AFFIDAVIT

If you plan to offer samples, please print and sign this Affidavit in both places.

If a food-borne illness is linked to sampling at ANY Farmers Market in Colorado, the State Health Department has said they will consider not allowing any sampling, period. It’s important to follow the guidelines.

I have read and understand the Pagosa Farmers Market Rules and Regulation.

Signature __________________________________________________

Farm or Vendor _____________________________________________

Date ___________________

I agree to abide by the current Rules and Regulation of the Pagosa Springs Farmers Market. I further understand that failure to abide by market regulations will result in the loss of ability to sell at the Farmers Market, with or without a refund of my unused portion of my space fee, at the discretion of market management. I further agree not to hold the Farmers Market, the Board of SOS, the Country Center or the Town of Pagosa Springs responsible for any damages arising out of the sales of my products or from my presence at the market site.

Signature of Vendor______________________________________________

Date_________________________________

I have read, understand, and will follow the Pagosa Springs Farmers Market Produce Sampling Guidelines provided in this packet. (This must be signed in order to have samples at the market by any business or farm)

Signature__________________________________________________________

Vendor Business (Farm) Name ________________________________________

Date _________________________________

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