Step 1 of 7 14% DBA or Business Name*Valid Sales Tax Cert. Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact For Event*Email* Contact Phone*Alternate PhoneNote: All communications for the Cotee River Bike Fest event will be sent to the contact information listed aboveBrief Description of Merchandise or Service* Save and Continue Later Vendor Space: Please indicate sizes (length and width)TentTrailerOtherVendor PricingLocation*Sims ParkOrange LakeOrange Lake Non-ProfitDowntownSims Park10' x 10' Vendor Space Price: $375.00 Each Additional 10' x 10' - Sims ParkIf you need larger than 10' x 10' Price: $150.00 Quantity: Orange Lake10' x 10' Vendor Space Price: $300.00 Each Additional 10' x 10' - Orange LakeIf you need larger than 10' x 10' Price: $150.00 Quantity: Orange Lake - Non-Profit10' x 10' Vendor Space Price: $225.00 Each Additional 10' x 10' - Orange Lake Non-ProfitIf you need larger than 10' x 10' Price: $125.00 Quantity: Downtown10' x 10' Vendor Space Price: $225.00 Each Additional 10' x 10' - DowntownIf you need larger than 10' x 10' Price: $150.00 Quantity: Total DimensionsTotal Depth:*Total Frontage:*Under-calculation Notice* I understand that if any vendor space is under calculated , the difference in price will be added to final invoice Subtotal $0.00 Save and Continue Later Vendor Requirements • Applications must be filled out and all required materials included • 50% down payment is required with submission of the application to hold your vendor spot • Applications will be date stamped and awarded to earliest applicants Insurance Requirements • Each vendor is required to have a Certificate of Liability showing proof of insurance with a minimum of 300,000, valid through the date of event. • Name on policy MUST match the application. Please request for form ACORD 25 or the equivalent. • List “Farrell Cares, Inc. 6835 Commerce Ave. Port Richey, FL 34668” as certificate holder and additionally insured. • The policy to which the additional insured is added applies on a primary basis in relation the additional insured’s own policy, which will be non-contributing. The description of operations should be listed as “Cotee River Bike Fest℠, Event Date October 11-13, 2019.” • Insurance Deadline is September 29, 2019 – No exceptions Insurance Requirements • Cotee River Bike Fest℠ is a rain or shine event • No refunds once your location has been assigned • Vendors fees will immediately be deposited upon receipt • Farrell Cares, Inc. reserves the right to accept or reject any applicant for any reason I have read, understand and agree to the Vendor Requirements, Insurance Requirements and Acceptance Policy above* I understand & agree Save and Continue Later General Rules & Regulations • Vendor displays must stay within designated square footage of space requested. This includes display racks, tables, awnings, trailer tongue, tie downs, etc. If you need additional space in front of or behind your space for display racks, please add footage to your size request. • ALL Vendors must check in for further instructions and receive your vendor location map before setting up. All monies due must be paid in full and a copy of your insurance certificate on file by September 29, 2019. • 24-Hour security is provided from Thursday October 10, 2019 evening through Sunday, October 13, 2019 afternoon within the designated event area. However, The City of New Port Richey and Farrell Cares, Inc are not responsible for any theft, vandalism, damage or loss of business caused by others • Vendor setup is after 12:00 Noon on Thursday, for all Sims Park vendors. Downtown and Orange Lake Vendor setup is after 1:00 pm. on Friday. • All vendors must leave location clean of trash, zip ties and debris. Each location will be inspected and noted on what condition your space was left in. • All bagged trash and broken down cardboard boxes must be placed next to trash receptacles. • No vendor may assign, sublet or apportion all or any part of the privileges or of the space assigned to them, nor permit any other party to exhibit herein, other than the business to which the space is assigned and insured. • Vendors are expected to remain open during official event hours. Entertainment is scheduled until 11:00 pm. Friday & Saturday nights on all stages. • Merchandise displaying any wording reference to Cotee River Bike Fest℠, Bike Fest, Bike Rally, Cotee River, New Port Richey Bike Fest, or New Port Richey, Florida 2019, will not be allowed. Farrell Cares, Inc reserves the exclusive right to the sales of all “Cotee River Bike Fest· official event merchandise. • No wording of Official Event Merchandise will be allowed on any signage. Farrell Cares, Inc reserves all rights to any and all official event merchandise. • Violation of the above policies may result in immediate ejection from the event and loss of booth fee. • No merchandise considered obscene or drug paraphernalia will be allowed as determined in the Farrell Cares, Inc’s sole discretion. • Vendor Parking: The are no designated parking areas for vendors. There will be vehicle lots around the perimeter of the event (nearby all vendor locations) where you can park at a first come first serve basis (location map provided one week prior to event)I have read, understand and agree to the General Rules & Regulations above* I understand & agree Save and Continue Later Hold Harmless and Indemnification I hereby agree to INDEMNIFY, RELEASE, and HOLD HARMLESS Farrell Cares, Inc, Cotee River Bike Fest℠ and the City of New Port Richey and the Officers, Directors, Sponsors, Agents, Leagues, and Employees of these entities from and against any and all rights, actions, causes of action, suits, losses, damages, judgments, claims, claims of liabilities, cost and expenses of any kind as well as attorney’s fees and court costs at trial and on appeal, of whatsoever kind or nature to which these entities and individuals may be subjected to as a result of any death, personal injury or damage to property arising in any manner from my direct or indirect participation in the 2019 Cotee River Bike Fest℠, including any such rights, actions, causes of action, suits, losses, damages, judgments, claims, and claims of liabilities arising out of or resulting from the negligence of these entities or any of their agents, servants, employees or any independent contractors acting on their behalf. I further agree that this Hold Harmless Agreement shall apply in the event I am disabled, injured, or incur disease of a temporary or permanent nature while participating in, or die as a result of participating in, this activity regardless of the cause, including negligence of the above entities, their agents, servants, employees or independent contractors. Miscellaneous This Agreement has been delivered in the Pasco County, State of Florida and shall be construed in accordance with the laws of Florida and venue for any action arising from this agreement shall be Pasco County, Florida. This Agreement may not be modified or amended nor shall any provision of it be waived except by a writing signed by the parties, and in the case of the City of New Port Richey, approved by the New Port Richey City Commission at a public meeting. 