2. 
4. APPLICATION FOR FOOD TRUCK LICENSE
   Please complete entire application Please note: Any misrepresentation or falsification of the information sought below may result in revocation of the license as granted and fines may be applicable.
6. Date of Application
7. Application Fee: $50
9. Business Name*
11. Phone Number*
12. Website
14. Email Address
16. Business Address*
18. Business City/State/ZIP*
20. The following information is required
22. 1. Where is the food preparation establishment where food items are to be prepared and/or packaged for sale by food truck operator from the food truck (proved copes of the establishment’s most recent health inspection report and Will County Health Department permits and copies of the same documentation with respect to the food truck and/or food truck operator.
24. Business Name*
26. Business Address*
28. Business City/State/ZIP*
30. 2. Description of the nature of the food and beverages offered by the food truck:*
32. 3. A letter of agreement from the food preparation establishment or food service establishment where food items are prepared and/or packaged for sale by the food truck operator from the food truck agreeing to comply with all applicable laws and regulations.*
34. 4. A list of locations and times the food truck will be conducting its operations within the Village, which may be amended from time to time by the food truck operator to reflect its then-current operations of the food truck, subject to the review and approval of the Department of Community Development.
36. Location Name*
37. Location Address*
38. Day of Week/Date*
39. Times*
41. Location Name
42. Location Address
43. Day of Week/Date
44. Times
46. Location Name
47. Location Address
48. Day of Week/Date
49. Times
51. Location Name
52. Location Address
53. Day of Week/Date
54. Times
56. Location Name
57. Location Address
58. Day of Week/Date
59. Times
61. 5. A description of the food truck to be used in conducting business.*
63. 6. Copies of all necessary licenses or permits required by State of Illinois health or transportation authorities for the operation of the food truck.*
65. 7. The permit application must include the written consent of the property owner stating the food truck is allowed to operate on the property, together with copies of any relevant documentation between the property owner and the food truck operator evidencing the terms of such consent.*
67. 8. A signed statement approved by the Village as to form and substance providing that the vendor shall hold harmless the Village and its officers and employees, and shall indemnify the Village, its officer, and employees for any claims for damage to property or injury to persons which may be occasioned by any activity carried out under the terms of the license. Contemporaneously with the issuance of a license under this Chapter, the food truck operator shall obtain or have in full force and effect Commercial General Liability insurance coverage insuring the food truck operator and the Village with respect to occurrences arising out of the activities authorized by the license, with such coverage having combined single limits of not less than $1,000,000.00 for personal injury and death and property damage per occurrence, and in the aggregate, which coverage shall specifically refer to this license. Coverage of the Village shall be by written endorsement naming the Village as an additional insured. The food truck operator shall further maintain automobile liability insurance with coverage of not less than $1,000,000.00 for personal injuries or death per occurrence and $1,000,000.00 for property damage per occurrence. All insurance coverage provided under the license shall expressly provide that it is primary and noncontributory to any insurance coverage maintained by the Village, and shall waive any rights of recovery against the Village. Copies of all policies of insurance, certificates of insurance and endorsements reflecting the coverages required under this Agreement shall be provided to the Village prior to the issuance of any license under this Chapter. All such insurance coverage shall further provide that it may not be canceled except upon thirty (30) days’ written notice served upon the Village Manager. A license issued pursuant to the provisions of this Section shall be invalid at any time the insurance required herein is not maintained and evidence of continuing coverage is not filed with the Department of Community Development.*
69. Payment is not due until after the approval process has been completed.
71. I understand that the issuance of this license is conditioned upon compliance with all Village Ordinances and Codes and the results of any inspections of above premises at this time or any subsequent inspections while this license is in force.
73. Business Applicant/Owner*
74. Date*
Leave This Blank:


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

    This field is not part of the form submission.

78. Submit

* indicates a required field