CITY OF CATHEDRAL CITY
(Staff Use Only)
68-700 Avenida Lalo Guerrero
Cathedral City, CA 92234 case No: SUP 23-004
(760) 770-0396 - Phone
(760) 770-0399 - Fax
Related Files:
Cathedral City
SPECIAL USE PERMIT - GENERAL CITY LIMITS
Please Read: It is advisable to submit applications for review 60 days prior to commencement of the use or event to ensure adequate review of the application. We must have a minimum of 30 days prior to the event. If you have any questions while completing this application, please ask a member of the Planning Department for assistance. For recurring events, a schedule must be submitted every 3 months. In order for the City to process a Special Use Permit Application, the application fee must be submitted with the completed application.
Depending on the type of event or its location, you may also be required to provide a Clean-up/Damage Deposit.
The appropriate fee must be paid prior to the event. Incomplete applications will not be accepted (or process may be delayed). (PLEASE PRINT OR TYPE)
NAME OF EVENT:
SEP 08.2023
CITY OF CATHEDRAL CITY
CHECK TYPE OF EVENT PLANNING DEPARTMENT
Carnival / Circus Concert / Performance
Block Party Art Show / Outdoor Market
communty
Special Shows (vehicle display / auctions) Political Rally / Protest [spocia Pryinet Parade / Race / Marathon other Foalty Upgradlypes
w/ Home Detest Fandation
and Veteran Village
LOCATION OF EVENT:
Address: 30-400 LANDAL BIvo. CATHEDRAL CITY, CA 92234
Indoors Outdoors
DATE(S) OF EVENT: _/__/_ through /
HOURS OFEVENT: 5:00(AMPM through |_ 0V AMeN if mutile days, please indicate dates and times below)
October 24th 2023 (Tuesday)
EVENT SET-UP DATE: 10,24,231ME: 1 30(AM)M
TEAR DOWN DATE: 10, 24, 2TIME: 12.00 AM/PM)
DESCRIPTION OF EVENT (This should be promotional in nature and cannot exceed 250 words):
The Salvation Army a Veterans village selected as recipient for the Home Depot Foundation to be the "Hust" location to reciend a number It property up grade and repair through 400 plus it Volineers. Both The Salvatin Art Fome Depot Fantas. and Veterans Village yill benart growth EXPECTED ATTENDANCE PER DAY (List all that apply): The work and support of the 10124(2DAY 1: 500(160) _Morning 500(400) Afternoon N/A Evening DAY 2 Morning Afternoon Evening
DAY 3 Morning Afternoon Evening
Is your event attendance geared towards minors only? _ Yes No If yes, event employees may be required to undergo background checks.
Is this a reoccurring event? Yes No
If yes, approval may be needed by the City Council. Please provide dates and schedule:
A one time event an opporterity for the salvatie Army
+ Veterans.
Do you have a business license with the City of Cathedral City? . Yes No If no, you must obtain an annual business license or a special event business license with the City.
Do you have subcontractors and vendors providing a service or selling a product? No
If yes, each subcontractor and vendor must hold an annual business license or a temporary special event business license with the City.
Do you or a vendor of yours plan to serve or prepare food? X Yes No If yes, you must obtain proper permits from Riverside County Department of Environmental Health.
If yes, the Cathedral City Fire Department life safety / fire inspections must be conducted prior to food being served. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
Will alcohol be served? - Yes No
If yes, you must obtain proper permits from California Department of Alcohol Beverage Control.
If yes, you must obtain Liquor Liability Insurance naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
If yes, you must have a minimum of one security officer checking identifications for proper age, one security officer per entrance and exit, and one security guard for crowd monitoring (a minimum of three security guards during all alcohol serving times).
If yes, who will be pouring and serving the alcohol? N/A Will your event utilize tents or canopies? Yes No
If yes, proper permits must be obtained by the Cathedral City Fire Department and life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
The organizer of the event must ensure that all tents and canopies are properly weighted against wind gusts.
Will your event utilize bouncy houses, inflatables, slides, amusement rides or hot air balloons? Yes No
If yes, the Cathedral City Fire Department life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
If yes, you must obtain liability Insurance denoting coverage for inflatables and naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
If hot air balloons, each hot air balloon must obtain insurance of no less than a $1 million in liability coverage naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured. A copy of the insurance certificate must be presented to the City before the hot air balloon can be utilized for the event.
