Centennial Lakes Farmers Market Vendor Application

2. 

3. Centennial Lakes Farmers Market Vendor Application

5. About the Market
   The Centennial Lakes Farmers Market, held each summer, allows local growers or producers to sell food or food products. Non-food items are not allowed to be sold.

   The Centennial Lakes Farmers Market, held each summer, allows local growers or producers to sell food or food products. Non-food items are not allowed to be sold.

7. Market Dates for 2021
   3-7 p.m. Thursdays from June 10 to Sept. 30

   3-7 p.m. Thursdays from June 10 to Sept. 30

8. Vendor Application Deadline
   March 31, 2021

   March 31, 2021

10. Read Before Applying
    2021 Farmers Market Guidelines (PDF)

    Please read the full vendor guidelines before applying to ensure you understand the policies and process.

14. Vendor/Applicant Information

16. Business/Farm Name*

17. Primary Seller Name*

19. Name of additional sellers

21. Business Street Address*

    Or primary seller address if home-based business

23. City*

24. State*

25. Zip Code*

27. Business Phone Number*

28. Other Phone Number

30. Email Address*

31. Website

35. Items and Market Information

37. Items to Sell*

    Please list all items you plan to sell at the Centennial Lakes Farmers Market. Items not listed may not be sold without permission from the Market Manager. If possible, list specific varieties.

39. Do you grow or produce ALL items you intend to sell?*

    1. Yes
    2. No

40. Explain *

    Please explain what items you plan to sell yet don't grow or produce and why.

42. Are all your items organic or organically grown?*

    1. Yes, all items
    2. Some items
    3. Few or no items are organic

43. For organic items, are they licensed/certified as such?

    1. Yes
    2. No

45. Do you require electricity for your booth?*

    1. Yes
    2. No

    Please note electricity is very limited and only available with advance notice

46. Are you able to accept credit card payments from customer?*

    1. Yes
    2. No

48. Have you participated in the Centennial Lakes Market before?*

    1. Yes
    2. No

49. Which years did you participate?*

51. What other local farmers markets do you currently participate in or plan to for this summer?*

    In no others, write "none" in the field

53. Check all weeks you plan on selling at the Centennial Lakes Farmers Market*

    1. June 10
    2. June 17
    3. June 24
    4. July 1
    5. July 8

    1. July 15
    2. July 22
    3. July 29
    4. Aug. 5

    1. Aug. 12
    2. Aug. 19
    3. Aug. 26
    4. Sept. 2

    1. Sept. 9
    2. Sept. 16
    3. Sept. 23
    4. Sept. 30

55. Requested Booth Size*

    Maximum of one booth space per vendor

    1. 10' x 12 ' - $230
    2. 10' x 20' - $280
59. Policies & Acknowledgements

61. Market Policies*

    I have read and agree to abide by all Centennial Lakes Farmers Market policies. I understand that failure to follow these policies may exclude my participation in the market with forfeiture of all monies paid.

    1. I agree
63. Liability Waiver*

    I agree that the City of Edina and its respective employees, officials and agents are not liable for any injury, theft or damage to either the buyer or the seller, or their property, arising out of my participation in the Centennial Lakes Farmers Market. I further agree to indemnify, defend and hold harmless the City of Edina and its respective employees, officials and agents for and against any claims for injury, theft or damage.

    1. I agree
65. Photo and Video Waiver*

    The City of Edina takes pictures and video of people participating in the Centennial Lakes Farmers Market for use in marketing and promotion. I grant permission to use the name, pictures, video and quotes of my employees and myself for the above purposes.

    1. I agree
67. Liability Insurance*

    I understand that I must carry a minimum of $300,000 general liability and product liability insurance because the City of Edina does not provide this coverage. I will either upload this certificate of liability coverage, listing the City of Edina as additional insured, with this application or provide it after I am accepted as a vendor for the market.

    1. I agree
69. Public Data Notice*

    Information you provide on or via this form is considered public record and would be available to persons requesting it. Social Security Numbers, Tax IDs and certain other data are not public record.

    1. I understand
73. Uploads / Attachments
    Please upload the following requested information as it applies to you. Multiple file formats are acceptable including PDF, JPG, PNG and DOC.

    Please upload the following requested information as it applies to you. Multiple file formats are acceptable including PDF, JPG, PNG and DOC.

75. Mailing option

    If you are unable to upload a completed ST:19 Form, Workers Compensation Compliance Form or other required forms, please check this box. You must mail the completed forms and copies of any applicable license or permit within 5 business days of submitting this application. Mail to: Centennial Lakes Park, Attention Tom Shirley, 7499 France Ave. S, Edina, MN 55435

    1. I am mailing documentation
77. Completed ST:19 Form

78. Get an ST-19 Form
    ST-19 Fillable Form (PDF)

    If you don't already have an ST-19 filled out, use this link for a form you can fill out, save and upload.

80. Completed Workers Compensation Compliance Form

81. Get a Workers Comp Compliance Form
    Workers Comp Fillable Form (PDF)

    If you don't already have a Workers Compensation Compliance form filled out use this link for a form you can fill out, save and upload.

83. Applicable License or Permit

84. Liability Insurance Certificate

    Upload certificate as mentioned in the above Liability Insurance Waiver. This also can be submitted after acceptance as a market vendor.

86. Applicable License or Permit

87. Organic Certification

89. Photos
    Photos of your booth/display, your goods or any marketing materials can help us market you. Please note by submitting photos with this form, you agree to allowing their use in any promotion, publication or marketing for the market.

    Photos of your booth/display, your goods or any marketing materials can help us market you. Please note by submitting photos with this form, you agree to allowing their use in any promotion, publication or marketing for the market.

91. Submitted a Photo or Marketing Material

92. Submit another

94. Submit another

95. Submit another

97. Selection Process
    The City of Edina and the Centennial Lakes Farmers Market committee will review all applications to determine which vendors are best suited for available market spaces. Applicants will be notified of their status on or around April 19, 2021.

    The City of Edina and the Centennial Lakes Farmers Market committee will review all applications to determine which vendors are best suited for available market spaces. Applicants will be notified of their status on or around April 19, 2021.

99. Booth Payment
    Applicants, once approved for a market spot, will be invoiced for their booth fee.

    Applicants, once approved for a market spot, will be invoiced for their booth fee.

101. Questions?
     If you have questions or need more information, please contact Market Manager Tom Shirley at tshirley@EdinaMN.gov or Centennial Lakes Park Assistant Manager Laura Fulton at Lfulton@Edinamn.gov or call 952-833-9580.

     If you have questions or need more information, please contact Market Manager Tom Shirley at tshirley@EdinaMN.gov or Centennial Lakes Park Assistant Manager Laura Fulton at Lfulton@Edinamn.gov or call 952-833-9580.

103. Email Receipt
     Please check the box below to receive an email copy of your application as a receipt. Once you successfully submit the application, you will be automatically returned to the Centennial Lakes Park webpage.

     Please check the box below to receive an email copy of your application as a receipt. Once you successfully submit the application, you will be automatically returned to the Centennial Lakes Park webpage.

Leave This Blank:


105. 1. Receive an email copy of this form.
106. Email address

     This field is not part of the form submission.

107. Submit

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