Logan Square Farmers Market / Outdoor 2017 Season / Farmer/Producer 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 farmer or a producer of raw or minimally processed agricultural products, 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
Your answer
City, State, Zip
Your answer
County
Your answer
Business Phone
Your answer
Cell Phone
Your answer
Facebook Page
Your answer
Twitter/Instagram/Other
Your answer
Primary Business Contact E-mail
Your answer
Business Website address
Your answer
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 #:
Your answer
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. Farm Description:
Please list all sites including a map or GPS ready address for each. If items are wild gathered, identify the location(s). If the land is rented, shared or leased, please include contact information for the owner. This information will be used in the event that market Management decides to perform a site visit. Please make sure it is accurate.
Home Farm Location
Your answer
Farming since (year)
Your answer
Acreage:
Your answer
Acreage in production:
Your answer
Greenhouse (or other enclosed space) square foot:
Your answer
Approximate distance to Logan Square
Your answer
Owned or leased?
Owner/Landlord Name & Phone:
Your answer
Second farm location:
Your answer
Farming since:
Your answer
Acreage:
Your answer
Acreage in production:
Your answer
Greenhouse (or other enclosed space) square foot:
Your answer
Approximate distance to Logan Square:
Your answer
Owned or leased?
Your answer
Owner/Landlord Name and Phone:
Your answer
Describe your farm history and farming philosophy. (Returning applicants please describe in 3 sentences. New vendors please describe in detail.)
Your answer
Please describe how your specific production methods produce a high quality produce and show care and respect for the environment, your farm or business, and your community. Please discuss specific pest and weed control practices, animal handling practices, commitment to non-GMO sources, healthy soil management, organic versus synthetic fertilizers, and waste management practices. (Returning applicants please describe in 3 sentences.New vendors please respond in detail).
Your answer
Do you use GMO seeds?
Do you use conventional feed (eggs, livestock)?
Are any of the products you plan to sell USDA certified organic?
Produce farmers: Please indicate, by initialing below, that you must register to participate in the Farmers Market Nutrition Program, administered by the Illinois State Department of Human Services, to accept Farmers Market Nutrition Program checks used by WIC & Senior Customers.
Your answer
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
Producers of meat, fish, poultry, eggs and dairy - Please list your licensed processing locations below. Include products, processor's name and location:
Your answer
Licensed by:
License #
Your answer
Please list each raw or minimally processed agricultural item planned for sale at the Market that you produce (be sure to list the months you expect each crop will be available).
Your answer
Associate Vendor Relationships: Please list each raw or minimally processed agricultural item planned for sale at the Market that you do not produce (be sure to list the months you expect each crop will be available). You will need to have the associate vendor submit the associate vendor application for approval, for sell of goods in excess of the one-time exemption. Please also detail where these items are grown/produced. (**Each vendor is permitted a "one time exemption" with approval from the Market Management, to sell an associate vendor product without an additional application. See the Rules and Guidelines, SectionIII for further information. Note that Associate Vendors whose products you would like to sell more than once are required to submit a completed Associate Vendor application. Associate Vendor products may not be in excess of the producer-supplied products. Contact the Chamber to determine course of action with associate vendor products and the one-time exemption.)
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
Your answer
Signature
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Date
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