that it may have sustained, or any claims it may have at any time against said cRc, its officers, members, representatives, and agents, arising out of any act or omission caused, or claimed to have caused, in any manner whatsoever in connection with inspection, endorsements, or certification of any of Applicant's products, operations, or establishments, or caused, or claimed to have been caused by the refusal in granting said certification.

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8. The Chicago Rabbinical Council covenants and agrees that it will not communicate or divulge to, or use for the benefit of any other person, partnership, association, or corporation, any of the trade secrets, formulae, or secret processes, used or employed by the company in, or about its business, that may be communicated to the cRc by virtue of this application.