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Mobile Food Unit RENEWAL Application
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Step One
MFU Renewal
City of Aurora, IL
Mobile Food Unit RENEWAL Application
Incomplete applications will not be accepted. Completed applications may be submitted to: Revenue & Collections, 44 E. Downer Pl.
RENEWAL APPLICANT INFORMATION
Date Application Received
Date Application Received
Business Name
Business Address
City
State
Zip Code
Tax ID Number
Business Phone Number
Owner First Name
First Name
Owner Last Name
Last Name
Owner's Address
Address
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Zip Code
Zip Code
Contact Phone Number
Primary Phone
Email Address
Vaild Email address
Event-Based License Fees:
*
One Event License $30 (Limit of two One Event licenses per calendar year, and an event can be up to two consecutive days)
Four Event License $100 (Four events in one calendar year, and limit of one Four Event License per calendar year)
Annual Vendor Licenses (Bond in lieu of fee, see pg. 3 for additional information):
*
Bi-Annual (6 months) $250 Bond
Annual (12 months) $500 Bond
Associated with restaurant located within the City of Aurora (No charge)
If associated with a restaurant located within the City of Aurora (no charge):
Business name and Address
Unit Type:
*
Trailer
Truck
Other (please describe in space to the right)
Other (please describe):
Tent, Pop-up, Peddler, Etc.
Proof of Insurance
*
Current Certificate of Insurance (COI) that lists the City of Aurora and/or event sponsor as the primary, non-contributory additional insured on all applicable policies with GL being a minimum of $1M per occurrence and $2M general aggregate.
Aurora Fire Department Approval
*
Proof of compliance with local health department
Private Property Consent Form (If applicable)
Signed Indemnification and Hold Harmless Agreement
Signed Indemnification
Check here if part of city-sponsored special event
Chief Financial Officer or Designee
Approved
Denied
Chief Financial Officer or Designee
CFO or Designee
Date Approved/Denied
Date Approved/Denied
Date Issued
Date Issued
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Step Two
Affidavit
By checking the "I agree" box below, you agree and acknowledge that 1) the information contained in the foregoing application is true and correct, 2) you understand that any untrue, inconsistent, incorrect or misleading information contained herein shall be cause for the refusal to grant, non-renewal or the revocation of any license granted pursuant to this application, 3) you have read and understand all applicable laws of the City of Aurora's Code of Ordinances and fully understand your obligations under said applicable local laws, 4) you swear and affirm not to violate any of the relevant laws of the United States, the State of Illinois or any of the ordinances of the City of Aurora in the conduct of the place of business described herein, 5) you understand and agree that if you violate any local or state laws while you have a City of Aurora License, said license may be suspended or revoked, 6) you further authorize the City of Aurora or any of its designated agents to contact any agency or individual named or referred to in this Application for the purpose of verifying and/or clarifying any information you have provided herein, 7) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 8) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
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Step Three
Private Property Consent Form
Please fill out the form below if your Mobile Food Unit will be operating on Private Property. Units are not permitted to operate on vacant property, subject to any applicable zoning regulations. NOTE: If the event is a City-Sponsored event, this Private Property Consent Form is NOT required. Completed forms may be faxed or emailed to
[email protected]
or 630-256-3569.
The undersigned is the owner/lessee of the real property located at the following address:
Street Address and Zip Code
Name of Business:
If Applicable
I have granted permission to:
Enter Name of Mobile Food Unit Vendor here
To use my property for the purpose of:
Describe in detail here
On the following day(s)/date(s):
Type day(s)/date(s) here
Time(s):
From __AM/PM to __AM/PM
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) you hereby hold harmless and agree to indemnify the City of Aurora, their employees, officers, or agents against any claims, demands or liability arising out of the permittee's mobile food unit or activities while operating on, or using your property, 2) you certify, under penalty of perjury, that the foregoing is true and correct, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
Date:
Date:
Chief Financial Officer/Designee
Approved
Denied
Chief Financial Officer or Designee
CFO or Designee
Date Approved/Denied
Date Approved/Denied
Date Issued
Date Issued
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Step Four
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
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