Form

Application for IB Beautiful's Farmers Market

Every Friday at Portwood Pier Plaza 10 Evergreen Ave Imperial Beach CA 91932

Weekly Booth Space Fees

FARMERS ONLY	%7 of Sales + 2.00 AG Fee (FIRST 30 DAYS FREE)
Handmade Artisan	10% of Sales with a minimum space fee of $27.00/week
Local Service Business	10% of Sales with a minimum space fee of $32.00/weeK
Food Vendors	10% of Sales with a minimum booth space fee of $42.00/week
LOCAL Non-Profits	$2.00/week (i.e. VFW, FLEET Reserve, American Legion)

What do you sell? Please list what you will be providing to our community *
Full Name *

First Name Last Name
Business Name or "NA" if Not Applicable *
Phone Number *

- Area Code Phone Number
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you are a new business or local Imperial Beach resident wanting to participate but are finding it difficult to navigate this application form -- Please do your best to provide as much information as possible and submit the application. Kimberly will contact you with further instructions and to help you, if she can, to participate at IB Beautiful's Farmers Market. Make it a great day!
Vendor Type *
Business Structure Type *
EIN/SSN (Required) We are unable to obtain Special Event Permit with the City of Imperial Beach without a valid EIN or SSN *
Insurance Company Name
Policy Number
Expiration Date

- Month - Day Year
Agent's Name

First Name Last Name
Agent's Phone Number

- Area Code Phone Number
Upload COI Here
You can upload your COI's above or provide this information to your agent for processing --

Dear Agent, Please provide certificates of insurance for the following:

City of Imperial Beach
825 Imperial Beach Blvd.
Imperial Beach, CA 91932

Unified Port of San Diego
1400 Tidelands Ave
National City, CA 91950

IB Beautiful, Inc.
600 Palm Ave #222
Imperial Beach, CA 91932

My business will be participating in Imperial Beach Certified Farmers Market on Fridays. Please provide certificates of insurance with the named insureds above by e-mail kparis.ibb@gmail.com. Thank you.
Sellers Permit Number
Please note: If your business is required to have a State of California Sellers Permit (FREE at www.boe.ca.gov) an additional location permit with the address "10 Evergreen Ave, Imperial Beach, CA 91932 is required. The good news -- Imperial Beach is one of the lowest sales tax in the State of California (: Need Help -- Fill out the application and Kimberly will call you.
FARMERS
Certified Producer Number
Expiration Date

- Month - Day Year
Name of Farm

Address of Farm

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Farmer/Owners Name

First Name Last Name
Farm Phone Number

- Area Code Phone Number
FOOD VENDORS
Business Name "Exactly as it appears on your TFF Permit"
Owner(s) Name(s) "Exactly as they appear on your TFF Permit"
Business Listed AS
Food Permit Type
TFF Permit Number
List of Menu Items
TFF Expiration Date

- Month - Day Year
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to a space at IB Beautiful's Imperial Beach Certified Farmers Market, I understand that false or misleading information on my application may result in the forfeiture of space and fee for the event. More details will be provided upon acceptance.
Talk to me -- Anything you would like to add, please add it here.
Should be Empty:

Application for IB Beautiful's Farmers Market

FARMERS

FOOD VENDORS

Disclaimer and Signature