CITY OF WOODSTOCK
Peddler / Vendor’s License
General Information
No person shall do business on public property in the City of Woodstock as a peddler without a
license, unless part of an approved event on the Square.
Possession of a Peddler / Vendor’s License is a privilege, not a right; and the City reserves the
right in its sole discretion to determine the number of temporary vendor licenses to be issued and
to refuse issuance of or to rescind said license.
Any peddler who violates the terms or conditions of the license is subject to revocation of the
license.
Applications for a Peddler / Vendor’s license shall be made to the City upon forms supplied by
the City, not less than seven business days in advance of the date for which the license is
requested. No license shall be issued unless the application has been completed in full.
The fee for a Peddler / Vendor’s License for the first vehicle/concession is $100 per season,
defined as the calendar year, January 1
st
through December 31
st
. The fee for a Peddler /
Vendor’s License for each subsequent vehicle/concession owned by the same applicant shall be
$50.00 per calendar year. All Peddler / Vendor’s licenses shall terminate on December 31
st
following date of issuance.
This application is for either to vend in Public Property and/or Public Property. The $100 per
season is for each type of Vendor. If you would like to apply for both Public and Private, the per
season fee is $200.
If determined necessary by the City, applicant and all designated employees must submit to and
satisfactorily pass a background check. Actual cost for a City-approved background check shall
be paid for in advance by the applicant. The City reserves the right in its sole discretion to
determine if a background check is considered to have been satisfactorily passed. Upon approval
of and at the discretion of the City Manager, the requirement for a background check may be
waived for any individual able to present proof of a satisfactory background check conducted
within the calendar year of the application.
Applicant must abide by all other conditions for approval as set forth by the City of Woodstock,
including, but not limited to location of concession(s), duration of stay, placement of signage,
use of auxiliary equipment, and trash collection. Further, applicant must agree to vend only in
approved locations and abide by any exclusivity arrangement set forth by organizers of any
special event as recognized by the City of Woodstock.
The Peddler / Vendor’s License issued in conformity with the provisions of this act shall be
displayed at all times in a prominent place in said concession.
Any and all Peddler / Vendor’s Licenses shall be subject to any restrictions or conditions deemed
desirable by the City.
CITY OF WOODSTOCK
Application for a Temporary Vendor’s License
Public Property Private Property Public & Private Property
Corporate Information:
__________________________________________ ________________________________
Corporate Business Name (as listed on State Taxes) DBA (if applicable)
_______________________________________________________________ ____________________ ________ _________________
Business Address City State Zip
(_____) _____-________ __________________________________________ ___________________________________
Business Phone Business Email Tax ID Number
________________________________________________________ __________________
Nature of Business Length of Time
Owner Information
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
____________________________________ ________________ _____ ___________
Residential Address City State Zip
Description of Vehicle/Concession
Description of items to be sold
Description of Dates and Location
Date
Location
(attach site sketch)
Power?
Water?
Waste
Disposal?
Owner
(if applicable)
Owner Phone
(if applicable)
______ I understand that all sales taxes collected in Woodstock need to be reported on the appropriate form and
paid to Woodstock. Failure to properly report sales taxes could lead to the rescinding of an existing
permit or ineligibility for a future permit.
______ I hereby apply for a Peddler / Vendor’s License to vend in the City of Woodstock. I understand that
possession of said license is a privilege, not a right and that the City reserves the right in its sole
discretion to determine the number of Peddler / Vendor’s licenses to be issued and to refuse issuance of
or to rescind said license. I have read and agree to abide by all regulations and conditions for
application, approval and possession of said license.
Applicant Signature_____________________________________ Date: _________________
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signature
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CITY OF WOODSTOCK
Application Additional Employees
Peddler / Vendor’s License
Please complete the following information for each employee who will be vending in Woodstock.
