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HomeMy WebLinkAboutTUPAmerica Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club City of National City 1242 National City Blvd Special Events Division Ms. Vianey Rolon, vrolon(&nationalcitvca.gov (619) 336-4364 Temporary Use Permit Application: America Going Green Presented by: San Diego Brotherhood Lions Club American Business Expo Kool Climate Kids (619) 865-5904 / (619) 321-7698 S andiegobrotherhoodlionsclub@gmail. corn pr@americanfestival.us Contacts: Mike Hagstrom (619) 865-5904 Clando Brownlee Jr (619) 321-7698 America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club EVENT INFORMATION Type of Event: _ Public Concert Parade _ Motion Picture Fair _ Demonstration Grand Opening XX Festival Circus Other XX Community Event Block Party Event Title: America Going Green Event Location: Kimball Community Park 12th Street & "D" Avenue, National City, CA 91950; At the Towers (Senior Citizen Home Living) 1415 "D" Avenue National City, Ca. 91950 Event Date(s): From April 9, 2011 to April 9, 2011 Total Anticipated Attendance: 750 Month/Day/Year (100 Participants) (650 Spectators) Actual Event Hours: 9:30 am to 5:00 pm Setup/assembly/construction Date: April 9, 2011 Start time: 7:00 am Please describe the scope of your setup/assembly work (specific details): Dismantle Date: April 9, 2011 Completion Time: 8:00 pm List any street(s) requiring closure as a result of this event. Include street name(s), day and time of closing and day and time of reopening. No request for any road closure for this event. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club APPLICANT AND SPONSORING ORGANIZATION INFORMATION Sponsoring Organization: San Diego Brotherhood Lions Club For Profit XX Not -for -Profit Chief Officer of Organization (Name) Clando Brownlee Jr. Applicant (Name): Micheal Hagstrom, Secretary and CEO of American Business Expo Address: 2519 Prospect Road National City, California 91950 Daytime Phone: (619) 865-5904 Evening Phone: (619) 321-7698 Fax: (858) 729-1807 Contact Person "on site" day of the event: Micheal Hagstrom and Clando Brownlee Jr. Pager/Cellular: (619) 865-5904 / (619) 321-7698 NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENTAND IMMEDIATELY AVAILABLE TO CITY OFFICIALS FEES/PROCEEDS/REPORTING Is your organization a "Tax Exempt, nonprofit" organization? XX YES NO Are admission, entry, vendor or participant fees required? XX YES _ NO If YES, please explain the purpose and provide amount(s): All attendance into the event is FREE. All participants into the event are also FREE. All vendors minus non-profit organization (Exempt) have a fee. The fee that the vendors are obligated to are the insurance costs, city fees, security, county health fees, advertisement, and staff. $ 11,500.00 Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $ 9,952.00 Estimated Expenses for this event. $ 400.00 (ABE); $400.00 - $800.00 (Opportunity Drawing) What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this event? The event company will be providing a $400.00 donation for the SD Brotherhood Lions Club. Also, an America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club "Opportunity Drawing" will be conducted at the event. And lastly, membership drive and volunteer corps for the Lions Club and Kool Climate Kids in benefiting the community needs. i.e. handicap ramps recycle drives and any other needs that get presented prior to the event. OVERALL EVENT DESCRIPTION ROUTE MAP/SITE DIAGRAM/SANITATION Please provide a DETAILED DESCRIPTION of your event. Include details regarding any components of your event such as the use of vehicles, animals, rides or any other pertinent information about the event. The event is focused on an educational awareness for the community with sustainable projects that exist in National City and the County of San Diego, recycling projects that EDCO and Kool Climate Kids and Greenview Charter High Schools and/or any other profitable and non-profit companies and organization have for the community to take advantage of or institute in their lifestyle in their home or business. The event will have several villages that consistute awareness in certain sustainable projects from water, waste, recycle, wood, aluminum, biodegradable (wood, leaves and etc.) The Villages: 1.) Eco 2.) Environmental 3.) Sustainable 4.) Green 5.) Organic 6.) Climate 7.) Recycle 8.) Energy Saving 9.) E-waste Zone _ YES XX NO If the event involves the sale of cars, will the cars come exclusively from America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club National City car dealers? If NO, list any additional dealers involved in the sale: Question. First the event or any of it's sponsor are not selling any vehicles. But we will contact ALL the Car Dealers in National City if they want to be involved with their "Green Vehicles Programs" they have by either demonstrating the new electric vehicle or bio vehicles or any other sustainability motor transportation. OVERALL EVENT DESCRIPTION CONTINUED _YES XX NO Does the event involve the sale or use of alcoholic beverages? YES XX NO Will items or services be sold at the event? If yes, please describe: The event will request any Green companies (Non-Proft or Profit) to be a vendor. They will (All) be notified about obtaining a "City of National City Business License Application" "Form FIN 220, 11/08" and a