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HomeMy WebLinkAboutTUPEVENT INFORMATION Type of Event: Carnival, Event Title: National City Host Lions Club 67th Annual Independence Day Carnival Event Location: Kimball Park for the carnival and the Miss National City Pageant and the parade route, Civic Center and Wilson Street & and into the parking lot. Event Date(s): From 06/30/11 to 7/05/11 Total Anticipated Attendance: 20,000 Month/Day/Year (1,000 Participants) (19,000 Spectators) Actual Event Hours: Carnival June 30, from 5pm to llpm July 1, from 5pm to llpm July 2.4, 12pm to 11 pm July 3rd, from Noon to 12pm Jul 4th from Noon to 11pm Setup/assembly/construction Date: 6/27/11 Start time: 7:00 am Please describe the scope of your setup/assembly work Set-up carnival rides and booths, set-up of food and deli booths, move in stage, setup and fence off fireworks area and move in additional dumpster and port -a potties Dismantle Date: 7/6/11 Completion Time: 4:00 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. We will need to close D Avenue from 12th Street to the entrance to the park parking lot, Closure will be from 8:00 am June 27th to 10:00 am July 6th. APPLICANT AND SPONSORING ORGANIZATION INFORMATION Sponsoring Organization: National City Host Lions Club For Profit XX Not -for -Profit Chief Officer of Organization (Name) Sam DeRuntz Applicant (Name) : Vince Reynolds Address: 805 Manning Way, San Diego, CA 92154 Cell: (619) 708-6431 Day: (619) 423-3627 Res: (619) 477-5006 Fax: Contact Person "on site" day of the event: Vince Reynolds E-mail: vincedepaul,@coxm. net Pager/Cellular: (619)962-3756 NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALs ickt 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): Venders rent kitchen and deli booths, rent is free to $300.00 $45,000.00 Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $20,000.00 Estimated Expenses for this event. $25,000.00 What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this 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. National City Host Lions Club will sponsor the annual Independence Day Carnival and Fire works in Kimball Park from Wednesday June 30th through July 4th. This event will include: Carnival rides Food booths Diabetes screening Watermelon eating contest Community displays Carnival games The Blood mobile Talent show Youth activities Fire works display Bands and other amateur and professional entertainment. xx YES _ NO If the event involves the sale of cars, will the cars come exclusively from National City car dealers? If NO, list any additional dealers involved in the sale: 2 OVERALL EVENT DESCRIPTION CONTINUED YES XX NO Does the event involve the sale or use of alcoholic beverages? XX YES NO Will items or services be sold at the event? If yes, please describe: Carnival rides & games and food booths _ 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. XX YES _ NO Does the event involve the use of tents or canopies? If YES: .Number of tent/canopies 30 Sizes 8' X 12' & 15' x 15' NOTE: A separate Fire Department permit is required for tents or canopies. XX YES NO Will the event involve the use of the City stage or PA system? Both In addition to the route map required above, please attach a diagram showing the overall layout and set-up locations for the following items: * Alcoholic and Nonalcoholic Concession and/or Beer Garden areas. * Food Concession and/or Food Preparation areas Please describe how food will be served at the event: Food booths will be run by local non-profit organizations,ie churches, youth and civic organizations and service clubs If you intend to cook food in the event area please specify the method: XX GAS ELECTRIC XX CHARCOAL OTHER (Specify): * Portable and/or Permanent Toilet Facilities Number of portable toilets: 20 (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) 19 regular , one H/C, and two wash stations * Tables and Chairs * Fencing, barriers and/or barricades * Generator locations and/or source of electricity * Canopies or tent locations (include tent/canopy dimensions) * Booths, exhibits, displays or enclosures * Scaffolding, bleachers, platforms, stages, grandstands or related structures * Vehicles and/or trailers * Other related event components not covered above * Trash containers and dumpsters (Note: You must properly dispose of waste and garbage throughout the term of your event and immediately upon conclusion of the event the area must be returned to a clean condition.) Number of trash cans: 20 Trash containers with lids: 0 Describe your plan for clean-up and removal of waste and garbage during and after the event: A 40 c/y dumpster rented by NCHLC will be located in the west parking lot. We will have 3 to 5 persons picking up trash and emptying trash cans. 3 SAFETY/SECURITY/ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Security Plan will be by NCP.D, utilizing the Senior Volunteers, the Police Explorers and reserve police. XX YES _ NO Have you security XX YES NO Security .plan hired any Professional Security organization to handle arrangements for this event? If YES, please list: Organization: To be determined as required by the security Security Organization Address: Security Director (Name): Phone: 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: Park lights and lights from the carnival rides and booths. Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. We will utilize 911 if an emergency occurs. For minor cuts and bruises we will have first aid kits at the Lions Train and at the carnival office. Please describe your Accessibility Plan for access at your event by individuals with disabilities: Park grounds and sidewalks. There will an additional H/C toilet in addition to the park rest rooms. PARKING PLAN/MITIGATION OF IMPACT Please provide a detailed description of your PARKING plan: We will utilize existing street and nearby public parking lots. Please describe your plan for DISABLED PARKING: We will utilize the handicap parking spaces at the towers and the public parking lots. 4 PARKING PLAN/MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Notification letters will be sent to all businesses and residents in the park area. NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. ENTERTAINMENT/ATTRACTIONS AND RELATED EVENT ACTIVITIES XX 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. Number of Stages: 1 Number of Bands: Unknown at this time Type of Music: Various XX YES NO Will sound amplification be used? If YES, please indicate: Start time: Noon Finish Time 12: 00 am _ YES XX NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: am/pm Finish Time am/pm Please describe the sound equipment that will be used for your event: City owned stage, with city and private sound systems XX YES NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: Independence Day fire works on the 4th of July starting at 9:00pm for about 20 minutes, one of the best fire works in the county!! XX YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe: Carnival area and booths will be decorated in a patriotic manner. We may employ street banners and/or light standard banners in our advertising campaign. Revised 08/10/05 5 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 National City Host Lions Club Person in Charge of Activity Sam DeRuntz Address/243 Manchester Street, National City, CA 91950 Telephone (619) 479-8165 Cell: (619) 962-3756 Date(s) of Use 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 Event Chairperson Official Title Date For Office Use Only Certificate of Insurance Approved Date: 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? XXX 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: National City Host Lions Club Type of Organization: Service Club (Service Club, Church, Social Service Agency, etc.) 3. Will the event generate net income or proceeds t the sponsoring organization? XXX 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. XXX No (Please proceed to Question 5) 8 5. Will the proceeds provide a direct financial benefit to city government such as the generation of sales tax? Yes (Please provide an explanation and details. XXX No (Please proceed to Question 6) 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? XXx Yes (Please provide an explanation and details. Any profits from this event will be donated to various National City organizations and programs or used in our sight programs 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: XXX No (Please sign the form and submit it with the TUP Application) Signature Date 9