Park Use and Special Event Permit Policy and Application 201 West Sierra Avenue, Cotati CA 94931 (707)792-4600
Name of Applicant or Organization: CoCAl ACCORDION FESTIVAL Name of Contact: SCOTTGOR&6TaX ID# (it Non-Profit: 68-0343110 Address: CA 94952
SO MESON AR PECULINA
State Zip Code
Phone Number: 707 479-5481 Email Address: [email protected] Date of Event: 8/194 Arrival/Completion Time: 8AM to 8fM Estimated Attendees: 50 cas Type of Special Event: ACCORDIN FESTIVAL PARKING
PARK REQUESTED:
La Plaza Park Kotate Park Sunflower Park
Draper Park Falletti Park Santero Park
Putnam Park Veterans Park Civic Center (Cator) Park
# 960E. COATI AVE
Alcoholic Beverages Sold: Yes No Food served: Yes Sold
Street Closure Requested: Yes No Park Closure Requested: Yes No Animals: Electricity Needed: Yes No
Inflatable Jump House: Yes No Film Production: (if yes, see pg. 10) Yes No As an applicant for a City of Cotati Park Use and Special Event permit, facilities, 1 hereby agree to assume all risks for loss, damage, liability, injury, cost or any expense that may arise during or be caused in any way by use or occupancy of any area or facility of the City of Cotati. I further agree that in consideration of being permitted to use said facility, I will hold the City of Cotati, its officials and employees free and harmless from any loss, liabilities, damages, and/or injuries to persons and property occurring during applicant's use or public liability insurance as stated in "Park Use and Special Event Permit Policy" with the City of Cotati named as additional insured to be submitted no later than one month prior to the rental date. I have read the rules and regulations of rental carefully and agree to them as written. I understand that applications not submitted thirty (30) days prior to event may not be able to be processed.
I, the undersigned, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that myself and others attending my event may be exposed to or infected by COVID-19.I agree to having all attendees follow CDC and Sonoma County Department of Public Health recommendations for enhanced health and safety measures related to COVID-19 and follow all posted instructions achile is aloird, and potentia dip on ement for social distancing, wearing of face coverings, paricipant grouping, types of Applicant Signature: Date: 7(11/2023
Date of Application: 7111 Date Insurance Received:
Additional Comments/Conditions:
-
Park Use Feet Deposit Received: Deposit Returned:
101-00-60702-000000 101-00-35002-000000
NA NA
Street Closure Fee: Restroom Cleaning Fee:
101-23-64022-000000 101-24-80188-CLEANS
Group Classification: Cotati Resident Non - Resident C ABC License Received Please describe your event in more detail here. Include information such as agenda for the event. For events in La Plaza Park, use the attached map to indicate location of shade tents, tables, etc.
PARKING FOR ACLORDION FESTWAL
FILM PERMITS ONLY:
Production Type: Production Name: Number of Days Filming:_ Name of Production Company: _ Contact Name and Email:
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