one-time Day Fee of $50.00 and all checks are made out to: City of National City. {www.nationalcityca.gov go to: Business and then click "License Application} This only applies if they do not have a business license for National City. Primarily most vendors will be crafters of green products, green services, and any other scope of sustainability products and services. YES XX NO Does the event involve a moving route of any kind along streets, sidewalks or highways? If YES, attach a detailed map of your proposed route indicate the direction of travel, and provide a written narrative to explain your route. XX YES _ NO Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. Note: see attached Exhibit "A" (Site Map) XX YES _ NO Does the event involve the use of tents or canopies? If YES: Number of tent/canopies 30 Sizes 10 X10 *Have contacted the Fire Department regarding regulatory requirements with placement of any Canopies or tents. NOTE: A separate Fire Department permit is required for tents or canopies. YES XX NO Will the event involve the use of the City stage or PA system? In addition to the route map required above, please attach a diagram showing the overall layout America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club and set-up locations for the following items: NO Alcoholic and Nonalcoholic Concession and/or Beer Garden areas. YES Food Concession and/or Food Preparation areas Please describe how food will be served at the event: For the most part; food merchants and vendors who want to be involved in a special event have a certain restriction and regulation of requirements that the County of San Diego Department of Environmental Health Food and Housing Division Temporary Event Phone: (619) 338-2363; Duty Specialist Phone: (619) 338-2379; Duty Specialist E-mail: fhdutyeh@sdcounty.ca.gov. Also another avenue in getting the application and requirements are also located at on web portal page: http://sdcounty.ca.gov/deh/food/food.html *Please see attached Exhibit "B" (Food Vendor Application) If you intend to cook food in the event area please specify the method: XX GAS ELECTRIC XX CHARCOAL OTHER (Specify): YES Portable and/or Permanent Toilet Facilities Number of portable toilets: 3 Three (1 for every 250 people is required, unless the applicant can show that there are facilities in the immediate area available to the public during the event) YES Tables and Chairs NO Fencing, barriers and/or barricades YES Generator locations and/or source of electricity Note: The event will be powered with Solar Generators YES Canopies or tent locations (include tent/canopy dimensions) Note: See attached Exhibit "A" (Site Map -Floor Plan) YES Booths, exhibits, displays or enclosures Note: See attached Exhibit "A" YES Scaffolding, bleachers, platforms, stages, grandstands or related structures Note: See attached Exhibit "A" YES Vehicles and/or trailers America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club See attached exhibit "C" (Parking Plan) YES Other related event components not covered above See attached "Exhibit D" (Check in and Check Out) and Exhibit "E" (TUP Event Notification Procedures) YES Trash containers and dumpsters Note: See attached exhibit "A" (Site Map) (Note: You must properly dispose of waste and garbage throughout the term of you're event and immediately upon conclusion of the event the area must be returned to a clean condition.) Number of trash cans: 40 Trash containers with lids: 40 Note: 40 additional recycle containers. Describe your plan for clean-up and removal of waste and garbage during and after the event: Kool Climate Kids organization will be conducting two (2) hour cleanup and supervision for the 40 trash containers and 40 recycle containers. The waste and/or residue from the event will be disposed of by a Waste Management trash bin. Note: the volunteers will be demonstrating what is waste and what recyclable. By group involvement from schools in the local area and organization. SAFETY/SECURITY/ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: The event is focused on an educational premise and No Alcohol, Loud Music, or large attendance. This will be the First Annual event at this location. Majority all first event are small and very non -confrontational. We will have several Lions members and volunteers for internal security needs if required. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club YES XX NO Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Note: As of this date in submitting the application for review and council approval we have not contracted any professional security organization until "Permit is issued and Approved" Security Organization: Security Organization Address: Security Director (Name): Phone: YES XX NO Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure safety of the participants and spectators: Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. Yes, two (2) location will be specified for First Aid Stations and also one (1) certified CPR staffing and assistance threw volunteers. The equipment at the site will be first aid kits, information. Outside Contact List: American Medical Response 2333 Euclid Avenue National City, CA 91950-6165 (619) 472-1865; National City Police Emergency 911, 24-Hour Police Non - Emergency (619) 336-4411; Fire Department (619) 336-4550; and Kimball Recreation Center (619) 336-6754 148 East 12th Street Please describe your Accessibility Plan for access at your event by individuals with disabilities: The event will have volunteers provided for Disabled or need individuals outside the event. Further, on the Program Guide a Floor Plan of the event will be available for access designated for handicap needs. *Accessibility is often used to focus on people with disabilities or special needs and their right of access to entities, often through use of assistive technology. This is about making things accessible to all people (whether they have a disability or not). An alternative is to provide "indirect access" by having the entity support the use of a person's assistive technology or human support to achieve access. