2017-10-11 CC Packet - Laserfiche WebLink

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3) If alcohol is being served, copy of current on-sale liquor license must be provided. The CKY of Centerville requires certain events to obtain insurance prior to approval. The following events include parades andlor other mobile events utilizing City of Centerville streets, events open to the public with a large number of attendees, City staff, or any other events deemed necessary by the City of Centerville. As a condition of the permit the applicant shall: OProcure and maintain insurance, which includes the City of Centerville as named insured or additional insured. Note: Listing the City as the Certificate Holder does not mean the City is an additional insured. It must state in the description box the City(or if listed as Certificate Holder)is an additional insured. If alcohol is being served, the entity serving the alcohol must provide a Certificate of Liquor Liability Insurance and listing the C4 of Centerville as an additional insured. El The Certificate of Insurance E]This insurance Will need to provide the level of coverage that the City of Centerville determines to be necessary and adequate under the circumstances. ........... .......... ...........~.......... El For certain events the City may require simple proof of ins Is insurance required (as determined by City staff): Yes Signature: Date: Return this for to: City of Centerville 1880 Main Street CenteMi le, MN 55038 *Please note that there arefees associated with the use of the City's parks(Deposit,User Fee,Etc.) *1 You would like your eimnt published on the ClWs umIt or Reader Board? Please indicate- R1 Vas o No Please note,it must meet the O criteda as Wow. .1. h7formation related to City business or other government agencies 2. Requestsfrom Centennial school Distrkt 12 3. Requeitsfrom all registered no -,prat organizations located within the City of Centerville 4. May not be reghftred as a non-pmfit orgarilkadon(i.e. School events,Fete des Lacs,etc.) 2 [ P 6