Farmers Market at the Capitol Vendor Application Posted on April 1, 2015 by Shreve Farmers Markets at the Capitol Vendor Application The Farmers Markets at the Capitol will be held on Thursday, July 26, August 23 and September 20, 2018. The markets will be located on the east side of the Capitol lawn, along Capitol Avenue between Allegan and Ottawa Streets. Market hours are 9 a.m. to 2 p.m., rain or shine. These markets are coordinated by the Michigan Farmers Market Association (MIFMA). Vendor applications are open only to members of MIFMA. Applications will be reviewed on a rolling basis so applying early is recommended. All vendor applications are due by May 1. Please complete one application for all markets you wish to attend. Once your application is approved, a link will be sent to you to pay the vendor fees online or by submitting a check. Do not submit payment before your application is approved. Payment is due by May 31. Economic Impact Questions IncludedWe are excited to have this market participate in an economic impact study led by the Michigan Farmers Market Association this season. Some questions have been added to this application to help us fill in our data entry workbook with some basic information about your business. These questions have been marked with an *. This information will be available to our market leadership, the Michigan Farmers Market Association and economic impact advisory committee members. The information will not be shared publicly and when reports are generated will only be available as an aggregate form. After each market, you will complete a Vendor Sales Record asking you about your sales so that we are able to estimate the total economic contribution of our farmers market. Thanks for supporting our market and contributing to this great cause!Contact Information*Name of Primary Owner/Operator:* First Last *Is the primary owner of your business younger than 35 years of age?Ownership refers to the equity, interest, or stock of the business. Select ‘yes’ if 50% or more of your business is owned by someone younger than 35 years of age.YesNo*Is the business women-owned?Ownership refers to the equity, interest, or stock of the business. Select ‘yes’ if 51% or more of your business is women-owned. YesNo*Which of the following best describes the primary owner of your business?Ownership refers to the equity, interest, or stock of the business. Check all that apply: White (not Spanish, Hispanic, or Latino) Spanish, Hispanic, or Latino Black or African American American Indian or Alaska Native Asian or Asian American Prefer not to answer *If the primary owner/operator is a farmer, how many years has the primary owner/operator been farming?This is in reference to all farming experience, not just that experience on your current farm. Please enter N/A if not a farm business. Contact Person NameIf different than Primary Owner/Operator. First Last Email* Phone*Cell Phone*Or a number where we can contact you on the day of the market if necessary. Please provide the name and phone number of someone who could be contacted on your behalf in case of an emergency situation at the market.*Business InformationBusiness Name:*(as it should appear on promotional materials)Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address of Primary Point of ProductionIf different than mailing address. Street Address City State / Province / Region ZIP / Postal Code Website Please describe how your business aligns with the mission of the market (in 50 words or less). This description may be used in promotional materials.*The mission of the Farmers Market at the Capitol is to provide a thriving marketplace that showcases Michigan food and agricultural products in an effort to educate our state decision-makers on the importance of supporting farmers, ag-based businesses, and farmers markets. Describe how your products meet the guidelines for products to be sold at the market. For value added and processed products, please describe what ingredients in these products are sourced from Michigan agricultural producers.*The markets showcase vendors who produce and sell Michigan food and agricultural products, defined as products grown, raised, or gathered in Michigan or value added products processed in Michigan that include ingredients grown, raised or gathered in Michigan. *Identify the primary type of product that you will sell at this market this year, based on your greatest source of revenue:*Produce- fresh foods that farmers plant, grow, and harvest (e.g., fruits, vegetables, nuts, beans, etc.) The farmers do not process or minimally processes the products.Meat & SeafoodDairyEggsPlants & flowersValue-added- products that have been processed through baking, cooking, canning, drying, fermenting, preserving, or spinning techniques (e.g., baked goods, cheese, jams, dried fruit, viticulture, pickles, wool yarn, etc.). Value-added products can be produced by farm vendors with their own raw ingredients, or by non-farm vendors, with ingredients grown by an outside source.Prepared food- products that agriculture or non-agriculture businesses make from ingredients that they primarily purchase. They make the food at the market for immediate consumption (e.g., sandwiches, brewed coffee, etc.).Crafts/art/servicesOtherPlease list ALL product(s) you plan to sell at these markets (you will only be allowed to sell items you have listed on your application):*If you will be selling items not of your own production, please list the sources of the products. *Is your business considered a farm-based business?*YesNo*How many total acres do you cultivate or use for grazing?**How many acres does your farm business own?**How many acres does your farm business rent or lease?**Does your farm or business hold Organic Certification (or are you in the 3-year transition process)?Yes, my business is Certified OrganicYes, my business is transitioning to Organic CertificationNoNot applicable*Including yourself, how many people work for your business either seasonally or year-round?Please include family workers (paid and unpaid), hired production or office workers, people hired to sell at markets, contract or custom hire farm labor, and paid interns or apprentices. If zero, enter 0. Seasonal (worked 149 days or less): Year-Round (worked 150 days or more): Are you or any of your employees active members of our military and/or veterans?YesNoWho is your Representative to the Michigan House of Representatives?Locate your State Representatives by District Click Here Who is your Senator in the Michigan Senate?Locate your State Senator by District at Click HereWhat type of vehicle will you be driving to the market?