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L ' A 1O & FOOD VENDOR <br /> y <br /> n SUNDAY, JUNE 11, 2023 • 10:OOAM — 5:OOPM <br /> Giorno dellaFamiglia! 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 Festa Italiana! and Lodi Grape <br /> Festival Grounds as additionally insured, is required for participation! <br /> SUBMISSION PAYMENT AND INSURANCE CERTIFICATE MUST BE RECEIVED <br /> INFORMATION WITH THIS COMPLETED APPLICATION BY APRIL 24, 2023! <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 /> 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 /> ff to revise offerings after application has been submitted. <br /> L LUCIANO'S SCOOP <br /> Vendor <br /> Authorized Signature <br /> Y..'jY hhka,,,— <br /> Print Name &Title <br /> HUY PHAN <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 carrie_sass@sasspr.com <br /> Festa Italiana Office: 209.242.9970 <br /> festa-italiana.com <br /> Tax ID: 68-0342246 <br /> - p�NpWOEAFw� <br /> C � <br /> r ITA MN <br /> ITAt. IAN <br /> i� C) <br /> A l i i A C L <br /> J' E49r �rlCCS f 4GP� <br />