1. In signing this application, the undersigned parties hereby represent and warrant that they are duly authorized representatives of the person or entity for which they sign and legally entitled to enter binding contracts on its behalf; that they have read this entire document; that they understand the terms and provisions of this document; that they know this document will affect their legal rights and/or those of the person or entity they represent; and that they have signed this document knowingly and voluntarily. I understand that I will not be allocated space until all of the above documentation is on file in the Farrell Cares, Inc office and my 50% down payment is made and a credit card is provided to keep on file for final payment. All fees are non-refundable once the location has been assigned. I certify that I have fully read and understand the contents of this application and that I fully agree to all of the terms and conditions. I certify that I have fully read and understand the Hold Harmless & Idemnification and that I fully agree to all of the terms and conditions.* I have fully read, understand and agree Save and Continue Later City of New Port Richey, FL Fire Marshall Requirements for Special Events Inspections shall be conducted on the agreed time with the event coordinator unless alternate arrangements have been approved by the Fire Marshal. Must comply with the following at time of inspection: Food Vendors Only (Food AND Retail Vendor Electrical Requirements at bottom) Tents: o Must conform to all applicable codes and requirements. o Must be fire rated if over 10 ft. by 10 ft. or used for cooking of any type. o Approval label, certification or fire rated tag MUST be affixed to the tent. o Must be located at least 10 ft. from any existing structure. o Must have at least 10 ft. between each vendor. o Non-cooking tents may have up to 3 tents connected (same vendor) but must have 10 ft. on both sides between them and the next vendor. o Must be properly secured and/or anchored by 15 lbs per leg and no stakes allowed. Portable ABC fire extinguisher: o For all cooking operations, other than deep frying, a minimum 2A:10BC rated extinguisher minimum 5 lbs is required. o Extinguisher must be placed in a conspicuous location, adjacent to the cooking appliance and readily accessible for immediate use. o Extinguishers shall be unobstructed and shall not be obscured from view. o If cooking appliances are separated, additional extinguishers are required. o Extinguisher MUST be inspected annually and have a current inspection tag. K type portable fire extinguisher if cooking with fryer or emitting grease laden vapors: o For deep frying cooking operations, a K extinguisher with a minimum 40 BC rating being a minimum of 2.5 gallons is required. o Extinguisher MUST be inspected annually and have a current inspection tag. LP gas cylinders: o All tanks not in use shall be stored outside the cooking booth in a secure location and protected from tampering. o All tanks shall be secured and protected from damage in the upright position on a solid surface as required by NFPA 34. o 3 point anchoring is recommended for larger tanks. o Tanks shall be closed when not in use. o LPG equipment and connections must be in good working order and are subjected to testing prior to use. o Tank in use will have a horizontal distance of no less than 2 ft. from the cooking appliance. Cooking equipment: o Must be away from combustible material, and in good working order. o All equipment is subject to testing prior to use. o All fryers must be installed on a wood or concrete base so that the fryer is completely stable. o All fryers must have lids available for immediate use. o Must not obstruct walkways or exit ways. o Maintain access to disconnect fuel supply gas or electric. o Shall be arranged to protect public from accidental contact with cooking equipment. o Where deep fryers are adjacent to open flame cooking devices they shall be separated by 16 inches or a noncombustible baffle of at least 8 inches in height. o No cooking within 10ft of any existing structure. Food AND Retail Vendors Electrical Requirements: Electrical: o Must conform to requirements of National Electrical Code. o Prior to connecting to the City’s electrical source, vendors will inform parks and recreation personnel and receive approval. o Extension cords must be 10 gauge 2-wire with a ground (so they will have 3 prongs) when connecting to electrical source. o The 10 gauge wire from the city’s connection will run the vendor tent and connect to a power strip with surge protection. All vendor appliances will then plug into the power strip o Generators and outdoor wiring must have GFI protection. o Portable generators shall not be located within 20’ from any tent and/or combustibles. o Generators that are accessible to the public must provide a physical barrier to protect from accidental contact. o All multi-taps shall be surge protected ( Ex: 3 or 4 way splitters, power strips). It is the event coordinator’s responsibility to assure compliance with all applicable Codes and requirements. For additional information, please contact: New Port Richey Fire Department 727-853-1032 or the Development Department 727-853-1047I have read, understand and agree to the Fire Marshall requirements above* I have fully read, understand and agree Save and Continue Later Company Name*Print Signed Name*Name as signed belowPlease sign your printed signature below indicating acceptance. Use your fingertip or stylus on a touch-screen device or use your mouse on a desktop or laptopSignature*Subtotal $0.00 Payment Type*50% Deposit or Pay In FullPay DepostPay In Full50% Deposit DiscountFinal payment is due on or before Sept. 29th, 208 - NO EXCEPTIONS $0.00 Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.