Special Event, Vigil for Democracy

Council Action

__ Approved

-- Denied

Cty of

----Date • ·-·- ·-· -·-·-. -. -·-·-·-·- ·- ·-·-·-·'

�*EST.1060

102 Butler Street• P. 0. Box 86 • Saugatuck, Ml 49453 Phone: 269-857-2603 •Website: www.saugatuckcity.com

SPECIAL EVENT & PARADE APPLICATION

Must be filled out in its entirety & returned to the City Clerk's Office 60 days prior to scheduled

A\IAnt

SPONSORING ORGANIZATION INFORMATION

LEGAL BUSINESS NAME: .SavgcJud< Dot,J\6,S' Brt.1:1 ·rl'.ldi v15;· h}es

TELEPHONE:

C ONTACT NAME:

TELEPHONE:_

MAILING ADDREss:_

E-MAIL ADDRESS:_

,------._____

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;--.;,.r __•__ 1 --=,......-:;--,

____,

CONTACT PERSON ON DAY OF EVENli CONTACT NAME:

fiJ/r/

tt.biLod----

NAME OF EVENT:

�on-Profit

D For-Profit

D Marathon/Race

0 Festival/Fair \

. >-J,-:< o:JC rJ /7_ J

EVENT INFORMATION

PURPOSE OF EVEN�:Y?v�,

EVENT LOCATION:

DATE(S) OF EVENT! ;js,l(&'

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RAIN DATE:I�:;5_...),:gg:

D City Operated/Sponsored

□ Video/Film Production

__,

TELEPHONE:_...... 9'--'flm.,....----,..,.- -· ____. r � CELL PHONE:.,_____._.____ ._j_

E-MAIL ADDRESS:_ _ __,1___;-;____..,,.....__ ..___ 1;

✓ l/rj/(1/c-. �l(Jrf/!i!_-y

___

-,__

D Co-SponsoreU--------]

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i Aclv6.; "'.$ Sd .J p 'I id.let �V\

Cous\\\·1�/cx\\ef<MJ) EVENT HOUR"s:--� � _, G, ��O -q '.'3D ._J

f'J.._d-...;..:¾�-------====== 6.Ll.Q"--�u.�f +P..;_( O_I...J.;__._•1 .;.;. ESTIMATED NUMBER OF ATTENDEES:,-1-)1..

______________ /7; �-� o=�-· __'2_� ESTIMATED NUMBER OF VOLUNTEERS:._tt'? ..:..... -=..,...,

TT)_}Ji- »l> _.,;;_.-fl>/' ____ □A.M. _;fP.M. ESTIMATE DATE/ TIME FOR CLEAN-UP:�%"1'·bt?�p1�, □A.M. ),�{P.M. ESTIMATE DATE/ TIME FOR SET-UP:

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EVENT DETAILS WILL MUSIC BE PROVIDED DURING THIS EVENT: TYPE OF MUSIC PROPOSED:

)i Live

)l. Yes

□ No

� Amplification

D Recorded

)/. Loudspeakers

END: c;.·�-V fP"-1 /! jt) f111 FOOD VENDORS/CONCESSIONS: (Contact Allegan County Health Department) □ Yes

PROPOSED TIME MUSIC WILL BEGIN:

□ Provide Copy of Health Department Food Service License

)('No WILL ALCOHOL BE SERVED AT THIS EVENT: □ Yes □ Provide Copy of Liquor Liability Insurance (listing the City as additionally insured) □ Provide Copy of Michigan Liquor Control License If yes, describe measures to be taken to prohibit the sale of alcohol to minors:------------

, No WILL FIREWORKS BE APART OF EVENT: □ Yes □ Provide Copy of Liability Insurance (listing the City as additionally insured) □ Provide Copy of Fireworks Permit EVENT SIGNAGE: City Council approval is required for any temporary signing in the public right-of-way, across a street or on City property. Which of the following signs are requested for this event:

"YARD" SIGNS - Number requested:_ (Maximum size is 2' x2'. Cannot be displayed no more than 15 days prior to first day of event and must be removed 24 hours after end of event.)

BANNER UNDER SAUGATUCK PALETTE SIGN - (Size cannot be greater than 14' x 4'). Cannot be displayed more than 15 days prior to first day of event and must be removed 24 hours after end of event.) 'Di.>� 11: _ , • , ttrlf\.:td,u,'l,IJ.t.S SIGNAGE AT EVENT SITE - Location(s): ':315ns w,,� our Lo�o - gt:JJt.!vck Description of signs: kc..\lr,.,-, �� :t\u w;c:.k.J 7a, k

Dc.sl!ts

(Signs at event site cannot be displayed prior to day of the event and must removed at the end of the event.)

