2008 Vendor Application and Agreement

415 NE 4th Avenue, Camas, Washington98607

Phone: 360-838-1032

Email:

Website:

Updated 3/27/2008

Business Name: ______

Address: ______City:______State:______Zip:______

Owner’s Name: ______Email:______

Home Phone: ______Work Phone______Cell Phone:______

Contact’s Name (if other than owner): ______Email:______

Actual Business Location

______

Vendor Categories (please check all that apply)

Applications due by April 25th by mail or email:

□Farmer -- Certified Organic Produce

□Farmer -- Conventional Produce

□Farmer -- Plants, Nursery, Cut Flowers

□Farmer -- Other Farm Grown Products (please specify) ______

Required Permits and Licenses (copy must accompany application)

□Processor—jams, jellies, vinegar, other foods

□Processor—bread, pastry, other baked goods

□Concessionaire—freshly prepared foods

□Other(please specify)______

Applications due by April 25th by mail or email:

WA State UBI # ______

Food Handler Permit # (required to serve food or samples) ______

WSDA Food Processor's License# (for preserved foods) ______

Health Dept Approved Kitchen 10# (for processed or preserved foods) ______

Kitchen Address ______

Other Permits applicable to your business ______

Farm Information

Location

Property 1:______

Property 2:______

Property 3:______

Property 4:______

Total Acres Farmed (for all parcels of land):______

Acres in Production (for all parcels of land):

Vegetables:_____ Fruit_____ Nursery_____ Pasture_____ Greenhouse_____ Herd Size_____

Describe Your Approach to Soil Conservation:

Please describe your approach to pest control:

Please tell us about the agricultural products/flowers you will bring to market:

Please tell us about the processed food or products that you will bring to market (i.e. Jams, honey, beeswax candles):

Please tell us about prepared foods you will bring to market:

Please tell us about the licenses that you hold to sell your products (it is the farmers responsibility to have all appropriate licenses in place as required by the state of Washington).

Please share any other relevant information about what you will bring to market.

Please Circle All Dates that you plan to be in the Market (Market is held every Saturday from 9am to 1pm)

Applications due by April 25th by mail or email:

May 17

May 24

May 31

June 7

June 14

June 21

June 28

July 5

July 12

July 19

** July 26 **

Aug 2

Aug 9

Aug 16

Aug 23

Aug 30

Sept 6

Sept 13

Sept 20

Sept 27

Oct 4

Applications due by April 25th by mail or email:

Please describe your space requirements. 10x10 spaces for vendors with agricultural products are 8% of daily gross revenue with a minimum of $20 and a maximum of $50. Prepared food vendors will be charged 10% of daily gross revenue with a minimum of $20 for a 10x10 space. Please indicate if you need electricity. A $10 fee per week will apply.

Applications due by April 25th by mail or email:

□10x10

□10x20

□10x30

□Electricity: $10 per week

Applications due by April 25th by mail or email:

Please enclose payment for the first week’s stall fee with application. This payment will be credited to your first week at the market. Reimbursement checks will be issued to vendors not accepted by Camas Farmers Market (the Market). Please make sure that you have enclosed your payment.

Hold Harmless Agreement:

The undersigned agree to indemnify Camas Farmer’s Market (the Market)and the City of Camas, including their officers, directors,employees, representatives and agents, from and against all liability, claims, demands, losses, costs (including reasonable attorney fees), damages,levies and causes of action or suits of any nature whatsoever, including claims arising by reason of accident, injury or death caused to persons orproperty of any kind, arising out of, in connection with, or incident to the market, and arising out of or related to the applicants activities at the Market including activities of any workers for the applicant.Should a vendor at any time occupy the premises in a manner contrary to the rules of the Market, or in any manner that is hazardous or offensive tothe public or other vendors, upon request of Market officials, the vendor shall immediately cease such offending conduct. Failure to immediately conform conduct as requested shall be cause to revoke this agreement and the vendor permit. Upon failure to so vacate, the Market is authorized toremove all property of the vendor from the premises at the vendor’s expense. The Market is relieved and discharged fromany and all loss or damage occasioned by such removal. The Market will not be responsible for storage or safekeeping of property so removed.

The undersigned acknowledges that they have received a copy of the 2008 Vendor Rules and that they have read them, understand them,and agrees to abide by them.

Signature:______Date: ______

Print Name: ______

Applications due by April 25th by mail or email: