Testing Oktoberfest Vendor Forms 2022 Oktoberfest Vendors Application Name* First Last dba* Email* Returning Vendor?* Yes No Have you been a vendor for the Clayton Oktoberfest in previous years under the same name/ company name?Address (no P.O. boxes)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone (work)*Phone (cell)Seller's Permit Number* Vendor Type* Food Court Food on the Street (Prepackaged) Arts & Crafts Food on the Street (Consumable) For non-food-court vendors, if you have pre-packaged foods, select "Food on the Street," but if your food is an open consumable, choose "Food on the Street (Consumable)" please. Please note that there is a 10% fee imposed on Food Court and Food on the Street (Consumable) sales collected at the event.Retail Price Range of Work:Low Range of WorkHigh Range of WorkMenu*Please type out the items you plan to have on your menu.10'x10' Booths* Price: $350.00 Quantity: Corner (Optional)* Price: $175.00 Quantity: Addition to the booth: can request up to two corners per booth. Place 0 if no corner is requested. Number of 10'x10' Booths Requested* Price: $500.00 Quantity: Number of 10'x10' Booths Requested* Price: $500.00 Quantity: Ice Price: $10.00 Quantity: Do you want to order ice? 20 lb. bag for $10 a bag. Payment must accompany your application (no orders at the festival).Electricity Price: $50.00 Quantity: $50 charge for electricity, or you may provide your own (enter 0 here) but please advise us in advance for proper placement. Extremely limited.Your application will not be considered without the following: Certificate of Insurance - naming CBCA as additional insured for October 1st - October 2nd, 2022. Hold Harmless Form (for Arts & Crafts only) FOLLOWING FOR FOOD VENDORS ONLY Health Department Temporary Food Sales: please upload on this form or fill out from the attached form (below download link) (the Health Dept. has notified us that the amount may change and we will have to collect the difference – we will notify you if this takes place.) Fire Department: please upload on this form or fill out from the attached form (below download link.) Health Department https://claytoncbca.org/wp-content/uploads/2021/11/Oktoberfest-2022-Health-Department-form.pdf Submit Health Department Form*Max. file size: 5 MB.Are you a Veteran?* Yes No DD-214*Max. file size: 5 MB.Flame* True False If you will have a flame of any kind at the event, please select 'True' here. Otherwise, select 'False.'Fire Department If you are attending the event and have a flame of any kind, you are required to submit a completed Fire Department ‘Food Vendor Operations Permit' Application. https://claytoncbca.org/wp-content/uploads/2021/11/Blank-CC-CountyFD-Food-Vendor.pdf Submit Fire Department FormMax. file size: 5 MB.Photos Drop files here or Select files Max. file size: 512 MB. Non-Food Vendor Insurance Option* Certificate of Insurance Hold Harmless As a non-food vendor, you have the option of either providing a Certificate of Insurance, or signing the CBCA's Hold Harmless Agreement.Certificate of Insurance Please submit proof of insurance in the below field. Submit Certificate of Insurance*Max. file size: 5 MB.Hold Harmless and Waiver of Liability As used herein, "YOU" and "YOUR" refers to the undersigned "Vendor." The Clayton Business & Community Association, Inc. (CBCA) requires that all vendors execute this Waiver of Liability and Hold Harmless Agreement as a condition of being accepted as a vendor at the 2022 Clayton CBCA Oktoberfest. YOU (the Vendor) hereby acknowledge that there may be risks to your person (physical injury) and/or property that you propose to sell at the 2022 Clayton CBCA Oktoberfest, including damage or theft of your property. YOU also understand that we remain in the midst of the COVID-19 pandemic, that YOU, inclusive of your staff, employees, or persons who assist you at this event, may become infected through interaction with members of the public regardless of your vaccination status. YOU also understand that CBCA may not require members of the public attending this event to wear approved masks and may not choose to validate and inspect the vaccination status of persons attending this event. YOU, on behalf of yourself, your business, heirs and assigns, and anyone who may assist you in your business while attending this event, hereby fully and voluntarily assume such risks and waive, release, and hold harmless CBCA, its officers and directors, individual and business members of CBCA, CBCA volunteers, and the City of Clayton from any and all claims for personal injury, property damage or death that may result from YOUR participation and presence at the event named herein, and to the fullest extent allowed by law. Further, YOU the undersigned vendor(s) hereby agree(s) to defend, indemnify and hold harmless the Clayton Business and Community Association, Inc., and the City of Clayton, from any and every claim, demand, lien, right, or cause of action of any kind or character, including all costs and attorney's fees, arising out of such participation and attendance at the 2022 Clayton CBCA Oktoberfest I hereby certify that I am of legal age and competent to execute this Waiver of Liability and Hold Harmless Agreement, that in doing so of my own free will and accord, voluntarily and without duress, and that I do so intending to bind myself, my executor, my heirs and administrators or assigns to the fullest extent of the law.Hold Harmless and Waiver of Liability Signature*Date* MM slash DD slash YYYY Health Department Temporary Food Sales Price: Refundable Clean-Up Deposit Price: Veteran Discount Price: $0.00 Total $0.00 SignatureDate MM slash DD slash YYYY Payment* Credit/Debit Card Check Checks must be made payable to "Clayton Business and Community Association" and can be sent to CBCA, Oktoberfest, P.O. Box 436, Clayton, CA 94517Credit CardCard Details Cardholder Name