TENTS/CANOPIES/MISC: The City of Saugatuck does not have tents, stage, tables or chairs available for rental. There are a number of businesses listed in the yellow pages under "Rental Service Stores" that specialize in the rental of event supplies. Will the following be constructed or located in the event area:

□ BOOTHS - QUANTITY ______ □ AWNINGS-QUANTITY______ □ PORTABLE TOILETS-QUANTITY_____

□ TENTS - QUANTITY--------

x�ABLES-QUANTITY \ �M-'l ��(e.

VENDOR PARKING: Have you made arrangement for vendor parking? □ Yes

� No

If yes, where do you propose your vendors park?___________________ Will the Interurban be utilized? □ Yes

T ime(s)_____________

DEPARTMENT OF PUBLIC WORKS □ DENIED APPROVED

Authorized Personnel Signature

Will this event require the use of any of the following municipal equipment:

D Yes

□ No

□ BARRICADES - QUANTITY----□ TRASH RECEPTACLESQUANTITY_____ □ TRAFFIC CONES-QUANTITY □ PARKING SIGNS-QUANTITY____ p6ELECTRIC □ RESTROOM CLEANING □ WATER □ FENCING □ OTHER·---------------------------------POLICE DEPARTMENT APPROVED

□ DENIED

Authorized Personnel Signature

ADDITIONAL OFFICERS REQUIRED? □ Yes

If yes please describe & include times

Other {describe):. ________________________________

SAUGATUCK TOWNSHIP FIRE DISTRICT APPROVED □ DENIED

STREET CLOSURES: D Yes

Authorized Personnel Signature

¢ No {use attached map to outline proposed closures)

Street closure date/time:_ _ ____

_____ DA.M. DP.M.

Street re-open date/time:______

_____ DA.M. DP.M'.

SIDEWALK CLOSURES: D Yes

Ji9 No {use attached map to outline proposed closures)

Describe Sidewalk Use:___________________________ Sidewalk closure date/time: Sidewalk re-open date/time: --------

PARKING LOT CLOSURES: □ Yes

-----□ A.M. □ P.M. _____DA.M. □ P.M.

11No {use attached map to outline proposed closures)

Parking Lot Location: ________.____________________ Sidewalk closure date/time:________ Sidewalk re-open date/time:__ ___

----- □ A.M. □ P.M.

-----□ A.M. □ P.M.

What parking arrangements are proposed to accommodate potential attendance:_______

APPLICATION CHECK LIST

lp, Completed Application � Event Map (includes detailed event layout for vendors, booths, porta potties, etc.)

NKJ Road/Sidewalk/Parking Lot Closure Map e,cJ Certificate of Insurance (listing the Oty of Saugatuck as additionally insured) l'{l>CJ Fireworks Permit (if applicable) �� Michigan Liquor Control Commission Special Event License (if applicable)

NflsJ Health Department Food Service License (if applicable) If document is missing, please explain: See t\Yl O'" N f\. l:!• ;-

Ace l:tA. �Le..

The applicant and sponsoring organization understand and agrees to: Provide a certificate of insurance with all coverages deemed necessary for the event, name the City of Saugatuck as an additional insured on all applicable policies and submit the certificate to the City Clerk's Office no later than one (1) week following notice of the event approval. Comply with all City and County Ordinances and applicable State laws, City policies and acknowledges that the special events permit does not relieve the applicant or organization from meeting any application requirements of law or other public bodies or agencies. Applicant and sponsoring organization further understands the approval of this special event may include additional requirements and/or limitations based on the City's review of this application. The applicant and sponsoring organization understands that it may be necessary to meet with City staff during the review of this application and that City Council approval is necessary. Applicant understands that he/she is responsible for contacting the Michigan Liquor Control Commission and/or Allegan County Health Department to secure all permits required for this event. Applicant agrees to defend, indemnify and hold harmless the City of Saugatuck, Michigan from any claim, demand, suit, loss, cost of expense or any damage which may be asserted, claimed or recovered against or from this Special Event by reason of any damage to property, personal injury or bodily injury, including death, sustained by any person whomsoever and which damage, injury or death arises out of or is incident to or in any way connected with the performance of this contract, and regardless of which claim, demand, damage, loss cost of expense is caused in whole or in part by the negligence of the City of Saugatuck or by third parties, or by the agents, servants, employees or factors of any of them. As the duly authorized agent of the sponsoring organization, I hereby apply for approval of this Special Event and affirm the above understandings. The information provided on this application is true and complete to the best of my knowledge.

Date