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ti <br /> SUNDAY, JUNE 11, 2023 + 10:OOAM — 5:00PM <br /> LODI GRAPE FESTIVAL GROUNDS <br /> 413 E. I.DCKEFQRD ST.,LQDI <br /> CERTIFICATE A General Public Liability Insurance Certificate in the amount of <br /> OF INSURANCE $1,000,000 per occurrence, naming_LqgA1SAIiarta? ark Lodi 02e <br /> F0-U9i_G0u_ n s as-d i II jgd, is required for participation! <br /> SUBMISSION PAYMENT AND INSURANCE CERTIFICATE MIDST BE RECEIVED <br /> INFORMATION WITH THIS COMPLETED APPLICATION BY APRIL 24, 2p23I <br /> Mail form, payment and insurance Certificate to., <br /> FESTA ITAUANN <br /> c/o SASS! Public Relations, Inc. <br /> 2972 W. Swain Road #228 <br /> Stockton, CA 95219 <br /> For questions or clarification, please call 209.957.7277. <br /> AGREEMENT By signing below the vendor agrees to adhmre to the official festival terms and <br /> conditions attached to this agreement. Every attempt will be made to prevent <br /> duplication of offerings at Festa Italiana!, including but not limited to a request <br /> to revise offerings after application has been subrnitted. <br /> 21 <br /> Vendor <br /> �orriize Signature - ,L <br /> Print Name&Title <br /> 06P -00 - 2 <br /> Date <br /> For Event Information Contact: <br /> Anna Sass: 209.957,7277 or anna_,sass*sasspr.corn <br /> Carrie Sass. 209.957.7277 or carrie_sass0sasspr_com <br /> Festa ltaliana Office: 209-242.9970 <br /> festa-ital iana.com <br /> Tax ID: 68-0342246 <br /> y f <br /> M <br />