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SPECIAL PARK MOBILE FOOD DISPENSING PERMIT APPLICATION
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SECTION 1: VENDOR INFORMATION
SECTION 2: LOCATION INFORMATION
-- Select One --
City of Hollywood Park
Name of Park
Name of Event
Tables (3 Maximum)
Chairs (4 maximum per table)
SECTION 3: REQUIRED DOCUMENTATION
Upon submission of this application the following documentation will be required in order to become a valid vendor and may be requested by a member of the Special Events Division upon submission of this application.
Certificate of Insurance
The City of Hollywood (City of Hollywood 2600 Hollywood Boulevard Hollywood, FL 33020) must be listed as certificate holder and additionally insured on both the General Liability ($1,000,000) and Automobile Liability ($100,000) policies.
City of Hollywood Fire Marshal Inspection
Must be obtained by the City of Hollywood Fire Department. Contact 954.967.4404 to schedule an annual inspection.
Food Handler's Certificate
SafeServ Food Service Certificate (National Restaurant Association)
Mobile Food Dispensing License
Issued by the State of Florida Department of Business and Professional Regulation or Department of Agriculture.
To be executed by authorized agent of the organization.
Map of Location
To be submitted by applicant
To be submitted by applicant
SECTION 4: APPLICATION SUBMISSION
The information I have provided in this application is true and complete to the best of my knowledge. I have read and understand the accompanying materials.
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