HomeMy WebLinkAboutTUP APPLICATIONType of Event:
_ Public Concert
Parade
Motion Picture
Fair
Demonstration
Grand Opening
Festival
Circus
Other _
Community event
Block Party
Event Title: 9/11 Remembrance Ceremony_—__
Event Location: Station #34, 343 E. 16th Street Event Date(s): From 9/11 _ to 9/11
Actual Event Hours: _ 6 _ am/pm to _ 10 am/pm
Total Anticipated Attendance: _ 60 ( 20 Participants _,50 Spectators)
Setup/assembly/construction Date: 9/11/13 Start time: 6:00 a.m.,
Please describe the scope of your setup/assembly work (specific details):
Dismantle Date: 9/11 Completion Time: 12 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. ,,�--yy.
"I)" AN cone from 151/' to 16th Street. From 0600-1000 on•7il1)iFit l t liA)teinber 11, 201 y
Sponsoring Organisation: National City Fire Dept.
C'hicfOfficer of Organization (Name) Frank Parra
Applicant (Name): Don Miner
Address: 343 E. 1611' Street, National City, CA 91950
Daytime ('hone: (619) 336-4555 I,vening Phone: ( )
Fax: (619)_ 336-4562._ F-Mail:
Contact Person "on site day oldie event: Don Miner Cellular: (760) 715-6385_
NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT
AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS
yitaa Ai. 4 litAx
Is your organization a "TaxExempt, nonprofit" organization? _ _ YES NO
Are admission, entry, vendor or participant fees required? YES NO
If YES, please explain the purpose and provide amount(s):
Estimated Gross Receipts including ticket, product and sponsorship
sales from this event.
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.
The National City Firefiohters for the 14y) Annual remembrance eand salute to the
343 firefighters who made the supreme sacrifice on 9/11/2001. Breakfast will be
served from 7:00 a.m. until 8:30 a.m. Retired FDNY Firefi2hter Brennan Savage
may he the key note speaker. The NCFI) and the NCI'D color guard will present the
naLt salute. This request is to shut down D Avenue in front of the Fire Station in
order to park fire apparatus.
YES X NO lithe event involves the sale of cars, will the cars come exclusively from National
City car dealers?
YES X NO Does the event involve the sale or use of alcoholic beverages?
YES X- 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
X--
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.
-X 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 X NO Does the event involve the use of tents or canopies? If YES:
Number of tent/canopies Sizes
NOTE: A separate Fire Department permit is required for tents or canopies.
YES ENO Will the event involve the use of the City stage or
In addition to the route map required above, please attach a diagram showing the overall layout
and set-up locations for the following items:
D Alcoholic and Nonalcoholic Concession and/or Beer Garden areas.
D 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:
GAS ELECTRIC CHARCOAL OTHER (Specify):
D 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)
D Tables and Chairs (t) 4ftb) is 150 6A-1 ps
D Fencing, barriers and/or barricades
D Generator locations and/or source of electricity
D Canopies or tent locations (include tent/canopy dimensions)
D Booths, exhibits, displays or enclosures
D Scaffolding, bleachers, platforms, stages, grandstands or related structures
D Vehicles and/or trailers
D Other related event components not covered above
D 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:
3
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Please describe your procedures for both Crowd Control and Internal Security: NCP� l
be on site for crowd control and internal security
_ YES X 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 X 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.
NCFD will be on site for rovidin first 'd
•
Please describe your Accessibility Plan for access at your event by individuals with disabilities:
Sidewalks will not be blocked in order to allowaccess to
individuals with disabilities.
Please provide a detailed description of your PARKING plan:
Parking will be provided hehiud Fire qtition #34
Please describe your plan for DISABLED PARKING:
Pa rk i ncJ,Fnr�,� pA in Ovided
behind Fire Station #34.
4
distributed and churches will be
two weeks prior to the
NOTE9 event.
residents must be notified 72 hours in advance when events are
scheduled in the City parks.
: Neighborhood
YES X 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:
Type of Music:
YESX NO Will sound amplification be used? If YES, please indicate:
Start time:
Number of Bands:
am/pm Finish Time am/pm
YES X NO Will sound checks be conducted prior to the event? If YES, please indicate:
Start 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:
am/pm Finish Time
YES XNO Any signs, banners, decorations, special lighting? If YES, please describe:
Revised 08/10/05
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FILE EIOWNLOAb PRINT ara
City of National City
PUBLICPROPERTY USE INDEMN(Fl A11ON AGREEMENT SS ANO
Persons requesting use of City property, facilities or personnel ere required to
provide a minimum or S1,000.000 combined single limit insurance for bodily
injury and property damage which ncludes the City, its officials, agents and
employees named as additional insured and to sign the Hold Harmless
Agreomont. Genii eat° 01 insurance must be attached to this permit.
Organization __ _
Person In Charge of Activity
Address
ieleplranc .,.
Dete(s) of Use
HOLD HARMLESS AGREEMENT
As a cnndilien of the issuance 01 a temporary use permit to conduct its rwtivities
on bootie or private property, tie undersigned Thereby agrees) to defend,
indemnify and hold harmless the City of National City and the Parking Authority
and its officers- employees and agents tram and against any and aft clams,
demands. ebsls, losses, liability or, for any personal infdry, death or property
damage, cc both, or any lingafion and other hablity, including attorneys tees and
the coots of ljt, noon, arising nal of cr related to Me use of public property or The
activity taken under the permit !Ty the per niaee or its agents. employees or
contractors.
Soianrce of Applicant Chloe T:YP. Cain
l
din
-7-1)
For Ohme Uae orri
Certificate of Insurance Approved Date
,10111,111,.1 i.n an 1
h.Eie IMVQGNE O•n,E
hapm ://blu171.mail.live.corn/mail/ViewOfficePreview.aspx?messageid—mg... 7/15/2014