The Hudson Farmers’ Market New Vendor Application ● 2015 Season Application Steps 1. Fill out and sign the application. Deadline for submission is February 1st, 2015. 2. Attach copies of all required permits and licenses as necessary for your business. Examples: a. sales tax certificate b. Nursery Grower and Nursery Dealer Registration Certificate (required for any vendor growing and selling plants intended for outdoor use) c. Home Processing Exemption Inspection Report (for vendors of home-­‐processed foods, a copy of this report or a copy of your 20-­‐C Food Processing License) d. Organic Labeling (all growers/producers claiming organic status or advertising produce or other products as organic must be certified by their state chapter of NOFA, OCIA, Demeter Society, or other certified program) 3. Attach a crop plan indicating the products by month that you wish to bring to the market (see sample attached) 4. Complete and sign the Hold Harmless and Indemnification Agreement 5. Mail application a. By email: kasorganic@hotmail.com b. By USPS to: Hudson Farmers’ Market, Vendor Application, c/o Chris Cashen, The Farm at Miller’s Crossing, 81 Roxbury Road Hudson, NY 12534. You will be notified if Approved or Denied by March 15th, 2015. If you are approved, you will also need to submit the following items prior to your first day at the Market: 6. A copy of Certificate of Product Liability Insurance with a minimum coverage amount of $1,000,000 listing “Hudson Farmers’ Market” and “City of Hudson, NY” as certificate holders. 7. A check made out to “Hudson Farmers’ Market” for the amount of your approved booth size plus an additional $15 facilities fee. For questions, please contact: Chris Cashen, (518) 851-­‐2331, kasorganic@hotmail.com. Desired Booth Size 10’ at $50 20’ at $100 Farm / Business Name ______________________________________________________________________________ Name of Vendor ___________________________________________________________________________________ Address __________________________________________________________________________________________ City ___________________________________________________ Phone ___________________ [ ] Mobile [ ] Home [ ] Business State __________ Zip _______________ Sales Tax ID Number ____________________ Email Address _____________________________________________________________________________________ v. 1.9 Page 1 Briefly describe your operation (size, years in business, animals, greenhouses, organic, IPM, employees, where you source ingredients, etc.) _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ What are your current sales outlets (farm stand, wholesale, retail, co-­‐op, restaurants, pick your own)? Please list all farmers’ markets in which you participate. _________________________________________________________________________________________________ What products do you propose to sell that you grow, produce, or create that are not already indicated on your crop plan? _________________________________________________________________________________________________ _________________________________________________________________________________________________ Under rare exceptions are vendors allowed to bring to the market items that are not locally grown, baked, or made by themselves. Please list the products you propose to sell that are not grown, produced, or created by you. These items must be approved by the Vendor Collective before you can bring them to the market. _________________________________________________________________________________________________ _________________________________________________________________________________________________ Please indicate when you plan to start coming to the Market and when you will finish. _____ I plan to attend the Market for the full season _____ I will start attending the market on ________________________. _____ I will finish for the season on or about ________________________. _____ I wish to accept EBT / Food Stamps at the Market for qualified products. I will follow the EBT regulations as explained to me by the EBT Runner. I certify that the above information is true. I have read and understood the Hudson Farmers’ Market Rules and Regulations. If accepted as a vendor, I agree to abide by the Hudson Rules and Regulations. Vendor Signature _____________________________________________________ v. 1.9 Date ____________________ Page 2 The Hudson Farmers’ Market Hold Harmless and Indemnification Agreement ● 2015 Season Name of Vendor ___________________________________________________________________________________ Farm / Business Name ______________________________________________________________________________ Address __________________________________________________________________________________________ City ___________________________________________________ Phone ____________________________________ State __________ Zip _______________ [ ] Mobile [ ] Home [ ] Business The undersigned agrees that he/she will comply with the Rules and Regulations of the Hudson Farmers’ Market for the 2015 market season. Non-­‐compliance with market rules will result in cancellation of market agreement with vendor and removal of undersigned from the market venue with no refund of market fees. The undersigned further certifies that he/she is the responsible person and he/she is authorized to (1) Execute on behalf of the above company and (2) Accept legal process on behalf of the above business. The undersigned also agrees to indemnify and hold harmless the Hudson Farmers’ Market, City of Hudson, Hudson Farmers’ Market Board, Market Manger, and Columbia County from and against any and all liability, damage, expense, cause of action, suits, claims, penalties and/or judgments arising from injury to person sustained by anyone as a result of consuming any food or drink acquired from me, use of any item purchased from me, or from any negligent action on my part. Vendor is responsible for all monies collected from the sale of Vendor’s goods. The Hudson Farmers’ Market, City of Hudson, Hudson Farmers’ Market Board, Market Manger, and Columbia County are in no way responsible for any lost or stolen monies or items. Vendor Signature _____________________________________________________ Date ____________________ Print Name __________________________________________________________ Title ____________________ v. 1.9 Page 3 Sample Crop Plan
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