2005-05-25 Set Agenda - Laserfiche WebLink

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. 4. REQUESTED EVENT COMPONENTS: Date requested: _August 4111 to 9111, 2005 Alternate date: None Requested hours of operation: _9am (a.m./p.m.) To: _12pm (a.m./p.m.) Set up beginning date and time: Au~st 4111. 2004 Complete dismantle date and time: Au~st 9111. 2004 Describe the number and type of animals (ifany) to be used in this event: None Attach a draft of the entry form for participants and/or spectators. Anticipated number of participants: _100_ Spectators: _1,000+_ 5. INSURANCE: Applied for, see attached request to T J Adams Group Ins. Attach to this application either an insurance policy or a certificate of insurance including the policy number, amount, and the provisions that the City of Centerville is included as an additional insured. (Please note that insurance requirements depeud upon the risk level of the event. Also, if your event can be classified as first amendment expressive activity, insurance requirements can be waived under certain circumstances.) 6. SANITATION: Please see note after a deposit of$500. Attach your "Plan for clean-uplMaterial Preservation". Include number, 1;ype and location of trash containers to be provided for the event. Indicate who and how man will be responsible for emp1ying and cleaning up around containers during the event. Indicate who and how many will be responsible for cleaning up after animals if they are present during the event. Indicate who and how many will be responsible for cleaning up after the event. Describe the number, type and location of portable toilets to be provided for the event (or permanent toilets to be used in the event.) Include any other plan you have for ensuring post-event cleanliness and material preservation of city facilities, equipment, premises and streets. A dellosit of $500 will be reouired for c1ean-ulI and restoration. If premises are left in satisfactory condition. this deoosit will be refunded in full followinl! insuection. Waste Management is donating trash containers to be used by participants. The Lions Club will clean up any left garbage. Please waive deposit, good standing letters provided from Mainstreet Bank in the past. 7. LOCATION: LaMotte Park in Centerville Please attach a map of your event land design. Check off below items that apply to your event and indicate them on the attached map. Use, where necessary, a "to scale" drawing. A _ If a route is involved, the beginning and finish area with arrows. B. _ If a route is involved, the places where buses, autos or other motorized vehicles need to be considered. C. _ If a route is involved, attach separate maps giving two or more alternate routes. D. _X_ Entertainment or stage locations (grandstand operators should provide you with a "to scale" drawing.) E. _X_Alcoholic beverage concession area. F. _X_ Non-alcoholic concession area. G. _X_Food concession area. H. _X_General Merchandise concession areas. Page 2 of 10