Logan Square Farmers Market / Outdoor 2017 Season / Prepared Food Application
For 2017, there are three different "Primary Vendor" application forms for the Logan Square Farmers Market. Please select the most appropriate and complete the correct form(s). They are: (1) 2017 Farmer/Producer Application, for farmers or producers of raw or minimally processed agricultural products; (2) 2017 Processor/Bakery Application, for processors or bakers of products made from raw or minimally processed ingredients; and, (3) 2017 Prepared Food Application, for sellers of prepared foods produced in whole or in part at the Market, intended primarily for immediate consumption.

To apply for the 2017 Outdoor Season of the Logan Square Farmers Market as a Prepared Food Vendor who produces food intended primarily for immediate consumption in whole or in part at the Market, please complete this form in its entirety. Your complete application, including a $100 application fee and all supporting documents, must be submitted or postmarked by March 20, 2017. Incomplete applications, including applications unaccompanied by subsequent application fees and supporting documentation will not be considered. Returning applicant vendors with outstanding dues will not be considered until their balance is paid in full.

Early submission is strongly recommended. All application submitted after March 20, 2017, including applications that are incomplete on that date, will be subject to an additional late fee of $50. You will be notified of the status of your application no later than April 10, 2017.

The Outdoor 2017 Market is held every Sunday beginning May 14, 2017, through October 29, 2017, for a 25 week season, along Logan Blvd. just east of Milwaukee Ave. (Street address for GPS devices is 3107 W. Logan Blvd., Chicago.) The Market is open for business from 10am to 3pm, rain or shine.

The Logan Square Chamber of Commerce
3147 W. Logan Blvd., Suite 12, Chicago, IL 60647

Office Phone: 773-489-3222
Market Phone: 773-620-6299
Fax: 773-489-3760
info@loganchamber.org
www.logansquarefarmersmarket.org

Email address
I. Contact Information:
Business Name
Your answer
Primary Contact Name
Your answer
Billing Street Address
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City, State, Zip
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County
Your answer
Business Phone
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Cell Phone
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Facebook Page
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Twitter/Instagram/Other
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Primary Business Contact E-mail
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Business Website address
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Business type (Check all that apply)
Required
Alternate Contact Name, Cell Phone, and Email
Your answer
Individual(s) responsible for market-day stall management and sales other than yourself, if any (please include Name, Title, Cell Phone and E-mail):
Your answer
II. Participation Information:
Is this your first time applying to the Logan Square Farmers Market?
Preferred Frequency:
How many 10' x 10' stalls do you require?
Weekly Vendors are expected to commit to the entire May through October season. If you are applying to be a Weekly Vendor, please list all dates you cannot attend the Market and explain why the absence is necessary. If you are applying as an Occasional or Short Season Vendor, please list the dates you hope to attend (with a brief explanation). Note that vendors who can attend the whole market season are strongly preferred.
Your answer
If you are a returning vendor, when have you sold at the Logan Square Farmers Market?
Your answer
Please list any other Markets you have sold at previously:
Your answer
Please list any other markets you plan to sell at during the 2017 summer season.
Your answer
Please select your preferred payment method:
III. Sales Tax, Insurance, and Business License:
Illinois Sales Tax License # (Required)
Your answer
All Vendors must carry a Commercial General Liability Insurance Policy ($1 million minimum coverage). Applicants must possess a current Certificate of Liability Insurance, submitted with this application or mailed to LSCC by April 1, 2017. Upon acceptance, vendors must submit updated proof of insurance naming both the City of Chicago and Logan Square Chamber of Commerce as additional insureds, no later than May 1, 2017. See Rules & Regulations for style. Please note how you plan to submit your copy of the insurance in the text box below (fax, email, mail).
Your answer
Insurance Company
Your answer
Policy # and Expiration date:
Your answer
If your business is licensed by a local city or municipality, please provide the following:
Name of licensing body/location:
Your answer
License #, Date Issued, and Expiration Date:
Your answer
By initialing here I confirm that I take full responsibility for keeping informed of all laws and ordinances (whether dictated by the state, county, municipality, city, health department or other governmental organization) in so far as they apply to my business operation and that my business complies with these laws and ordinances. Initials:
Your answer
IV. Business Description:
Please list all sites including a map or GPS ready address for each. This information will be used in the event that market Management decides to perform a site visit. Please make sure it is accurate.
Business Location
Your answer
Operating since (year)
Your answer
Approximate distance to Logan Square:
Your answer
Owned or leased?
Describe your business history, vision and philosophy. Please mention any connection that you are your business have with Logan Square. (Returning applicants please describe in 3 sentences. New vendors please describe in detail.)
Your answer
Please describe how your production methods produce a high quality product and show care and respect for the environment, your business, and your community. Strong preference is given to vendors sourcing locally and using compostable serve ware and packaging (note packaging below). (Returning applicants please describe in 3 sentences. New vendors please describe in detail.)
Your answer
Are any of the products you plan to sell USDA certified organic?
If yes, please list the third party certification you currently hold, including effective dates, and please send a copy of those certificates to whitney@loganchamber.org & rosie@loganchamber.org. Use this space to include any other third party certification you currently hold or are actively seeking:
Your answer
Please list each item planned for sale at the Market that you produce.
Your answer
Please list each item planned for sale at the Market that you do not produce and detail where these items come from. *Note: Items not produced by the primary applying vendor are not permitted with the exception of information laid out in the beverage policy on page 11 of the 2017 Rules & Guidelines.
Your answer
List all major ingredients, and specific source of these ingredients, that go into your products. We give strong preference to Prepared Food Vendors sourcing major ingredients from LSFM farmers and other vendors, with a special emphasis on fresh produce and agricultural products. For maximum consideration, consider adapting your offerings to source specially from LSFM farm vendors.
Your answer
Do you personally oversee production of your products?
Please describe how you prepare your products and using what methods, including any and all preparation that will be done off site as well as on-site at the Market.
Your answer
Without exception, at all times food is being handled, a person who has completed the Summer Festival Sanitation training for the current year must be present at the booth, with their original certificate. Please check below if you can guarantee this. For more information, including how to sign up for training, please read the City of Chicago's Guidelines for Food Handing at Special Events.
If you intend to sell foods that require hot or cold storage to prevent spoilage, how do you intend to keep them at correct Health Department stipulated temperatures during transport and at the Market? (Note: electricity is not available at the Market and refrigerated trucks may not be left running while parked).
Your answer
Affidavit
I have read this application and the Logan Square Farmers Market 2017 Market Rules and Guidelines and if accepted into this Market, I hereby agree to abide by all Rules and Regulations of the Logan Square Farmers Market and accept all decisions and interpretations made by the Logan Square Chamber of Commerce, the operator of the Market, as final.

