Certified Local Application

3) Standards & Local Food Purchases

Please report purchases at the individual producer level (not distributor/purveyor)

Are you applying for Core or Exceptional?*

Core
Exceptional

Total spent annually on local food purchases:*

Total spent annually on ALL food purchases:*

Fair Marketing: Within the past 30 days, you must have purchased product from every farm listed on your menu, displays, and marketing materials (including website). If you do not update menus monthly, farm names and products must be listed on a chalkboard or other changeable display. Do you agree to the Fair Marketing Standards?*

Yes
No

Seasonal Menu: The main ingredients of at least one appetizer and one entree must be entirely locally procured and seasonally appropriate, year round. Do you agree to the seasonal menu standard?*

Yes
No

PURCHASING: At all times, all restaurants must offer at least one Colorado-grown or produce item from five (5) of the Certified Local food categories: 1) produce; 2) meat, fish, eggs; 3) dairy; 4) beer & spirits; 5) wine; 6) honey and other processed foods.

CORE STANDARD: Core restaurants must have at least THREE (3) local (Northern Colorado) agricultural products on the menu at any given time. Only items from categories 1), 2), and 3) above satisfy this criterion.

EXCEPTIONAL STANDARD: Exceptional restaurants must have at least SIX (6) local (Northern Colorado) agricultural products on the menu at any given time. Products must include at least two (2) produce items and at least one (1) meat/fish item. Only items from categories 1), 2) and 3) above satisfy this criterion. Additionally, the alcoholic beverage menu must include a least three (3) Northern Colorado breweries and at least two (2) Colorado wines.

1. Produce: List all Colorado produce purchases by producer. Click (+) to add additional rows. **Exceptional must list at least TWO (2) Northern Colorado items**

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

2. Meat, Fish, & Eggs: List all Colorado meat, fish, and egg purchases by producer. Click (+) to add additional rows. **Exceptional must list at least ONE (1) Northern Colorado item**

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

3. Dairy: List all Colorado dairy product purchases by producer. This includes cow, goat, sheep, etc. Click (+) to add additional rows.

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

4. Beer & Spirits: List all Colorado beer and spirit purchases by producer. Click (+) to add additional rows. **Exceptional must include at least THREE (3) Northern Colorado breweries or distilleries**

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

5. Wine: List all Colorado wine purchases by producer. Click (+) to add additional rows. **Exceptional must include at least TWO (2) Colorado wines**

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

6. Honey and other processed foods: List all Colorado processed food purchases such as honey, spreadables, and drinkables by producer. Click (+) to add additional rows.

Producer Business Name	Producer Contact Name	Business City & County	Contact Phone/Email	Total Purchases ($)	Items Purchased

Step 1 of 4

1) Contact Information

2) Restaurant Information

3) Standards & Local Food Purchases

4) Program Specific Questions

5) Logo

6) Audit Permission & Fee