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125th Street Fresh Connect Farmers’ Market APPLICATION 2015 Food COMMUNITY Art LOVE (HARLEMPRIDEDAY & FALLFEST)
The POWER Of HEALTH In The HEART Of HARLEM
HERBan Farmers’ Market | P.O Box 1157 | New York, New York 10039 | [email protected]
Tuesday, 1 September 2015
Dear Growers, Producers, Culinary Creatives, and Artists~
Are you interested in participating in these two upcoming events?!-->
1. HARLEM PRIDE Day At The Market- Tuesday, October 20th 10am-7pm = $75 2. Fall Festival- Tuesday, October 27th 10am-7pm = $75
Please bring your amazing, creative, delicious food, art, crafts, hard ciders, beer, jams, preserves, wines, and other products to sell at market! You have exactly what our shoppers are seeking.
Complete the enclosed application (only those parts that pertain to your business). Then, mail U.S. Postal Money Order or Check to the address listed inside, OR Send Payment Online via PayPal to: [email protected]. Applications Due September 30th. Abundance in Life’s Harvest,
Tupacamaru Tiwoni Tupacamaru Tiwoni (Motha Nature) Director of Planning & Operations 646.351.7611 (cell)
Food is the foundation for happy, healthy individuals and families Community is a special place where cultures converge and harmony happens Art empowers, enriches, and exposes individuals to alternative ways of being
Love fuels our passion to provide this outlet for farmers and the community we serve
125th Street Fresh Connect Farmers’ Market APPLICATION 2015 Food COMMUNITY Art LOVE (HARLEMPRIDEDAY & FALLFEST)
The POWER Of HEALTH In The HEART Of HARLEM
HERBan Farmers’ Market | P.O Box 1157 | New York, New York 10039 | [email protected]
TERMS AND CONDITIONS The terms “Merchant{s}” “Vendor{s}” and “YOU” refer to Farms as well as All Other Vendors.
1. 125th Street Fresh Connect Farmers’ Market is located on the Plaza of the Adam Clayton Powell, Jr. State Office Building at 163 West 125th Street/ New York, NY 10027. Event Hours are Tuesdays 10am-7pm- October 20th and October 27th 2015.
2. Merchants must set up and break down stations at agreed upon hours, NOT outside of agreed upon hours. 3. Merchants are responsible for cleaning their space; and, must vacate premises immediately after breakdown. 4. Merchants will only sell and distribute items listed in this contract, unless written permission from
Market Manager is given to do otherwise.
5. Merchant space is assigned at the discretion of the Market Manager. 6. We have the right to refuse any application for any reason and to remove Merchants who miss more
than 3 market days. 7. NO REFUNDS. Merchants Agree to Participate in either one or both events (HARLEM PRIDE Day At
The Market, Fall Festival); and, To Pay Total Cost of Participation, regardless of the amount of hours per day Merchants may or may not participate.
8. YOU and Individuals Working For/With YOU Assume FULL LIABILITY for the safety, loss, damage or destruction of your person(s) or property; and, agree to hold 125
th Street Farmers’ Market harmless from any and all liability arising fro occupancy of the premises. 125th Street Farmers’ Market does not accept responsibility for damage or injury to persons or property, on premises, including exhibits and products.
9. One SPACE SIZE is n ot to Exceed 10’x10’, unless Market Manager gives written permission. 10. We DO NOT PROVIDE CHAIRS, TABLES, TENTS Or Anything Else You Need for Set Up. *Use Tent Weights. 11. ABSOLUTELY NO COOKING ON PREMISES, without prior written permission. 12. PRODUCE & O THER VENDO R DISPLAYS MUST BE CLEANED And MAINTAINED Throughout the Day.
MAKE CHECK Or U.S. POSTAL MONEY ORDER PAYABLE TO:
125th Street Farmers’ Market
**FARMS MAY USE UP TO 3 TENTS at No Extra Cost. OTHER VENDORS Pay $15 MORE Per Tent, Per Day**
MAIL APPLICATION & PAYMENT TO: HERBan Farmers’ Market
P.O. Box 1157- New York, NY 10039
*I have read and understand the Terms and Conditions provided above and agree to abide by them.*
Print NAME & TITLE of Contact Person: ____________________________________________________________________
Farm/Business Name: __________________________________________________________________________________
Signature: _________________________________________________________ Date: _____________________________
125th Street Fresh Connect Farmers’ Market APPLICATION 2015 Food COMMUNITY Art LOVE (HARLEMPRIDEDAY & FALLFEST)
The POWER Of HEALTH In The HEART Of HARLEM
HERBan Farmers’ Market | P.O Box 1157 | New York, New York 10039 | [email protected]
Market Operations: Selling space size and fee is specified in the market rules. Payment for booth space is due with this completed application. Non-payment of installments may result in suspension of market privileges.
HARLEM PRIDE Day At The Market (10.20.15) and Fall Festival (10.27.15) take place on TUESDAYS 10am-7pm. Please indicate which events you plan to participate in:
! I plan to attend HARLEM PRIDE DAY At The Market on Tuesday, October 20th 10am-7pm. ! I plan to attend Fall Festival on Tuesday, October 27th 10am-7pm.
