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Vendor and Service Provider Registration

  1. You will need to have accessible via your computer:

    1. Your TOWN OF JUPITER issued Business Tax Receipt
    2. If applicable, a Certificate of Insurance with Town of Jupiter named as an additional insured. Please see website for details.

    If you do not have these documents ready to upload from your computer you will not be able to complete this online application.

    Once your application has been reviewed you will receive an email regarding the status of your application. If approved, you will be placed on the Registered Vendor List. If you do not complete or submit the required information or documentation you will be notified that your application has been rejected.

    Since this is a new process please allow for 10-14 days to process applications. Should you have any questions please contact Bonnie Caroline at 561-741-2314.

  2. If different from business owner.

  3. Check Services Provided*

    Please check all services your business provides:

  4. The following documents are REQUIRED. You will not be able to submit the online application without them.

  5. Please upload your current Town of Jupiter Business Tax Receipt. This must be issued from the TOWN OF JUPITER.

    Expired or Palm Beach County issued Business Tax Registrations will NOT be accepted. If you do not have a current BTR with THE TOWN OF JUPITER you will need to obtain this registration prior to completing this application.

  6. Certificate of Insurance must have TOWN OF JUPITER named as an additional insured and as a Certificate Holder with the address of 200 Military Trail, Jupiter, FL 33458.

    Current Comprehensive General Liability Policy: Of $1,000,000 is the requirement for proper limits.

    When applicable, minimum $1,000,000 products liability for all food vendors and/or liquor liability for beer and wine will apply. Certificate of Insurance must be signed by insurance company’s authorized representative.

  7. Insurance requirements are NOT applicable

  8. Permitee shall not permit any person who is listed as a sexual predator or sexual offender on the Florida Department of Law Enforcement, Sexual Offenders and Predators Website located at http://www.fdle.state.fl.us or the United States Department of Justice, National Sex Offender Public Website located at www.nsopw.gov, to work with or around children on County Property and provide any services such as performers, (clowns, bounce house attendants, face painters, magicians, etc.), employees, volunteers, subcontractors, collectively referred to herein as “Event Personnel.” Permitee shall be responsible for conducting this search prior to the special event.

  9. NOTICE: This permit contains a release, indemnity, and waiver of liability and when signed is a contract with legal consequences. Please read it carefully before signing your name.

    I have read the facility rental rules and understand them as they pertain to the activities of my group. I understand that I am responsible for the actions of my group and that noncompliance with any of the facility rental rules may result in revocation of this permit, loss of cleanup/security deposit, and/or other fees paid, and the denial of any subsequent permit applications for a period of at least one (1) year. I also understand that this is a public document that is open to public inspection and copying.

    TO TOWN OF JUPITER: In consideration of the opportunity afforded to me and/or my group, I, the undersigned participant, freely agree to and make the following contractual representations and agreements.

    I, the undersigned participant, do hereby knowingly, freely, and voluntarily assume all risk and liability for any damage or injury that may occur as a result of my and/or my group’s use of the park facility identified herein during the time period I and/or my group are using same and further agree to release, waive, discharge, and covenant not to sue Town of Jupiter, its officers, agents, employees, and volunteers (all for the purposes herein referred to as “Releases”) from any and all liability or claims that may be sustained by me or a third party directly or indirectly in connection with, or arising out of, the use of the facility as described herein, whether caused in whole or in part by the negligence of the TOWN OF JUPITER or the Releases.

    I further agree to indemnify and hold harmless the Releases with respect to any and all fees, costs, expenses, and attorney’s fees arising out of or in connection with my and/or my group’s use of the park and/or facility as described herein.

    I agree that I have read this form, fully understand its terms, and understand that I, or anyone who may claim to have rights on my behalf, have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of any and all liability to the greatest extent allowed by law and agree that, if any portion of this contract is held to be invalid, the balance notwithstanding shall continue in full legal force and effect.

    This acceptance is on behalf of all persons in the group with me. If the rules are violated this permit may be revoked and future permission may be refused. Permit holder is responsible for the conduct of all persons in the group.

    I agree that I am 21 years of age or older and will be present during the period stated on this permit.

  10. Leave This Blank:

  11. This field is not part of the form submission.