Form FDACS-09166 "National Poultry Improvement Plan Participation Agreement, Subpart E" - Florida

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What Is Form FDACS-09166?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
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Download Form FDACS-09166 "National Poultry Improvement Plan Participation Agreement, Subpart E" - Florida

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Florida Department of Agriculture and Consumer Services
Contact:
Division of Animal Industry
Bureau of Animal Disease Control
Florida Department of Agriculture
and Consumer Services
Poultry Programs Office
NATIONAL POULTRY IMPROVEMENT PLAN
407 S. Calhoun Street
ADAM H. PUTNAM
Tallahassee, Florida 32399-0800
PARTICIPATION AGREEMENT, SUBPART E
COMMISSIONER
Phone: (850) 410-0900
FAX: (850) 410-0957
5C-16, Florida Administrative Code
FreshFromFlorida.com/AI
9 CFR § 145, 9 CFR § 147
Note: All documents and attachments submitted with this request are subject to public review pursuant to Chapter 119, F.S.
This agreement is between the Florida Department of Consumer Services – Division of Animal Industry, hereafter known as
the Official State Agency, and
(owner), hereafter know as the Participant, doing business at
as a
hatchery
dealer
independent flock
covering the cooperative work of the National Poultry Improvement Plan (NPIP).
A. The Official State Agency agrees:
1.
To keep the Participant informed of all provisions governing participation in the NPIP.
2.
To provide Authorized Testing Agents to conduct blood test for the disease program for which the flock is a candidate.
3.
To conduct efficiently the inspection work called for in the NPIP provisions.
To permit the use of the prefix “U.S.” in connection with other terms in describing the disease classifications for which
4.
products produced under the NPIP are qualified.
5.
To investigate all reports of S. Pullorum and S. Gallinarium isolations in poultry to determine origin of infection.
B. The Participant agrees:
1.
To comply with the NPIP requirements for the desired classification of the products.
2.
To promptly submit to the Official State Agency the results of all testing done by authorized testing agents.
3.
To keep records as required by the NPIP and to make such records available for inspection by the Official State Agency
upon request.
4.
To report to the Official State Agency all baby chicks, pullets, or other classes of poultry to be used as breeding flocks
prior to the birds reaching 24 weeks of age.
C. Revocation of agreement:
It is mutually understood that this agreement may be revoked by the Official State Agency for cause or that the Participant
may withdraw from the program by notifying the Official State Agency in writing. In case of either action, the Participant
agrees to forfeit all rights and benefits derived from participating in the National Poultry Improvement Plan.
List Strains or Stock Handled on the POULTRY TESTING form FDACS-09123.
For Hatcheries list the TOTAL INCUBATOR CAPACITY on the HATCHERY INSPECTION REPORT
Form VS Form 9-9.
This agreement shall take effect on
01
Month
Day
Year
and shall continue through
30
Month
Day
Year
and shall be subject to annual renewal thereafter by mutual consent of the cooperation parties.
DATE
PARTICIPANT SIGNATURE
PARTICIPANT EMAIL
DATE
SIGNATURE OF AUTHORIZED TESING
Distribution: Copy: State Veterinarian
Copy: Owner
AGENT Copy: Authorized Agent
FDACS-09166 Rev. 02/18
Florida Department of Agriculture and Consumer Services
Contact:
Division of Animal Industry
Bureau of Animal Disease Control
Florida Department of Agriculture
and Consumer Services
Poultry Programs Office
NATIONAL POULTRY IMPROVEMENT PLAN
407 S. Calhoun Street
ADAM H. PUTNAM
Tallahassee, Florida 32399-0800
PARTICIPATION AGREEMENT, SUBPART E
COMMISSIONER
Phone: (850) 410-0900
FAX: (850) 410-0957
5C-16, Florida Administrative Code
FreshFromFlorida.com/AI
9 CFR § 145, 9 CFR § 147
Note: All documents and attachments submitted with this request are subject to public review pursuant to Chapter 119, F.S.
This agreement is between the Florida Department of Consumer Services – Division of Animal Industry, hereafter known as
the Official State Agency, and
(owner), hereafter know as the Participant, doing business at
as a
hatchery
dealer
independent flock
covering the cooperative work of the National Poultry Improvement Plan (NPIP).
A. The Official State Agency agrees:
1.
To keep the Participant informed of all provisions governing participation in the NPIP.
2.
To provide Authorized Testing Agents to conduct blood test for the disease program for which the flock is a candidate.
3.
To conduct efficiently the inspection work called for in the NPIP provisions.
To permit the use of the prefix “U.S.” in connection with other terms in describing the disease classifications for which
4.
products produced under the NPIP are qualified.
5.
To investigate all reports of S. Pullorum and S. Gallinarium isolations in poultry to determine origin of infection.
B. The Participant agrees:
1.
To comply with the NPIP requirements for the desired classification of the products.
2.
To promptly submit to the Official State Agency the results of all testing done by authorized testing agents.
3.
To keep records as required by the NPIP and to make such records available for inspection by the Official State Agency
upon request.
4.
To report to the Official State Agency all baby chicks, pullets, or other classes of poultry to be used as breeding flocks
prior to the birds reaching 24 weeks of age.
C. Revocation of agreement:
It is mutually understood that this agreement may be revoked by the Official State Agency for cause or that the Participant
may withdraw from the program by notifying the Official State Agency in writing. In case of either action, the Participant
agrees to forfeit all rights and benefits derived from participating in the National Poultry Improvement Plan.
List Strains or Stock Handled on the POULTRY TESTING form FDACS-09123.
For Hatcheries list the TOTAL INCUBATOR CAPACITY on the HATCHERY INSPECTION REPORT
Form VS Form 9-9.
This agreement shall take effect on
01
Month
Day
Year
and shall continue through
30
Month
Day
Year
and shall be subject to annual renewal thereafter by mutual consent of the cooperation parties.
DATE
PARTICIPANT SIGNATURE
PARTICIPANT EMAIL
DATE
SIGNATURE OF AUTHORIZED TESING
Distribution: Copy: State Veterinarian
Copy: Owner
AGENT Copy: Authorized Agent
FDACS-09166 Rev. 02/18