Vendor Permit

Vendor Permit
Event Date*

MonthDayYear
Date
Event Time*
Owner Name*
Vendor Name*
Vendor Type*
Vendor Contact Person*
Vendor Phone*
Vendor Address*
Please explain the services that the vendor will provide*
Vendor Checklist: Vendors must provide a file copy of the following*

Certificate of Insurance for Liability with a minimum amount of $1,000,000 with Radiance at Superstition Vistas and CCMC named as additionally insured.Auto InsuranceCopy of Worker’s Comp Insurance for all Employee’s
Workers Compensation - Statutory Limits

Auto Liability (owned/non-owned) * $500,000/$1,000,000 Bodily Injury

Commercial General Liability (CGL) * $1,000,000 Occurrence * $1,000,000

Personal Injury * $1,000,000 Products/ Operation * $1,000,000 General Aggregate

Please list additional insured and certificate holder as:

CCMC/Radiance at Superstition Vistas

8360 E Via de Ventura, Ste L-100

Scottsdale, AZ, 85258

TO PURCHASE ONE DAY EVENT INSURANCE, PLEASE VISIT:

https://www.theeventhelper.com/#mjhiab
Upload COI:

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Catering*

License to Operate a Food Service EstablishmentState Tax LicenseThere will be no catering
Upload Catering Licenses:

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Alcohol*

Host Liquor Liability Insurance Certificate naming Radiance at Superstition Vistas and CCMC as additionally insured on day of the event for $500,000.There will be no alcohol.
Upload COI:

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SAMPLE COI FORM
Equipment Rental: Deliveries and pick-up of Rental Equipment must be made during your scheduled hours, management staff is not available for assistance in delivery or pick up of rental items. Equipment left overnight is subject to a $50.00 fee, the HOA is not responsible for any stolen, lost or damaged items.
OWNER SIGNATURE*
DATE*

MonthDayYear
Date
Should be Empty: