SENIOR HEALTH AND RESOURCE FAIR VENDOR INFORMATION When: Friday, October 4th | 9:00 AM - 1:00 PM Where: Fifth Street Senior Center, 600 West 5 th Street, San Bernardino, CA 92410 Contact the Senior Services for details or more information at (909) 384 - 5430 or Jackson_La@sbcity.org
VENDOR CONTACT INFORMATION ( please print legibly )
Contact Person:
Please check if this will also be the event day contact person. Company Name:
Mailing Address:
Phone:
Cell:
Fax:
Email Address:
Social Media: Facebook: _______________________Instagram: ___________________________
BOOTH INFORMATION ( please print legibly )
Describe Your Product and/or Services:
Insurance Company Name and Policy #: If selected you will need to provide a Certificate of Insurance listing the “ City of San Bernardino ” as additional insured.
We are a non - profit, 501 (c)3 #:
Do you need electricity? Limited availability. No Yes
CONTRIBUTION LEVEL
GOLD PRESENTING SPONSOR
$1000
SILVER TITLE SPONSOR BRONZE TITLE SPONSOR
$500 $250
HEALTH FAIR SPONSOR $25 or 2 Raffle Prizes SPEAKER: Topic____________________________________________
Please make checks payable to : The City of San Bernardino
Applicant assumes all responsibility for any loss or damage in connection with their vendor entry in the Senior Health and Resource Fair. The City of San Bernardino, and all other parties directly involved will not be liable for any damage, theft or loss of property or injury in connection to this event. Applicant assumes the responsibility of making sure that everyone in his or her unit understands and will abide by vendor guidelines which were outlined in the Vendor Information
SENIOR HEALTH AND RESOURCE FAIR VENDOR CHECKLIST We look forward to your participation at the HEALTH FAIR scheduled for Friday, October 4, 2024. To secure your participation, please review, sign and return the application packet and all required documents. Failure to submit documents, may result in forfeit of participating in the event. Applications will be reviewed by a committee review and at the discretion of staff. Application deadline is Friday, September 27th, by 4PM . (Print Name & Organization), wish to participate in the Senior Health and Resource Fair and have agreed to comply with the rules applicable to the Vendors. I realize reasonable precautions are taken to reduce the risk of injures, including death, and property damage as a result of my participation, but there is still some risk which can result from my participation. I hereby agree to waive, release and hold harmless and defend the City of San Bernardino, its Successor Agency, the elected and appointed officials, agents, employees and volunteers from any liability for damages for personal injury, including death, as well as property damage, which may arise in connection with my participation in the Senior Health and Resource Fair . Photographic Release: I grant the City the right to use photo images, video, or audio recordings of myself or my group that is registered in this event, that are made by the city or others during my/our participation. I,
The following documents are required from ALL VENDORS:
Initial
• Completed and Signed Health Fair Application, page 1 • Completed and Signed Health Fair Checklist, page 2 • Vendor Fees: $25 or 2 Raffle Prizes] Checks must be made payable to: “ City of San Bernardino. ” Checks are cashed at the time of receipt. ” • Copy of your Certificate of Insurance naming the “ City of San Bernardino, ” 290 North D Street, San Bernardino CA 92401 ” as additionally insured, with a minimum coverage of $1 - Million (General Liability). • Submit all other required items by deadline.
Mail Vendor Packet to: LaKeisha L. Jackson
c/o Senior Health and Resource Fair Sponsorship City of San Bernardino - Recreation 600 West 5th Street San Bernardino, CA 92410
Or Email in PDF format to : Jackson_La@sbcity.org
_________ Initial
I have read the Vendor Requirements and understand that I am responsible for my own tables, chairs, carts, any and all other supplies. One 8 - ft Table and 2 chairs will be provided to me at the event at predetermined booth location. I HAVE CAREFULLY READ THIS RELEASE, HOLD HARMLESS, AND PHOTOGRAPHIC RELEASE, AND AGREE NOT TO FILE A CLAIM OR TAKE OTHER LEGAL ACTION AGAINST THE CITY OF SAN BERNARDINO, OR ITS EMPLOYEES, AND FULLY UNDERSTAND IT ’ S CONTENT. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY, AND SIGN IT OF MY OWN FREE WILL.
_________ Initial
Contact Name:
_______
Title:
Signature:
Date:
HEALTH FAIR SPONSORSHIP INFORMATION
HEALTH FAIR BOOTH
GOLD
SILVER
BRONZE
Presenting Sponsor
Title Sponsor
Ceremony Sponsor
Booth
$1000
$500
$250
$25 or 2 Raffles Prizes
Display Booth at Health Fair
10’ x10 ’ footprint in prominent Location (Display Vehicles Allowed)
10’ x10 ’ footprint in prominent Location
10’ x10 ’ footprint 10’ x10 ’ footprint
Logo on Event Swag
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•
•
•
Social Media Acknowledgement
•
•
•
•
Event Website Advertising and Linked Page
Large Logo
Medium Logo
Small Logo
Company Name
Event Program Advertising
Full Page
Half Page
Honorable Mention
Mention in Press Release Recognition in San Bernardino NOW Brochure City Council Recognition with Commemorative Sponsorship Plaque
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*Company name acknowledgement as a sponsor on press - related materials is dependent on print size and time constraints.
The City of San Bernardino retains the right to accept or reject application based on appropriateness, availability, duplication of services or other criteria as deemed necessary.
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