Event Permit Authorization Form

EVENT PERMIT AUTHORIZATION FORM

RECITALS

WHEREAS, Applicant Name: (the "Applicant") seeks authorization to hold the event described herein; and

WHEREAS, Authorizing Entity: (the "Authority") has the legal jurisdiction or property control to grant such authorization under applicable ordinances and policies; and

WHEREAS, the parties desire to set forth the terms, conditions, fees, and operational requirements under which the Authority will authorize the Applicant to conduct the event.

EVENT INFORMATION

Expected Attendance:    Event Start Date:    Event End Date:

Event Start Time:    Event End Time:

SCOPE OF WORK / OPERATIONAL PLAN

Applicant shall perform and submit the following operational plan and scope of work. The plan must include site layout, staging, ingress/egress, ADA access, sanitation, waste management, parking and traffic control, electrical and generator use, fire safety, and crowd management measures.

ACTIVITIES & REQUIREMENTS

Activities (check all that apply):

Amplified music/sound Food service Alcohol service Open flame / pyrotechnics Tents/temporary structures

Required attachments submitted with this application (check): Site plan Insurance certificate Security plan Food vendor permits

INSURANCE & INDEMNIFICATION

Applicant shall maintain at its expense commercial general liability insurance naming the Authority as additional insured with limits not less than One Million Dollars ($1,000,000) per occurrence and such other coverage as required by the Authority. Applicant agrees to defend, indemnify and hold harmless the Authority, its officers, agents and employees from any claims, liabilities, losses or expenses (including reasonable attorney fees) arising out of Applicant's acts, omissions or operations in connection with the event, except to the extent caused by the Authority's gross negligence or willful misconduct.

PAYMENT TERMS

Permit Fee Amount: $

Payment Schedule:

Late Payment Penalty:

Refund / Cancellation Policy:

TERM AND TERMINATION

Permit Term Start Date:    Permit Term End Date:

This authorization may be terminated by the Authority upon written notice to the Applicant if the Applicant fails to comply with any material term of this authorization, poses an imminent threat to public safety or health, or otherwise violates applicable law. Applicant may terminate by providing notice: Notice Period (days):

CONFIDENTIALITY

Except as required by law or by the Authority's obligations to the public, each party shall keep confidential any non-public proprietary information disclosed by the other party and shall not disclose such information to third parties without prior written consent. This obligation does not apply to information that is or becomes public through no fault of the recipient or that was rightfully known to the recipient prior to disclosure.

GOVERNING LAW; ENTIRE AGREEMENT

Governing Law: This authorization shall be governed by and construed in accordance with the laws of the state or jurisdiction in which the event is held. Venue for any dispute shall be the courts of that jurisdiction.

Entire Agreement: This form, together with any attachments and approvals referenced herein, constitutes the entire agreement between the parties regarding the subject matter and supersedes all prior negotiations and agreements. Any modifications must be in writing and signed by both parties.

CERTIFICATION

By signing below, Applicant certifies that all information provided is true and accurate, that Applicant will comply with all conditions of this authorization, applicable laws, codes, ordinances and regulations, and that Applicant will pay all fees and obtain insurance and approvals as required by this form.

APPLICANT CONTACT INFORMATION

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