Vendor Application URLThis field is for validation purposes and should be left unchanged.Vendor DetailsName of Contact Person(Required) First Last Business/Organization(Required)Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone(Required)Alternative PhoneEmail(Required) Website Product/Service DetailsFood Vendors will cost $150 per week or $500 in advance for all 4 dates.I am signing up for the following dates, 5pm – 9pm:(Required) July 7 July 14 July 21 July 28 List All Your Menu Items(Required)Please provide a list of each menu item you will sell. Once approved, items cannot vary unless pre-approved by the committee.Describe Your Vending Unit/Space(Required) Self-contained food truck Food trailer hitched to another vehicle Tent Vendors will be allocated space based on the size of your unit and the description information submitted with the application. Include generator, hitch, signage, etc. in your measurements.From which side(s) can you serve?(Required) Driver Passenger Front Back Required Dimensions (width and length)(Required)Do you need to send a vehicle "runner" during the event? Please describe.If you are vending from a tent, are you planning to use a grill?(Required) Yes No If you are vending from a tent, are you planning to use a generator?(Required) Yes No Terms Consent(Required) I agree that I have read and agree to be bound by all of the terms of this Vendor Agreement, Waiver & Release.Terms of Agreement, Waiver, and Release: In consideration of the opportunity to participate in Summer Sounds By Brophy (the “Event”), and as a condition precedent to such participation, the Vendor named herein (the “Vendor”) agrees to be bound by all of the terms and conditions described herein, and also agrees to release, indemnify and hold harmless the premises owner (Douglas County) and the event sponsor, the Rotary Club of Alexandria, a Minnesota non- profit corporation (the “Rotary), as well as its affiliates, members, board members, volunteers, agents and employees, from and against any and all claims, damages, medical expenses, liabilities, costs and expenses (including reasonable attorneys’ fees) arising out of the Vendor’s participation in the Event, including without limitation, liability for any injuries, damages and/or illnesses to any employees, agents, customers, clients, invitees, guests or other members of the public that may have directly or indirectly resulted from the conduct of the Vendor, or the conduct of the Vendor’s agents or employees, the products or services sold by the Vendor, the negligence of other participants in the Event, and/or from the negligence of the premises owner or the negligence of the Rotary, its affiliates, members, board members, volunteers, agents and employees.Insurance Policy Consent(Required) That the Vendor has and will maintain during the Event an insurance policy for Comprehensive General Liability insurance in the combined amount of at least $1,000,000 (per occurrence and in aggregate, and that it will name the Rotary Club as an additional insured. Certain types of activities may not require insurance of this amount or character.Workers Compensation Consent(Required) The Vendor has and will maintain during the Event a Workers Compensation insurance policy, as required by law. In the event that the Vendor believes that it is not required to carry such insurance, the Vendor agrees to furnish to the Rotary’s “Brophy Park Market” Chair a written explanation of its legal exemption from such coverage requirement.Damage and Loss Consent(Required) That the Rotary and Douglas County are not liable for any theft, losses or damage to the Vendor’s property, which might occur as a result of participating in the Event.Tax Consent(Required) That the Vendor is required to furnish its Minnesota tax ID number to participate in the Event and is responsible to pay any and all sales taxes and other legal obligations associated with the sale of any products or services at the Event.Promotion Consent(Required) That the Vendor hereby grants consent and permission to the Rotary, its affiliates, members, board members, volunteers, agents and employees, to use the Vendor’s name(s), image(s), photograph(s), videotape(s), motion picture recording(s), voice recordings or likeness(es), including those of the Vendor’s employees and agents for any Rotary purposes, including Event publicity and promotion.Removal Consent(Required) The Rotary Club of Alexandria reserves the right to immediately remove a vendor for cause. Refund of vendor fees shall be determined at the sole discretion of the Rotary Club of Alexandria.Authorization Consent(Required) That the undersigned is duly authorized by the Vendor named above to sign the Agreement, Waiver and Release, and to bind said Vendor to all of the terms herein. By my signature below, I consent and agree to the terms of the Agreement, Waiver and Release and the attached Rules and Responsibilities.Authorization Consent - Type Your Name(Required)That the undersigned is duly authorized by the Vendor named above to sign the Agreement, Waiver and Release, and to bind said Vendor to all of the terms herein. By my signature below, I consent and agree to the terms of the Agreement, Waiver and Release and the attached Rules and Responsibilities. Δ
