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CITY O F STOCKTON
<br />Special Event Vendor Form
<br />BUSINESS NAME:
<br />CELL (1
<br />If you have any questions, please contact Jackie Garcia at (209) 937-8119.
<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 />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 />✓
<br />Z
<br />z
<br />z
<br />$50.00 annual fee
<br />$50.00 annual fee
<br />15% of gross receipts, per event
<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 El Dorado Street
<br />Stockton, CA 95202
<br />Attn: Jackie Garcia
<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
<br />Merchandise (other types)
<br />Alcoholic Beverages
<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 />__ _____________________________________________ _______________________
<br />Signature___________________________________________________Date
<br />HOLD HARMLESS
<br />Contractor agrees to indemnify, save, hold harmless, and at City's request, defend the City. Ils officers, agents, and employees from any and aS costs and expenses (including attorney and
<br />legal fees), damages, liabilities, daims, 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 acts any of them may be liable under this Agreement, and from any and all costs end expenses
<br />(Including attorney and legal fees), damages, Nobilities, dams, and losses occurring or resulting to any person, firm, or corporation who may be injured ar 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 Ws section shall survive the termination of this agreement
<br />Please provide us the following information {print clearly):
<br />UAUMllAM lASTTLg
<br />CONTACT PERSON:. SoHA T)5 igDN________
<br />MAILING ADDRESS: 'Z&J’I gU)5 LaI ObPS
<br />CITY/STATE/ZIP:
<br />BUSINESS PHONE:
<br />NAME OF EVENT (ifknown); S3
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