Ravenswood Farmers Market 2022 - Base Application - Greater Ravenswood Chamber of Commerce

I. CONTACT INFORMATION

Business Name *

Primary Contact Name *

Business Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Business Phone *

Cell Phone *

E-mail *

Website

I am a(n):

Individual Family LLC Partnership Corporation Co-op Other

If other, please explain:

I am to be listed as the primary contact for a cooperative vendor:

Yes No

II. GENERAL INFORMATION

Are you certified organic?

Yes No

Attach organic certificate if applicable

What is the name of your co-op?

Do you intend to distribute a CSA at our market?

Yes No

Please list all Chicago and non-Chicago Farmers Markets where you sell: *

Are you Food Alliance certified sustainable?

Yes No

If yes, please list date of last inspection:

Do you possess any certificates regarding your production practices not mentioned above? *

Yes No

If yes, please list:

Do you grow and/or raise all products or ingredients that you plan to sell at the Ravenswood Market? *

Yes No

If no, please explain:

Check each category in which you plan to bring product to the market:

Farmer/Producer: Must grow/produce 100% of the product they sell, with any expection approved by the Market manager(s) Processor: Any vendor who sells a value-added product who is not the primary grower or producer of the raw ingredients used to make that product

Are you interested in sharing a 10' x 10' space with another vendor (especially applies to vendors selling processed foods and baked goods).

Yes No

COOPERATIVE VENDORS ONLY: Please briefly list all members of the co-op AND city/state location below. PLEASE NOTE: Each member must submit their own application, completed in full, detailing the product(s) they will contribute, along with this application).

III. INSURANCE & LICENSING INFORMATION

All applicants must have a comprehensive general liability insurance policy listing the Greater Chamber of Commerce and Ravenswood Evangelical Covenant Church as additional insured. It must have a minimum coverage of $1 million per occurrence and $1 million aggregate and include broad form coverage, personal injury, products/completed operation, & advertising injury coverage. Applicants should also have $1 million in hired and non-owned automobile insurance,

Insurance company: *

Policy number: *

Exp. date: *

Coverage limit: *

Per occurance: *

Aggregate: *

Agent name *

Agent business address: *

Business phone: *

Illinois sales tax license number: *

Illinois requires that sales tax be collected in the sale of food, therefore you must have an Illinois Sales Tax License before applying to this market.

Please attach a copy of your insurance policy certificate: *

IV. PRODUCTS LIST

Please identify the items you will be selling at the market. After the item listed, please specify the number of varieties, the approximate dates the item will be avilable (example: June wk. 2, the volutem of the item (producers please indicate the acreage amount and processors please indicate the quantity of items) and finnaly, please specify if the product is organic.

List here: *

Please use this space to upload applicable licenses, Health Dpt. permits, or certifications not covered in the vendor-specific application

V. TRANSPARENCY OATH

In an effort to be honest with my customers and fully transparent to the market management, I promise to sell only those products which I produce myself or which my cooperative produces. I also agree to be honest about my production practices with both market management and my customers. I understand that breaking this oath will result in removal from the 2022 market. I understand that the Market Managers and the Greater Ravenswood Chamber of Commerce reserve the right to terminate any vendor agreement and remove a vendor from the Market at any time, and I agree to withdraw from the market if asked to do so.

Do you agree to adhere? *

Yes No

E-Signature: Type your name in place of a traditional signature. *

Typing your name in this field indicates you have read, understand the Transparency Oath.

IV. LETTER OF AGREEMENT

I have read the Ravenswood Farmers Market Guidelines. I agree to abide by and operate by the Markets’ Guidelines cooperate with the Market management and pay the required fees. I agree to sell at the Ravenswood Farmers’ Market only those items I have listed on the attached Product List. I understand that the management reserves the right to restrict the type of product(s) I am allowed to sell at the market. I agree that any new, additional products must be pre-approved by the Ravenswood Farmers Market prior to sale. I acknowledge those products must be of my own productions or be produced at the location described on my application. I acknowledge that I am not a subcontractor or employee of the Greater Ravenswood Chamber of Commerce (GRCC) and take full responsibility for all my activities in the market (and for those assisting me) throughout the term of this seasons market (June - October, 2022). I acknowledge the authority of the Market Manager(s) and the Greater Ravenswood Chamber of Commerce (GRCC) to immediately settle any disputes regarding product legitimacy, procedural and vendor conduct violations. I agree to allow the Market Manager(s) and/or representatives of the Market to inspect the premises where the products offered for sale are produced at any time. Failure to allow an inspection will constitute a violation of Market rules. I understand that the Market Managers and the Greater Ravenswood Chamber of Commerce reserve the right to terminate any vendor agreement and remove a vendor from the Market at any time, and agree to withdraw from the market if asked to do so. I understand that the Ravenswood Farmers’ Market does not carry any insurance policies to cover individual participants and that I am required to carry such insurance. I will comply with all local, federal, state and municipal laws and ordinances in the operation of my booth during Ravenswood Farmers Market and shall insure my merchandise against loss by theft or damage. Reimbursement to the Greater Ravenswood Chamber of Commerce: Applicant hereby agrees to reimburse the Greater Ravenswood Chamber of Commerce for any expense of providing labor, equipment, and facilities, cleaning up or restoring, and repairing the premises occasioned by any use or activity carried on by application or those authorized under applicant’s permit. Indemnification and Hold-harmless Agreement: The undersigned, for himself and, if different, for the person or organization on behalf of whom this application is submitted, hereby releases GRCC, its officers, directors, staff and members from any and all claims for, and agrees that GRCC, its officers, directors, staff and members shall have no responsibility for, personal injury sustained by the Applicant, its agents or employees, or damage to, or loss or destruction of, the Applicant’s property. The Applicant further agrees to indemnify and hold GRCC, its officers, directors and members harmless, from and against any and all claims for personal injury, damage to property or theft occurring in or about the Ravenswood Farmers Market area, whether to the Applicant, its agents or employees or any third party, caused in part or in whole by the participation of the Applicant in Ravenswood Farmers Market, and from any liability and/or for any contractual or quasi-contractual obligations to third parties in connection with the activity, event use or occurrence.

E-Signature: Type your name in place of a traditional signature. *

Typing your name in this field indicates you have read, understand the Letter of Agreement.

I agree that the GRCC and the Farmers' Market managers reserve the right to terminate any vendor agreement based on behavior, substance abuse, or any other reason the parties find valid. *

Yes No

E-Signature: Type your name in place of a traditional signature. *