2011 Pomona Valley Family Juneteenth Celebration - Vendor Application

V E N D O R A P P L I C A T I O N
JUNETEENTH BOOTH
CHECKLIST
THESE ITEMS ARE REQUIRED* FOR YOUR BOOTH
AT THE POMONA VALLEY JUNETEENTH
CELEBRATION
(*UNLESS OTHERWISE NOTED)
1) EQUIPMENT
CANOPY
TABLE
CHAIRS
WALLS (FOOD VENDORS ONLY)
FLOORING (FOOD VENDORS ONLY)
2) FORMS
VENDOR FORM
TERMS & CONDITIONS
RELEASE OF LIABILITY
CITY OF POMONA - HOLD HARMLESS
LA COUNTY FIRE DEPARTMENT - INFORMATION SHEET
INSURANCE CERTIFICATE NAMING CITY OF POMONA
AND JUNETEENTH AMERICA, INC. AS ADDITIONALLY
INSURED (RETAIL, FOOD & ACTIVITY VENDORS ONLY)
INSURANCE ENDORSEMENT (RETAIL, FOOD & ACTIVITY VENDORS ONLY)
LOS ANGELES COUNTY HEALTH PERMIT (FOOD VENDORS)
FOR ANY QUESTIONS OR ASSISTANCE WITH THESE ITEMS, PLEASE CALL VENDOR
COORDINATOR AT (909) 450-6310
VENDOR LEVELS
H FOOD VENDOR*++
BARBEQUE VENDOR (ONE SLOT AVAILABLE) $300

SEAFOOD VENDOR (ONE SLOT AVAILABLE) $285
HOT DOG VENDOR (ONE SLOT AVAILABLE) $275
GENERAL HOT FOOD VENDOR (LIMITED SLOTS AVAILABLE) $275
*LOS ANGELES COUNTY HEALTH PERMIT IS REQUIRED
$15
FOR ALL FOOD VENDORS (SEE INSERTS)
IMPORTANT!
FOOD VENDORS MUST ADHERE TO LOS ANGELES COUNTY

HEALTH DEPARTMENT REQUIREMENTS IN REGARDS TO SET-UP
AND PERMIT GUIDELINES TO AVOID DENIAL OF OPERATION
AT THE EVENT. YOUR TEMPORARY EVENT PERMIT IS REQUIRED 30 DAYS
off!
EARLY BIRD SPECIAL
ADVANCE OF THE EVENT.
FOR VENDOR BOOTHS H RETAIL VENDOR++ $175

UNTIL MAY 15TH H INFORMATIONAL/NON-RETAIL $125
2011! H CUSTOM EXHIBITION++ $325
(INCLUDES SPACE THAT EXCEEDS 10X10)
++CITY OF POMONA REQUIRES ENDORSEMENT SHEET IN

ADDITION TO CERTIFICATE OF LIABILITY (SEE INSERTS)
ART FESTIVAL EXHIBITORS

H ARTS EXHIBITOR $125
(THIS IS EXCLUSIVE TO ARTISTS, ART DEALERS, AND GALLERIES)
ADVERTISING LEVELS
H FULL PAGE ADVERTISEMENT $500
H HALF PAGE ADVERTISEMENT $275
H QUARTER PAGE ADVERTISEMENT $75
H BUSINESS CARD ADVERTISEMENT $45
ADVERTISEMENTS ARE BLACK & WHITE
This event is a great opportunity to outreach with the

community for promotions and direct sales!
Call us today for more information on this special event!

(909) 621-9707 or visit www.juneteenthamerica.us
VENDOR FORM
BUSINESS NAME:____________________________________________
CONTACT PERSON: __________________________________________
MAILING ADDRESS: __________________________________________
CITY:_____________________ STATE: ______ ZIP CODE: __________
VENDOR LEVEL: ADVERTISEMENT PURCHASE:

FOOD VENDOR*++ FULL PAGE
RETAIL VENDOR++ HALF PAGE
INFORMATION/NON-RETAIL/ART QUARTER PAGE
CUSTOM EXHIBITION++ BUSINESS CARD ADVERTISEMENT
PLEASE NOTE:
SEND YOUR ADVERTISEMENTS IN .TIFF OR .JPG FORMAT TO:
JAI@JUNETEENTHAMERICA.US or JUNETEENTH AMERICA, INC. P.O. BOX 1356, ONTARIO, CA 91762
DEADLINE FOR ADVERTISEMENTS: WEDNESDAY, JUNE 1ST, 2011
MAKE CHECKS PAYABLE TO:

PAYMENT:
JUNETEENTH COMMITTEE OF SOUTHERN CALIFORNIA
Check Enclosed:
PHONE: __________________________________ $
FAX: __________________________________ Purchased Online:

__________________
E-MAIL ADDRESS:______________________________________
Please Send Invoice
PRODUCT(S): _________________________________________
BOOTH DETAILS:
FOR OFFICE USE ONLY:
2011
1. Vendors are assigned placement for a 10x10 space.
Assignments can be changed under a first come, first serve
basis.
2. Please bring your own set-up (canopies, tent, tables,
chairs, and tablecloth.) Tables, chairs and canopies are
available for rent at the event. $25.00 for Table & Chairs;
$15.00 for Canopy.
3. ELECTRICITY NEEDED: YES NO
1. TERMS & CONDITIONS
BOOTH #___________________
ALL FOLLOWING FORMS MUST 2. RELEASE OF LIABILITY
BE SIGNED & RETURNED TO 3. CITY OF POMONA - HOLD HARMLESS
4. LA COUNTY FIRE DEPARTMENT - INFORMATION SHEET
COMPLETE APPLICATION 5. INSURANCE CERTIFICATE & ENDORSEMENT (RETAIL, FOOD & ACTIVITY VENDORS ONLY)
FOR ANY QUESTIONS PLEASE CALL:

