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4. LICENSING AND INSURANCE <br />Approved by: <br />Signature <br />Date: <br />1. Dance and/or live entertainment. <br />List types or permits or licenses required: <br />2. Alcoholic beverages. <br />3. Peddlers. <br />4. Noise abatement. <br />5. Other provisions as may be required: <br />Title <br />INSURANCE: Your insurance coverage must be reviewed and approved by <br />the City's insurance carrier. <br />1. Public liability insurance naming City of Centerville and other public <br />agencies <br />additionally insured is required. <br />2. Hold harmless forms executed and failed. <br />3. List and approve/disapprove other insurance coverage as may be re- <br />quired. <br />5. FIRE DEPARTMENT <br />Approved by: <br />Signature Title <br />Page 11 of 14 <br />