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CERTIFICATE OF INSURANCE IS MANDATORY FOR ALL WOMEN TODAY EXHIBITORS

There are two options: 1. Complete Option #1 form below. This is a low-cost option; or 2. Provide an event insurance certificate from your current insurance provider following the instructions in Option #2 (below).

OPTION #2
Deadline: Monday, October 17, 2011
Check One: Commercial Vendor Event Insurance Food Vendor Event Insurance $22 $33

Exhibitor Name: _________________________________________Contact Name: ____________________________ Address: __________________________________________________________________________________________ City: ___________________________________________________ State: ______________ Zip: _________________ Telephone #: ________________________ E-mail Address: _______________________________________________ Payment Method (check one): Check Cash MC Amex DC Bill my VCS account

Card #: ___________________________________________________________ Exp. Date: _____________________ Name on card (please print): ________________________________________________________________________ Signature: ________________________________________________________________________________________ All orders are due Monday, October 17, 2011. Fax your request to 805-437-0465 or email it to jlopez@vcstar.com. Please make checks payable to Ventura County Star - Women Today and mail to Ventura County Star - Women Today, P.O. Box 6006, Camarillo, CA 93010.

OPTION #2
Deadline: Friday, November 4, 2011 A Certificate of Liability is required from all Women Today exhibitors. The Certificate of Liability insurance is detailed in your Women Today contract under item #11. Your insurance company is familiar with requests for Certificates of Insurance. If you do not have an insurance company or you wish to purchase a low-cost option, please refer to Option # 1 above. Please complete the following three steps: 1. Provide your insurance company with the paragraph in the box below: Exhibitor agrees to submit to the Ventura County Star prior to Women Today and no later than Wednesday, October 26, 2011, a certificate of insurance evidencing its Workers Compensation insurance coverage with statutory limits and its general liability insurance coverage with an occurrence form and combined single limit of not less than $1,000,000 per occurrence. Such certificate must name Scripps Media Inc., Ventura County Star, Ventura County, the State of California, the Fairgrounds, Co-Sponsors, and their directors, officers, employees, management and agents named as additionally insured under general liability from November 10 to November 12, 2011. These dates include Exhibitor move-in, general public admittance and Exhibitor move-out days. 2. Inform your insurance company that the Certificate Holder should read: Scripps Media Inc., dba Ventura County Star 550 Camarillo Center Dr. Camarillo, CA 93010 3. Fax, mail or email your completed Certificate of Insurance no later than Friday, November 4, 2011 to: Julie Lopez Event Coordinator Ventura County Star 550 Camarillo Center Drive Camarillo, CA 93010 805-437-0446 (office) 805-437-0465 (fax) jlopez@vcstar.com

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