Temporary Event Permit

TEMPORARY EVENT PERMIT

Permit Number:    Application Date:

WHEREAS

WHEREAS, Applicant Name: , Organization: , having principal address at , seeks authorization to conduct a temporary event described herein.

WHEREAS, Event Name: proposed to occur at Location: , with Event Start Date: and Event End Date: .

NOW, THEREFORE, subject to the terms and conditions set forth in this Temporary Event Permit and any attachments incorporated herein, the issuing authority may grant permission to Applicant to conduct the described temporary event.

SCOPE OF EVENT

Describe the activities, services, equipment, and operations to be conducted under this permit:

EVENT DETAILS

Amplified Sound:    Food Service:    Alcohol Service:

REQUIRED ATTACHMENTS

Applicant must submit the following with this application. Check each item submitted:

Site plan

Proof of insurance

Security plan

Food safety / health approval

Traffic / parking management plan

PAYMENT TERMS

INSURANCE AND INDEMNIFICATION

Applicant shall procure and maintain, at Applicant's expense, policies of insurance with limits sufficient to protect the public and the issuing authority from claims arising out of the event. Applicant shall indemnify, defend and hold harmless the issuing authority, its officers, employees, and agents from and against any claims, liabilities, losses, damages or expenses arising from Applicant's acts or omissions in connection with the event, except to the extent caused by the gross negligence or willful misconduct of the issuing authority.

TERM AND TERMINATION

Permit Effective Date: ; Permit Expiration Date: .

This permit may be suspended or revoked by the issuing authority for breach of any condition of approval, public safety concern, significant noncompliance, or by mutual written agreement. Termination for cause is effective upon written notice; termination for convenience requires days' prior written notice.

CONFIDENTIALITY

Applicant acknowledges that records submitted in connection with this permit may be public records under applicable law. To the extent confidential business information is submitted, Applicant must clearly mark materials as confidential at the time of submission. The issuing authority will make reasonable efforts to protect legitimately confidential information, but makes no guarantee of nondisclosure when disclosure is required by law or court order.

Applicant acknowledges and agrees to keep confidential any non-public security procedures, emergency plans, or operational details provided by the issuing authority. Applicant initial here to acknowledge:

CONDITIONS OF APPROVAL

The following conditions, if applicable, shall be complied with as a condition of issuance: provision of portable toilets, trash removal, noise mitigation measures, security personnel, barricades, traffic control, cleanup deposit, and any other condition reasonably required to protect public health, safety and welfare.

GOVERNING LAW

This permit and any dispute arising under it shall be governed by and construed in accordance with the laws of the jurisdiction of , without regard to choice-of-law principles.

ENTIRE AGREEMENT

This Temporary Event Permit, including all attachments and conditions of approval incorporated by reference, constitutes the entire agreement between Applicant and the issuing authority with respect to the subject matter hereof, and supersedes all prior negotiations, representations, or agreements, whether written or oral.

APPLICANT REPRESENTATIONS

By signing below, Applicant certifies under penalty of perjury that the information provided in this application is true and correct, that Applicant will comply with all applicable laws and permit conditions, and that Applicant will promptly remedy any violation or condition cited by the issuing authority.

Sign Now