FOOD VENDOR APPLICATION FORM - Townsville City Council

townsville.qld.gov.au

FOOD VENDOR APPLICATION FORM - Townsville City Council

CORPORATE COMMUNICATIONSEVENTS AND PROTOCOL UNITSuper Welcome to TownsvileFood Vendor Application FormApplications Close 5pm 14 June 2011Privacy Statement:You are providing personal information which will be used for the purpose of processing your application forparticipation in council events. Your personal information is handled in accordance with the Information PrivacyAct 2009 and will be accessed by persons who have been authorised to do so. Your information will not begiven to any other person or agency unless you have given us permission or the disclosure is required by law.YOUR DETAILS >>Organisation:Contact Person:Position:Mailing Address:Suburb:Email :Phone:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Postcode: ________________________________________________________________________(w) ________________ (h) ______________ (Mob) __________________Contact on the day of the event*Contact name:____________________________________________________________*Mobile phone:__________________________________________________________FOOD/MENU DETAILS >>Please supply proposed menu and price structure:Food ItemCost to publicABN >> 44 741 992 072 Townsville 400 Festival - Super Welcome to Townsville - FOOD VENDOR APPLICATION PAGE >> 2 OF 5


CORPORATE COMMUNICATIONSEVENTS AND PROTOCOL UNITSITE FEES >> COUNCIL APPROVED FOOD SITECouncil will not be supplying any food booths or equipment to food vendors other than power supply.A standard base site fee will apply to all vendors. Additional fees will be charged for powered sitesaccording to the vendors requirements.Please ensure you have read the councils Event Environmental Guidelines before selecting your sitetype. Staff will be onsite throughout the event to ensure vendors have complied with theenvironmentally friendly fee if selected.SITE TYPES >>Please tick one of the following site types and list the number of power outlets required.COMMERCIAL GROUPSBase Fee Commercial groups - with Environmentally Friendly Fee $100.00 /day + GST Commercial groups - with Environmental Offset Fee $150.00 /day + GSTAdditional power required? Yes / No10amp power $10(+GST) per outlet per day No. of outlets required? ______15amp power $15 (+GST) per outlet per day No. of outlets required? ______32amp power $75(+GST) per outlet per day No. of outlets required? ______NON PROFIT GROUPSBase Fee NON-PROFIT groups - Environmentally Friendly Fee $30.00 / day + GST NON-PROFIT groups - Environmental Offset Fee $50.00 / day + GSTAdditional power required? Yes / No10amp power $5 (+GST) per outlet per day No. of outlets required? ______15amp power $10 (+GST) per outlet per day No. of outlets required? ______32amp power $45 (+GST) per outlet per day No. of outlets required? ______• Are you registered with Council as a Food Vendor? YES / NO• Please include any information on how your business and/or organisation is working towards betterenvironmental practices at events. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ABN >> 44 741 992 072 Townsville 400 Festival - Super Welcome to Townsville - FOOD VENDOR APPLICATION PAGE >> 3 OF 5


CORPORATE COMMUNICATIONSEVENTS AND PROTOCOL UNITYOUR SITE DETAILS >>• How much area do you require for your site? (Please include room for ALL items - trailers/cold rooms etc)_________________________________________________________________________________We encourage participants to avoid requesting excess electricity and water requirements.• Do you require access to water?YES / NOIf yes please describe: _______________________________________________________________________________________________________________________________________________• Do you require power?If YES please list ALL electrical items and Amps requiredType of equipment you will be usingYES / NOPower requirements(Amps per unit)• ALL electrical leads and equipment must be tested and tagged by a qualified electrician.• We encourage participants to avoid requesting excess power requirements.• Other requirements - If you have any other requirements please explain ain details what they areand why you need them. Council will discus possible options: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ABN >> 44 741 992 072 Townsville 400 Festival - Super Welcome to Townsville - FOOD VENDOR APPLICATION PAGE >> 4 OF 5


CORPORATE COMMUNICATIONSEVENTS AND PROTOCOL UNITINSURANCE >>It is essential that we are aware of the public liability coverage of all participants/organisations. If youdo not have your own Public Liability Insurance you will be required to complete and submit a RiskAssessment form with you event application. If you do have your own Public Liability Insurance acopy of your certificate of currency must be available upon request and details should be completed infull below.Do you/your company hold public liability insurance? (Please circle):• If YESYES / NOWho is your insurer? ________________________________________________________________To what amount are you currently insured? ______________________________________________When is the expiry date on your current policy? ___________________________________________Are you covered for activities held at outdoor events such as this? Under what provisions, if any?________________________________________________________________________________Who does your cover extend to? (eg: group members, volunteers) ___________________________________________________________________________________________________________I hereby state that the above information is true and correct to the best of my knowledge and that I willbe willing to provide a copy of the afore mentioned insurance policy upon request.Signed____________________________Date______________________________• If NO - Council will require a completed Risk Assessment Form along with this Application Form.Name ________________________________________________ Phone _______________________Please return this form by Tuesday 14 June, 2011.Sites attracting a fee will be invoiced after the event. DO NOT make payments when returning this form.Please address the application to;Events and Protocol - Super Welcome to TownsvilleAnd submit; In Person to Townsville City Council103 Walker Street, City86 Thuringowa Drive, KirwanBy Post toTownsville City CouncilPO Box 1268, Townsville, 4810For enquiries please contactTownsville City Council’s Events and Protocol Unit1300 878 001ABN >> 44 741 992 072 Townsville 400 Festival - Super Welcome to Townsville - FOOD VENDOR APPLICATION PAGE >> 5 OF 5

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