I have read, understand, and agree to abide by the 2017 Waste Management procedures and Plastic Bag guidelines outlined in the Rules and Guidelines document on pages 8 and 9.

I agree to sell at the Market only those products listed in this application. I also acknowledge those products must be of my own production or produced at the location described on my application. Associate Vendor products must follow procedures outlined in the Rules & Guidelines. I agree to comply with all relevant government rules and regulations related to this business and to pay all taxes due in a timely manner. I acknowledge full responsibility for actions taken at the Market by myself and all those employed by or assisting me.

I acknowledge the sole authority of the Logan Square Chamber of Commerce, its Market Manager and staff, to enforce and interpret the Rules of the Market, to immediately settle any disputes regarding product legitimacy, procedural or vendor conduct violations and impose any penalties, including suspension or removal from the market. I agree to allow the Market Manager and/or representatives of the Market at any time to inspect the premises where the products offered for sale are produced, and acknowledge that failure to allow an inspection will constitute a violation of Market rules.

I understand that the Logan Square Chamber of Commerce does not carry insurance covering individual participants and that I am required to carry such insurance.

Indemnification and Hold -Harmless Agreement: The undersigned, for himself and, if different, for the person, business or organization on behalf of whom this application is submitted, hereby agrees to indemnify the Logan Square Chamber of Commerce and the City of Chicago and their officers, agents, employees and assigns, for and to hold them harmless from any liability and/or for any contractual or quasi contractual obligations to third parties in connection with any activity, event(s), use or occurrence at the Market.

I understand that Market fees are due and payable upon receipt of bills therefore, and that non-payment may, at the sole discretion of the Logan Square Chamber of Commerce, result in suspension or removal from the Market; and that final fee payment is due no more than 30 days after the last Market day.

I certify that the information contained in this application is true & accurate.

Name of Business
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Signature
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Date
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