2017-03-01 P & R Packet - Laserfiche WebLink

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Title and functional responsibility with regard to the event: Marsha Marcussen Race Director - Overall responsibility for the event and the founda- tion. c/o American Family Insurance 1883 Main Street, Centerville, MN 55038 Phone:651-426-1658 Patrick Branch event coordinator. 1618 Hunters Rid eg Lane. Centerville, MN 5038 Phone: 703-501-6815 Michael Giovinazzo, Coordinator, Centerville Main Street Merchants, c/o American Family Insurance 1883 Main Street, Centerville, MN 55038 Phone 651-426-1658 4.REQUESTED EVENT COMPONENTS: Date requested: July 23,2017 Alternate date: None Requested hours of operation: _Time is yet to be determined. The actual time will be coordinated with the Bald Eagle Waterski Show so that these events are complimentary and not conflicting. The estimated times for this event is 12:00 p.m. To: 2:00 p.m. Per- mit request is for the expected time of the event plus or minus an hour. Set up beginning date and time: Some set up will be done on July 20 - 21& with final set up on July 23 from 11:00 to 12:00.- a.m.. Complete dismantle date and time: July 23, 2017 prior to the waterski show, also a Fete des Lacs event. Describe the number and type of animals (if any) to be used in this event: No Animals Attach a draft of the entry form for participants and/or spectators. Anticipated number of participants: _75 (best guess based on similar events turnout.) Spectators: 50 5.INSURANCE: This is a Centerville Fete des Lacs events and insurance falls under the City's umbrella policy. Attach to this application either an insurance policy or a certificate of insurance including the policy num- ber, 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. Also, if your event can be classi- fied as first amendment expressive activity, insurance requirements can be waived under certain circum- stances.) 6.SANITATION: Page 3 of 14