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3)If alcohol is being served, copy of current on-sale liquor license must be provided. <br />Insurance Required: <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 />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 />s 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 />5 rance must be submitted with this application. <br />ance 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 />5 <br />Is insurance required (as determined by City staff): _________ Yes ___________No <br />3/28/23 <br />{źŭƓğƷǒƩĻʹΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗ5ğƷĻʹΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗΗ <br />wĻƷǒƩƓƷŷźƭŅƚƩƒƷƚʹ/źƷǤƚŅ/ĻƓƷĻƩǝźƌƌĻ <br />ЊББЉağźƓ{ƷƩĻĻƷ <br />/ĻƓƷĻƩǝźƌƌĻͲabЎЎЉЌБ <br />ΫtƌĻğƭĻƓƚƷĻƷŷğƷƷŷĻƩĻğƩĻŅĻĻƭğƭƭƚĭźğƷĻķǞźƷŷƷŷĻǒƭĻƚŅƷŷĻ/źƷǤ͸ƭƦğƩƉƭΛ5ĻƦƚƭźƷͲ <br />ƭĻƩCĻĻͲ9Ʒĭ͵Μ <br />5 <br />ΫLŅǤƚǒǞƚǒƌķƌźƉĻǤƚǒƩĻǝĻƓƷƦǒĬƌźƭŷĻķƚƓƷŷĻ/źƷǤ͸ƭǞĻĬƭźƷĻƚƩwĻğķĻƩ.ƚğƩķͪtƌĻğƭĻźƓķźĭğƷĻʹΗΗΗΗ—ĻƭΗΗΗΗbƚ <br />tƌĻğƭĻƓƚƷĻͲźƷƒǒƭƷƒĻĻƷƷŷĻ/źƷǤ͸ƭĭƩźƷĻƩźğğƭĬĻƌƚǞʹ <br />Њ͵LƓŅƚƩƒğƷźƚƓƩĻƌğƷĻķƷƚ/źƷǤĬǒƭźƓĻƭƭƚƩƚƷŷĻƩŭƚǝĻƩƓƒĻƓƷğŭĻƓĭźĻƭ <br />Ћ͵wĻƨǒĻƭƷƭŅƩƚƒ/ĻƓƷĻƓƓźğƌ{ĭŷƚƚƌ5źƭƷƩźĭƷЊЋ <br />Ќ͵wĻƨǒĻƭƷƭŅƩƚƒğƌƌƩĻŭźƭƷĻƩĻķƓƚƓƦƩƚŅźƷƚƩŭğƓźǩğƷźƚƓƭƌƚĭğƷĻķǞźƷŷźƓƷŷĻ/źƷǤƚŅ/ĻƓƷĻƩǝźƌƌĻ <br />Ѝ͵ağǤƓƚƷĬĻƩĻŭźƭƷĻƩĻķğƭğƓƚƓƦƩƚŅźƷƚƩŭğƓźǩğƷźƚƓΛź͵Ļ͵{ĭŷƚƚƌĻǝĻƓƷƭͲCĻƷĻķĻƭ\[ğĭƭͲĻƷĭ͵Μ <br />Ћ΋tğŭĻ <br /> <br />