Will your event have amplified sound and/or music? Yes No If yes, please specify the type of amplification: It will be durin a 1o minute opening Will your event bring in a temporary stage, truss rig system, and/or lighting? cesemoing.
Yes No
If yes, the stage installer and/or owner must obtain liability insurance of no less than $1 million in coverage that names the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
Will your event use searchlights or laser lights? Yes No If yes, searchlights and/or laser lights that shoot above 50 feet in the air need F.A.A. approval as parts of Cathedral City is under the flight path of Palm Springs International Airport.
Will your event use fireworks or pyrotechnics? Yes No
If yes, proper permits must be obtained by the Cathedral City Fire Department and life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections. Additional liability insurance must be obtained.
SECURITY, PUBLIC SAFETY, AND SANITATION
Are you hiring security for your event? Yes No
If yes, the security company must have a valid Private Patrol Operator's License issued by the State of California. A copy of the license must be presented to the City prior to the event.
Please describe your security plan including crowd control, internal security or venue safety, age identification checks (if applicable) and or attach your plan to this application.
We are working with the Vendor (Hone Depst) to organize their volunteer (crow Leaders i stoff) to monter and have a secunty, We mal also have city Polio utties to montor and postel on critical traffic area (Due to road closure.
• Please note that if you plan to use Cathedral City Police Department, the billable rate for police officers is $135 per hour per officer. CCPD will bill the event directly. Partial or all anticipated payments may be due prior to the event. The availability of CCPD police officers for your event may not be guaranteed without prior notification of at least 30 days.
What is your First Aid or Medical Plan for your event?
Wo mil have TSA (The Salvatin Arm Stat core, supert
and mary an conder or needs. How Depst personnel
will ata be preset to support in a case is reamired..
Do you plan to provide portable toilets? V Yes _No
If yes, the number of portable toilets: 4
If yes, the number of ADA accessible portable toilets: _ ND/NA If yes, when are the portable toilets being delivered (Date and time): TBD
If yes, when are the portable toilets being picked-up (Date and time): TRD If yes, will the portable toilets be serviced during your event? Yes * No How do you plan to collect and remove trash and debris during the event? Home Depot will manage the collation and ramoud of trash debris.
The property owers will falle up in other verains in the proporty. • A clean-up/damage deposit of $600 or more may be required if using city property.
EVENT ENTERTAINMENT
Do you plan to have any musical or speaking entertainment for your event? Yes X No If yes, please list the names of the band/performers, genre of music:
Name of Band / Performer/ Speaker Genre of Music
A complete list must be provided to the City prior to the event. The City reserves the right to deny the performance of any band or act that has a history of creating public safety concerns. The City also has the right to require additional security and/or insurance coverage at the organizer's expense for acts that have a history of creating public safety concerns.
APPLICANT AND HOST ORGANIZATION
The Salvation Army-Davis Center (Calhodra (It)
Host Organization:
Chief Officer of Host Organization: Ma or Neil Navarro
Host Organization's Website:_ Coochelavolisalvationarmy.or Applicant Name: Neil Navarro
Street Address: 30 - 400 Landan Blrd.
city: Calhedral City State: CA Zip: 92234
Telephone Prior to the Event: (310, 991-4942
Telephone During Event: (312) 991. 4942_ Phone number of on-site representative who can be contacted during the event, for emergencies or event coordination.
Fax: (
Email Address of applicant: [email protected] Previous Events managed or operated by the Host Organization and/or Applicant:
AFFIDAVIT OF APPLICANT
I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief that I have read, understand and agree to abide by the rules and regulations governing the proposed Special Event under the Cathedral City Municipal Code and I understand that this application is made subject to the rules and regulations established by the City Council and/or the City Manager or the City Manager's designee. Applicant agrees to comply with all other requirements of the City, County, State, Federal, and any other applicable entity which may pertain to the use of the Event venue and the conduct of the Event. I agree to abide by these rules, and further certify that I, on behalf of the Host Organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any costs and fees that may be incurred by or on behalf of the Event to the City of Cathedral City.
Neil Navarro
Printed Name of Applicant / Host Organization
Title
care of Administer.