! I am interested in participating in Winter Village Market December 1st through December 29th. (Days/Hours TBD) Certificates/Licenses Required: ⌧ Proof of general and product liability coverage in the amount of $1 million and name the market as an additional insured {125th Street Farmers’ Market.- 227 West 149th Street, Suite 2B- New York, NY 10039}. A certificate must remain current and on file with the Market Manager.
⌧ Sales Tax Certificate, if you sell taxable items.
⌧ All appropriate permits as required for products being sold: i.e., health permits, 20C Exemptions, farm winery permit, nursery license, dairy and meat permits, etc. FOR FARMS:
! I wish to participate in the FMNP.
! I wish to participate in the Farmers Market Wireless EBT program.
Please list ALL FORMS OF PAYMENT You Currently Accept:
_____________________________________________________________________________________
How did you hear about 125th Street Fresh Connect Farmers’ Market? __________________________
_____________________________________________________________________________________
125th Street Fresh Connect Farmers’ Market APPLICATION 2015 Food COMMUNITY Art LOVE (HARLEMPRIDEDAY & FALLFEST)
The POWER Of HEALTH In The HEART Of HARLEM
HERBan Farmers’ Market | P.O Box 1157 | New York, New York 10039 | [email protected]
Business Name____________________________________________Contact Name______________________________
Address___________________________________________________________________________________________
Cell Phone___________________________________Email__________________________________________________
Website_______________________________________________________Farm/Business Address (if Different from above):
Business Type: Check all that apply: (use additional sheet if necessary) ⌧ Fruits/vegetables—complete crop plan below
! Dairy: specify products
! Fish: specify products _____________________________________________________________________________________
!Meat: specify _________________________________________________________________________________________
! Maple/honey products: specify products
!Baked goods: specify products
!Prepared foods: specify products _________
!Crafts: specify products ___
!Value added: specify products _____________________ !Nursery products: circle product types—annuals, perennials, vegetable/herb plants, and nursery stock
!Eggs !Herbs (dried or fresh-cut)
!Other ______________________________________________________________________________________________________
_______________________________________________________________________________________________________________ Compliance and Indemnity Agreement: I (we) the undersigned have read the Rules and Regulations of 125th Street Farmers’ Market and do agree to abide by all rules and regulations. I (we) further agree to operate my (our) stall in accordance with these rules and regulations and to pay all applicable fees as set out in the rules and regulations. I (we) further understand that failure to comply with the rules and regulations of 125th Street Farmers’ Market could mean dismissal from the market. As a vendor, wishing to participate in 125th Street Farmers’ Market, I (we) agree to SAVE, HOLD HARMLESS and INDEMNIFY 125th Street Farmers’ Market, its sponsoring agency, members, and staff from any and all liability or responsibility pertaining to any damages to person or property. I (we) verify that all information I (we) have provided about my farm, or other business, and products for sale is true and accurate. I (we) understand that the 125th Street Farmers’ Market operates on limited funds. I (we) also acknowledge that 125th Street Farmers’ Market’s beneficial purpose will be impossible to pursue if it is subjected to costly litigation. Wherefore I (we) hereby agree that as a condition of my participation in 125th Street Farmers’ Market, I (we) will not resort to litigation, but, instead, attempt, in good faith, to resolve any disputes. I (we) further agree to pay all costs, expenses, fees, and disbursements incurred by 125th Street Farmers’ Market in the course of its defense of any litigation I (we) bring forth, and I (we) will also pay 125th Street Farmers’ Market reasonable attorney’s fees.
Vendor name, Please print _______
Signature______________________________________________________Date_______________________________
125th Street Fresh Connect Farmers’ Market APPLICATION 2015 Food COMMUNITY Art LOVE (HARLEMPRIDEDAY & FALLFEST)
The POWER Of HEALTH In The HEART Of HARLEM
HERBan Farmers’ Market | P.O Box 1157 | New York, New York 10039 | [email protected]
Crop Plan For Farmers: Indicate crops grown that you plan to sell at the farmers market, including acreage of each item: Crop Acreage _________________________________________________________________________________________________ ______________________________________________________________________________________________________________
Crop Acreage _________________________________________________________________________________________________ ______________________________________________________________________________________________________________
Crop Acreage _________________________________________________________________________________________________ ______________________________________________________________________________________________________________
Crop Acreage _________________________________________________________________________________________________ ______________________________________________________________________________________________________________
Additional products you plan to sell, as allowed by the market's rules and regulations: ______________________________________________________________________________________________________________ Farm Inspection: The market management reserves the right to do spot visits and farm inspections to assure that the products sold are in compliance with the market's rules and regulations. Production Methods Used: !Certified organic. Copy of current certificate must be placed on file with the market. !Non-certified organic. My gross agricultural income from organic sales totals $5,000 or less annually and I comply with applicable organic production and handling requirements. !Conventional !Other {Describe}:___________________________________________________________________________________________
Please note: Pursuant to CFR Part 205, Subpart B, Section 205.100(c)(1) any operation that knowingly sells or labels a product as organic, except in accordance with the ACT, shall be subject to a civil penalty of not more that $10,000 per violation.
