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City of Spearfish Mobile Food and Beverage Vendor License Application

Renewal or New Application?
1. Renewal
2. New Application
A mobile food and beverage vendor license is not required for the following:
a. Mobile food and beverage vendors operating where a city approved special event permit has been issued, and with authorization from the special event sponsor, and if the vendor does not operate from any city public s
b. Mobile food and beverage vendors that operate on public or private property for a one-time event lasting 3 calendar days per year or less, i.e. private parties/events, auctions, etc.
c. Caterers and food delivery services where food or beverage is prepared in a place other than the delivery vehicle.
Mobile Food Vending User Guide
User Guide
For instructions on when you need a license and what you can do once you have one.
Please note: This license will not be issued to a registered sex offender.
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Applicant/Primary Operator

First Name
Last Name
Address
City
State
Zip Code
Phone Number
Fax Number
Email Address
Date of Birth of applicant/primary operator
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Business Information

Business Name
Business Address
City
State
Zip Code
Business Owner's Name
Business Owner's Phone Number
Business Owner's Email Address
Business Address
Business Phone Number
SD Sales Tax Number*
Liability Insurance Policy Number*
Expiration Date*
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Submissions

Please submit items 1-5 for first time applications. Submit items 1, 4 and 5 for renewals:
1. Payment of $250. Checks must be made payable to the City of Spearfish.
2. Copy of South Dakota Department of Health Food Service License.
3. Copy of Sales Tax License
4. Copy of Certificate of Commercial General Liability Insurance with City of Spearfish as an added INSURED. Do not submit certificates listing the City as a Certificate Holder. Minimum coverage must be $1 Million per occurrence, $2 Million aggregate.
5. Completed and signed Fire Safety Inspection/Checklist
Link to the Inspection Checklist
Inspection Checklist
File Upload - see instructions below*
combine copies of your sales tax license, food service license, and liability insurance document in to one file, and upload.
I, the undersigned applicant, for myself and as representative of any entity named herein, make the following representations. 1) I agree to maintain commercial general liability insurance with a limit of not less than $1 million per occurrence and $2 million general aggregate naming the City of Spearfish as an additional insured, and I shall provide a certificate of current coverage to the City at all times while this permit is in effect. Such insurance shall not be cancelable or altered without prior written notice to the City, not less than 30 days in advance of the cancellation or alteration. Such insurance shall be primary as to any other insurance available to the City. 2) I agree to indemnify the City of Spearfish and hold it harmless from any and all use of city-owned property (including without limitation any sidewalks, street rights of way, or other public places) by myself, my guests, invitees, and anyone using such property at my invitation or in furtherance of my purposes.
Applicant E-Signature*
typed name is treated as if it were a signed original
Application made this day
Application made this day
Application made this day

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

This field is not part of the form submission.
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Mobile Food/Beverage Vendor Application

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City of Spearfish Mobile Food and Beverage Vendor License Application

Applicant/Primary Operator

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