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3) If alcohol is being served, copy of current on-sale liquor license must be provided. <br /> Insurance a u to : <br /> The City of Centerville requires certain events to obtain insurance prior to approval. The following <br /> events include parades and/or other mobile events utilizing City of Centerville streets, events open to the public <br /> with a large number of attendees, City staff, or any other events deemed necessary by the City of Centerville. <br /> As a condition of the permit the applicant shall, <br /> Procure and maintain insurance, which includes the City of Centerville as named insured or additional <br /> Insured. Note: Listing the City as the Certificate Holder does not mean the City is an additional insured. It <br /> must state in the description box the City (or if listed as Certificate Holder) is an additional insured. <br /> El If alcohol is being served, the entity serving the alcohol must provide a Certificate of Liquor Liability <br /> Insurance and listing the City of Centerville as an additional insured, <br /> OThe Certificate of Insurance must be submitted with this gnplingui n. <br /> This insurance will need to provide the level of coverage that the City of Centerville determines to be <br /> necessary and adequate under the circumstances. <br /> --------~----------------------~-------- -------------~-------- <br /> EJ For certain events the City may require simple proof of insur <br /> Is insurance required (as determined by City staff): Yes --L-No <br /> Terry 10-27-17 <br /> Date: <br /> Return this form to: City of Centerville <br /> 1880 Main Street <br /> Centerville, NIN 55038 <br /> *Mmwe note that there are fees wondered with the use of the Chy's parks(Deposit, User Fee, Etc.) <br /> *fir you would like your event published an the City's weasite or Reader Board? Please indicate: L[Yes No <br /> Please note,it must meet the City's criteria as below: <br /> 1Information related to City business or other government agencies <br /> 2. Requests from Centennial School District 12 <br /> 3. Requests from all registered non-profit organizations located within the City of Centerville <br /> 4. May not be registered as a non-profit organization(i.e. School events,Fete des Lacs,etc.) <br /> 21 <br />