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MERCADO & FOOD. VEND O <br /> L SUNDAY, JUNF 12, 2022 • 10:00AM — 5:OOPM <br /> &=i-8eli=� rams ti:f? LODI GRAPE FESTIVAL GROUNDS <br /> 413 E. LOCKEFORD ST., LODI <br /> CERTIFICATE" A General Public Liability Insurance Certificate in the amount of <br /> OF INSUIRANC $1,000,000 per occurrence, naming Festa Italiana! and Lodi Grape <br /> Festival Grounds as additionally insured, is required for participation! <br /> S U 9 Im IS510, PAYMENT AND INSURANCE CERTIFICATE MUST BE RECEIVED <br /> WITH THIS COMPLETED APPLICATION BY APRIL 25, 2022! <br /> 1 #F ORIviAI I ' Mail form, payment and insurance certificate to: <br /> FESTA ITALIANA! <br /> c/o SASS! Public Relations, Inc. <br /> 2972 W. Swain Road #228 <br /> Stockton, CA 95219 <br /> For questions or clarification, please cal! 209.957.7277. <br /> By signing below the vendor agrees to adhere 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 submitted. <br /> & i T- <br /> Vendor <br /> Authorized Signature <br /> r C.It-1 U _ CV-5 i t l.trl�k c=ej /C% �Ji__Q_ <br /> Print Name & Title <br /> v ZZ <br /> Date <br /> For Event Information Contact: <br /> Anna Sass: 209.957.72/7 or anna_sass@sasspr.com <br /> Carrie Sass: 209.957,7277 or carrie_sass@sasspr.com <br /> Festa Italiana Office: 209.242.9970 <br /> festa-italiana.com <br /> Tax ID: 68-0342246 <br /> f� E`I'A:.IAN <br /> w� �J� <br />