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CITY OF STOCKTON
<br /> Special Event Vendor Form
<br /> All vendors seeking authorization to sell food, non-alcoholic, alcoholic beverages, or merchandise on City of
<br /> Stockton property during a special event or private rental must have a valid permit from the City of Stockton
<br /> Community Service Department. Per SMC 12.56.010, without the proper Special Event Permit, it is unlawful
<br /> to sell any goods or services of any kind within a City of Stockton park or facility.
<br /> By completing the necessary special event requirements you will be permitted to sell goods during special
<br /> events that have identified you as one of their vendors. In addition, your business will be added to the City of
<br /> Stockton Special Event Annual Vendor Database, which is valid for one (1) year from the date of approval.
<br /> Upon request, this database will be provided to event organizers who are looking for potential vendors at
<br /> their events held on City of Stockton property. You may also be contacted by City of Stockton personnel for
<br /> any City-produced community events.
<br /> The special event vendor requirements are as follows:
<br /> ✓ Certificate of Insurance and Endorsement- $1 million per occurrence/$2 million aggregate
<br /> with the City of Stockton listed as Additional Insured—Staff can provide examples at your
<br /> request
<br /> ✓ Copy of Health Permit from the San Joaquin Health Department, if applicable
<br /> ✓ Copy of Fire Inspection Permit from the Stockton Fire Department, if applicable
<br /> ✓ Copy of current City of Stockton Business License
<br /> ✓ Payment of appropriate fee
<br /> Food & Non-Alcoholic Beverages $50.00 annual fee
<br /> Merchandise (other types) $50.00 annual fee
<br /> Alcoholic Beverages 15% of gross receipts, per event
<br /> Please provide us the following information (print clearly),
<br /> BUSINESS NAME:
<br /> CONTACT PERSON: _ '"r -�4'6 Z�� �7
<br /> MAILING ADDRESS: cc
<br /> CITY/STATE/ZIP:
<br /> BUSINESS PHONE: CELL:
<br /> NAME OF EVENT (if known): �':57�ILA i
<br /> By signing, I understand that as a permitted special event vendor I must comply with all requirements and conditions of
<br /> my participation in a special event. Furthermore, I understand that violation of any requirements and/or conditions will
<br /> result in my removal from the Special Event Vendor Database and the possibility of participating in future events.
<br /> 4(� C
<br /> Signa ure EIate
<br /> HOLD HARMLESS
<br /> Contractor agrees to indemnify,save,hold harmless,and at Citys request,defend the City,its officers,agents,and employees from any and all costs and expenses(including attorney and
<br /> legal fees),damages,liabilities,claims,and losses occurring or resulting to the City in connection with the performance,or failure to perform,by Contractor,its officers,agents,sub-contractors,
<br /> employees,or anyone directly or indirectly employed by any of them,or anyone for whose ads any of them may be liable under this Agreement,and from any and all costs and expenses
<br /> (including attorney and legal fees),damages,liabilities,claims,and losses occurring or resulting to any person,fine,or corporation who may be injured or damaged by the performance,or
<br /> 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
<br /> indemnification obligations of this section shat survive the termination of this agreement
<br /> INSTRUCTIONS
<br /> Payment and required forms must be submitted 45 days prior to participation in scheduled event. We accept cash,check,or money
<br /> orders as forms of payment. Checks must be made payable to the"City of Stockton". This completed form and payment can be mailed
<br /> or brought to:
<br /> City of Stockton
<br /> Community Services Department
<br /> 605 North EI Dorado Street
<br /> Stockton,CA 95202
<br /> Attn:Jackie Garcia
<br />
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