Additional Employee #1
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
_______/_______/________ ____________________________ ________-_______-_______ ___________________________
Date of Birth Place of Birth Social Security Number Drivers License #
Additional Employee #2
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
_______/_______/________ ____________________________ ________-_______-_______ ___________________________
Date of Birth Place of Birth Social Security Number Drivers License #
Additional Employee #3
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
_______/_______/________ ____________________________ ________-_______-_______ ___________________________
Date of Birth Place of Birth Social Security Number Drivers License #
Additional Employee #4
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
_______/_______/________ ____________________________ ________-_______-_______ ___________________________
Date of Birth Place of Birth Social Security Number Driver’s License #
Additional Employee #5
_______________________________ ______________ _________________________________ (_____) _____-_________
First Name Middle Last Name Residential Phone #
________________________________________________________
Email
_______/_______/________ ____________________________ ________-_______-_______ ___________________________
Date of Birth Place of Birth Social Security Number Driver’s License #
HOLD HARMLESS/INDEMNIFICATION AGREEMENT
The applicant signing below (the “Applicant”) has requested permission to operate as a Food
Truck Vendor in the City of Woodstock, IL (the “City”). In consideration of such permission and
the issuance of a permit, the Applicant hereby fully releases and discharges the City, its officers,
agents and employees from any and all claims of any kind (including, but not limited to claims
for damage to property, injury to any person, or attorneys’ fees) which arise or which may be
alleged to have arisen out of, or in connection with, Applicant’s operations as a Food Truck
Vendor in the City. The Applicant further agrees to indemnify and hold harmless and defend
the City, its officers, agents, and employees from any and all claims of any kind (including, but
not limited to claims for damage to property, injury to any person, or attorneys’ fees), which may
arise or which may be alleged to have arisen out of, or in connection with, Applicant’s operations
as a Food Truck Vendor in the City.
Print Name of Applicant: ____________________________
Date: _________________
Authorized Signature of Applicant: _______________________________
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REQUEST, AUTHORIZATION, CONSENT AND RELEASE FOR
BACKGROUND INFORMATION
PLEASE TYPE OR PRINT
I: _______________________________________________________________________________________________
LAST NAME FIRST NAME MIDDLE NAME (PLEASE INCLUDE Jr., Sr., II, III Etc.)
Understand that in conjunction with my application for license, the
CITY OF WOODSTOCK-VENDOR/PEDDLER LICENSE
PROGRAM
will use the services of an outside agency to research and verify the information I have provided on my application
for license including my personal background, character, professional standing, work history and qualifications. This agency will
provide a report to the
CITY OF WOODSTOCK-VENDOR/PEDDLER LICENSE PROGRAM. The CITY OF
WOODSTOCK-VENDOR/PEDDLER LICENSE PROGRAM
uses Backgrounds Online, a consumer-reporting agency, as an
agent to perform background verifications.
Backgrounds Online will utilize various sources of information it deems appropriate including but not limited to: credit reporting
agencies, Workers Compensation records, Department of Motor Vehicle records, criminal conviction records, current and former
employers, military records, education records, professional and personal references. I request, authorize and consent to the
release and disclosure of any and all information including but not limited to the above to the
CITY OF WOODSTOCK-
VENDOR/PEDDLER LICENSE PROGRAM
and Backgrounds Online.
I request, authorize and consent to the procurement of an Investigative Consumer Report and understand that it may contain
information about my background, mode of living, character, personal characteristics and general reputation. This authorization
in original or copy form shall be valid for one year from the date indicated next to my signature. According to the Fair Credit
Reporting Act, I will be notified by the
CITY OF WOODSTOCK-VENDOR/PEDDLER LICENSE PROGRAM if licensure is
denied because of information obtained from a Consumer Reporting Agency. Additionally, I understand that if requested within
60 days, I will be given a full and accurate disclosure as to the nature and substance of all information provided to the
CITY OF
WOODSTOCK-VENDOR/PEDDLER LICENSE PROGRAM.
