Prepared Foods: New Candidate Applicant

Prepared Foods: New Applicant

You are a CA based small business and would like to sell the packaged food/drink items that you produce at our markets. Space is limited; especially for popular commodities. Applications do not guarantee entry to UVFM farmers' markets.
Business Name*
Owner Name*

First NameLast Name
Phone - Cell*
Phone - Business
E-mail Address*
example@example.com
Business Website*
Business Information
How much experience do you have in your business and with selling in year-round Certified Farmers' Markets?
I am the producer of the items I sell:

In a facility I exclusively control.In a rented/shared Commissary Kitchen.My home kitchen in accordance with the Cottage Food Act.
Address of Registered Kitchen*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Describe your menu, ingredients, display, and prices*
Please describe the edible product(s) that you make. You can include Menu items, types of ingredients, process as well as an estimated Price Point.
Do you use organic ingredients?*
Certified Farmers' Markets
I am interested in joining the Market every FRIDAY, 8am-2pm,

Old Oakland, (Alameda County)No Fridays
I am interested in joining the following Market/s every SATURDAY, 9am-1pm*

NO SaturdaysCastro Valley, (Alameda County)Santa Clara, (Santa Clara County)Sunnyvale, (Santa Clara County)Willow Glen, (Santa Clara County)AND (if selecting multiple Sat. markets)OR (only 1 of the selected Sat. markets)
I am interested in joining Market/s every SUNDAY, 9am-1pm*

NO SundaysCalifornia Ave-Palo Alto, (Santa Clara County)Campbell, (Santa Clara County)Montclair Village, (Alameda County)San Carlos, (San Mateo County)Temescal, (Alameda County)AND (if selecting multiple Sun. markets)OR (only for 1 of the selected Sun. markets)
My current capacity to sell at UVFM locations is:*

1 market / week2 markets / week3 markets / weekI can be in several markets on the same dayOther
Approximately when would you be ready to Start?
Future Requirements *AFTER Approval

Please let us know which of the following current documents you already possess. This will give us an idea of where you are on your planning time-line.
Required Items (After Approval):*

Current copy of County Environmental Health Permit and/or Processed Food RegistrationCurrent copy of Product Liability Insurance Policy with "Urban Village Farmers' Market Association" listed as "additional insured"A 10x10 Easy up Tent & Table displayI do not have any of these item yet.
If you do not have a Website, please upload images of your product or menu

Cancelof
Agree to the Terms:*

I Agree that I will provide all employees selling on my behalf the required materials and training for proper FOOD HANDLING SAFTEY outlined by the Health Department. If UVFM Market Managers find that any seller is not complying to market rules and safety standards, UVFM reserves the right to take immediate action.I Agree that I will only sell that which I make, In a facility that I control. Re-selling of wholesale goods is never permitted in UVFM Certified Farmers Market.I understand that applying does not guarantee entry.
Additional Comments?
Should be Empty:

Prepared Foods: New Applicant

Business Information

Certified Farmers' Markets

Future Requirements *AFTER Approval