2015-09-09 CC Packet - Laserfiche WebLink

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4. INSURANCE: Attach to this application either an insurance policy or a certificate of insurance including the policy number, amount, and the provisions that the City of Centerville is included as an additional insured. (Please note that insurance requirements depend upon the risk level of the event. 5. AVAILABILITY OF FOOD, BEVERAGES AND/OR ENTERTAINMENT: If there will be music, sound amplification or any other noise impact, please describe, includin the intended hours of the music, sound or noise: uf rtGZ` Will alcoholic beverages be served? Yes No If yes, describe what system will be use4 ensure t at alcoholic beverages wi 1 be consumed by persons 21 years and older: If a casino party, a dance, or live entertainment is part of your event, please describe: Please note that certain licensing may be required by City, County and State agencies, such as a Large Assembly License for gatherings over 1,000 people, some types of food handling licensing, Gambling License, Cabaret License, etc. It is your responsibility to check with the City Clerk or local authorities to determine what licensing is required prior to submitting this application. Attach all required licenses to this application. Will food and/or non-alcoholic beverages be served? Yes No If yes, describe the nature of the food (such as pre-packaged foods, hot dogs, pre-mixed soda, unpeeled fruit, taw meat , vegetables, fish or peeled and cut fruit.) 7 u1 l S I_f yes, you may need a permit from the Anoka County Department of Environmental Health. Please attach a copy of the permit to this application. Page 2 of 5 11