2011-10-05 P & R Packet - Laserfiche WebLink

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WIII portable restrooms be needed? No ❑ Yes ❑ Number needed: may apply see tnstmctlons Will extra trash receptacles be needed? No ❑ Yes ❑ Number needed: Fees may apply see Instructions Describe trash removal and cleanup plan during and after event: Will event need traffic control? No ❑ Yes ❑ Contact StAlwoter Police Department for assistance, 651. 3514900 Describe crowd control procedure to ensure the safety of participants and spectators: Will "No Parking Signs" be needed? No ❑ Yes ❑ Number needed: reanw a�siosst mop Will event need security? No ❑ Yes ❑ Nenentis overnight security wAtae required If using private secruity, list Security Company and Contact Information: Will event need EMS services? No ❑ Yes ❑ Contoct Lakeview EMS, 651430 -4671 Describe plans to provide first aid, If needed: Describe the emergency action plan if severe weather should arise: List any other pertinent information: The sponsor(s) of this event hereby agrees to save the City, its agents, officials and employees harmless from and against all damages to persons or property, all expenses and other liability that may result from this activity. Depending on the size of and scope of the event a "Certlflcote of Insurance" may be required. If insurance is required, the policy must be kept in force during the event of at least the statutory limits for municipalities covering claims that might be brought against the event that arise out of the events authorized and to name the City as an additional insured on their policy "as their interest may appear." As the sponsor or authorized representative, I ter* that the information provided is true to the best of my knowledge and agree to pay the permit fee for this event based upon the information provided in this application. l realize my submittal of this application request constitutes a contract between myself and the City of Stillwater and is o release of Liability. Signature of Applicant or Authorized Agent Date