FOOD VENDOR REGISTRATION & PAYMENT FORM $375 JULY 3-5

10’X10′ VENDOR BOOTH

FOOD VENDOR (Tent Setup)

Name

First Name

Last Name

Phone

Business Legal Name

MUST MATCH THE BUSINESS NAME ON YOUR PERMIT: Note: All food trucks must be properly permitted and in compliance with Lake County regulations. Permit status will be verified prior to approval.

Address

Suite / Unit #

City

State

Zip Code

Website/URL

Facebook

Instagram

TikTok

X (Formerly Twitter)

FOOD VENDOR PERMIT

All food vendors must hold a valid permit issued by the Health Department or obtain a temporary event permit. Information will be verified prior to approval.

Retail Food Establishment (RFE) Permit Number

Issuing Health Department (Lake County, Porter County, etc.)

Please select one

Retail Food Establishment (RFE) Permit Number

Temporary Food Establishment Permit Number

PROOF OF INSURANCE (REQUIRED FOR FOOD VENDORS)

⚠️ Food Vendor Insurance Requirements All food vendors must carry General Liability Insurance. Minimum Coverage: $1,000,000 per occurrence A Certificate of Insurance (COI) is required. Additional Insured (Must Be Listed on COI): uCasters X Stream Media, LLC uCasters X Stream Media Foundation, Inc. Ross Township Trustee’s Office Ross Township 📧 Submit COI to: nwifest@jamzandjokes.com

Policy #

⚠️ Vendors without valid insurance will not be permitted to operate and may forfeit their vendor fee. Don’t have business insurance? Copy and paste this link https://refer.nextinsurance.com/5FxFcJx in a browser. For affordable business insurance.

⚠️ PLEASE READ THESE RULES CARFULLY AND UNDERSTAND. FOR SAFTEY REASONS WE ONLY ALLOW EMERGENCY VEHICLES IN THE PARK DURING EVENTS. NO OTHER VEHICLES ALLOWED.

I understand: LOAD-IN / SETUP is from 6:00AM – 9:30AM. I will not be allowed to setup after 9:30AM (NO ACCEPTIONS)

I understand: LOAD-OUT / BREAKDOWN is from 9:30PM to 11:00PM. I will not be allowed to BREAKDOWN until after 9:30PM (NO ACCEPTIONS)

I understand I must provide my own tent, tables, chairs, and equipment.

I understand I must provide my own generator/electricity. the park, nor the event promoter is responsible for providing this for me.

I understand vendor fees are non-refundable.

I understand vendor fees are not tax-deductible.

Payment: Vendor participation fees are processed through SQUARE for uCasters X Stream Media, LLC. / Jamz & Jokes.