Food Truck Request Form

Food Truck Request Form
The College’s food vendor is the preferred partner for providing cafeteria and catering services at Palm Beach State College. Palm Beach State College departments/organizations may request permission to use another licensed caterer/food truck for special events.
Please review the Food Truck Procedure found on www.pbsc.edu/auxiliary-services/food-trucks.php for information on required insurance documents and permits.

Per Florida Fire Prevention Code, mobile or temporary cooking operations require a permit from the PBSC campus facilities department in order to operate at Palm Beach State College. To obtain the permit (valid for one year), the following steps are required:
- Complete a food truck permit application (available at www.pbsc.edu/auxiliary-services/food-trucks.php)
- If approved, schedule a life safety inspection. The inspection requires a 48-hour notice and must be scheduled for Tuesday or Thursday, at least one week before the event.
Food Truck Requests should be submitted at least 2 weeks prior to the event. Requests will not be considered until all documents have been submitted. Questions can be referred to Jessica Bender - benderj@pbsc.edu.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Event Information
Date and Time of Event

MonthDayYear
Hour MinutesAM/PM Option
Campus:

PBSC Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.

Food Truck Vendor Information
Name of Food Truck
Food Truck Vendor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Food Truck Vendor Contact Name

First NameLast Name
Food Truck Vendor Contact Phone
Please enter a valid phone number.
Food Truck Vendor Contact Email
example@example.com
Has the College's food vendor been given an opportunity to provide food from this event?

YesNoOther
Please provide rationale for obtaining food outside of the College's on-campus provider.

Food Truck Vendor Documentation
Does the Food Truck Vendor have a valid PBSC Permit?

YesNoIn Progress
Please upload a copy of the Business License to operate a mobile food dispensing vehicle in the state of Florida.

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Commercial General Liability Insurance Requirements

Minimum Limits of Liability
- $1,000,000 per occurrence
- $2,000,000 General Aggregate
- $2,000,000 Products - Completed Operations Aggregate
- Palm Beach State College and Its District Board of Trustees MUST be listed as the Certificate Holder
Please upload proof of Commercial General Liability Insurance.

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Commercial Automobile Liability Insurance Requirements

Minimum Limits of Liability
- $100,000 Combined Single Limit or
- $100,000 Bodily Injury per person, $100,000 Bodily Injury per accident, and $100,000 for Property Damage
- Coverage must be provided for all owned, hired, and non-owned automobiles/vehicles used in connection with your work
- Palm Beach State College and Its District Board of Trustees MUST be listed as the Certificate Holder
Please upload proof of Commercial Automobile Liability Insurance.

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Workers' Compensation Information

Note: FL WC Statute requirements are that employers with four or more employees, including the owner, must carry workers' compensation coverage.
Statutory Workers' Compensation
- $500,000 Employer's Liability - Each Accident
- $500,000 Employer's Liability - Each Employee
- $500,000 Employer's Liability - Policy Limit
- Palm Beach State College and Its District Board of Trustees MUST be listed as the Certificate Holder
Please upload Workers' Compensation & Employer's Liability or Copy of Exemption Certificate.

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Please upload confirmation from campus facilities that the desired location for parking the food truck has been approved. This is typically confirmed via email and a copy of the email can be uploaded here.

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Per the Florida Fire Prevention Code, mobile or temporary cooking operations require a permit from the PBSC campus facilities department in order to operate at Palm Beach State College. Proof of inspection from Palm Beach County fire rescue within the last year will also be accepted for this item. To find out more how to obtain a PBSC permit/inspection, please visit our website. https://www.pbsc.edu/auxiliary-services/food-trucks.php
Please upload the proof of inspection documentation

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Typing my name below confirms that I have read and understand the Food Truck Procedure and will ensure that all guidelines are followed. I understand that Food Trucks on campus must be completely self-contained and require no use of electric, water, or other utilities or facilities belonging to Palm Beach State College.
Should be Empty: