APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square Sponsoring Organization: Xxxx Xxxxxx aka Xxxxx Xxxx Chief Officer of Organization (NAME): Xxxx Xxxxxx aka Xxxxx Xxxx Applicant (NAME): 605 Business Phone: ( 000-0000 ) Address: 000 Xxxx Xx Xxxxxxxx XX 00000 (city) (state) (zip code) 000 000-0000 Daytime phone: ( ) 605 Evening Phone: ( ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Xxxxx Xxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This event is a concert as part of the Independance Celebration weeeknd to be held on Sunday, July 2 at Outlaw Square. Concert will be a free event with the show beginning at 7:30 pm until 9 pm Requesting Deadwood Street closure on July 2, 2023 - 8 am until 11:30 pm Requesting opening container zones 1 & 2 from 3 pm until 10 pm OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site Trash Containers w / lids: n/a Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Square staff will clean up Square grounds, gather trash bags from cnas and stack on corner of Square for city crew pick up ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd control will be handled by Badlands Security and Outlaw Square staff Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square is ADA compatible REQUIRED: It is the applicant’s responsibility to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Badlands Security Security Organization: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number Ambulance(s) – How provided? Number Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Businesses will be informed through public hearing notices Attendess will use Deadwood parking lots ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 pm AM / PM – Finish Time:9 pm AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 pm AM / PM – Finish Time:4 pm AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound production for the event ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing through radio commericals, social media, website, flyers and posters Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx Refer all event public inquiries and / or media inquiries for this event to: Xxxxx Xxxx NAME: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International Name of Insurance Company: Xxxxx Xxxxxxx Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square The Xxxxx Group (for Shell Oil) Sponsoring Organization: Xxxx Xxxxxx aka Xxxxx Xxxx Xxx XxXxxx Chief Officer of Organization (NAME): Xxxx Xxxxxx aka Xxxxx Xxxx Applicant (NAME): 605 314 Business Phone: ( 000-0000 ) Address: 000 Xxxx Xx Xxxxxxxx XX 00000 Xxxxxx Xxxxxxxxxx Court St. Louis MO 63144 (city) (state) (zip code) 000 000-0000 Daytime phone: ( ) 605 847 Evening Phone: ( ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Xxxxxxxxx Xxxxx Locations Name: 725 Windemere Curve Plymouth MN 55441 Address: (city) (state) (zip code) Xxxxx Xxxx Xxxxxxxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This event is a concert as part We will be conducting photography of two Class 8 semi trucks for the 2024 Shell Xxxxxxx SuperRigs calendar. We will not know whether they will be with or without trailer until the evening prior to the shoot day so we are planning for both. The first shot with Truck 1 will be conducted from 6:30-8:00 am under the Historic Main Street sign on Lower Main Street. We are in talks with the Deadwood police regarding traffic control and the closure of the Independance Celebration weeeknd small section of the street we need for the shot. We are awaiting their recommendation. If the truck includes a trailer, we will need to be held on Sunday, July have it drive down to Pioneer Way to Pine Street to turn onto Main Street and come back up to Lower Main Street because we need it facing north. The second shot with Truck 2 at Outlaw Square. Concert will be conducted from 7:45-9:30 am in front of Saloon No. 10 and include a free event re-enactment of a card game with Wild Xxxx Xxxxxx in front of the truck. We will begin setting that shot up at 7:30 am. We have received written approval from Xxxxxx Xx. 10 and the Deadwood Alive cast. We are in talks with the show beginning Deadwood Police to block off parking spaces around the shot location and will also have traffic diverted during the shoot. We are awaiting their recommendation. The truck will be approaching from the north and come down Lower Main Street to get into position. I will be providing a second application to shoot truck walk-around videos, video testimonials with each driver, and driver portrait shots, from 9:30 am to 1:00 pm in the parking lot of the Welcome Center. This photo shoot is not dependent on that as we are also looking at 7:30 pm other locations for the video In addition, the Welcome Center has informed us that the trucks can park there prior to the shots until 9 pm Requesting Deadwood Street closure they are able to move into position. They can do some final cleanup of their trucks after they drive in. They can also stay overnight on July 2, 2023 - 8 am until 11:30 pm Requesting opening container zones 1 & 2 from 3 pm until 10 pm Saturday night if needed. OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice None If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site Trash Containers w / lids: n/a Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Square staff will clean up Square grounds, gather trash bags from cnas and stack on corner of Square for city crew pick up Not applicable. ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd We are working with the Deadwood Police to block spaces and provide traffic control will be handled by Badlands Security and Outlaw Square staff Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square This event is ADA compatible REQUIRED: It is the applicant’s responsibility to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Badlands Security Security Organization: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number Ambulance(s) – How provided? Number Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant not open to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Businesses will be informed through public hearing notices Attendess will use Deadwood parking lots ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 pm AM / PM – Finish Time:9 pm AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 pm AM / PM – Finish Time:4 pm AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound production for the event ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing through radio commericals, social media, website, flyers and posters Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx Refer all event public inquiries and / or media inquiries for this event to: Xxxxx Xxxx NAME: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International Name of Insurance Company: Xxxxx Xxxxxxx Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insuredpublic.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square Naja Shriners Sponsoring Organization: Xxxx Xxxxxx aka Xxxxx Xxxx Xxxxx Chief Officer of Organization (NAME): Xxxx Xxxxx Xxxxxx aka Xxxxx Xxxx Applicant (NAME): 605 Business Phone: ( 000-0000 ) Address: 000 Xxxx 0000 Xxxxxxx Xx Xxxxxxxx XX 00000 Xxxxx City SD 57702 (city) (state) (zip code) 000 000-0000 Daytime phone: ( ) 605 Evening Phone: ( 000-0000 ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Xxxxx Xxxx Xxxxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: To enter the tasting in Outlaw Square you pay a fee. This is an annual fundraiser for t he Naja Shriners. OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This event is a concert as part Areas of the Independance Celebration weeeknd to be held on Sunday, July 2 at focus: Outlaw Square. Concert will be a free event with the show beginning at 7:30 pm until 9 pm Requesting Deadwood Street closure on July 2, 2023 - 8 am until 11:30 pm Requesting opening Open container zones zones: 1 & 2 from 3 pm until 10 pm - Wall Street to Pine Street & Outlaw Square. Requesting open container Friday: July 14th 5PM - 10PM Saturday: July 15th 12PM - 10PM Participants & attendees will be using Deadwood Chamber event cups. We will ID all tasting participants. OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES ■ Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise We will have open container event cups for sale, day of event tickets, and possible limited merchandise. NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site 10 Trash Containers w / lids: n/a 0 Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Square staff Similar to last years event we will have significant organizational manpower to assist in clean up Square grounds, gather trash bags from cnas and stack on corner of Square for city crew pick up the Street & Square. ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd control We will be handled by Badlands Security and Outlaw Square staff have hired security for the overnight. We plan to handle event security like we did last year with significant Xxxxxxx manpower, in identifiable red fezzes, located throughout the square & Deadwood Street for assistance & safety. Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square is ADA compatible REQUIRED: It is the applicant’s responsibility We do not have one. We will not impair or block any existing required by law access points to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Badlands Security Security Organization: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number Ambulance(s) – How provided? Number Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by disabled persons during the event: Businesses will be informed through public hearing notices Attendess will use Deadwood parking lots ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 pm AM / PM – Finish Time:9 pm AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 pm AM / PM – Finish Time:4 pm AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound production for the event ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing through radio commericals, social media, website, flyers and