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club PARKING PLAN/MITIGATION OF IMPACT Please provide a detailed description of your PARKING plan: Note see exhibit "C" (Parking Plan) Please describe your plan for DISABLED PARKING: Will have several signs in the area notifying the community the designated Handicapped Parking slots from a three block radius. Note: see attached exhibit "C" (Parking Plan) PARKING PLAN/MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Note: see attached exhibit "E" (Exhibit "E" (TUP Event Notification Procedures) NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. ENTERTAINMENT/ATTRACTIONS AND RELATED EVENT ACTIVITIES _ YES NO Are there any musical entertainment features related to your event? If YES, please state the number of stages, number of bands and type of music. Note: As of today, we are entertaining the idea with children podium stage and music for church organization and two alternative music bands focused on "Green" music. Number of Stages: One (1) Number of Bands: Two (2) Type of Music: Alternative and Folk Music. Low sound high Green message music. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club YES _ NO Will sound amplification be used? If YES, please indicate: Start time: 12:00 pm Finish Time 3:30 pm XX YES _ NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: 11:00 am Finish Time 1:30 pm Please describe the sound equipment that will be used for your event: Amplified system with Two (2) speakers and Backline and engineer. YES XX NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: XX YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe: Several mini signs with directional finders of the event. Several horse signs for Handicapped parking ONLY. Several Signs informing the Public of Alternative Parking. Two Signs (2) across the Street "D Avenue for the EDCO Electronic Recycling Program" Two (2) informing the Public were are the First Aid Stations are located. One sign allocating were the Recycle Program is located for the San Diego Brotherhood Lions Club and Kool Climate Kids recycle goods (Old Eye Glasses, Aluminum). No "Special Lighting will be at this event. Banners will be at the Front two (2) entrances. Vendor(s) List: As of today: we do have a mini list but not confirmed. No advertisements will be conducted until city council and the city approval for this event to be scheduled for April 9, 2011 (Saturday) at Kimball Community Park. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club Exhibitor Information • Load In — Starts at 6:30 am and ends at 9:30 am. Time to unload will be 15 minutes in the loading zones. We will be there as early as 2 am if you need more time to set up. Late arrivals will be charged $75 to enter. There will be people getting prepared and everyone will be trying to unload at the same time. Drive carefully, follow the traffic person directions and start early so you do not have to rush. • Load Out — 5 pm to 8 pm. Park closes at 10 pm • Parking — There are a limited number (70) of single parking spaces available but for only the attendees. Please refrain from using the parking around the event. Recommendation at least two to three blocks from the event. No exceptions. The following parking structure are available for parking. o Public parking is located in the City National Plaza Garage ("J-2") located at 400 South Flower Street at the corner of 4th & Flower. The garage is open 24 hours a day and is patrolled by security for your safety and convenience.http://www.cnp- la.com/building/parking.htm o The Holiday Inn South Bay - San Diego is a newly renovated hotel located just five miles South of Downtown San Diego, and the Convention Center. http: //www.holidayinn. com/hotels/us/en/national-city/sansb/hoteldetail • Please make sure that your SIGNED your exhibitor application (—in the to exhibit and registration tab— http://www.americanfesdtival.net) has been faxed and your payment has been received. You will not be let in without it. A $75 additional fee will be charged if it needs to be done at the gate entrance. • Be aware if you do not have a National City Business License you are required to apply at the city (National City). "City of National City Business License Application" "Form FIN 220, 11/08" and a one-time Day Fee of $50.00 and all checks are made out to: City of National City. {www.nationalcityca.gov go to: Business and then click "License Application} This only applies if they do not have a business license for National City. Checks payable to: City of National City • Bring your own tents (Not to exceed 10X10), tables and chairs. If you intend not to cover your booth bring sun -block lotion and hats