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Home My WebLink AboutTUP APPLICATION•Type of Event: Public Concert Fair Festival Community vent Parade Demonstration Circus Block Party Motion Picture Grand Opening )(Other r d Event Title: ( Event Location: Event Date(s): From p to Actual Event Hours: OO /prn to �ame Total Anticipated Attendance: 550 (500 .Participants Spectators) Setup/assembly/construction Date: 08 0 119 Start time: 61 00 CArn Please describe the scope of your setup/assembly work (specific details): 30-15 V,W Yf frost\ cDetc:), civ s WV) ciLk vvi twtei', BSI Dismantle Date: 14- Completion Time: List any street(s) requiring closure as a result of this event. and time of closing and day and time, of,reopening, am/49 f3, CelL1 Dectir Or, Include street name(s), day 'L, 7155-)5435)-- timpawinit) A A *it faurusewm Sponsoring Organization: Chief Officer of Organization (Name) • Applicant (Name):Address Ot ocrum T Daytime Phone: Evening Phone: (0 ib Fax (9 (I) (-fT) -Co E-Mail: f 1-1(60 iffilt)31A( Contact Person "on site" day of the event: uccu ly4 NOTE; THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS • Is your organization a "Tax Exempt, nonprofit" organization? X YES _ NO Are admission, entry, vendor or participant fees required? X YES _ NO _ILYES, please explain the purpose and provide amount( ): cooy c`�fl _ C` C1 try �� (lair, $ i... SOO Estimated Gross Receipts including ticket, product and sponsorship sales from this event. Estimated Expenses for this event $ „3, ,coo What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this event? • Please provide a DETAILED DESCRPT1ON 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. 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: i ) 0. t YES NO Does the event involve the sale or use of alcoholic beverages? YES NO Will items or services be sold at the event? If yes, please describe: — YES 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. 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 canor -,? If,YES: Nu ber of tent/canopies r10 Sizes 0 )1��`"�� NOTE: A separate Fire Department permit is required for tents or canape YES NO Will the eve nt involve the use of the City or your stage or Pksystem R 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 .nd/or Food Preparation areas Pleas. d scribe how f at the event: .. vvi(1 bp o`t it If you intend to cook food in the event area please s ecify the metid: `) GAS ELECTRIC - CHARCOAL) OTHER (Specify): pod will be served Portable and/or Permanent Toilet Facilities Number of portable toilets: I 0 (1 for every 250 people is required, unless the applicant can show that there are facilities in the immediate area available to t e public during the event) Tables # and Chairs # €! yI ,' ry µ-~ rr Fencing, barriers and/or barricades :. 'l"sa u,,:3 14' 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 Cher 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 conclus'on of the event the area must be retu n d to a clean condition.) Number of trash cans: Trash containers with lids: >d,La c an -up and removal of waste and garbage during and after the event: Please describe your procedures for both Crowd Control and Internal Security: _ YES NO Have you hired any Professional Security organization to handle security arrange e is for this event? If YES, please list: YES Security Organization: Security Organization Address: Security Director (Name): Phone: 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: 4°L.Qase,indicate whatArrangement you have made for providing f irst Aid Staffing and Equipment. PI asdescribe our ceslit� . Pf forr access at your event by individuals with d'sabififes: - pyY e provide a detailed description oaf ygur PARKING ..Ian; Please describe your plan for DISABLED,PARKING: i cµ k‘i `y\fir Please escribe yo„Jr plans t notify all r-sidents, businesses and churches imp event: NOTE: Neighborhood resideWs rnusf, be natqfied 72 hours in advance whe scheduled in the City parks, coed by the le n events ara 7, 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: Number of Bands: t. 1.z 521fACI Type of Music: C c ) C A ,a C YES _ NO VVill sound amplification be used? If YES, please indicate: Start time: 0 (an /pm Finish Time - s C am p YES _ NO Will sound checks be conducted prior to the event? If YES, please indicate: Start YES time: m Finish Time a p m Please describe the sound equipment that will be used for your event: 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 PUB] IC 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 ., Person in Charge of Activity Address C`01 \di Telephohe( t Date(s) of Use HOLD RMLESS A, Rit 7 Qom 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 n._...r, Certificate of Insurance Approved Date National City Chamber of Commerce Automobile Heritage Festival and Car Show August 9, 2014 9AM-4PM MILE OF CARS