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If alcohol is beingy of current on-sale liquor license t be provided. ".) <br /> IInsi,li r-ii In 1111::��6,,i �� u i �l <br /> iilr <br /> The City it insurance prior to approval. following <br /> eventsinclude parades and/or other mobilev tili ing City of Centervillev the public <br /> with a largenumber of attendees, Cityr any other events deemed necessary by theiCenterville. <br /> As a condition the permitapplicant I: <br /> E]Procure andmaintain insurance, which includes <br /> insured. Listing the CityCertificate t mean the Cityis an additionalinsured. It <br /> must state in the descriptionx the City (or if listed as Certificater) is an additional insured. <br /> alcohol is beingtit i alcohol must provide a Certificatef Liquor Liability <br /> Insurance and listing i Centerville iti insured, <br /> El The Certificate t be submittedi i li i rya <br /> E]This insurance will need to providelevel of coverage that the CityCenterville i to be <br /> necessary and adequate under the circumstances. <br /> E]For certain events the City mayr i simple proofinisur <br /> Is ince requireci(asdeter y i <br /> G-6 <br /> Signature. atom <br /> Return this for e i Centerville <br /> aiStreet <br /> Centerville, MN 55038 <br /> *Pleasere are fees associated withi r !® User Fee,Etc.) <br /> ,,,,,,,,,,,,,,,,,,, <br /> ! ! ! 1!s ! s1 r r ! Indicate. 2 y. ,,,, <br /> Please ,1 i criteria below.- <br /> 1. r ! related to Citybusiness r other government agencies <br /> 2. Requests from Centennial School District <br /> 3. Requests from all registered ® r r i i s located withinthe City of Centerville <br /> ® May not be registered as a non-pror r fz f (i.e. School events,Fete des Lacs, c. <br /> lira aimp,.e <br /> 111 <br />