as you will be outdoors all day. • A downloadable PDF of the floor plan (check to see if your booth number has changed since you signed up) is at http://www.americabnfestival.us. In the Exhibitor Event Layout tab — click on the picture of the floor plan for the latest version. • If you are interested in advertising in the handout program you can contact us at pr@americanfestival.us or Micheal (619) 865-5904 for half or full page ads prices. The price for your logo and brief bio. Send your logo (3.5x3.5 inch is about 700x700 pixel JPG, GIF or PNG) and brief info (25 words) to Advertising@americanfestiva.us America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club • Please provide what items you may be contributing for the Opportunity Drawing so we can post that your company is helping. • Only certain areas will have electrical provided. Generally within 200 feet of the solar array (booth 120). If you need electrical contact Micheal 619 865-5904. You will need to bring at least 50 feet of your own electrical cords (12 to 14 gauge) that are not frayed. • Hotels that we have Googled are: o http://www.expedia.com/Hotels?action=hotelPackageWizard@searchHotelOnly& packageType=HOTEL ONLY&hotelPackageWizard hotelPackageWizardContr of inpPackageType=HOTEL ONLY&hotelPackageWizard hotelPackageWizard Control hotelWidgetControl hotelSearchRegionControl hotelRegionTypeContro 1 inpRegionType=CITY&hotelPackageWizard hotelPackageWizardControl_hote 1WidgetControl hotelSearchRegionControl cityControl inpCity=San+Diego+C A&hotelPackageWizard hotelPackageWizardControl hotelWidgetControl hotel SearchRegionControl cityControl inpCityRegionId=178304&hotelPackageWiza rd hotelPackageWizardControl hotelWidgetControl roomInputWidget hotelRoo mCountlnput=1 &hotelPackageWizard hotelPackageWizardControl hotelWidget Control roomInputWidget adultCountlnput=2&hotelPackageWizard hotelPacka geWizardControl hotelWidgetControl roomInputWidget childCountlnput=0&is AdditionOptionExist=0&eapid=13 5 5 6&semcid=13 5 56- 1&kword=san%20diego%20hotel#sb=0&st=0&nm=0&ar=800122&am=x&sd=m m/dd/yy&ed=mm/dd/yy&ad=2&pg=0 o http://sandiego.citysearch.com/listings/92101/hotels/22864?what=hotels o http://travela.priceline.com/hotel/listings.do?selectedTab=2&key=g0nw60cy&jsk =2003010a1f03010a20091011142811842fl 1528372&plf=PCLH o http://www.cheaptickets.com/App/ViewHotelSearchResults?null&retrieveParams =true&z=cec4&r=2x&z=cec6&r=2z&lastPage=interstitial o http://entertainment.signonsandiego.com/search/hotels/ • If you will be giving out food or promotional items for attendees to bring them into your booth, you may want to bum candles (in glass containers) with aromas that will attract them. Smell is a strong subliminal sense. Also make sure you meet the spills requirement listed below in the park regulation section. The County of San Diego Department of Environmental Health Food and Housing Division Temporary Event Phone: (619) 338-2363; Duty Specialist Phone: (619) 338-2379; Duty Specialist E- mail: fhdutyeh@sdcounty.ca.gov. Also another avenue in getting the application and requirements are also located at on web portal page: http://sdcounty.ca.govkleh/food/food.html • There will be Staff and security roaming the expo at all times. Please address your questions or needs with the staff. • You are responsible for the cleanup of your booth. Please leave it as you found it. We want to be welcome at the next expo in 2012. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club Park Regulations • Tents may be secured with weights but no stakes are to be driven into ground. • No stages, platforms, flooring without notification to park authorities • The park prohibits the dumping or discharge of any liquid or debris into storm drains and also prohibits the rinsing or washing of parking lots, sidewalks or equipment. You must prevent pollutants from reaching the storm drains. Spills must be cleaned up immediately with absorbent materials and the spent absorbent materials properly disposed before the site is vacated. • You are responsible for leaving the park and its contents in the exact condition in which you found them. All materials from the construction of your booth must be picked up and disposed of. This includes nails, screws, other hardware, zip ties, bottle caps, trash and litter. When left in the park, these items in particular constitute a hazard to public safety as well as to grounds maintenance equipment. It is your responsibility to inform all staff and subcontractors of this requirement. You are responsible for reimbursing the park for any additional cleanup that must be performed and for any damage to the park pr it's contents and facilities as a result of your booth. • Large vehicles damage sidewalk pavement and valve covers and are more prone to collisions with trees, light poles and drinking fountains. For this reason, no vehicle larger than a one -ton pickup truck may be used in the park (beyond parking lots) for the event setup or breakdown or to support vendors or displays. • The water supply in the park is not potable, except at drinking fountains, and should not be used for food preparation. • San Diego County Environmental Health Services Department issues permits for food vendors at special events if you plan to sell food. If you give it away there is no permit required. You shall ensure all residual cooking grease and oil are removed from the site