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SUNDAY, JUNE 12, 2022 • 10:OOAM — 5:OOPM <br /> AALLC LODI GRAPE FESTIVAL GROUNDS <br /> 413 E. LOCKEFORD ST., LODI <br /> CERTIFICATE A General Public Liability Insurance Certificate in the amount of <br /> OF INSURANCE $1,000,000 per occurrence, naming Fes1i Italiana! a-nd Lodi Gramme <br /> ' E—e§tdval grounds , is required for participation! <br /> SUBMISSION PAYMENT AND INSURANCE CERTIFICATE MUST BE RECEIVED <br /> INFORMATION WITH THIS COMPLETED APPLICATION BY APRIL 25, 2022! <br /> Mail form, payment and insurance certificate to: <br /> FESTA ITALIANA! <br /> c!o SASS! Public Relations, Inc. <br /> { 2972 W. Swain Road #228 <br /> I Stockton, CA 95219 <br /> For questions or clarification, please call 209,957,7277, <br /> AGREEMENT 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 /> Tat C-14 E, A ret )1Q <br /> Vendor <br /> AcTF—orized Signature <br /> V—,` 0 c cJ <br /> Print Name&Title <br /> S 2-6 `Z02-72-- <br /> Date <br /> For Event Information Contact: <br /> Anna Sass: 209.957.7277 or anna—sass®sasspr.com <br /> Carrie Sass: 209.957.7277 or came—sass@sasspr.com <br /> Festa Italiana Office: 209,242,9970 <br /> Testa-italiana.com <br /> Tax ID: 68-0342246 <br /> iTAlll\H <br /> 1TALIANr <br />