VENDOR INFORMATION

Business Name: ______

Owner Name: ______U.B.I. #:______

Mailing Address: ______

City: ______State: ______Zip: ______

Email: ______

Home Phone #:______Cell Phone #______

ÿ Please Check If You Have Liability Insurance

Please provide a brief description of your business. This is the information that would be used in a brochure, on the website, or in a news article. If you need more space, please feel free to attach a sheet. Provide enough information to give a “snapshot” of your business:

____ Please Initial to Authorize Release of the above Information

VENDOR CATEGORY:

Indicate the category that your products will be sold under. Refer to the PFM rules and regulations.

ð A. Fresh farm products

ð B. Value added farm foods

ð C. Hand Crafted Products

ð D. Processed Foods

ð E. Prepared Foods
VENDOR TYPE & ANNUAL FEE: ð $100 Returning Reserved Vendor *

ð $ 50 Returning Unreserved Vendor *

ð $ 50 New Unreserved Vendor

* DEADLINE for Returning Vendors Only: Returning Vendor applications/fees not received by April 12 will be charged a $25 late application fee and considered on a first come basis and in relation to the needs of the Market.

VENDOR PARTICIPATION: Please circle the days in the months that you will be attending.

2013
DATES / WEEK 1 / WEEK 2 / WEEK 3 / WEEK 4 / WEEK 5
WED / SAT / WED / SAT / WED / SAT / WED / SAT / WED / SAT
MAY / 2 / 9 / 16 / 23 / 30
JUNE / 3 / 6 / 10 / 13 / 17 / 20 / 24 / 27
JULY / 1 / 4 / 8 / 11 / 15 / 18 / 22 / 25 / 29
AUG / 1 / 5 / 8 / 12 / 15 / 19 / 22 / 26 / 29
SEPT / 2 / 5 / 9 / 12 / 16 / 19 / 23 / 26 / 30
OCT / 3 / 10 / 17 / 24 / 31

EMPLOYEES

The principal/majority owner must be present at the market at least two (2) Saturday’s per month.

Please list who will be selling at the Market.

Name / Employee / Family

I have read and understand the rules and regulations applicable to being a vendor with the Pasco Farmers Market. I agree to the terms listed in the rules and regulations. I understand applications are accepted at the discretion of the Farmers Market Advisory Committee subject to space availability. I understand that incomplete applications will be returned and not accepted.

______/______/______

Printed Name Signature Date

Mail Application & Payment to: Pasco Farmers Market, P.O. Box 688, Pasco, WA 99301

CONTRACT OF INDEMNITY

FOR

FARMERS MARKET PARTICIPANTS

AGREEMENT made this day of ______, 20______, between

[your business name], herein called ‘INDEMNITOR”, and the Downtown Pasco Development Authority, a nonprofit Washington corporation, herein called ‘INDEMNITEE”, witnesseth:

Whereas, the INDEMNITOR desires to sell commodities in accordance with those permitted in the Farmers Market Policies and Procedures in one or more farmers market type settings in the City of Pasco, Washington; and

Whereas, the INDEMNITEE desires to encourage “Farmers Market” activity and has an agreement with the City of Pasco to provide a “Farmers Market” at Pasco’s parking area south of Peanuts Park in downtown Pasco and at Peanuts Park;

NOW, THEREFORE, in consideration of the above-stated premises, INDEMNITOR agrees that it will indemnify INDEMNITEE and the City of Pasco against, and save INDEMNITEE harmless from and against all claims, suits, damages, costs, losses and expenses in any manner, including but not limited to attorneys fees resulting form, arising out of, or connected with the INDEMNITOR’S sale of commodities in accordance with those permitted in the Farmers Market Policies and Procedures in a “Farmers Market” in the parking lot behind “Peanuts Park” or in “Peanuts Park” in downtown Pasco.

THIS AGREEMENT shall be binding on and inure to the benefit of the heirs, executors, administrators, successors and assigns of the respective parties hereto.

DATED this first date written above.

INDEMNITOR: [your business name]

By: [your signature]

DOWNTOWN PASCO DEVELOPMENT AUTHORITY, INDEMNITEE:

By:

Page 3 of 3