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4. REQUESTED EVENT COMPONENTS: <br /> Date requested: _02 -16 -2013 Alternate date: NA <br /> Requested hours of operation: — Ham (a.m. /p.m.) To: _2pm (a.m. /p.m.) <br /> Set up beginning date and time 02 -15 -2013 gam <br /> Complete dismantle date and time: 02 -17 -2013, 6pm <br /> Describe the number and type of animals (if any) to be used in this event: NA <br /> Attach a draft of the entry form for participants and/or spectators. <br /> Anticipated number of participants: ,100 to 1,000 Spectators: Some <br /> 5. INSURANCE: *Willis Ins. has been granted for the City of Centerville, Anoka County Sheriff as <br /> add -on's. Attach to this application either an insurance policy or a certificate of insurance <br /> including the policy number, amount, and the provisions that the City of Centerville is included <br /> as an additional insured. (Please note that insurance requirements depend upon the risk level of <br /> the event. Also, if your event can be classified as first amendment expressive activity, insurance <br /> requirements can be waived under certain circumstances.) <br /> 6. SANITATION: *The Lions will provide trash and recycling bins for use, and remove after. Five <br /> to Six Porta -Pots will be rented for Restrooms. <br /> Attach your "Plan for clean- up/Material Preservation ". Include number, type and location of trash containers to be <br /> provided for the event. Indicate who and how man will be responsible for emptying and cleaning up around <br /> containers during the event. Indicate who and how many will be responsible for cleaning up after animals if they are <br /> present during the event. Indicate who and how many will be responsible for cleaning up after the event. Describe <br /> the number, type and location of portable toilets to be provided for the event (or permanent toilets to be used in the <br /> event.) Include any other plan you have for ensuring post -event cleanliness and material preservation of city <br /> facilities, equipment, premises and streets A deposit of $500 will be required for clean -up and restoration If <br /> Premises are left in satisfactory condition this deposit will be refunded in full following inspection *Please <br /> waive, a letter of good standing can be provided from Central Bank if needed. The Porta -Pots will be rented. Lion <br /> members will pick -up all left behind articles and trash. <br /> LOCATION: Centerville Lake <br /> Please attach a map of your event land design. Check off below items that apply to your event <br /> and indicate them on the attached map. Use, where necessary, a "to scale" drawing. <br /> A. If a route is involved, the beginning and finish area with arrows. <br /> B. If a route is involved, the places where buses, autos or other motorized vehicles need to <br /> be considered. <br /> C. If a route is involved, attach separate maps giving two or more alternate routes. <br /> D. Entertainment or stage locations (grandstand operators should provide you with a <br /> "to scale" drawing.) <br /> E. X_ Alcoholic beverage concession area. <br /> F. _X Non - alcoholic concession area. <br /> G. X Food concession area. <br /> H. General Merchandise concession areas. <br /> Page 2of10 <br /> 19 <br />