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Home My WebLink AboutTUP APPLICATIONType of Event: _ Public Concert Parade Motion Picture Fair Event Location: ‘4"`A P-c Event Date(s): From -Skin Q. (e)(e'itY -611e l3 Actual Event Hours: 10.'00 am/pm to awilpm Total Anticipated Attendance: (2O Participants ' Spectator Setup/assembly/construction Date: Jkkn°,- I Start time: 0 -Rm 1\F, Please describe the scope of your setup/assemb y work (specific details): 5� (cic cc,-u a k ,14 eaxdiriq c , rnQ.n1. — Festival I Community vent — Demonstration — Circus _ Block Party — Grand Opening — Other (4 Event Title: MakOv+krv0.- 'Ta9 i J't(N : 1OC tn'N\,n4. kO►liO, )CtiA Mcc� r_ Dismantle Date: iUh 41561 Completion Time: 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. Sponsoring Organization: 4 • - ' Inc" -y S rnt- Chief Officer of Organization.(Name) -0'W' \14m1A ' Applicant (Name): fagkir4 t -k tMA k%`6/4tA61-`re)1. Address: k WW1 SkitqA NM'' Of6C , ws ellt , Daytime Phone: (LA) A14 S Evening Phone: ((M4) AId \-S3ZZ Fax: ((SO MA• U E-Mail: vr10%6481tspt,h Contact Person "on site" day of the event: I g arnGAI(Cellular: (-Oa ci9.8 L519.5 NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS w Is your organization a "Tax Exempt, nonprofit" organization? ✓ YES _ NO Are admission, entry, vendor or participant fees required? J YES _ NO If YES, please explain the purpose and provide amounts): IkAS Q531-41 AU wi VT $ 0,C00, — Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $ `fir Estimated Expenses for this event. $� What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this event? 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. MGx ,s nQ 1 t ibc 6k ,1,,Acte' ,ci a.NA 64 o a,nq ,1nC cao-t vz-o ‘,netodt cx6 ;attcv,S tsrovV kykg i ,S,tA .t%, GS`e rOr 1,(ArVpil%. eCA Z6-410104 p,cAAn kianoi ko46 t v,k ji► c asouoAck ci :ion CA 4 tAki n . Q,. j YES _ NO If the event involves the sale of cars, will the cars come exclusively from National City car dealers? (1Q 1�Mk4 � qt4 'kvx,h'ikcc uvt cVNL—k If NO, list any additional dealers involved in the s e: �"'j _ YES ✓ NO Does the event involve the sale or use of alcoholic beverages? f YES _ NO Will items or services be sold at the event? If yes, please describe: ttmkt a i Ref SVqVi>3 `)'`, ctc;.4; JAQA • _ YES I 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. f YES _ NO Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. ✓ YES _ NO Does the event involve the use of tents or canopies? If YES: Number of tent/canopies . Sizes VZ 1. t3 I Co I- t. NOTE: A separate Fire De rtment permit is required for tents or canopies. _ YES ✓ NO Will the event involve the use of the City or your stage or PA system? SPECIFY: 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 Fond Prenarat n areas Ple a describe how food will be served at the event: _ 00 C If you intend toscook food in'ha ent area please specify the method: GAS I ELECTRIC CHARCOAL OTHER (Specify): I I Portable and/or Permanent Toilet Facilities Number of portable toilets: 2 (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) 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: Trash containers with lids: '' Describe your plan for cle n-up and removyal of wa a and garbage during,and after the event: _le mabH �al,i c,.sa„J oc v0\Ln•l w igiA. AA oikcx, ,�,,.i, \ . Please describe your procedures for both Crowd Control and Internal Security: ►�c, +�c1'14 �0C 'plainsit het ,, 4e a;1.j s. c► ;f ✓ YES _ NO Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: Security Organization Address: Security Director (Name): Phone: YES ✓ 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. 1VVI Weknf GM\ 4,a�d +at .vak 1/4,1 wt0.A1 .bto,C8.O•nu. "t �6,nkci S Ap Oman 4,0k 1ti30- io . Please describe your Accessibility Plan for access at your event by individuals with disabilities: Please provide a detailed description of your PARKING plan: 1 vun 0 V cOkANI\ . 