and disposed of properly (not placed in site trash dumpsters). Absorbent pads will be placed under all cooking vessels. You shall ensure that no grease and oil run onto the landscape, hardscape, sidewalks, parking lots and roads. • Smoking (Meaning Tobacco) is prohibited at park or beach. No person shall dispose of any cigarette, cigar or tobacco in any place where smoking is prohibited, except in a designated waste disposal container. • The use of large or motorized attractions (such as Ferris wheels), climbing walls, throwing games and dunk tanks is prohibited in the park and parking lots. Unless the city qualifies your company to be permitted for the Kimball Park. LI.ONS CLUBS INTERNATIONAL 300. West 22nd Street Oak Brook, Illinois 60523-8842 Tel: 630-571-5466 / Fax: 630-571-8890 CLUB# LIONS CLUB OF 108763 SAN DIEGO BROTHERHOOD CALIFORNIA DAVE HARGROVE 2519 Prospect Road NATIONAL CITY CA 91950 USA DISTRICT MO. DAY YR. 4 L6 9 30 10 Page: 1 'DENT. # 0317 NOTICE: Please detach this section of the statement and return it with your remittance or duplicate deposit slip. Confirmation of your remittance will be shown on monthly statement. EXCHANGE RATE PER U.S. DOLLAR AMOUNT OF PAYMENT: 000108763 00035175 2 BARTER L .1.1 fix ham L}p r 1Irrsrntz Shall Criimr: GREETING mix one /Aa/ g: e jnierna/xonal7lssocxafion of Idions Clubs iias yran/eo; ano y. fiesepresen/s does yranl/o f einemiers, mSose names areSereun/o affixed,. andfo alfreyufar j' efecfeormem6ers anc/f�err`succ >.f %ar consfifufiny fAem a focalcfu4 ander fie name andfiffe of San eats ood lego:Forever lBocad /ea/ San Diego, California with czfl 4e rig /s andpriuifeyes yioen /o members of Uhe ,9n/erna/ional `7lssocia/ion of iBions CfuKs, accordny Jo fie rules anorreyufafions of / e Consfifufion anor.Ty-G'ams of UUe gnfernafional.7zssociafion nom in force, or Sereinaffer enacfeor `✓his CCarfer sbzall be in fuffforce anorejJecf from fie day of f�e dale 4iereof anorfor suc'lime as fSe members o/fe focal alu6sSaffconform fo /ie lams and rules of //e infernafionalassociafion, o/.ermise fFzis cSarfer sSafige reuoled 9n Z&i/ness alSereof 7 e 9nfernafional `.11ssociafion ofJBions Cfu6s Sas au/izorizedifs presidenf andsecrefary fo affix Heir signafures, (Inc/causedI& seal of /ie association /0 6e izereunfo affixed/Jis 24th day of June in fizeyear of our l3ord 2010 1414ea SECRETARY NArENT - Cn larf trim% Gre-H4e)-(AcaA. L _c dam'/0 i'-',"Vz_.o/l/ -1Z LjL4s1 pAsd,41 011. America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club City of National City PUBLIC PROPERTY USE HOLD HARMLESS AND INDEMNIFICATION AGREEMENT Persons requesting use of City property, facilities or personnel are required to provide a minimum of $1,000,000 combined single limit insurance for bodily injury and property damage which includes the City, its officials, agents and employees named as additional insured and to sign the Hold Harmless Agreement. Certificate of insurance must be attached to this permit. Organization: San Diego Brotherhood Lions Club and American Business Expo Person in Charge of Activity: Micheal Hagstrom and Clando Brownlee Jr. Address: 2519 Prospect Road National City, California 91950 Telephone: (619) 865-5904 / (619) 321-7698 Date(s) of Use: April 9, 2011 HOLD HARMLESS AGREEMENT As a condition of the issuance of a temporary use permit to conduct its activities on public or private property, the undersigned hereby agree(s) to defend, indemnify and hold harmless the City of National City and the Parking Authority and its officers, employees and agents from and against any and all claims, demands, costs, losses, liability or, for any personal injury, death or property damage, or both, or any litigation and other liability, including attorneys fees and the costs of litigation, arising out of or related to the use of public property or the activity taken under the permit by the permittee or its agents, employees or contractors. Signature of Applicant Micheal Hagstrom President, American Business Expo Secretary, SD Brotherhood Lions Club January 19, 2011 Official Title Date For Office Use Only Certificate of Insurance Approved Date CitykoffikhationOligA eAl i balliRecre(ation Center Legend Typical Layout One booth number contains two { x 10 booths (a & b). a" is always a corner. Food Vendor Loading Area Loading Zone Info booth, First Aid Last & Found 010s I GII PTEuropa Tec rino]ogwes po„ County of $au ,4_73itga DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION P.O. BOX 129261, SAN DIEGO, CA 92112-9261 (619) 338-2222 FAX (619) 338-2377 TEMPORARY FOOD FACILITY EVENT ORGANIZER APPLICATION 1. Name of Event: 3. Location: .b, ,04 ( !/7,e 42. Date(s): )r) 41111 S 9 "� w, q t�) 7 A, , 5. Hours of Operation: / 4. Time of Setup: � • � � t. % L � �, , p 6. Event Organizer Names' f & .`'€t ' "'�' Cell Phone: fit"?°' ' r` >rA °m`111f � Address: Alternate Phone: (P("r 2 l7. 11 AI a Email Address: SCE r1 it e CI"0 'r ' ' -', i'7t, i ,. �' `' / '4 . ✓ ( 74 " kr "._9 7. Number of food booths expected to participate: 8. Have all food vendors been advised of the Health Dept requirements for participating in this event? Initials f4t . 0 Yes ❑ No 9. Will there be a Certified Farmers Market associated with this event? ❑ Yes a No 10. Will there be a pl ning meeting for food booth participants? ®'. Yes ❑ No If yes, Date: Lii, i 3-0 7 P Time: ' t r f.. - ,, I. Location: it/im s3 Lt °t r'Ire - 11. Will electricity be provided for the food booths? ❑ Yes a No If yes, what is the source? ❑ Public Utility ❑ Generator(s) 12. Where will equipment/utensil washing facilities be provided for food booth operators? 