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SUN DAY, JUKE 11, 2023 • 10:00AM —5:00PM <br /> �(,rcrr-crar ricllrirIia±. <br /> 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,ng-aLigg Festot is ! and Lodi Grape <br /> estiva G ou ds as adclLtionally i su e , 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 /> to revise offerings after application has been submitted, <br /> -re—+ )2 tc, �;C <br /> Vendor <br /> i� <br /> Aut ignature <br /> Print Name&Title <br /> � Z6&yz, - <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 /> Testa-itafiana.com <br /> Tax ID: 68-0342246 <br /> i <br />