automobile liability insurance with bodily injury and property damage coverage which meets
Town of Colchester requirements and names Town of Colchester, its Officers, Directors,
Officials, Employees, Agents, Volunteers, and Representatives, as additional named insureds by
separate endorsement. Applicant’s name and current policy numbers must be listed on all
policies and endorsements. Applicant’s insurance policy must state that coverage is primary and
non-contributory. Current proof of insurance must be provided for each vehicle listed on the
application. Vehicles not listed on the original application will not be allowed to enter park
grounds. No Concession Vendor License will be issued without current proof of insurance.
Worker’s Compensation Requirements: Applicants will be required to provide Workers
Compensation and Employer’s Liability in the amount of one million (1,000,000) dollars, and a
Waiver of Subrogation for the Workers Compensation coverage. If applicant is exempt from the
Workers Compensation rules, a letter, on business letterhead, stating that the applicant is
exempt from this requirement, because of Sole Proprietor status and if employees are hired for
this venture, the applicant will immediately provide coverage as required by State law, and will
hold the Town harmless from any claims for Workers’ Compensation coverage demands arising
out of applicant’s activities on Town property.
Hold Harmless Agreements: The Concessionaire, in consideration of the granting of this
Concession License, agrees to hold the Town harmless for any and all claims or rights of action
for damages which may or might arise or accrue to said concessionaire or licensee, his officers,
agents, servants, employees, or others who may be on the licensed premises at his invitation or
the invitation of any one of them, by reason of injury to the property, or the persons of any of
them resulting from the entry upon or the use of the licensed premises.
No Concession Vendor License will be issued without current proof of insurance in the amounts
and quality required above.
Vendor may request a review of insurance limits by Risk Management at the time the
Concession License Application is submitted.
Documents - The below documents must accompany your application when applicable.
Please attach a picture of your Concession unit (vehicle, trailer, etc.), to aid in field
Provide a copy of Business License/Peddler’s Permit (whichever is applicable), for verification
Provide a copy of Temporary Food Stand Permit (if applicable), to verify the permit is current.
Copy of Certificate of Liability Insurance which includes Automobile Insurance and Workers
Compensation (if employees will be present).
By signing below, I certify that the information I have provided is true and correct to the best of my
knowledge and that I have read and understand the requirements and conditions as stated in this
application. I understand that I will be responsible to ensure that I and/or my helpers, or employees,
abide by all rules, regulations, and requirements as required and set by the Department of Parks and
Recreation. I further understand that I will be responsible to submit all required documents and all
applicable fees pertaining to my Concession Vendor License, to the Department of Parks and
Recreation prior to the approval of my request and the issuance of my Concession Vendor License.
___________________ _________________________________ __________________
Printed Name Signature Date
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