[City of Pocatello] Vendor Concession Permit Application

Vendor Concession Permit Application

Instructions

Prior to completing this form, you must read the Conditions of the Concessions Permit (PDF) document. Afterward, thoroughly answer every question on the application. Once you have completed the form and attached all applicable documents, your application will be reviewed by Parks & Recreation staff who will contact you.

Vendor Information

Concession/Business Name

Concession/Business Type

For-Profit

Nonprofit (proof required)

Proof of Nonprofit Status

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Contact Information

Owner Phone

Owner Email

Alternate Contact Phone

Concession Information

Relate any prior experience you have with concession operations.

Will your concession be set up at an event?

Yes

Name of Event

Location of Event

Date(s) of Event

Times of Event (do NOT include setup or takedown time)

Location of Concession

Date(s) of Operation

Times of Operation (do NOT include setup or takedown time)

Provide a detailed description of the concession to be used (i.e. stand, cart, trailer, table with canopy, etc.). Dimensions of any freestanding unit are required.

Photograph or Drawing of Concession (optional)

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Provide a detailed listing of items/food/beverages to be sold or given away.

List any special requirements you have.

Provide a detailed description of your recycling plan. If you will not have any recyclable materials, enter N/A. If you will have recyclable items, you must have a plan for proper disposal of those items. Include a list of recyclable materials that will be generated and how those recyclable materials will be collected and processed.

Acknowledgment

Copies of the following documents may be required prior to issuance of permit:

Public Liability Insurance Policy (minimum of $1,000,000) naming the City of Pocatello as an additional insured
Southeast Idaho Public Health Permit or Exception (food and beverage concessions only)
Letter of Determination (nonprofit organizations)

Proof of Liability Insurance

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Proof of Workers Compensation Insurance (if applicable)

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Southeast Idaho Public Health Permit or Exception (if applicable)

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Agreement

I have read the Conditions of a Concession Permit document and understand and agree to abide with those conditions, pay the applicable fees, and will provide any additional permits/documentation required for this application. I certify that there are no misrepresentations, omissions, or falsifications in the foregoing statements and answers, and that the entries made by me are true, complete, and correct to the best of my knowledge and are made in good faith.

Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.