Signature
Date 9/7/2023
PROPERTY OWNER
Name: The Salvation Army... Neil Navan) Go The Sivatio Army Street Address: 16941 Keegan Avenne
City: Carson _ State: CA Zip: 90746
Phone Number: (562) 264-3679
Fax: (213, 488-1791
Email Address: [email protected]
SUBMITTAL REQUIREMENTS:
Application Fee: $300 If fewer than 500 attendees, $600 if more than 500 attendees, OR $100 for neighborhood block parties - payable to "City of Cathedral City" Non-profit certification (if applicable)
Clean-up / Damage Deposit (if applicable)
Provide all necessary insurance coverages (must be submitted prior to the event) Signed documentation from the property owner agreeing to the use as specified in this application.
Proof of Insurance with a minimum of $1,000,000 in liability coverage naming City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City 92234 as an additional insured (must be submitted prior to the event)
Proof of all applicable licenses and permits required by local, state and federal agencies (must be submitted prior to the event)
Proof of Cathedral City Fire Department inspections and permits, if applicable (must be submitted prior to the event)
Please Provide a Site Map of Your Event (this should include the following, if applicable):
1. Buildings 8. Generators
2. Temporary Improvements 9. Any Street Closures / Signage
3. Portable Toilets Plan
4. Vendor Locations 10. Lighting
5. Parking Areas 11. A.D.A. Path of Travel
6. Driveways 12. Trash Dumpsters
7. Stage
DETERMINATION OF APPLICATION (Staff Use Only)
ACTION TAKEN: APPROVED DENIED
If approved, see attached Conditions of Approval.
If denied, provide reason(s):
APPROVED BY: DATE:
Date/Time Received Received By: Amount Received: Receipt No(s):
ACORD® CERTIFICATE OF LIABILITY INSURANCE
715/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement or this certificate does not confer rights to the certificate holder in lieu of such endorsements).
Mickey Arzaga
PREFERRED TRANSPORTATION INSURANCE No. Ext): (714)666-6691 FAX, No): (714)333-4657 1601 E Lincoln Ave, Ste 201 [email protected] Orange, CA 92865 INSURERS) AFFORDING COVERAGE NAIC #
License #:0E39027 INSURERA: Philadelphia Indemnity Ins. Co 18058 INSURED INSURER B:
Landry Hampton Jr. dba INSURER C:
Landrys Limousine Service INSURER D:
11361 Hubbard Street INSURER E:
Moreno Valley, CA 92557 INSURER F:
CERTIFICATE NUMBER: REVISION NUMBER:
INSR TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR INSD. WYD.
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES Ea occurrence:
MED EXP (Any one person) $
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO- $
POLICY JECT LOC PRODUCTS - COMP/OP AGG
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMI
a acciden 1,500,000
ANY AUTO BODILY INJURY (Per person)
OWNED SCHEDULED 4/13/2023 4/13/2024 BODILY INJURY (Per accident) S A AUTOS ONLY AUTOS PHPK2541461
HIRED NON-OWNED $
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTIONS
WORKERS COMPENSATION STATE ERH
AND EMPLOYERS LIABILITY Y/ N
N/ A E.L. EACH ACCIDENT
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S
jes. describe und
ÉSCRIPTION OF OPERATIONS belo E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE J. Koebel: Captain THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Divisional Secretary for Business ACCORDANCE WITH THE POLICY PROVISIONS.
The Salvation Army So Cal Division AUTHORIZED REPRESENTATIVE 16941 Keegan Avenue
Carson, CA 90746 Mein An
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CITY OF PALM DESERT License Number: 2016-066600
73-510 Fred Waring Drive Expiration Date: 10/30/20
Palm Desert, CA 92260
760.346.0611
BUSINESS LICENSE
BUSINESS NAME:
SALVATION ARMY A CALIFORNIA CO
BUSINESS LOCATION: CERTIFICATE
O OUTSIDE CITY NOT TRANSFERABLE
NON PROFIT/CHARITABLE ORGANIZATION
BUSINESS OWNER:
SALVATION ARMY A CALIFORNIA CO
30400 LANDAU BLVD
The party shown is granted this certificate pursuant to license CATHEDRAL CITY, CA 92234 and Permit Provisions of the Municipal Code. This is not an endorsement of the activity, nor certification of compliance.