Laserfiche WebLink
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 �pprvaaf. The following <br />events include parades and/or other mobile events utilizing City of Centerville street events open to the public <br />with a large number of attendees, City staff, or any other events deemed ary by the City of Centerville. <br />As a condition of the permit the applicant shall: <br />❑Procure and maintain insurance, which lnclud Ibe City of Centerville as named insured or additional <br />insured. Note: Listing the City as the C irate Holder doses not mean the City is an additional insured. It <br />must state in the description box th tty (or if listed as Certificate Holder) is an additional insured. <br />if alcohol is being served, the srity serving the alcohol must provide a Certifcate of Liquor Liability <br />Insurance and listing the_ Oty of Centerville as an additional insured.. <br />❑The Certificate of Instance roust be submitted with this a icatig_rx. <br />❑This insuranceyd treed to provide the level of coverage that the City of Centerville determines to be <br />necessary,z6a dd adequate under the circumstances. _ .^ <br />❑ Fo;.<ertain events the City may require simple proof of insurP9e. Yes No <br />is insurance re u+red as determined by City staff): <br />Signature' —Date, <br />Return this form to' City of Centerville <br />1880 Main Street <br />Centerville, MN 55038 <br />*Please note that there are fees associated with the use of the COWS parks (deposit, User Fee, Etc-) <br />*if you would like your event published on the CiWs website or Reader Hoard? please indicate: ]ZYesL� <br />please note, it must meet the ClWs criteria as below. <br />1, lnformatlon related to City business or other government agencies <br />2. Requests from Centennial School District 22 f Centervllie <br />3. Requests from all registered non-profit organizations located within the City o <br />4. May not be registered as a non-profit organization (i.e. School events, Fete des Lacs, etc.) <br />2� <br />