13. Are restroom facilities within 200 feet? 14. Drinking water source: iN Public Water Supply ❑ Approved Private/Well Water 15. How will waste water be disposed Public Sewer ❑ Other 16. Describe garbage/trash disposal (including frequency of pick-up): A t., C `—j ]2 - k$ r. q0 :.• 2-Yes ❑ No 17. Will there be animal rides provided? ❑ Yes Flo. If yes, they must be located at least 20 feet away from food booths or as otherwise directed by the environmental health specialist. DEH:FH-632 (Rev.9110) AIANSEM t ,ry"ia ark •00.10:6NEG1 Srea. n1Yn nYul. 41h ti I t San Diego gtothe'd'uwd £ktu, ela PRESENTS America Going Green SATURDAY April 9, 2010 Kimball Community Park 12th Street & "D" Avenue, National City, CA 91950 From 9:30 am — 5:00 pm We cordially invite everyone to attend this event in support of our community environmental needs and also to learn what "Green" is. The event is geared for an educational awareness and introduction of "Green" products, service and organization in San Diego County and National City. The event is focused on an educational awareness for the community with sustainable projects that exist in National City and the County of San Diego, recycling projects that EDCO and Kool Climate Kids and Greenview Charter High Schools and/or any other profitable and non-profit companies and organization have for the community to take advantage of or institute in their lifestyle in their home or business. The event will have several villages that constitute awareness in certain sustainable projects from water, waste, recycle, wood, aluminum, biodegradable (wood, leaves and etc.) Come and visit the villages of Sustainability. Eco; Environmental; Sustainable; Green; Organic; Climate; Recycle; Energy Saving; E- Waste Zone and Community Participation in this event is FREE. If you have any questions please feel free in contacting us at any time.: www.americanfestival.us and www.lionsclub.org Lions Clubs International is the world's largest service club organization. We have 1.35 million members in more than 45,000 clubs worldwide. Lions are everywhere. We're active men and women in more than 206 countries and geographic areas. Lions are active. Our motto is "We Serve." Lions are part of a global service network, doing whatever is necessary to help our local communities. "To empower volunteers to serve their communities, meet humanitarian needs, encourage peace and promote international understanding through Lions clubs." ' V hv O CA d � 1-3 O� g t.4 tV CA 0-4 oo O� 1rf o 7, •KII I IL10we m` N! 1! ! C AVE. I./11 I I >� F IRE STATIFON I NATIONAL BOYS & GIRLS CLUB I O a3n1o.L NV9UOIY MAP AVENUE rn 1 , •21 AVENUE U3MOJ, TIVIIISIB I A gn�7Tv (NATIONAL AYE 1 11311,133 UOINBS „ 7 gag CITY MAP 909 afi CO O IV o� xi o• z 0 •ti z )-3 KIMBALL PARK T.U.P. EVENT NOTIFICATION PROCEDURES It shall be the responsibility of the T.U.P. applicant to provide written notification to occupants of property adjacent to a City park for events in the park which involve any of the following activities: 1. Live musical performances. 2. Use of amplified sound systems other than hand-held or portable systems. 3. Fireworks or similar pyrotechnic displays 4. Other activities or events which the City Council deems warrant notification. The written notification shall include the name and telephone number of the sponsor of the event, the nature of the event, the date and hours of set-up and tear -down for the event, the date and hours of the event, and the name of the sponsor's representative who will be at park the on the day(s) of the event and how -that individual may be contacted should the need arise. The written notification shall be mailed to the occupants of properties abutting City parks as reflected on maps prepared by the Building & Safety Department. The written notification shall be submitted to the Building & Safety Director for review and approval prior to mailing. The date of mailing of the notification shall be scheduled so that the notification will be received by property occupants no less than 72 hours prior to the start of set-up activities for the event. Failure to provide notification as stated herein may be cause for the revocation of T.U.P. approval for the event, or denial of future T.U.P. applications submitted by the sponsoring organization. Upon approval of the Building & Safety Director, the notification shall be mailed to the following addresses: 12th Street 41-A, 41-B, 41-C, 41-D, 41-E, 41-F, 41-G, 43-A, 43-B, 43-C, 43-D, 201, 203, 205, 207, 209, 211, 213, 215, 217, 219, 233, 239. D Avenue: 1127-A, 1127B,1127-C,1127-1),1127-E,1135-A,1135-B, 1135-C, 1135-1), 1136, 1141 -A, 1141-B, 1141-C, 1141-1), 1147-A, 1147-B, 1147-C, 1147-1), 1221, Manager Morgan/Kimball Towers 1317 D Avenue, 1519, 1521, 1525, 1527, 1529,1604, 1610. 14th Street: 504, 524. 15th Street: 300, 404 E Avenue: 1409, 1419, 1429, 1439. F Avenue: 1404, 1408, 1418, 1428, 1438. C Avenue: 1133, 1504, 1506, 1516, 1521, 1522, 1531, 1533, 1541. B Avenue: 1139, 1140 16th Street: 26, 26 1/2, 38, 49, 120, 122, 142, 205, 206, 214, 216, 223, 224, 232, 240, 243,306, 312, 319, 333. National City Blvd: 1401. 