14-k Please describe your plan for DISABLED PARKING: ssajchurr aAc�ecg 1e Please describe your lans notify II++r__e d b si event:ak1M 3 u,�otn Nay ref d,6 Vr+ NOTE: Neighborhood residents must be notified 72 scheduled in the City parks. hours in advance when events are I 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: 04110, Number of Bands: OC)n4 Type of Music: C yQ e44'1 J YES NO Will sound amplification be used? If YES, please indicate: Start time: %Min 413Ipm Finish Time A'rl am/ r0 f YES NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: A own em 'pm Finish Time tO ONA ®/pm Please describe the sound equipment that will be used for your event: _ YES I NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: YES NO Any signs, banners, decorations, special lighting? If YES, please describe: Revised 02/29/12 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 IJ�Lb►C aA � �) l y`�^k 6ConQA �,q 0Aote WIc W� Person in Charge of Activity � +'r'^Q Address ll� , 11s1' n At44 OC+ G,n6k z Telephone �'‘()' 414' u Date(s) of Use `-lu 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 Official Title Date For Office Use Only Certificate of Insurance Approved Date DRMAR-1 OP ID: MF A. '�' CERTIFICATE OF LIABILITY INSURANCE DATE 0311413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TIIIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms ar d conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate bidder in lieu of such endorsement(s). PRODUCER Phone: 619-589-0303 SCF Insurance Services, Inc. Fax: 619-589-1342 License # 060E 662 P.O. Box 1300 La Mesa, CA 9 1944-1300 Karen Marie G diagher CONTACT o F (NPHC, No, Ext): (A/C, No): ADDRESS: INSURERS) AFFORDING COVERAGE NAIC I INSURER A : CNA-Property Casualty INSURED C.R. Marketing Promotions Citas Yam ane 140W16thSt National City, CA 91950-3733 INSURERS: INSURER C: INSURER D: INSURER E : INSURER F : • REVISION NUMBER: v THIS 'IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS. AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRXP TYPE OF INSURANCE INSR WA POLICY NUMBER EFF (MMIBR LDCDIYYYY) (MMY IDD�YY) LIMITS A GENERAL L ABILITY COMMERCIAL GENERAL IJABIUTY I X OCCUR X 5085475822 10/01/12 10/01/13 EACH OCCURRENCE $ 2,000,000 DAMAGE70RtcCurr PREMISES (Ea occurrence) $ 1,000,000 CLAIMS -MADE MED EXP (Any one person) $• 10,000 X Business Owners PERSONAL & ADV INJURY $ 2,000,000 GENII_ X GENERAL AGGREGATE $ 4,000,000 AGGREGATE LIMIT APPLIES I POLIO` 1 JECT PRO- PER: PRODUCTS- COMPIOP AGG $ 4,000,000 LOC AUTOMOBit E LIABILITY I ANY Al ITO i ALL 0)/ /NED AUTOS HIRED AUTOS SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $' BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) 1 UMBR(',LLA LIAR EXCESSLIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION $ WORKERS I,OMPENSATION AND EMPLC YERS' LIABILITY YIN ANY PROPR E(ORIPARTNER/EXECUTIVE I OFFICERIME MBER EXCLUDED'? J L (Mandatory in NH) If yes, descri De under DESCRIPTION OF OPERATIONS below NIA WC STATU- IOTH- TORY LIMITS I FR EL EACH ACCIDENT El. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ PROPERTY 5,000 DESCRIPTION OF DPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of National City, its Officials, Agents and its Employees are additional insured per attached blanket additional insured endorsement SB-146932-E 06/11. CERTIFICATE HOLDER CITY The City of National City 1243 National City Blvd. National City, CA 91950 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE m aipteii ,(LedeAr.dus ACORD 25 (;.010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This event will foster a sense of community and promote pride in the Filipino cultural heritage; build collaboration and cultural understanding among the filipinos and the Filipino americans — young and old alike; and promote empowerment in the community of exponential wealth of diverse strengths and backgrounds! The Filipino Americans of San Diego County will honor the 115th Philippine Independence — and as you all know —the Filipino Americans is the next largest ethnic group in our city which doubles during the day - the program will include participation from various groups representing businesses, civic organizations, local government, educational institutions, public agencies, and nonprofit organizations showcasing arts and crafts, local talents, and trade. This has been a tradition of our community celebrating the annual commemoration of the Philippine independence in the center of it all - the City of National City! Footprint (Tentative Map) Mabuhay Festival - Pinoy Tayo - Kaya Natin! Honoring the 115th Anniversary of the Philippine Independence Kimball Park in National City, California Saturday, June 8, 2012 @ l0am - 4pm For more information, please call: Ditas Yamane @ (619) 474-5300 P-Portables - Wash Sink B - Food Booth A -Public Address DR - Dressing Room Mabukav ystivaf ILSth philippin¢ Independent SATURDAY, TUNE 8. 2013 . 10:00AM - 5:00PM NATIONAL CITY, CALIFORNIA