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Home My WebLink AboutTUP APPLICATIONFrom.Netional City PO Records 619 336 4454 04/02/2014 17;06 #935 P.001/006 Type of Event: Public Concert Fair Parade Demonstration Festival rcus _ Other Motion Picture Grand Opening Ot Event Title: NATIONAL NIGHT OUT Event Location: LAS PALMAS Event Date(s): From ~to $ � Actual Event Hours: 5PM_ am/pm to am/pm Total Anticipated Attendance: 400 p '`�-�-�— (___Participants Spectators) Setup/assembly/construction Date: W 3PM art time: Please describe the scope of your setup/assembly work (specific details): SET UP BBQ TRAILER, PICNIC AREAS, VOLUNTEER AND SPONSOR TABLES AND STATIC DISPLAYS. Community vent ti Block Party Dismantle Date: 8/- Completion Time: 9PM am/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. NONE Sponsoring Organization: NATIONAL CITY POLICE DEPARTMENT Chief Officer of Organization (Name) CHIEF MANUEL RODRIGUEZ Applicant (Name): SERGEANT HERNANDEZ Address: 1200 NATIONAL CITY BLVD NATIONAL CITY Daytime Phone: (61 336-4411 Evening Phone: ( ) Fax: ( ) E-Mail: AHERNANDEZ@NATIONALCITYCA.GOV Contact Person "on site" day of the event: Cellular: NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS From:Ntional City P❑ Records 619 336 4454 04/02/2014 17:07 #935 P_002/006 Is your organization a 'Tax Exempt, nonprofit" organization? XYES NO Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s): _ YES XNo $ 0 Estimated Gross Receipts including ticket, product and sponsorship sales from this event. 0 Estimated Expenses for this event. 0 What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this event? tj. e 3v.-1 31Ni`�S�d �r- r ;1,4 Y` r^3 R~•�ka:" r;::"4' '`i irh)C i " p , fi• ytirrtis 1 ±r N•1n• ysn,... nl••.•LsN+c• w.n,t•\n r+ „a1� •-.i- hy•.: jHt ,f 1!'. r.1 i,..e ,..eS. �•''_ :J't .♦. - r ..�.,, . r•. il..� '+ 1 „; r '� • - ♦ ♦ j, Y r.� .� w :� "♦i'•^'Y'" T' 5,.._••� la _. '11",r$r�1"...':S `S t' r'". att't`� • y ."i ry♦ rr w U,. Q f z 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. NCFD WILL COOK HOTDOGS AND SERVE FOOD AND DRINKS. NCPD CANINE WILL BE DEMONSTRATING AND DISPLAYING THEIR CANINE PAR NERS. NCPD SWAT WILL SET UP A STATIC DISPLAY FOR TOUCH AND TALK. NCPD TRAFFIC DIVISION WILL HAVE EQUIPMENT FOR THE COMMUNITY TO SEE. NCPD EXPLORES WILL ASSIST WITH THE EVENT. YES 410 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: From:National City PD Records 619 336 4454 04/02/2014 17:06 #935 P.003/006 _ YES %ENO Does the event involve the sale or use of alcoholic beverages? — YES !(NO Wril items or services be sold at the event? If yes, please describe: _ YES XN0 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. XYES NO Does the event involve a fixed venue site? if YES, attach a detailed site map showing all streets impacted by the event. X YES XNO Does the event involve the use of tents or canopies? If YES: Number of tent/canopies 2 Sizes NOTE: A separate Fire Department permit is required for tents or canopies. X 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: II 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: If you intend to cook food in the event area please specify the method: A GAS ELECTRIC — CHARCOAL OTHER (Specify): Portable and/or Permanent Toilet Facilities Number of portable toilets: (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 FROther 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 VOLUNTrEERS ANDnTRASremoval of THE EVENT r the event: From:N tional City PO Records 619 336 4454 04/02/2014 17;09 #935 P.004/006 Please describe your procedures for both Crowd Control and Internal Security: NCPD WILL BE ON SITE YES XNO Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: XY Security Organization Address: Security Director (Name): Phone: S _ NO Is this a night event? If YES, please state how the event and surrounding area will be il(�m r d_t8It t,�eKs f 15o tgedart�iO AV sign r„ .:SHOULD BE CONCLUDED BEFORESUN SET. P61Miteggaallfff. ent you have made for providing First Aid Staffing and Equipment. Please describe your Accessibility Plan for access at your event by individuals with disabilities: POOL IS ACCESSIBLE Please provide a detailed description of your PARKING plan: EXISTING PARKING LOT Please describe your plan for DISABLED PARKING: EXIS I INC, UbSIUNA ILL) SNO I eventPleas: describe yourpj�ptQ pQtify�Ilsjc�pts,,l�n and churches impacted by the NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. From:Na- Tonal City PO Records 619 336 4454 04/02/2014 17:09 #935 P.005/006 iY 'wr`'.yi ..._,YES XNO Are there anymusical entertainment features related to your event? If YES, please state the number of stages, number of bands and type of music. Number of Stages: Number of Bands: Type of Music: YES XNO Will sound amplification be used? If YES, please indicate: Start time: am/pm Finish Time am/pm YES XNO 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: YES XNO Fireworks, rockets, or other pyrotechnics? If YES, please describe: YES X NO Any signs, banners, decorations, special lighting? If YES, please describe: Revised 02/29/12 From:Na:ional City PD Records 619 336 4454 04/02/2014 17.10 #935 P.006/006 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 $1,000,000 combined single limit insurance for bodily injury and property damage which includes the City, its officials, agents and employees named as additional insured and to sign the Hold Harmless Agreement. Certificate of insurance must be attached to this permit. Organization NATIONAL CITY POLICE DEPARTMENT Person in Charge of Activity SERGEANT ALEX HERNANDEZ Address 1200 NATIONAL CITY BLVD Telephone 619-336-4423 Date(s) of Use 0$ /2c%14-- 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