I further understand that when requesting a copy of the report,
proper identification will be required and I should direct my request to: Backgrounds Online, 1915 21
ST
Street, Sacramento, CA
95811, phone: 800-838-4804. Backgrounds Online’s website may be found at http://www.backgroundsonline.com
LAW ENFORCEMENT AGENCIES AND OTHER ENTITIES FOR POSITIVE IDENTIFICATION PURPOSES REQUIRE THE
FOLLOWING INFORMATION WHEN CHECKING PUBLIC RECORDS. IT IS CONFIDENTIAL AND WILL NOT BE USED FOR ANY
OTHER PURPOSES. I HEREBY RELEASE THE
CITY OF WOODSTOCK-VENDOR/PEDDLER LICENSE PROGRAM AND
ITS AGENTS, BACKGROUNDS ONLINE AND ALL PERSONS, AGENCIES, AND ENTITIES PROVIDING INFORMATION OR
REPORTS ABOUT ME FROM ANY AND ALL LIABILITY ARISING OUT OF THE REQUEST FOR OR RELEASE OF ANY OF THE
ABOVE MENTIONED INFORMATION OR REPORTS.
__________ __________
Signed Today’s Date
__________
__________
Printed Name License Applied For
_______---_____---________ ____/_____/____ ________________
Social Security Number Date of Birth Driver’s License Number State
Other names you have used or are also known as: ________________________
PLEASE PROVIDE ALL RESIDENTIAL ADDRESSES FOR THE PAST 7 YEARS
Current Address: _________________________________________________________________________________________________________
Street Apt.# City County State Zip Code How long here?
Current Address: _________________________________________________________________________________________________________
Street Apt.# City County State Zip Code How long here?
Current Address: _________________________________________________________________________________________________________
Street Apt.# City County State Zip Code How long here?
Current Address: _________________________________________________________________________________________________________
Street Apt.# City County State Zip Code How long here?
Would you like a copy of this form? Yes
No
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TEMPORARY VENDOR
BACKGROUND CHECK COST SHEET
Opon 1: Basic Check $29.95
To be used for: Temporary Vendors/Employees who have lived in only one county for the past seven (7) years.
Includes:
Social Security Number Trace
County Criminal Court Search* (single county)
Naonal Criminal Database Search
Sex Oender Registry Search
Terrorist Watch List Search
Opon 2: Standard Package $49.95
Includes:
Social Security Number Trace
County Criminal Court Search* (up to 3)
Federal Criminal Court Search (single district)
Naonal Criminal Database Search
Sex Oender Registry Search
Wants & Warrants Search
Terrorist Watch List Search
Opon 3: Deluxe Package $79.95
Includes:
Social Security Number Trace
County Criminal Court Search* (up to 3)
Federal Criminal Court Search (up to 3)
Naonal Criminal Database Search
Sex Oender Registry Search
Wants & Warrants Search
Terrorist Watch List Search
Motor Vehicle Record Search
Add- Ons:
County Criminal Searches (can be used with Basic, Standard and Deluxe for addional county searches): $18.50
Employment Credit Report Searches (can be used with Basic, Standard and Deluxe searches): $14.00
Motor Vehicle Record Searches – Addional States (can be used with Basic, Standard and Deluxe rates vary):
$ 20.00 (IL) $18.00 (WI), IA ($20.00), IN ($20.00), MO ($20.00) etc.
NOTE: If applicant wishes to take advantage of the lower cost of the Standard Package, he/she must sign a waiver acknowledging
that the City will be obtaining addional informaon which may be used in the background check process and stang that it is his/
her wish to have the Standard Package background check performed.
I have chosen:
___ OPTION 1 at a cost of $29.95 ___ OPTION 2 at a cost of $49.95 ___ OPTION 3 at a cost of $79.95
I would like ___ addional county searches at a total cost of $_______ .
CITY OF WOODSTOCK
Application Checklist
Peddler / Vendor’s License
A license will not be issued without the complete documentation.
______ Complete Application
______ Health Department Certificate
______ Certificate of General Liability Insurance with City of Woodstock named as
additional insured
______ Proof of Vehicular License and Liability insurance (if applicable)
______ Hold Harmless Agreement
______ Background Check Authorization Form
______ Fee Amount ____________ Check #_____________