10/21/97 CITY OF NATIONAL CITY BUSINESS LICENSE APPLICATION 1243 NATIONAL CITY BLVD, NATIONAL CITY, CA 91950 PLEASE TYPE OR PRINT. LICENSE WILL NOT BE ISSUED IF REQUIRED INFORMATION IS INCOMPLETE. ENCLOSE PAYMENT Wffli APPLICATION. MAKE CHECKS PAYABLE TO THE CITY OF NATIONAL CITY. A. GENERAL INFORMATION BUSINESS NAME (D.B.A. OR INDIVIDUAL NAME) LOCAL BUSINESS PHONE CORPORATE NAME (IF DIFFERENT FROM D.B.A.) NUMBER DIR LOCATION IN NATIONAL CITY STREET NAME ROOM/SUITE NO. M NUMBER DIR STREET NAME ROOM/SUITE NO. P.O. BOX NO. CITY STATE ZIP CODE PHONE NUMBER AT MAILING ADDRESS. INCLUDE AREA CODE CASHIER'S COPY TRANSACTION TYPE - CHECK .AND COMPLETE IF APPLICABLE 0 NEW BUSINESS IN NATIONAL CITY: BUSINESS WILL OPEN/OPENED ON: 0 OWNERSHIP CHANGE: PREVIOUS BUSINESS NAME: BUS# LIC# ALL LICENSES EXPIRE DECEMBER 31 RENEWALS ARE DUE BY FEBRUARY 28 City of National City BUSINESS LICENSE DIVISION (619) 336-4330 TAXES $ SO - MISC $ ADMIN FEE$ 2¢:ffi PENALTY $ TOTAL $ 5b `CHECK ONE: A. D WHOI FCAI F B. 0 RETAIL C. 0 SERVICE D. 0 RENTAL UNITS, # OF UNITS E. 0 MANUFACTURING F. 0 CONTRACTOR STATE LICENSE #/ HEALTH PERMIT/ ABC #/ DRIVERS LIC. # STATE RFCAI F # FEDERAL ID #/ SOCIAL SEC. # DESCRIBE BUSINESS FULLY — INCLUDE PRINCIPAL PRODUCT OR SERVICE NUMBER OF BUSINESS VEHICLES OPERATING IN NATIONAL CITY WITH YOUR COMPANY ADVERTISING (LOGO) ON THEM RMA L_.../CHECK ONE: 1. 0 SINGLE PROPRIETORSHIP 2. 0 PARTNERSHIP 3. 0 CORPORATION 4. 0 LLC LIST OWNER/PARTNERS/CORPORATE OFFICERS LAST NAME FIRST NAME MI TITLE HOME PHONE HOME ADDRESS CITY STATE ZIP CODE LAST NAME FIRST NAME MI TITLE HOME PHONE HOME ADDRESS /l CITY STATE ZIP CODE E. EMERGENCY INF( IN ORDER OF PRIORITY AND PROXIMITY TO BUSINESS THE PERSON TO BE CONTACTED AT NIGHT IN CASE OF BREAK IN OR FIRE E TITLE - TELEPHONE # VE A BURGLAR ALARM? 1. 0 NO : IF YES 3. 0 SILENT 4. BIB—_ NAME OF ALARM COMPANY PHONE # F. EMPLOYEE INFORMATION PLEASE IIVDIC THE NUMBER OF YEES EMPLOYED BY YOU OFFICE USE ONLY DECALS Vehicle Video or Coin Op AUDITED BY DATE ENTERED BY DATE H/0 PD FIN 220,11/08 B/L SENT INT DATE CITY FILE COPY #1 America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club REQUEST FOR A WAIVER OF FEES Non-profit organizations, which meet the criteria on page v of the instructions, will be considered for a waiver. If you would like to request a waiver of the processing fees, please complete the questionnaire below. 1. Is the event for which the TUP is sought sponsored by a non-profit organization? XX Yes (proceed to Question 2) No (Please sign the form and submit it with the TUP Application) 2. Please state the name and type of organization sponsoring the event for which the TUP is sought and then proceed to Question 3. Name of the sponsoring organization: San Diego Brotherhood Lions Club Type of Organization: Service Club (Service Club, Church, Social Service Agency, etc.) 3. Will the event generate net income or proceeds to the sponsoring organization? XX Yes (Please proceed to Question 4) No (Please sign the form and submit it with the TUP Application) 4. Will the proceeds provide a direct financial benefit to an individual who resides in or is employed in the city, and who is in dire financial need due to health reasons or a death in the family? Yes (Please provide an explanation and details. XX No (Please proceed to Question 5) 5. Will the proceeds provide a direct financial benefit to city government such as the generation of sales tax? XX Yes (Please provide an explanation and details. The event will have outside merchants and non -profits outside of the National City Business. They will be required to pay a one time City of National City Business License for the event. Further, possibly outside county companies who will utilize the cities Hotels, Eating Establishments, Rental companies, staff and Parking. No (Please proceed to Question 6) ti America Going Green - Kimball Community Park - April 9, 2011 San Diego Brotherhood Lions Club 6. Will the proceeds provide a direct financial benefit to a service club, social services agency, or other secular non-profit organization located within the city such as Kiwanis, Rotary, Lions, Boys and Girls Club? XX Yes (Please provide an explanation and details. Our organization is an established Lions Club for the city of National City. San Diego Brotherhood Lions Club. No (Please proceed to Question 7) 7. Will the proceeds provide a direct financial benefit to an organization, which has been the direct recipient of Community Development Block Grant (CDBG) funding? Yes Year funds were received: Funds were used to: XX No (Please sign the form and submit it with the TUP Application) Signature January 19, 2011 Date TREASURY DEPARTMENT . . WASHINGTON OFFICE OF COMMISSIONER Of INTERNAL. REVENUE AOOiK.. PERT TO CO IMIO.lONL11 OP IN SPNAI. o tVtMIC *.c PE/t. TO IT:PsTtl LL4 International Aasooiation of Lions.Clube, 332 South Michigan.Avenue, Chicago, Illinois. Sire: DEC 41940 • ;Reference ie made to.evidence submitted for use in determin- ing your status and the status of your_distriots and subordinate • clubs for Federal incoe;ae end employment tax purposes. The records of the Bureau disclose that under date of December 2U, 1926, you were.held exempt from Federal income tax under the provisions of section 231(9) of the Revenue Ant of 1926 and the corresponding provisions of prior revenue acts. It is the opinion of this office, based upon the evidence pre- sented, that you and your districts..and subordinate