Name of Food Vendor (Promiser)

Company Name

Email

Phone Number

License Number

MUST LIST ALL FOOD ITEMS as per item #21 above

MUST provide a $2M Certificate of Insurance (link below) MUST provide a $2M Certificate of Insurance (link below) Yes

Must complete Special Vendor Application (link below) and sent proof to Fuerza Latina Must complete Special Vendor Application (link below) and sent proof to Fuerza Latina Yes

I agree to all terms and conditions listed above and have fully read the document I agree to all terms and conditions listed above and have fully read the document Yes

Food Vendor (Promiser) Signature

Date

By electronically signing or submitting the agreement online, the Food Vendor (Promisee) agrees to be legally bound by its terms, with electronic signatures having the same effect as handwritten ones. By electronically signing or submitting the agreement online, the Food Vendor (Promisee) agrees to be legally bound by its terms, with electronic signatures having the same effect as handwritten ones.