*Car, Van or Truck (one space)Box truck (two spaces)Truck with trailer (two spaces)Accepting Food Assistance BenefitsMore information about accepting food assistance benefits, Click Here. Please note that MIFMA will be facilitating acceptance of SNAP and Double Up this year and will be retaining a portion of all token and scrip based sales to offset the administrative costs of facilitating these transactions. Based on the products you will be selling, please indicate which forms of food assistance benefits you will be accepting. Please check all that apply* None - I will not be selling items that can be purchased with food assistance benefits SNAP Bridge Card Double Up Food Bucks WIC Project FRESH Market FRESH for Seniors/ Senior Project FRESH Hoophouses for Health In order to accept SNAP Bridge Cards at this event, you must type your name below to indicate that you have read and agree to follow the rules outlined in the SNAP Vendor Agreement.*Review the SNAP Vendor AgreementIn order to accept Double Up at this event, you must type your name below to indicate that you have read and agree to follow the rules outlined in the Double Up Vendor Agreement.*Review the Double Up Vendor AgreementMIFMA will retain 5% of all scrip-based sales in order to offset the costs of administering the program at the market which includes costs associated with operating the point of sale device, staff time, reimbursement accounting, and paper scrip maintenance. Checks reimbursing you for all scrip sales, less the 5% administrative fee, will be issued by MIFMA and mailed to the address you provide on your vendor application.*Choose how frequently you want to be reimbursed for your scrip sales.Reimburse after all three marketsReimburse after each marketBusiness LicensingDoes your business require a food, plant or pet food license?*YesNoTo find out more about required licensing, Click HerePlease provide the name of the business as it appears on your license:*Please indicate the type of license held. For example: Retail Food Establishment License, Limited Wholesale Food Processor, Food Service License, Registered Nursery Dealer, etc.*Please indiciate your license number:*Expiration Date of License:* Will you be serving food samples at these markets?*YesNoIf yes, please review the Safe Food Sampling Guidelines available, Click HereIf your business has a Sales Tax License, please provide the following information: (1) the name of the buiness as it appears on the license, (2) the account number listed on the license, (3) the expiration date of the license and (4) the issuing body of the license (i.e. Michigan Department of Treasurer).All businesses selling tangible personal property to the final consumer should have a Sales Tax License. To learn more Click HereVendor FeesYour vendor fee covers one 10 ft by 10 ft space. You will be charged another vendor fee for each additional 10 ft of frontage you request with a maximum of 40 ft allowed per vendor. Prices below are per market. It is preferred that each vendor occupy as few spaces as possible so that a maximum number of vendors can participate and offer the greatest diversity of product to customers. How much space would you like to request for the July 26 market?*Not participating in this market10 feet ($50)20 feet ($100)30 feet ($150)40 feet ($200)How much space would you like to request for the August 23 market?*Not participating in this market10 feet ($50)20 feet ($100)30 feet ($150)40 feet ($200)How much space would you like to request for the September 20 market?*Not participating in this market10 feet ($50)20 feet ($100)30 feet ($150)40 feet ($200)Electricity NeedsElectricity is available to a limited number of vendor spaces within the market and is NOT available for food trucks. In order to access electricity during the market, you must request electricity on this application, pay the associated fees, and be limited to those spaces where electricity is available. The additional cost is based on the Legislative Council Facilities Agency’s rate. Electrical hookups cannot be provided on the day of the market unless they were requested on this application. Generators are allowed in any spaces, including for food trucks, as long as the noise level does not interfere with the ability of the vendors near you to conduct sales with customers, as determined solely by MIFMA staff.Do you need electricity at your booth space?*The cost of accessing electricity is $15 per market for each appliance that is plugged in. Please select the answer below that represents your electrical needs at each market you will be participating in.No, I don't need electricityYes, I need electricity and will bring my own generatorYes, I need electricity for one appliance ($15/market)Yes, I need electricity for two appliances ($30/market)Yes, I need electricity for three appliances ($45/market)Notes Section:Please list any notes that you would like us to read regarding your application. Submit Copy of General & Product Liability InsuranceAll vendors are required to provide a certificate of insurance listing the Michigan Farmers Market Association (MIFMA) as a certificate holder / additional insured. Required coverage includes a minimum of $1 million in general liability and $1 million in product liability. Proof of insurance must be provided by May 31, 2017 in order to for a space to be reserved for you at the event(s) you have applied to participate in. Documents can be uploaded below, faxed to 517-940-4522, emailed to marketmanager@mifma.org, or mailed to MIFMA at 480 Wilson Rd, Room 172, East Lansing, MI 48824.Upload a Copy: General & Product Liability InsuranceSubmitting PaymentVendor applications will be reviewed on a rolling basis. You will receive an email notification once your application has been reviewed. If approved, you will receive a link to register and submit payment online. You can pay the vendor booth fee either online or by submitting a check in the mail. Your payment must be received by May 31, 2018 in order for a space to be reserved for you at the event(s) you have applied to participate in. Please do NOT submit payment until your application has been approved. Refund PolicyA full refund of a registration fee will be given when MIFMA receives notice at least 14 days in advance of the event. A refund will be issued within 30 days of the cancellation. A refund will be forfeited in situations where MIFMA is not notified of the intent to cancel at least 14 days in advance of the event. Consent1) I have read the Event Details & Market Policy and agree to follow them in their entirety. 2) I assure that the information I have provided on this application is accurate for the business applying to participate in the markets. 3) I commit to filling out a provided Vendor Sales Record at the end of every market I attend. 4) I authorize MIFMA and partnering organizations to photograph my business during these events and use the photographs in related promotions. I understand and agree that the images may be edited, duplicated, distributed, reproduced, broadcast and/or reformatted in any form and manner without payment of fees, in perpetuity. If you agree with this statement, type your name below for an electronic signature. By signing this vendor application, I am verifying my consent to the items listed above:*