(909) 621-9707 OR EMAIL JAI@JUNETEENTHAMERICA.US
PLEASE SEND APPLICATION & PAYMENT TO: P.O. BOX 1356 ONTARIO, CA 91762
TERMS AND CONDITIONS survival weapons, gases, or peppers, and
related items are prohibited from display or sell
As an exhibitor in the “22nd Annual Pomona within the Pomona Valley Family Celebration.
Valley Family Juneteenth Celebration”, I agree Show does not assume responsibility for
to adhere to the following: exhibitor property, the party’s staff or agents
from theft, fire, and accident.
1. Contract this registration application 4 Event management will provide the right
properly executed by applicant (Exhibitor) to exclude or to require modification of any
shall upon written acceptance and exhibitor’s display or demonstration that it
notification of booths assigned by the considers to be unsuitable or not in keeping
Pomona Valley Celebration show with the purpose of the Pomona Valley Family
management constitutes a valid binding Celebration .
contract. Whereas, the management This contract is non-cancelable.
reserves the right to accept and reject any 4 Payment Terms-Payment in full is due by
applicant. June 1st, 2011. Outstanding balances after
2. Space Assignments - show management this time will result in cancellation of this
exercises full authority over the assignment contract.
of all exhibitor spaces. The Pomona Valley 4 Where applicable, any exhibit space reservation
Family Juneteenth Celebration is a unique made after June 5th, 2011, must be paid in
show with special assignment of space for full by a cashier’s check or money order. All
pre-designed exhibits. exhibits must be set-up and ready to go prior
3. Exhibit Space: to show opening at 9:30AM, Saturday, June
410x10 space Only: 18th, 2011 (Move-in occurs the morning of
4 Spatial Area to be Assigned June 18th, 2011, from 7:00am-9:00am). Event
4 Bring Your Own Tent is open to public from 10:00am to 6:00pm.
4 Bring Your Own Tables & Chairs PLEASE BE ON-TIME FOR SET-UP
4 Rent table & chairs for $25.00 4 Move-out for Exhibitors cannot occur until
(6Ft. Table + 2 Chairs) 7:00pm, Saturday, June 18th, 2011, when the
4. Exhibitor Guidelines: event ends. All monies are non-refundable. A
4 There is no music allowed from the exhibit $25 NSF on returned checks will be charged.
space, without the Pomona Valley Family
Juneteenth Celebration management All Checks and Money Orders are to be made
authorization. payable to:
4 All exhibitors assume responsibility for
compliance with all pertinent ordinances, “Juneteenth Committee of Southern
regulations, and codes of duty authorized California”
Local, State, Union and Federal governing
bodies concerning, fire, accident, or any Date: ________/__________/ 2011
other cause. Exhibitor is required to provide
all insurance and/or policy riders to cover all
exhibitors’ space contents. Exhibitor’s Signature:
4 Exhibitor agrees not to sell, sublets share,
exchange or assign this rental space to any ______________________________________
other party.
4 The distributing of any material is prohibited Name (Please Print):
outside of assigned exhibit space.
4 All exhibitor merchandise must be legal ______________________________________
and counterfeit items such as videotapes,
clothing, watches, and purses are prohibited.
(Note: alcohol, tobacco, firearms, ordinance,
RELEASE OF LIABILITY AGREEMENT
The undersigned applicant agrees to and shall indemnify, defend and hold harmless Juneteenth
America, Inc. including its officers, directors, agents, employees, volunteers, and respective
successors against any legal proceeding in law or equity, and further shall indemnify, defend, and
hold harmless Juneteenth America, Inc. and its officers, directors, agents, employees, volunteers,
and respective successors from and against any and all claims, liabilities, demands, suits,
judgments, expenses, costs, and other legal expenses of every kind to which Juneteenth America,
Inc. may be subject by reason of any act or conduct of any participant, invitee, attendee, sponsor
or any third person who is or is not an invitee, attendee, participant, or sponsor of the event.
I have read this form and understand that by signing this form, I am giving up legal rights and
remedies.
Name of Vendor Company/Organization:
__________________________________________________________________________
Name/Title Date
______________________________________ ________________________________
Name/Title Date
______________________________________ ________________________________
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� 22ND ANNUAL POMONA VALLEY FAMILY JUNETEENTH CELEBRATION
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� SATURDAY, JUNE 18TH, 2011
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SATURDAY, JUNE 18TH, 2011 10:00AM-6:00PM
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2011 Pomona Valley Family Juneteenth Celebration - Vendor Application

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2011 Pomona Valley Family Juneteenth Celebration - Vendor Application

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V E N D O R A P P L I C A T I O N

BARBEQUE VENDOR (ONE SLOT AVAILABLE) $300

FOOD VENDORS MUST ADHERE TO LOS ANGELES COUNTY

FOR VENDOR BOOTHS H RETAIL VENDOR++ $175

++CITY OF POMONA REQUIRES ENDORSEMENT SHEET IN

ART FESTIVAL EXHIBITORS

This event is a great opportunity to outreach with the

Call us today for more information on this special event!

CONTACT PERSON: __________________________________________

MAILING ADDRESS: __________________________________________

CITY:_________ STATE: ZIP CODE:

VENDOR LEVEL: ADVERTISEMENT PURCHASE:

MAKE CHECKS PAYABLE TO:

FAX: __________________________________ Purchased Online:

FOR ANY QUESTIONS PLEASE CALL:

Name of Vendor Company/Organization:

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