Thank you for your interest in being a vendor when RAGBRAI arrives in Fort Dodge on July 20th and departs on July 21st! We want every individual, organization and business to be successful, which in turn will make RAGBRAI a success for the entire community. The task of serving so many in one evening is big, and we hope that with the willingness and cooperation of so many, Fort Dodge can be hospitable and accommodating to all of our visitors. Our food and non‐food vendors are an important part of our success. As we plan for this event to be a winning situation for the whole community, please consider purchasing your supplies locally. Application Checklist Any vendor who is planning to sell food, will need to complete item number one first. An application for the Temporary Food Establishment License through the Iowa Department of Inspections and Appeals is attached and needs to be submitted to their office with the appropriate fee. A copy of this application will need to be submitted with our Fort Dodge RAGBRAI Vendor Application for processing. Once you receive the Temporary License from the State, a copy of it will need to be provided as well. The following items must accompany this application form: 1. Food vendors are required to obtain and provide proof of appropriate food license. License applications , requirements, and contacts can be found at http://www.dia.iowa.gov/page27.html. All applications should be sent to the address on the food license application form. Penalties will be assessed by Iowa Department of Inspection and Appeals if food license application is not submitted prior to the event. 2. Check for Total Vending Fee For Profit $800 Non‐Profit $300 3. Completed Electricty Request Form and $75 fee (if electricity needed) 4. Separate Check for Refundable Cleanup Deposit $100. 5. Proof of Liability Insurance Checks payable to: Fort Dodge Community Foundation Please put "RAGBRAI Fund" in the memo line. RAGBRAI occurs regardless of weather, therefore no refunds will be given due to weather. If you need to cancel an application after approved, and it is prior to July 1, 2015, you are entitled to a 50% refund of your fee. The Vendor Committee reserves the right to deny any application based on need, space availability and/or vendor intent. RAGBRAI® 2015 Fort Dodge - Monday, July 20th / Tuesday, July 21st VENDOR APPLICATION Please turn in this form via mail or email: Greater Fort Dodge Growth Alliance - RAGBRAI Committee 24 N 9th Street, Suite A Fort Dodge, IA 50501 Email: FortDodgeRAGBRAIVendors@gmail.com Organization Type: Profit ** Please provide copy of 501(c)3 Non-Profit VENDOR NAME : CONTACT NAME : MAILING ADDRESS : CITY, STATE, ZIP : FAX NUM : PHONE NUM : WEBSITE : EMAIL : SALES TAX PERMIT # OR FED ID # OR SOCIAL SECURITY # : Will you be on your own property? Yes No Monday, 7/20 Tuesday, 7/21 Yes No List Menu and Prices (or attach a form). Categories of food served are limited in order to reduce duplication and provide better opportunities for each vendor. First come, first serve. Dates you will be open? Hours you plan to be open? How many do you plan to serve? Do you need Electricity ($75 fee)? *** If yes, please fill out the electricity form List all hazardous materials that will be at your site (i.e. gasoline, propane, cleaning supplies, etc.): Set Up is: Vending Space: Vending Stall Fee: Refundable Cleanup Deposit: Monday, July 20th, 8:00 a.m. to 11:00 a.m. 20' x 20'. If additional space is needed, contact Bob Wood at 515-570-3803. For Profit $800 Non-Profit $300 $100 (applies to Vendor Area & adjacent eating area only) ** Vendor must also supply two trash receptacles (approx 30 gallons) for their designated vendor area and are required to empty as needed throughout the hours of operation. Signature: Date: PLEASE RETURN BY JUNE 15, 2015 Applications received after this date will NOT BE ACCEPTED. No permits will be issued after July 6, 2015. This application will not be processed unless this form is complete and items from checklist are attached. Vendors will be contacted following review of application. RAGBRAI® 2015 Fort Dodge - Monday, July 20th / Tuesday, July 21st ELECTRICAL SERVICE REQUEST Please turn in this form via mail or email: Greater Fort Dodge Growth Alliance - RAGBRAI Committee 24 N 9th Street, Suite A Fort Dodge, IA 50501 Email: FortDodgeRAGBRAIVendors@gmail.com Please return this form by June 15, 2015 or no provisions will be made or allowed. All items are limited to 120 volt regular current, 20 amp (regular household duplex receptacles, unless otherwise noted below. Understand that we may have to place a restriction on how much power is available upon receiving the total loads. Thank you for your cooperation. VENDOR NAME : CONTACT NAME : PHONE NUM : EMAIL : LOCATION : Primary Use 1. 2. 3. 4. 5. 6. 7. 8. Item Lighting Refrigeration Coffee Maker Foutain Machine Roaster Crock Pot Frying Pan Other (please list) Qty Approximate # outlets needed: Size of service needed - specific requests: PLEASE RETURN BY JUNE 15, 2015
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