Prepared Foods: New Candidate Applicant

Prepared Foods: New Candidate Applicant

You are a North-California based small business and would like to sell your packaged food/drink items that you produce at our markets.
Serious Applicants Only:

There is a $20 Admisnitrative Fee to Apply.

Space is very limited; especially for popular commodities such as bakedgoods. Submitting this application to our Candidate Pool does 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.
Please upload images of your product, labels, and/or menu*

Multiple Uploads OK
Cancelof
Do you use organic ingredients?*
UVFM Certified Farmers' Markets
My current capacity to sell at UVFM locations is:*

1 market day a week2 market days a week3+ market days a week (Fri+Sat+Sun)I can be in multiple markets on the same day. Explain:
Attendance Commitment*

Weekly Year RoundOther, Please Explain:
I am interested in joining this 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)(One Of / Simultaneously) Explain:
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)(One Of / Simultaneously) Explain:
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.
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?

New Application Fee*

USD$20 Administrative Fee for Processing Application - Does NOT Guarantee Admittance

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

CC Billing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Should be Empty:

Prepared Foods: New Candidate Applicant

Business Information

UVFM Certified Farmers' Markets

Future Requirements *AFTER* Approval

Future Requirements AFTER Approval