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) If alvolholl is being served, colpy of cuirreint on.-salle iii u or license must the provided. <br /> InsuranceIlRequired:° <br /> The Clity of Centerville requilres certain events to obtalin In uyir n Ipiri it -to approvall.. 'The following <br /> events include (parades andlor other molibille events utillizing City of Centerville streets, events open to the Ipublic <br /> with a Ilair a number of attendees, City staff, or any anther events deemed necessary by the City of Centerville. <br /> As a condition of the parimit the Ip lii ant shall,°. <br /> Procure and maintain insurance, w1hich lirn lud estilhe CrItyf Centerville as named iln unr d rdditir ll <br /> Insured. INote: II•.,iist'iirn the City as-the Ceirtlificate Holder does not mean thely. !is an additional insured. It <br /> must stator iirn the d s riptii in b -the City(or if liisted as Certificato Holder) its an additional insured. <br /> If alcohol its befing served, -the entity serving -the alcoholl rrniust provide rtifi t.e of Il....l uuor 11 liability <br /> Insurance and listing the City of Centeirvifle as an additional !insured,. <br /> "Thertii-trip to of insuiraince it unst I a submitted n iitlh thlis a ' Ili atiinin., <br /> 'This insurance will needto provide-the Ileal of coverage that the City of Centerville d t nmiirnas-tai Ihn <br /> necessary and adequate under-the circumstances. <br /> ...�....� <br /> For ceirtain events the iity irrrnay require slimple proof of .......... <br /> Is insurancerequired iirad (as determined by City staff ...�...... ...............................YOS <br /> igiiii tiij� .... _ - m. <br /> Return this form to. City of Centerville <br /> 18irn Street <br /> Centerville, MN 55038 <br /> *Please note that there are fees associated with the use 9f the Cath",s parks(Deposit,User Fee,Etc,.) <br /> *if you would like your event published on the City" website or Reader rd Please indicure: M Yes EV N <br /> Please note,it must meet the CIWs criteria as below.- <br /> 1. <br /> l .-fro t r ation related t ibusiness or anther government agencies <br /> w Requestsfrom Centennial,School District <br /> m Requestsfrom all registered non- fit organizations located witbi the it rpt ift <br /> 4. May not be registered ,s a non.-prQfitorganization(i.e. School events,.Fete des Lacs"etc.) <br /> 2 d g �rF <br /> 10 <br />