2019 Madison County Farmers Market Vendor Application

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1 Interested in selling your produce and/or value-added agricultural-based products at the Madison County Farmers' Market (MCFM)? The MCFM accepts applications from any and all Kentucky farmers and producers. All new and returning vendors must fill out the primary information and application. All applications must be submitted with applicable copies of vendors' City of Richmond business license, certificate of general liability, KDA Produce Best Practices Training (PBPT) sampling certificate; KDA Cooked and/or Processed Sampling Permit; All Samples Sampling Certificate; Home-Based Processor Permit; Home-Based Micorprocessor Permit; and/or Retail / Commercial Manufacturer Licenses. IMPORTANT NOTE: Vendors will be prohibited from participating in the Madison County Farmers Market if any of the required documentation is missing from their application. All required documentation must be displayed or readily available each market day at the vendor's station. Vendor / Producer s Name: Farm / Retail Business Name: Street Address: City, State, Zip Code: Mobile Phone: Vendor Website: Vendor Facebook: Vendor Twitter: Vendor Instagram: Other Markets (Past & Present): The MCFM will accept applications annually through April 9th, at the end of business that day. The purpose of Madison County Farmers Market (MCFM) is to preserve Kentucky farmland and promote local food sourcing and sustainable agriculture. The Market provides an excellent platform by which growers may sell their fruits, vegetables and other farm products directly to consumers. The MCFM is operated in the belief that the open marketplace provides the most beneficial means of exchange between farmers and residents. All applications must be received by April 9, 2019, for consideration. Applications received after April 9th will considered only on an application-by-application basis, even for returning vendors. In order to be considered for the 2019 MCFM, all vendors must be in good standing; if you are not in good standing and wish to apply for the 2019 Market, please contact us to settle your account. 1

2 Grower Value-Added Producer Non -Food Prepared Food Returning Vendor New Vendor Grower Information: Please list the items you wish to sell. With the exception of apples and peaches, all items must be either grown / produced by you. Are you certified organic or transitional organic grower? Yes No Are you certified naturally grown? Yes No Are you certified Kentucky Proud? Yes No Are you certified Kentucky Proud Appalachia Proud? Yes No Are you certified Kentucky Proud Homegrown by Heroes? Yes No Value-Added Goods Information: Are your products prepared in a commercial kitchen? Yes No Do you use a licensed food processor? Yes No Are your products prepared in a home kitchen? Yes No Non-Food Information: Where do you source the ingredients/components for your product(s)? Are your non-food products made in Kentucky? Yes No Why do you consider your non-food items a more sustainable, environmentally-friendly option as compared to similar available products? Prepared Food Information: Do you have a brick-and-mortar store-front location? Yes No What food/drink products do you wish to sell? Where do you source your ingredients? 2

3 Please identify all products to be sold at the 2019 Madison County Farmers Market. To provide a diversified market and to enhance the shopping experience of the market customers, only products listed will be permitted to be sold by the vendor applicant. VEGETABLES FRUITS OTHER PRODUCTS Beans, Bush Apples Bakery Products Beans, Dried Berries, Black Crafts, KY Made Beans, Runners Berries, Blueberries Dairy: Cheese Beets Berries, Raspberries Eggs Broccoli Berries, Strawberries Honey Cabbage, Green Berries, Other Jams & Jellies Cabbage, Red Cantaloupe Meat, Alpaca Carrots Cherries Meat, Beef Cauliflower Pawpaws Meat, Lamb Corn Peaches Meat, Poultry Cucumbers Pears Meat, Pork Eggplant Persimmons Pickles Kale Plums Salsas Lettuce Watermelons Sauces Micro Greens Other Fruits: Spreads Mustard Greens Okra Other Products: Onions Peas Peppers Potatoes Pumpkins Radishes Spinach Squash, Summer Squash, Winter Sweet Potatoes Tomatoes Turnips Other Vegetables: NUTS Nuts, Hazelnuts Nuts, Pecans Nuts, Walnuts Other Nuts: MUSHROOMS Harvested: Cultivated Harvested: Wild 3

4 By signing this application, I agree that I have read the Madison County Farmers Market Vendor Handbook detailing the regulations governing the 2019 season of the MCFM and agree to comply with them. Further, I agree to sell only those items listed on this Vendor Application form unless an additional request is granted at a later date. I acknowledge full responsibility for all my actions and activities in the Market (and for those assisting me) throughout the 2019 term of this season s market. I acknowledge the authority of the Madison County Farmers Market President and Board of Directors to settle any disputes regarding product legitimacy, procedural and vendor conduct violations, and to impose any penalties, including possible suspension or removal from the Market. Copies of all necessary licenses and applicable vendor application fees must accompany this application. Signature of Applicant Date Signed Return this application to: Deborah Messenger, MCFM President PO Box 639 Berea, KY

5 INFORMATION ONLY DO NOT INCLUDE THIS PAGE WITH YOUR APPLICATION The MCFM is accepting applications for the 2019 season through April 9. This year as in previous years, ALL MCFM vendors must submit copies of the following documents with their application as applicable to your products: 2019 MCFM Vendor Application and Payment - required; City of Richmond Business License(s) - required; Certificate of Completion for the GAP (Good Agricultural Practices) or PBPT (Produce Best Practice Training) - required Cooked and/or Processed Sampling Certificate - required for any vendor offering sampling; All Samples Sampling Certificate - required for any vendor offering sampling of fresh produce, or non-cooked and/or processed foods; Home-Based Microprocessor Certificate - required for vendors selling processed non-fruit (vegetable or herb) or sugarless jams/jellies, acid foods, acidified food products and/or low-acid canned foods including tomatoes, green beans, salsa, barbecue sauce, pickles, chutney and similar products; Commercial Retail Packaged Food Permit/License/Registration/Certificate(s) - required for any vendor selling commercial-based processed foods, including all dairy products; Egg Retail License - required if selling more than 60 dozen eggs per week; Nursery Stock - if plants being sold can be placed outdoors, survive through the winter and then start growing the following spring, a nursery or nursery dealer license will be required. Licenses will not be required if the seller is only selling annual flowers or annual herbs, annuals, cut flowers, garden mums or vegetable transplants; Pet Foods and Treats - vendors selling dog biscuits or other specialty pet treats are required to register with the Division of Regulatory Services and meet specific labeling requirements of the law; Lip Balms and Cosmetics - Lip balms, lotions, sugar/salt scrubs and any other product applied to the body (cosmetics) may only be manufactured by a permitted facility; Wine Sales Licensing - required copy of the wineries' Kentucky ABC license; NO tasting or sampling permitted at the MCFM