Vendor Document Submission

Please complete the form below to submit your required vendor documents for the Burnside Block Party on Saturday, August 29, 2026. All fields are required unless marked optional. If you have any questions or difficulty submitting, please contact us at 860-566-8822 or [email protected].

Vendor Information

Full Name

Business Name

Business Address

Street Address City State / Province / Region ZIP / Postal Code Country

Email Address

Phone

Website

Social Media Handles

Business Type

Other

Document Uploads

Certificate of Insurance (COI) with Sica Insurance & Financial Services listed as Additional Insured

Max. file size: 10 MB.

⚠️ Your COI must reflect Sica Insurance & Financial Services, 107 Burnside Ave, East Hartford, CT as Additional Insured and coverage effective on or before August 29, 2026.

Vendor Certification

Max. file size: 10 MB.

Health Department Certification

Max. file size: 10 MB.

⚠️ Required for all food and beverage vendors only. If you are not a food or beverage vendor, select "Not Applicable" below.

Untitled

I am a food/beverage vendor and have uploaded my Health Department Certification above

Not applicable — I am not a food or beverage vendor

Confirmation & Acknowledgement

Please read and check all boxes before submitting:

I confirm that all documents submitted are current and valid.

I confirm that Sica Insurance & Financial Services has been added as an Additional Insured on my general liability policy.

I understand that I am responsible for bringing my own table, chairs, and setup materials on the day of the event.

I confirm that I will be set up and ready at 107 Burnside Ave, East Hartford, CT no later than 1:00 PM on August 29, 2026 (setup begins at 11:00 AM).

I agree to comply with all event rules and guidelines set by Sica Insurance & Financial Services.

Additional Notes

Anything else you'd like us to know?

Vendor Document Submission