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Home My WebLink AboutTUP APPLICATIONType of Event: _ Public Concert — Fair — Festival _ Community event _ Parade _ Demonstration — Circus _ Block Party Motion Picture _ Grand Opening _ Other Event Title: 2014 State of the City Address Event Location: Cornerstone Church. 1914 Sweetwater Road Event Date(s): From 8/7/2014 to 8/7/2014 Actual Event Hours: 5:00/pm to 8:00pm Total Anticipated Attendance: 500 Participants Setup/assembly/construction Date: 8/7/2014 Start time: 10:00 am Please describe the scope of your setup/assembly work (specific details): setting up tables, chairs. canopies Dismantle Date: 8/7/2014 Completion Time: 10:00 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. N/A Sponsoring Organization: CITY OF NATIONAL CITY Chief Officer of Organization (Name) MAYOR RON MORRISON Applicant (Name): MAYOR RON MORRISON Address: 1243 NATIONAL CITY BOULEVARD Daytime Phone: (619) 336-4233 Evening Phone: (619) 250-6091 Fax: (619) 336-4239 E-Mail: rmorrison(a nationalcityca.gov Contact Person "on site" day of the event: Josie Flores Clark_ Cellular: 619-787-3687 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? NO Are admission, entry, vendor or participant fees required? NO If YES, please explain the purpose and provide amount(s): $ N/A- Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $ N/A - Estimated Expenses for this event. $ N/A - 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. THE MAYOR WILL ADDRESS CITY RESIDENTS REGARDING CITY ACCOMPLISHMENTS TO DATE. VARIOUS RESTAURANTS WILL PROVIDE FOOD SAMPLES TO THE GUESTS AFTER THE PROGRAM. N/A - 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: NO - Does the event involve the sale or use of alcoholic beverages? NO - Will items or services be sold at the event? If yes, please describe: 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. NO - Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. • • YES - 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: WE WILL BE USING LIGHT TOWERS Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. FIRST AID STATION WITH THE CHURCH Please describe your Accessibility Plan for access at your event by individuals with disabilities: CHURCH AND FACILITY IS ADA COMPLIANT Please provide a detailed description of your PARKING plan: CHURCH PROPERTY PARKING AND SHUTTLE PROVIDED FOR TRANSPORT Please describe your plan for DISABLED PARKING: POSTED PARKING AREAS Please describe your plans to notify all residents, businesses and churches impacted by the event: N/A NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. 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: Type of Music: NO- Will sound amplification be used? If YES, please indicate: Start time: am/pm Finish Time am/pm NO - Will sound checks be conducted prior to the event? If YES, please indicate: Start time: am/'pm Finish Time am/pm • • YES - Does the event involve the use of tents or canopies? If YES: Number of tent/canopies APPROXIMATELY 15 to 25 only if the weather is bad. Sizes 12X12 NOTE: A separate Fire Department permit is required for tents or canopies. 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: n J'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: _x GAS _x ELECTRIC CHARCOAL x_ OTHER (Specify): n 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 # 45 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 nOther 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 clean-up and removal of waste and garbage during and after the event: Please describe your procedures for both Crowd Control and Internal Security: EXTRA PATROL NCPD AND CHURCH STAFF 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: Please describe the sound equipment that will be used for your event: NO - Fireworks, rockets, or other pyrotechnics? If YES, please describe: YES - Any signs, banners, decorations, special lighting? If YES, please describe: SPONSOR BANNERS, GENERATOR LIGHTING 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: CITY OF NATIONAL CITY Person in Charge of Activity: MAYOR RON MORRISON Address 1243 NATIONAL CITY BLVD, NATIONAL CITY, CA 91950 Telephone 619-336-4233 Date(s) of Use 8/07/2014 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 • 1)1410.9 oleMfla •