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<br />4. REQUESTED EVENT COMPONENTS: <br /> <br />Date requested: _August 3rd to Sth, 2007 Alternate date: None_ <br />Requested hours of operation: _8am (a.mJp.m.) To: _lam (a.m./p.m.) <br />Set up beginning date and time: August ~. 2007 <br />Complete dismantle date and time: Allgust 7th. 2007 <br />Describe the number and type of animals (ifany) to be used in this event: None <br /> <br />Attach a draft of-the entry form for participants and/or spectators. <br />Anticipated number of participants: 100 Spectators: 2,000+ <br /> <br />5. INSURANCE: Received and forwarded from Hilb, Rogel & Hobbs. <br /> <br />Attach to this appJic:ation either an insuram:e policy or a certificate of iDSurance including the policy number, <br />amount, and the provisions that the City of Centavi11e is included as an additional insured. (Please note that <br />insurance l\;Quiremenls depend upon the risk level of the event Also, if your event can be classified as first <br />amP.ftdment expressive activity, insmance RqudG81e1Jts can be waived under c:erIain circnm!ilhm~.) <br /> <br />6. SANITATION: Please see note after a deposit of$5oo. <br /> <br />Attach your "Plan for c1ean-up/Materlal Preservation". Include number, type and lcx:ation of trash containers to be <br />provided for the event. Indicate who and how man will be responsible for ~'ymg and cleaning up around <br />containers ciming the event. Indicate who and how many will be responsible for cJesming up after snrimalR iftbey are <br />present during the event. Indicate who and how many will be responsible for cleaning up after the event. Describe <br />the number, type and location of portable toilets to be provided for the event (or permanent toilets to be used in the <br />event.) Include any other plan you have for ensuring post-event c1esm1inea and m:tterial preservation of city <br />facilities, equipment, premises and streets. A deDOSit of S500 wDI be nmdred for cl_ and ftI1dn~nn. If <br />DJ'P.1IIIIill'cM are left in lUlthd'actorv condition.. this deoosit wDI be refunded in foB foDowbu! iDsoeetioo. Waste <br />Management is donating trash containers to be used by participants. The Uons Club will clean up any left garbage. <br />Please waive deposit, a good staDding letter can be provided from Mainstn:et Bank in needed. <br /> <br />7. LOCATION: Laurie LaMotte Park in Centerville <br /> <br />Please attach a map of your event land design. Check off below items that apply to your event <br />and indicate them on the attached map. Use, where necessary, a "to scale" drawing. <br /> <br />A _ If a route is involved, the beginJ'ing and finish area with arrows. <br />B. _ If a route is involved, the places where buses, autos or other motorized vehicles need to <br />be considered. <br />C. _ If a route is involved, attach separate maps giving two or more alternate routes. <br />D. _x_ Entertainment or stage locations (grandstand operators should provide you with a <br />"to scale" drawing.) <br />E. _X_ Alcoholic beverage concession area. <br />F. _X_ Non-alcoholic concession area. <br />G. _X_ Food eoncession area. <br />H. _X_ General Merchandise concession areas. <br /> <br />Page2oflO <br /> <br />21 <br />