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C I TY OF STO C KTON Special Event Vendor Form 2019 Promoters/Organizers All vendors seeking authorization to sell food, non-alcoholic, alcoholic beverages, or merchandise on City of Stockton property during a special event or private rental must have a valid permit from the City of Stockton Community Service Department. Per SMC 12.56.010, without the proper Special Event Permit, it is unlawful to sell any goods or services of any kind within a City of Stockton park or facility. By completing the necessary special event requirements you will be permitted to sell goods during special events that have identified you as one of their vendors. In addition, your business will be added to the City of Stockton Special Event Annual Vendor Database, which is valid for one (1) year from the date of approval. Upon request, this database will be provided to event organizers who are looking for potential vendors at their events held on City of Stockton property. You may also be contacted by City of Stockton personnel for any City-produced community events. Payment of appropriate fee Food & Non-Alcoholic Beverages $50.00 annual fee Merchandise (other types) $50.00 annual fee Alcoholic Beverages 15% of gross receipts, per event Organizer/Promoters: Complete list and payment of vendor fees must be submitted in one packet. Additional vendors that pay outside of your packet, must notify you prior to coming to the Special Events Unit. Proper submission of Vendor List and payment is greatly appreciated and must be completed by the given due datj. r kcs y—� / yC//c Please provide us the following information prat clearly): t( BUSINESS NAME : ✓eP a- C- - /6 TYPE OF PRODUCT SOLD: ;S'�{tr.r�' ` Git,' rcj- rnNTACT PERSON: P/z--- 7 � ,s i-- MAILING ADDRESS: CITY/STATE/ZIP: �r..-� �� C.��- 95-4 -37 BUSINESS PHONE: ( ate ) 72 f-_S��s'c� CELL: f ) NAME OF EVENT (if known): 14/c By signing, i understand that as a permitted special event vendor I must comply with all requirements and conditions of my participation in a special event. Furthermore, I understand that violation of any requirements and/or conditions will result inky re va from thplbecial Event Vendor Database and the possibility of participating in future events. Kz-, &-/? // :2 ,"/_Z-o Signature Date HOLD HARMLESS Contractor agrees to indemnify,save.hold harmless,and at City's request.defend the City,its officers.agents.and employees from any and all costs and expenses(including attorney and legal fees),damages,liabilities.claims,and losses occumng or resulting to the City in connection with the performanceor failure to perform.by Contractor.its officers,agents,sub-caritractors. employees.or anyone directly or indirectly employed by any of them:or anyone for whose acts any of them may be liable under this Agreement.and from any and all costs and expenses (including attorney and legal fees),damages liabilities daims.and losses occumng or resulting to any person firm.or rorporation who may be injured or damaged by the performance or failure to perform,of Contractor,its officers,agents,or employees under this Agreement. The duty to defend and the duty to indemnify are separate and distinct obligations.The indemnification obligations of this section shall survive the termination of this agreement. INSTRUCTIONS Payment and required forms must be submitted 45 days prior to participation in scheduled event. We accept cash,check,or money orders as forms of payment. Checks must be made payable to the"City of Stockton". This completed form and payment can be mailed or brought to: City of Stockton Community Services Department 605 North EI Dorado Street Stockton,CA 95202 Attn:Special Events If you have any questions,please contact Special Events at(209)937-8119.