Business Owner Address:

Business Phone:

Business Fax:

Hours of Operation:

Municipal License Number:

Name of Supplier:

Contact Person:

Address:

Phone:

Name of Supplier:

Contact Person:

Address:

Phone:

Name of Supplier:

Contact Person:

Address:

Phone:

Name of Supplier:

Contact Person:

Address:

Phone:

Name of Supplier:

Contact Person:

Address:

Phone:

Do you need a water supply:

Do you require electricity:

Would you like to rent a tent:

Do you need overnight security for equipment:

Do you need rooms through our local hotel sponsor for your staff:

Would you like to be positioned as the VIP Food Sponsor:

Would you like to be positioned near the entrance of the event:

Would you like to be positioned close to the stage (front of house):

Would you like to be placed behind the attendees watching the stage (back of house):

Do you require more than the eight (8) event passes being provided for your team:

Do you require more than the two (2) parking passes being provided for your team:

Would you like to place a standing/feather banner at the event entrance:

Would you like to place banners alongside the stage or entrance of the event:

Would you like to have television/radio media visit your booth:

Would you like the Master of Ceremonies to mention your brand and products/services from the stage:

Would you like to sponsor an entertainment/sporting feature of the event to promote your business:

Food Item:

How is it prepared:

Where is it prepared?

Name of Restaurant/Kitchen:

Address:

Telephone:

Contact Name at location:

Will it be pre-cooked for the event:

Will it be cooked on-site:

Will the food be transported HOT or COLD?

What type of container will be used to transport food(s) to maintain tempertures:

How will the temperatures of foods be kept at the special event location:

Food Item:

How is it prepared:

Where is it prepared?

Name of Restaurant/Kitchen:

Address:

Telephone:

Contact Name at location:

Will it be pre-cooked for the event:

Will it be cooked on-site:

Will the food be transported HOT or COLD?

What type of container will be used to transport food(s) to maintain tempertures:

How will the temperatures of foods be kept at the special event location:

Food Item:

How is it prepared:

Where is it prepared?

Name of Restaurant/Kitchen:

Address:

Telephone:

Contact Name at location:

Will it be pre-cooked for the event:

Will it be cooked on-site:

Will the food be transported HOT or COLD?

What type of container will be used to transport food(s) to maintain tempertures:

How will the temperatures of foods be kept at the special event location:

Food Item:

How is it prepared:

Where is it prepared?

Name of Restaurant/Kitchen:

Address:

Telephone:

Contact Name at location:

Will it be pre-cooked for the event:

Will it be cooked on-site:

Will the food be transported HOT or COLD?

What type of container will be used to transport food(s) to maintain tempertures:

How will the temperatures of foods be kept at the special event location:

Name of your Insurance company:

Your Insurance Policy Number:

Effective date (d/m/y):

Expiry date (d/m/y):

Description of your business and services:

Dates your certificate applies:

Period of dates for your event insurance (E.g. July-October):

General Liability Limit per Occurrence:

Please state the dollar amount you are Insured for :

Third party bodily injury and property damage:

Products and Completed Operations:

Owners and Contractors Protective Liability:

Cross Liability/Severability of Interests clause:

Employees and/or Volunteers added as Additional Insureds:

Blanket Additional Insured for all Sponsor:

Tenants Legal Liability $1,000,000 Deductible $:

Non-owned automobile $1,000,000 includes SEF 94 $25,000:

Waiver of Subrogation in favor of the event production company and the hosting city:

Insurance Policy #:

Policy Expiration date:

Description of your business:

Date you completed this form:

Effective/Opening date:

Expiry date of Insurance Certificate:

Name of Insurance Broker:

Address of Insurance Broker:

Broker Telephone#:

Broker E-mail address:

Broker’s Postal Code:

Your Certificate #:

Date of Issue:

Expiry Date:

Name of training institution:

Location of training institution:

Name of the Trainer:

How many staff members will be working with you at this event:

Please place the names of the staff members and their Food Handler Permit Numbers:

What are the dimensions of your Branded Tent or Food Truck (Length, Height and Width):

Twitter handle:

Facebook handle:

Instagram handle:

Pinterest handle:

Number of power outlets required:

Voltage required:

Amps required:

Food Truck Owner’s date of birth (required by Municipal events):

1) Photo of your Branded Tent or Food Truck.
2) Photos of your Event Menu and the Dishes/Meals you will be serving.
3) Event Insurance Certificate (Naming the Event as the 'Additional Insured').
4) Copy of Food Handler's Certificate.
5) Photo of the Money Order (if you are not making a Wire Transfer, E-mail Money Transfer or Cash payment)
6) Food Truck or Restaurant's Articles of Incorporation (required by Municipal events)
7) Certificate of Insurance

Please send these attachment files to constantine@oceanflame.ca or constantine.batchelor@gmail.com following your completion of the Ocean Flame Communications Public Health Form.