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� Bass River Farm Market ,��,_„ �p
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(Processed & Potentially Hazardous Foods) ��,,,
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311 Old Main Street, Bass River, Massachusetts �j ��-
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2017 Market Dates: Thursdays, June 15 - September 7 9 AM-1:30 PM Rain or Shine
Saturdays, June 17 - September 9 9 AM-1:30 PM Rain or Shine
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Names of Designated Person(s) in charge selling at the BRFM*
*Person in charge is responsible for all operations and must be on site from 8:30 AM - 1:30 PM and be
a liaison for all correspondence between town officials(health, police, fire)and the Market Manager.
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Produce/Product you will be selling:
(List all. Use separate page if needed. Packaged food items must have potential allergens listed as well
as ingredients.) Labels should have vendors name and address.
Samples Provided?(Explain methods of serving samples: sizes, covered,iced?)
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Where will food be prepared?
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Check the following that apply and attach copies with application:
❑ Product Liability Insurance �
❑ ServSafe Certification (if providing samples) ,�1� �
❑ G.A.P. Training Certificate(required as of 2011) �� �" - � 1, r��
❑ Food Allergy Awareness Training Certificate �''�• �,�N'
� Complete and Attach Workers Compensation Affidavit l �(
❑ Attach State Shellfish Certificate, if applicable S`�
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Any additionai items must be approved by the Health Director prior to being sold at the
BRFM. Piease notify Market Manager at least one week in advance or by 10 AM on Monday
preceding the Thursday Market and she will get clearance foryou.
Full Season Fees: Thursdays: $220. Saturdays: $220. Both Days:$400.
A 50% non-refundable deposit is due by Apri130,2017. Final payment is due by May 20,2017
All full-season vendors are expected to attend weekly. If a seasonal vendor does not show up at a
Market and has not given notice to the Market Manager,that vendor will receive notice from the Market
Manager that his/her space is forFeited for the remaining season.There are no refunds.
NON-PROFIT and EDUCATIONAL GROUPS: Educators, Master Gardeners,Authors and Sustainable
Living Advocates are invited to share and display their knowledge and work. Must be approved by
the Market Manager. No Charge.
1. Please make your check payable to the Bass River Farmers Market
2. Your 50% deposit + Board of Health Fee�'.�0.00*must be received by April 30th to reserve your
space.
*Separate check made out to the Yarmouth Board of Health.
3. All full season vendors must be paid in full be May 20th.
By signing this form the vendor acknowledges that helshe has read and will comply with the guidelines
for the 2017 Bass River Farm Market which are available on our website:
www.bassriverfarmersmarket.org (Hard copies on request)
Applicants Signature: Date: 7 �� '
Return completed application with payment payable to: Bass River Farm Market ,
Mail to: Bass River Farm Market, P.O. Box 1374, South Yarmouth, MA 02664 '
Market Manager: Carlene Veara • Phone: 774217-1067 • Email: �vcbv@aol.Com
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