Vendor Request Form

Vendor Applicant Information

Are you a resident of the City of Dania Beach? YesNo
Will you represent a not-for-profit organization during the vendor time? YesNo

Vendor Guidelines

All vendor fees will include the following:

• access to two (2) portable restrooms and one (1) ADA portable restroom;

• access to electricity and potable water; and

• access to up to twenty (20) parking spaces.

All vendors will be required to sign a hold harmless agreement with the CRA.

Vendor Rates

All vendors are required to pay a vendor’s fee of $25 per appearance.

Applicant Checklist

Applicant to check boxes (to accept/Consent to) in this section

1. All vendors and items for sale must be approved by the CRA.

2. All vendors must submit the required vendor and hold harmless agreements to the CRA.

3. All vendors must operate during the normal operating hours of the PATCH and vendors must get approved by the CRA to operate beyond the normal operating hours.

4. The CRA reserves the right to prohibit the sale of any item.

5. The CRA may waive the vendor fee local non-profits.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.