posters Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx Refer all event public inquiries and / or media inquiries for this event to: Xxxxx Xxxx NAME: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International Name of Insurance Company: Xxxxx Xxxxxxx Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square Sponsoring Organization: Xxxx Xxxxxx aka Xxxxx Xxxx Chief Officer of Organization (NAME): Applicant (NAME): Xxxx Xxxxxx aka Xxxxx Xxxx Applicant (NAME): 605 Business Phone: ( (000-) 000-0000 ) Address: 000 Xxxx Xx Xxxxxxxx XX 00000 (city) (state) (zip code) 000 000-0000 Daytime phone: ( (605) 605 Evening 717-6848Evening Phone: ( (605) Fax 641-9162Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Xxxxx Xxxx Contact person “on site” day of event or facility use Xxxxx Xxxx Pager/Cell #: 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ ■ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ ■ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This event is a concert as part of POST RACE party for the Independance Celebration weeeknd Mickleson Trail participants and supporters. The Outlaw Deck @Silverado will be pouring beer to the participants wearing their racing bibs Badlands Security will be held on Sundaychecking ID's and wristbanding those over 21, July participants will be using Deadwood Chamber event cups. Open Contain request for Zone 4(Outlaw Square) only. Event will be from 2 at Outlaw to 5 pm with band performing. Shade tents will be place throughout the Square. Concert Security will be a free event with also monitor Outlaw Square borders so no alcohol leaves the show beginning at 7:30 pm until 9 pm Requesting Deadwood Street closure on July 2, 2023 - 8 am until 11:30 pm Requesting opening container zones 1 & 2 from 3 pm until 10 pm premises. OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site Trash Containers w / lids: n/a 0 Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Outlaw Square staff will clean up clear the Square grounds, gather trash bags from cnas and stack on corner of Square for city crew - COD will pick up trash in morning. ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd control will be handled by Badlands Security handling crowd and Outlaw Square staff handling Internal Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square is ADA compatible compliant REQUIRED: It is the applicant’s responsibility to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: Badlands Security Security OrganizationOrganization Address: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD Xxxxx Xxxxxxx XX 00000 Xxxxx Xxxxxxx 000-000-0000 (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number n/a Ambulance(s) – How provided? Number n/a Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM wm APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM wm PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Businesses Deadwood City parking lots will be informed used Notification through public hearing notices Attendess will use Deadwood parking lots Public Hearing notice ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock Country/Rock/Pop ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 Time:2 pm AM / PM – Finish Time:9 Time:5 pm AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 Time:1 pm AM / PM – Finish Time:4 Time:1:30 pm AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound Sound is production for the event company ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing through radio commericals, social media, website, flyers and posters Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx Refer all event public inquiries and / or media inquiries for this event to: NAME: Xxxxx Xxxx NAMEPHONE: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International Name of Insurance Company: Xxxxx Xxxxxxx Hub International Agent’s Name: Xxxxx Xxxxxxx Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square Deadwood Volunteer Fire Department Sponsoring Organization: Xxxx X. Xxxxxx aka Xxxxx Xxxx Chief Officer of Organization (NAME): Xxxx X. Xxxxxx aka Xxxxx Xxxx Applicant (NAME): 605 Business Phone: ( 000-0000 ) Address: 000 Xxxx Xx Xxxxxx Xxxxxxxx XX 00000 (city) (state) (zip code) 000 000-0000 Daytime phone: ( ) 605 Evening Phone: ( ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Xxxxx Xxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This event is a concert as part of the Independance Celebration weeeknd to be held on Sunday, July 2 at Outlaw Square. Concert There will be a free event rolling Parade with different kinds of Fire Apparatus(Emergency Vehicles), starting at the show beginning Deadwood Fire Hall going down Main Street and ending at 7:30 pm until 9 pm the Welcome Center. Since the vehicles in the Parade are Emergency Vehicle limited assisted will be needed to block streets on Main Street. After Parade there will be a reception at the Deadwood Fire Hall. Requesting Deadwood Street closure on July 2, 2023 - 8 am until 11:30 pm Requesting opening container zones 1 & 2 from 3 pm until 10 pm of the Qwest parking lot. OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site N/A Trash Containers w / lids: n/a Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Square staff will clean up Square grounds, gather trash bags from cnas and stack on corner of Square for city crew pick up N/A ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd control Rolling Parade, traffic will be handled by Badlands Security stopped for a short time as Parade goes from Fire Hall to Welcome Center, on Main Street and Outlaw Square staff ends there. Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square is ADA compatible N/A REQUIRED: It is the applicant’s responsibility to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Badlands Security Security Organization: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number N/A Ambulance(s) – How provided? Number N/A Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM ALH APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM ALH PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Businesses will be informed through public hearing notices Attendess will use Deadwood parking lots N/A ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 pm Time: AM / PM – Finish Time:9 pm Time: AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 pm Time: AM / PM – Finish Time:4 pm Time: AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound production for the event ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing Advertising through radio commericals, social media, website, flyers and posters Deadwood FD Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx Refer all event public inquiries and / or media inquiries for this event to: Xxxxx Xxxx Xxxxxx NAME: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International City of Deadwood Name of Insurance Company: Xxxxx Xxxxxxx Agent’s Name: Business Phone: Policy Number: Policy Type: 000 Xxxxxxx Xxxxxx Deadwood SD 57732 Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
APPLICANT AND SPONSORING ORGANIZATION INFORMATION. ■ Commercial (for profit) Noncommercial (nonprofit) Outlaw Square Saloon #10 Sponsoring Organization: Xxxx Xxxxxx aka Xxxxx Xxxx Xxxxxxx Chief Officer of Organization (NAME): Xxxx Xxxxxx aka Xxxxx Xxxx Xxxxxxx Applicant (NAME): 605 Business Phone: ( 000-0000 ) Address: 000 Xxxx Xx Xxxxxxxx Xxxxxxxx, XX 00000 (city) (state) (zip code) 000 000-0000 Daytime phone: ( ) 605 same Evening Phone: ( ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Xxxxx Xxxx Xxxxxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). ✔ Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / SANITATION Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: This Bev's Poker Run is the annual motorcyle event that is a concert as part of the Independance Celebration weeeknd to be held fund raiser for Relay for Life. Motorcyle Parking is being requested on SundayJune 25, July 2 at Outlaw Square. Concert will be a free event with the show beginning at 7:30 pm until 9 pm Requesting Deadwood Street closure on July 2, 2023 - 8 am until 11:30 pm Requesting opening container zones 1 & 2 from 3 5 pm until 10 pm from Xxx St. to Wall St. as the last part of the event takes place at the Saloon #00 - 000 Xxxx Xx. Parking will be on east side of main street only. OVERALL EVENT / FACILITIES RENTAL DESCRIPTION (CONTINUED) NO YES Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this application. ■ Will items or services be sold at the event? If YES, please describe: Band merchandise NO YES ■ ■ Does this event involve a moving route of any kind along streets, sidewalks or highways? If YES attach a detailed map of your proposed route, indicating the direction of travel and provide written narrative to explain your route. Does this event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. In addition to the route map required above, please attach a diagram showing the overall lay-out and set-up locations for the following items: ⮚ Alcoholic and Non-alcoholic Concession and / or Beer Garden Areas. ⮚ Food Concession and / or Food Preparation Area(s). Please describe how food will be served at the event: Sergeant Xxxxxxx Kettle corn - shaved Ice If you intend to cook food in the event area, please specify the method to be used: GAS ELECTRIC CHARCOAL OTHER (specify): ⮚ First Aid Facilities and Ambulance locations. ⮚ Tables and Chairs. ⮚ Fencing, Barriers and / or Barricades. ⮚ Generator Locations and / or Source of Electricity. ⮚ Canopies or Tent Locations. ⮚ Booths, Exhibits, Displays or Enclosures. ⮚ Scaffolding, Bleachers, Platforms, Stages, Grandstands or Related Structures. ⮚ Vehicles and / or Trailers. ⮚ 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: 8 on site N/A Trash Containers w / lids: n/a Describe your plan for clean-up and removal of waste and garbage during and after the event or use of facility: OUtlaw Square staff will clean up Square grounds, gather trash bags from cnas and stack on corner of Square for city crew pick up ⮚ Other Related Event Components not covered above. SAFETY / SECURITY / ACCESSIBILITY Please describe your procedures for both Crowd Control and Internal Security: Crowd control will be handled by Badlands Security and Outlaw Square staff N/A Please describe your Accessibility Plan for access at your event by individuals with disabilities: Outlaw Square is ADA compatible N/A REQUIRED: It is the applicant’s responsibility to comply with all City, County, State and Federal Disability Access Requirements applicable to this event. NO YES ■ Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Badlands Security Security Organization: 00000 Xxxxx Xxxx Security Organization Address: Belle Fourche SD (city) (state) (zip code) Xxxxx Xxxxxxx Security Director (Name): Business phone: ■ Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure the safety of the participants and spectators: Outlaw Square and production company lighting will be used Please indicate what arrangements you have made for providing First Aid Staffing and Equipment? Number N/A Ambulance(s) – How provided? Number N/A Emergency Medical Technicians – How provided? APPLICANT specifically acknowledges and agrees that it shall be solely responsible for any damage to personal property located in or stored in or upon DEADWOOD’s property pursuant to the activity for which approval is being sought and that DEADWOOD shall not be responsible for any damage or loss to or of APPLICANT’s property which results from any cause or reason with regard to personal property owned by APPLICANT stored or located on DEADWOOD’s property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM cs APPLICANT agrees to hold DEADWOOD harmless and indemnify DEADWOOD from any sums of money which DEADWOOD might have to pay to any person as a result of property damage, personal injury or death resulting from APPLICANT’s use of the City property pursuant to approval of the activity for which approval is being sought herein. Acknowledge acceptance with initial: WM cs PARKING PLAN / SHUTTLE PLAN / MITIGATION OF IMPACT Please describe your plans to notify all residents, businesses and churches impacted by the event: Businesses Residence and businesses will be informed notified through public hearing notices Attendess will use Deadwood parking lots notice ENTERTAINMENT / ATTRACTIONS / RELATED EVENT ACTIVITIES NO YES ■ Are there any musical entertainment features related to your event or facilities rental? If YES, please state the number of bands and type of music. Number of Stages: 1 Number of Bands: 1 Type of Music: Classic Rock ■ Will sound amplification be used? If YES, please indicate: Start Time:7:30 pm Time: AM / PM – Finish Time:9 pm Time: AM / PM ■ Will sound checks be conducted prior to the event? If YES, please indicate: Start Time:3 pm Time: AM / PM – Finish Time:4 pm Time: AM / PM Please describe the sound equipment that will be used for your event: Powerhouse sound will provide our sound production for the event ■ Will any fireworks, rockets or other pyrotechnics be used? If YES, please attach a copy of your permit (issued by the State Fire Xxxxxxxx’x office) to this application. ■ Will any signs, banners, decorations or special lighting be used? If YES, please describe: PROMOTION / ADVERTISING / MARKETING / INTERNET INFORMATION NO YES Will this event be promoted, advertised or marketed in any manner? If YES, please describe: Event will be marketing through radio commericals, Through posters and social media, website, flyers and posters media Will there be any live media coverage during your event? If YES, please explain: Applicant acknowledges and agrees to allow the City to publish the Contact Person and media referral telephone numbers on the internet in conjunction with the Calendar of Upcoming Events in the City of Deadwood. If you have a home page and want us to link with our Calendar, please provide the Internet address for your homepage: Xxxxxxxxxxxx.xxx xxxxxx00.xxx Refer all event public inquiries and / or media inquiries for this event to: Xxxxx Xxxx Xxxxxxx NAME: 000-000-0000 PHONE: INSURANCE REQUIREMENTS REQUIRED: Insurance for your event will be required before final permit approval. Hub International Name of Insurance Company: Xxxxx Xxxxxxx Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) For final permit approval, you will need commercial general liability insurance that names “the City of Deadwood, its officers, employees and agents” as an additional insured. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact the Finance Office at (000) 000-0000 – Fax # (000) 000-0000. The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732. LIQUOR LIABILITY INSURANCE REQUIRED: This insurance coverage is required if you are planning to sell alcoholic beverages at your event or facilities rental. Name of Insurance Company: Agent’s Name: Business Phone: Policy Number: Policy Type: Address: (city) (state) (zip code) Please obtain the required insurance and mail an original insurance certificate to: City of Deadwood, Finance Office, 000 Xxxxxxx Xxxxxx, Deadwood, SD 57732.
Appears in 1 contract