clubs appearing in four reviled copies of the "Annual Directory Lions international", of August, 1940, are exempt from -Federal inooals tax under the provi- sions of. section 101(9) of the Internal Revenue Code and the corre- sponding provisions of prior revenue acts. Accordingly, you and your districts and subordinate clubs ap- pearing in the "Annual Directory Lions International". will not be required to file returns of income unless there is a change, in the character, purposes, or method of operation of. your organisation.or of your distriots and subordinate -clubs. Any such changes should be immediately reported by you to this Bureau in order that the ef- feet of the changes upon your present exempt status may be deter- mined. You should furnish the Bureau annually on the oalendar-year basis lists in quadruplicate, showing only the names and addresses of any distriots and subordinate oluba whioh were chartered during the calendar year and the names and addresses of any, districts and clubs which for any reason ceased to exist.. Such annual lists should be a000mpanied by a statement sworn to by one of your prin- cipal offioers as to whether or not the information heretofore sub- mitted by you, and on which this ruling is based, iaa,plioable in all respects to the new districts and clubs appearing on the lists, and should be forwarded so as to reach this office not later than February 16 of the following year. - 2- International Association of Lions Clubs. Since any organisation which is exempt from Federal income tax under the provisions of section. 101 of the Internal Revenue Code, also is exempt from the capital stock teas pursuant express provisions of section 1201(a)(1) of the Internal a the Code, you and your district and subordinate clubs willlnot benue required to file capital stock tax returns for future long as the exemption from income tax is .effective. years so The determination of your statue and that of and subordinate clubs for Federal employment purposes will made the subject of a s anon tax pu='posee will be operate communication. A copy of this ruling is being transmitted to.the collectors of- internal revenue for the various districts in which your dis- tricts and subordinate clubs are located. By direction of the Commissioner. Respectfully, o • GAPREU of ©1 TiG RECEIVED ROY SCHAETZEL 7? General Counsel LIONS INTERNATIONAL Gentlemen: Internal Revenue Service IataBwgawQ D© &D3S re Out.: In ply Hier to: AUG 2 4 ion T MS:EO:R4 D The International Association of Lions Clubs c/o Roy Schaetzel York and Cermak Roads Oak Brook, Illinois 60521 EIN 36-1263962 DO 36 Date of original group exemption letter: December 4, 124� I.R. Code: Section 501 c Based on the information supplied, we rule that the new subordi- nates you recently submitted for addition to your group exemption roster are exempt from Federal income tax under the•section of the Internal Revenue Code shown above. This ruling supplements your original group exemption letter. Each subordinate is required to file Form 990,.Return of Organiza- tion Exempt From Income Tax, if its annual gross receipts are normally more than $5,000. If filing is required, and if you do not include the subordinates in a group return, each must file the Form 990 by the 15th day of the fifth month after the end of its annual accounting period. The new subordinates are not required to file a Form 1120 income tax return. However, if they'are subject to tax on unrelated business income under section 511 of the Code, they must file Form 990-T. The new subordinates are liable for social security taxes under the Federal Insurance Contributions Act and, if they employ four or More` individuals, for the tax under the Federal Unemployment' Tax Act. Next year, within 45 days after your annual accounting period closes, please send us two copies of the following information about your subordinates: 1. A statement describing all changes during the year in the purposes, character, or method of operation of your subordi- nates. FORM M-3444 (REV. 2-71) Lions Clubs 2 2. A list showing the name, employer identification number (if the subordinate is required to file Form 990), and mailing including ZIP Code, of each subordinate onaddress,pt roster that during.the your group exemption year. a. changed its name. or address; b. was deleted from the roster; or c. was added to the roster. A directory. of subordinates may be substituted for this list if it includes the required information and identifies the affected subordinates according to the three categories above. 3. For subordinates added to the roster, a letter signed by one of your principal officers containing or attaching: a. a statement that the information upon which your present group exemption letter is based applies to the new subordinates; b. a statement that each has given you written authorization to add its name to the roster; and c. a list of those to which the Service previously issued separate rulings or determination letters relating to exemption. 4. If applicable, a statement that your group exemption roster did not change during the year. Please be sure to enter your employer identification number on all your tax returns and in your correspondence with the Internal Revenue' Service. Thank you for your cooperation. acting Sincerely yours, Chief, Rulings Section Exempt Organizations Branch FORM M•3444 (REV. 2.71)