Food Vendors Available in March 2023 — Please complete the online application and review the vendor rules by June 15 to be considered. "*" indicates required fields Name* First Last Company Name* Address* Street Address Address Line 2 City ZIP / Postal Code Phone*Email* Website URL Facebook Instagram Please Select Vendor Type* Single Concessionaire - $1,300 (select this option if you sell one type of item such as ice cream or pizza) Full-Service Concessionaire - $2,000 (select this option if you sell more than one type of item) Additional space can be purchased for $250 per 5' increments. Please indicate how much additional space is requested. Electricity - Indicate the wattage and number of outlets neededSelect100-Volt Outlets = $150 flat fee (maximum of two circuits per vendor)220-Volt Outlets = $200 flat fee (maximum of two circuits per vendor)Additional Electrical Circuits = $75 eachNo ElectricityIce (Vendors are required to purchase ice from the fair)*Select40 16-lb bag maximum = $200List of Items for Sale*Food Item / DescriptionSale Price (Approximate)Additional Comment Add Remove(click the circled plus icon to add as many entries as you need)Electrical Appliance Requirements*Type of electrical appliance (ex: Food warmer, Blender, Deep Fryer, etc.)Quantity of this appliance you will be usingTotal wattage requirements of individual appliancesTotal number of amps required of appliances Add Remove(click the circled plus icon to add as many entries as you need)Please initial each line below to confirm you have read the 2023 Arlington County Fair rules and application:If my application is accepted, I will submit a Certificate of Insurance with Arlington County Fair, Inc. and Arlington County named as additional insured as follows: Food vendors must show proof of insurance by providing the Arlington County Fair, Inc. and Arlington County with a Certificate of Insurance with Minimum Commercial General Liability limits are $1,000,000.00 (1 million) per occurrence. The Certificate must be submitted with all applicable lines of insurance identified and complete information provided. The “Description of Operations” space must be completed with relevant information regarding the name of the event, the time and dates of the event and the location. Certificates without this information will be rejected. The Certificate of Insurance must also contain the following language: “Arlington County (including its elected and appointed officials, agents and employees) is added as an additional insured with respect to the Arlington County Fair. Coverage afforded under this policy shall be primary to all other insurance with respect to Arlington County (including its elected and appointed officials, agents and employees). and “Arlington County Fair, Inc. (including its elected and appointed officials, agents and employees) is added as an additional insured with respect to the Arlington County Fair). Coverage afforded under this policy shall be primary to all other insurance with respect to Arlington County Fair, Inc. (including its elected and appointed officials, agents and employees). If the insurance policy represented by the Certificate requires an endorsement in order to add Arlington County, et al, and the Arlington County Fair, Inc. as an additional insured, then such endorsement must accompany the Certificate. The Certificate Holder should be identified as follows: The County Board of Arlington County VA. c/o Office of Risk Management Human Resources Department Suite 511 2100 Clarendon Blvd. Arlington VA, 22201(Initials)* I understand that I am responsible for completing and submitting the Arlington County Application and additional fee for Temporary Food License to the Arlington County Department of Environmental Health. I further understand that the deadline for receipt of the Arlington County Application for Temporary Food License and fee is ten (10) days prior to the Fair date and a copy of the application must be submitted to the Arlington County Fair no later than August 1, 2023.(Initials)* I understand that I am required to donate meals to all Arlington County Fair management staff via pre-labeled meal vouchers with food vendor’s name during the execution of the Fair. Vouchers will not be reimbursed by Arlington County Fair management.(Initials)* I understand that I must complete and submit the Food Vendor Earnings Report by September 11, 2023. (Initials)* I have read the 2023 Arlington County Fair Outdoor Food Vendor Information and Rules, agree to abide by them, and pledge my cooperation with the Arlington County Fair.(Initials)* A member of the Arlington County Fair Board of Directors will be in contact following the submission of your application to advise on the status of your acceptance and payment of vendor fee.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.