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Mobile Food Vendor Application

  1. Mobile Food Vendor Application

    Completed applications must be submitted a minimum of 10 business days prior to the proposed start date. 

    A non-refundable $20 application fee is due at the time of application. Payment should be remitted to the Ankeny City Clerk's office at City Hall, 410 W. First St., Ankeny, IA  50023. You may pay in person, by mail, or over the phone. Phone payments must be made with a credit card by calling 515-965-6400, opt. 6.

    Application Checklist:

    • Valid state issued Driver’s License or Identification Card
    • Vehicle registration for all vehicles that will be used during vending
    • Color pictures of mobile vending unit: Front, Back, and Side
    • Written consent from property owners to operate on their property
    • Certificate of Liability Insurance listing the City of Ankeny as “Certificate Holder” (General Liability of at least $500,000 Each Occurrence, $500,000 Damage to Rented Premises-each occurrence, and $1M General Aggregate)
    • Iowa Department of Inspections and Appeals License to operate
    • Business owner background check completed at https://opportunities.averity.com/CityofAnkeny
    • Ankeny Fire Department Operational Permit (if cooking on-site)
  2. Is this a new license application or renewal?
  3. Duration of License*

    NOTE: Annual licenses received after June 30 shall be prorated as follows: 
    July 1-Sept. 30, $200; Oct. 1-Dec. 31, $150; Jan. 1-March 31, $75

  4. Type of Food Vendor*

    As defined in Ankeny City Code Chapter 142, MOBILE FOOD VENDORS

  5. Will you be cooking on-site?*

    If yes, a copy of your Ankeny Fire Department Operational Permit is required. Contact Ankeny Fire at 515-965-6475. The Ankeny Fire Department will notify the City Clerk upon completion.

  6. Personal Questions
  7. Have you been convicted of any misdemeanor level crime, excluding traffic law violations, in the past two years?*
  8. Have you been charged with any felony level crime regardless of conviction status in the past five years?*
  9. Have you been convicted of, pled guilty to or stipulated to the facts of any forcible felony, including any felony child endangerment, assault, murder, sexual abuse, kidnapping, robbery, arson in the first degree or burglary in the first degree, or any sexually motivated crime?*
  10. State none if not applicable.

  11. Acknowledgement*
  12. Indemnification

    To the fullest extent permitted by law, the applicant agrees to defend, pay on behalf of, indemnify, and hold harmless the City against any and all claims, demands, suits, damages or losses, together with any and all outlay and expense connected therewith, including but not limited to attorneys’ fees and court costs, that may be asserted or claimed against, recovered from or suffered by the City by reason of any injury or loss, including, but not limited to, personal injury, including bodily injury or death, property damage, including loss of use thereof, and economic damages arising out of or in any way connected or associated with the applicants activities.

  13. Certification

    I certify that all information in this application and the required documents is true and correct to the best of my knowledge, and upon submittal becomes public record. I understand that any missing documentation may delay license approval. I further understand that should I commit a violation of the terms and conditions of this license; my license may be revoked. I agree that I will obtain any other permits necessary and will follow the guidelines and requirements set forth in Chapter 142 of the City of Ankeny’s Municipal Code and on the list of requirements provided to me.

  14. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) 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.

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