LETTER OF PARTICIPATION

Supplier: Performance Foodservice

Contract Number: PN19008

 


NPP Member (Facility Name):
Address:
City: State:   ZIP: Country:

Performance Foodservice OpCo (City/State):
Performance Account # (s):

The above-named facility agrees to purchase approximately $  on an annual basis through the National Purchasing Partners (NPP) & Performance Foodservice program.

The above-named facility shall cooperate with needs for documentation as requested/required by NPP. Your facility’s data will be shared with a third-party service provider to bill suppliers for associated rebates, discounts and allowances as well as identify cost-savings opportunities for all NPP members. All parties that have access to your facility’s purchase data agree to maintain confidentiality.

The above-named facility also agrees:

  • to maintain the confidentiality of the NPP contracts with suppliers in relationship to the details of said contracts and this facility’s’ purchasing agreement with NPP.
  • that it shall seek recourse against the responsible supplier and not against NPP or its third-party procurement services provider.
  • to provide Performance Foodservice and NPP with a 60-day written notice prior to cancellation.

Authorized by:
Job Title:
Phone:
Email:

PFG Logo

 

AUTHORIZATION TO RELEASE INFORMATION

The undersigned (“Customer”), a customer of Performance Food Group, Inc. and/or its subsidiaries (“Performance”), hereby requests Performance to disclose information regarding Customer’s members’ purchasing information (the “Information”) to the following entity (the “Third Party Recipient”):

Third Party Recipient: National Purchasing Partners

Customer hereby acknowledges that the Information disclosed to the Third-Party Recipient may contain confidential and proprietary information of Customer and/or one or more of its members. Customer hereby waives and releases Performance and its subsidiaries from any and all claims, demands, actions, causes of action, liability, damages and demands of any kind whatsoever (“Claims”) that Customer may have against Performance in connection with Performance’s disclosure of the Information to the Third-Party Recipient. Further, Customer shall defend and indemnify Performance and its subsidiaries from and against any and all Claims and any related liabilities, losses, penalties, judgments, fees (including but not limited to reasonable attorneys’ fees), costs and expenses that may be incurred by or assessed against Performance in connection with Performance’s disclosure of the Information to the Third-Party Recipient.

To the extent Customer receives any remuneration from Third Party Recipient or any other third party in exchange for the disclosure of such information or the members’ purchases of any products, Customer warrants and represents that such remuneration does not violate any applicable federal, state, or local law, including but not limited to the federal Anti-Kickback Statute (42 U.S.C. § 1230a-7b(b)).

This authorization shall continue in effect until Performance receives written notice of its revocation from Customer. All such notices shall be provided to Performance at Performance Food Group, Inc., 12500 West Creek Parkway, Richmond, VA 23238, Attn: VP, National Accounts with a copy to Performance Food Group, Inc., 12500 West Creek Parkway, Richmond, VA 23238, Attention: General Counsel.

 

 
CUSTOMER:
Name:
Title:
Date:
 

Name of Customer Account:
Customer Account Number:
Address: , , ,,
Contact Name:
Contact Phone:
Contact Email:

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Performance Foodservice Landing Page
lock iconUnique Document ID: 5860a07cf9fde789a048dea2d2f93f0a699b33e6
TimestampAudit
June 14, 2022 3:52 am ESTPerformance Foodservice Landing Page Uploaded by Joan Hauser - [email protected] IP 2405:201:2000:60c4:a509:b1b9:5645:455d, 162.158.162.181
June 16, 2022 3:18 am ESTSurbhi R - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 162.158.163.186
June 16, 2022 3:30 am ESTSurbhi R - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
June 16, 2022 3:30 am ESTNathan M - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
June 16, 2022 3:30 am ESTJoan H - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
June 16, 2022 3:30 am ESTSurbhi R - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
June 16, 2022 3:30 am ESTNathan M - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
June 16, 2022 3:30 am ESTJoan H - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:40c5:e264:9ba5:ae8a, 172.70.218.109
July 11, 2022 1:09 am ESTSurbhi R - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:3d48:b01a:6301:1f32, 172.70.218.111
July 11, 2022 1:09 am ESTNathan M - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:3d48:b01a:6301:1f32, 172.70.218.111
July 11, 2022 1:09 am ESTJoan H - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:6219:3d48:b01a:6301:1f32, 172.70.218.111
September 19, 2022 1:05 am ESTSurbhi R - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.162.235
September 19, 2022 1:05 am ESTNathan M - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.162.235
September 19, 2022 1:05 am ESTJoan H - [email protected] added by Customer Service MyNPP - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.162.235
September 19, 2022 1:09 am EST Document owner [email protected] has handed over this document to [email protected] 2022-09-19 01:09:16 - 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.48.93
September 19, 2022 1:09 am ESTSurbhi R - [email protected] added by Joan Hauser - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.48.93
September 19, 2022 1:09 am ESTNathan M - [email protected] added by Joan Hauser - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.48.93
September 19, 2022 1:09 am ESTJoan H - [email protected] added by Joan Hauser - [email protected] as a CC'd Recipient Ip: 2405:201:2000:60c4:a8a4:c1cc:5efc:d952, 162.158.48.93