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2. Jacksonville's National Night Out Vendor Application

   Must be completed and submitted no later that June 23, 2023. Center for Public Safety, 200 Marine Blvd.

4. Vendor Type*

   1. Government
   2. Non-Profit
   3. Commercial
   4. Food

   Please select one

6. Business Name*
7. Phone Number*
9. Tax ID#
10. Valid Email*
12. First Name*
13. Last Name*
15. Address1*
17. City*
18. State
19. Zip
21. Vendors NNO Theme*

    1. Public Safety
    2. Crime Prevention
    3. Health
    4. Education
    5. Youth Programs

    All vendors must have a NNO theme for their booth. Please select one from the list provided.

23. Vendor Items Description*
    Are you a food vendor? please supply intended menu. Other vendors, describe items you will have on display.
25. Vendor spaces

    Booth space, 10'x10', is assigned prior to event day. Some activity vendors may be located in adjacent areas. Food vendors will be placed with ample room. Please note: electrical outlets may not be available at this location.

27. Vendor Power Requirements*

    1. Supplying own generator
    2. Electric requested (very limited)
    3. No power needed

    Please select one

28. Food Vendor Requirements*

    1. Booth
    2. Tent
    3. Truck
    4. N/A

    Please select one

30. Vendor Fee and Packet Delivery*

    1. Mail
    2. Pick-up - 200 Marine Blvd

    Participation fee is $100 per vendor space. Non-profit and Government vendors with a 501-3c are cost exempt. Payments received should be made payable to Jacksonville National Night Out Committee. Check will not be cashed until vendor is approved. A $25 fee may apply for returned checks. Upon approval, you will receive a vendor packet, Please select vendor packet delivery method.

32. Vendor Information, Set-up, Inspection, more...

    Booth sizes are 10'x10'. Special request for additional space must be approved Vendor set-up time is 1-4PM. Vehicles are allowed at space for unloading. All vendor vehicles must park in designated vendor parking. Vendors provide their own tents, tables, chairs, and materials. You cannot drill anything into the ground; please be prepared in case of wind. No pets allowed. No skateboards, bikes or scooters allowed. Alcohol, drugs or drug paraphernalia are strictly prohibited on City property or near event area. No Raffles are permitted. Selling of items other than food is not permitted. No refunds for cancellations after June 24. A $25 administrative fee will be assessed for all cancellations. Vendors may not sublet, donate or trade booth space. Vendors are responsible for proper disposal of trash or waste. Trash and recycling containers will be available at the event. The City of Jacksonville or National Night Out Committee are not liable for responsible for delays, cancellation, or postponements of National Night Out or events within the event due to inclement weather, acts of war, government action, strikes or other matters beyond its control.

34. Food Vendors - Additional Information

    Preparation of food for sale to the public is specifically governed by the regulations of the State of NC Department of Health. Food can only be provided to the public through a self-contained/mobile unit which meets the specific regulations of and has been permitted by the NC Department of Health. Food vendors must contact the Onslow County Environmental Health Department at 910 938-5851 to obtain required permits. This must be done no later than 15 days prior to the event. Pre-packaged food which has been prepared at a licensed restaurant or company and is available for purchase in a pre-packaged form is permitted to be sold or otherwise vended at National Night Out. Vendors must provide their own potable water. No water connections are available in the Festival area. A hand washing station with soap and single use hand towels must be provided. All food vendors must follow all federal, state and local food handling regulations. There is no dumping of grease/cooking waste in the park - no exceptions! Vendors found in violation will be asked to leave the event immediately with no refund of booth fees. Have enough supplies on hand for the entire event. Vehicles will not be permitted in the festival area once the event begins. Food vendors will be required to provide a Certificate of Liability Insurance with their application. Comprehensive General Liability Insurance - $1,000,000 Single Limit/$2,000,000 General Aggregate NAIC# must be active (certified through State of NC, not surplus) Must provide NC sales tax account ID#. PLEASE NOTE: The City of Jacksonville, PO Box 128, Jacksonville, NC 28541 must be listed as the Certificate Holder and as an additional insured with regards to General Liability and Automobile Liability. The insurer must be licensed in the State of North Carolina. For questions regarding insurance, please contact Trudy Parmeter at 910 938-5239 or gparmeter@jacksonvillenc.gov. Menu items must be pre-approved by the Jacksonville National Night Out Committee, so please include a sample menu with your application. National Night Out will not allow multiple vendors with the same products. Once your vendor trailer is in place, the vehicle towing it must be removed no later than 3PM. Vehicles will not be allowed in the festival area after 4:30PM. Please bring waste receptacles and the plastic liners for them. Event staff will be emptying the trash receptacles periodically throughout the event time. There is limited availability of electricity on site, permission for use must be granted prior to event day. All food vendors must be ready for a Fire Inspection no later than 3PM.

36. Release and Hold Harmless*

    1. Agree

    With submission of this form, I/we the undersigned, for and in consideration of permission and space to participate in Jacksonville's National Night Out, August 1, 2023, agree to release and hold harmless, and defend the City of Jacksonville, NC, National Night Out, its officials, representatives, agents, servants, and employees from and against any and all losses, claims, actions, lawsuits, damages, judgments, liability and expense, including attorney fees and litigation expenses, in whole or in part arising our of, connected with or in any way associated with my/our activities preparing for, participating in or traveling to or from the City of Jacksonville to Jacksonville 's National Night Out. I have read and fully understand the above release and hold harmless agreement.

38. Signed - Enter Your Name Here*
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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