For Staff Use Only
File No.
Staff Approval
CC Approval
CITY OF MERCED
MERCED
City-Owned Real Property Use Permit Application
A fee of $35.00 must accompany this Real Property Use Application to cover cost of processing.
This is not a business license fee. Other fees through Fire or other City departments may be applied based on type of use. All fees shall be paid a minimum of one week prior to date of use, but please get your application in as soon as possible prior to the event. City staff can approve events which do not involve the sale or service of alcohol, but if alcohol is involved, your application will need to be forwarded to the City Council for approval. Such a request that takes City Council approval must be turned in at least SIX WEEKS prior to the event.
Dare: May 3-may may 472024
Name of Organization: VATTIANATHAM LAO FOUNDATION
Non-Profit I.D. number: 87-3121 333
Organization Address:
Mailing Address (if different):
Contact Person: ALISA SANAVONGSAY Phone Number
site Location: Parking Lot Bangles Thai Restaurant
APN Number: _
Type of Use / Description of Event (include whether or not alcohol will be served):
Las New year Celebration: May 3rd stakting at 3pm
to man sat midnight clean up by tam
Dates and Times of Use (include time for setup and takedown as well as event time):
May 3 C 3:00pm to may 4th Midnight cleanup by 1:00am
Applicant shall attach a Location Map to this application as well as a Business License application.
INDEMNIFICATION: Event Sponsor shall indemnify, protect, defend, (with counsel selected by the City) save and hold City, its officers, employees, agents, and volunteers harmless from any and all claims or causes of action for death or injury to persons, or damage to property resulting from intentional or negligent acts, errors, or omissions of Event Sponsor or Event Sponsor's officers, employees, agents, volunteers, and participants during performance of the Event, or from any violation of any federal, state, or municipal law or ordinance, to the extent caused, in whole or in part, by the willful misconduct, negligent acts, or omissions of Event Sponsor or its officers, employees, agents, volunteers, or participants, or resulting from the negligence of the City, its officers, employees, agents, and volunteers, except for loss caused solely by the gross negligence of the City. Acceptance by City of insurance certificates and endorsements required for this Event does not relieve Event Sponsor from liability under this indemnification and hold harmless clause. This indemnification and hold harmless
STREET CLOSURE APPLICATION
REQUIRING CITY COUNCIL
MERCED APPROVAL (OVER 400 FEET). MERCED
For current Fee, please see Planning & Development Fee Schedule Application:
Receipt:
CHECKLIST:
Prior to submitting your application, please confirm by checking (E) the boxes below that all the following have been completed.
Have you completed the "Description of Event" below and signed the application on page 3? (Incomplete information may delay your application.)
Have you allowed at least 8-10 weeks prior to the event for your application to be placed on a City Council agenda?
Have you obtained the required insurance and do you have proof of that insurance to submit with your application? (See "Insurance" section on page 3 for details) Has the Indemnification Agreement on page 3 of this application been signed by an authorized representative of the sponsoring organization? After obtaining approval from the City, but prior to the event, please make sure you have done the following:
Have you read the conditions of approval and is your event prepared to abide by all conditions?
Have you given public notice of the street closure to all the surrounding businesses within ½ mile at least 72 hours prior to the event as required in Condition #2 below? A form is provided at page 6 which can be used to inform the public. A copy of the form should be signed and returned to the Planning Division at least 24 hours before your event affirming that notice has been given per the above requirements.
Have you posted "No Parking" at least 24 hours prior to the event as required in Condition #1 below and using the standards outlined on page 5?
Have you arranged for "Special Event" City Refuse Service by calling 385-6800? Have you made arrangements for any temporary barricades? (The City does NOT provide the barricades for street closures.)
Have you made arrangements for supplying any necessary electricity to your event? (Plugging outlets into City light poles is NOT allowed unless prior approval is obtained Please call City Public Works at 385-6800 for additional information.) If you are selling alcohol at your event, have you obtained an Alcoholic Beverage Control (ABC) license or permit for this event?
DESCRIPTION OF EVENT:
APPLICANT/EVENT SPONSOR VATTHANATHAM LAO FOUNDATION
CONTACT PERSON ALISAK SANAVONGSAY PHONE
ADDRESS
DRIVER'S LICENSE NO L E-MAIL
Street Closure Application Over 100100y rage T
DESCRIPTION OF EVENT (Continued):
DESCRIFTION OF EVEN (include equipment, obstructions, etc., to be placed in the encroachment area LAONENUCAR CELEBRATION 4 Parade
THIS EVENT WILL SELL OR SERVE ALCOHOL: Yes X or No
ESTIMATED NUMBER OF PEOPLE IN ATTENDANCE 1,000
DATE(S) AND TIME(S) OF USE (inchude time for setup and takedown as well as event time): Man. 4,2024 bam - 1pm
EST ALL STREETS PROPOSED FOR CLOSURE: Maunstreet, parade route valled ste mar attached
(PLEASE ATTACH A MAP TO IDENTIFY PARADE ROUTES, STREET CLOSURES, AND ANY
OBSTRUCTIONS TO BE PLACED WITHIN THE RIGHT-OF-WAY)
STANDARD CONDITIONS FOR STREET/PARKING LOT CLOSURES/PARADES
1. Event Sponsor shall be responsible for placing and removing traffic barricades and posting of parking restrictions. "No Parking" signs shall be posted at least twenty-four (24) hours prior to towing of vehicle(s) per California Vehicle Code Section 22651(m) see page 5.
Event Sponsor shall contact all businesses affected by the street/parking lot closure or parade advising them of hours, conditions and reason thereof within one-half mile of the encroachment area at least seventy-two (72) hours prior to the event. Event Sponsor shall provide the City confirmation that the proper notification was given. (A form is provided on page 6 to help the applicant with this requirement.)
3. Event Sponsor must remove all equipment, trash and debris, including "no parking" signs, generated by the event prior to the expiration of the encroachment permit.
4. Street closures shall not include major arterial streets.
5. Supervision/security shall be provided by event sponsor to ensure the safety of event participants and the public if required by the Police Department.
6. Event Sponsor shall pay for any City services required for supervision/security.
7. Alcoholic beverages may be served or sold, subject to Alcoholic Beverage Control Licensing Requirements, and subject to the Liquor Liability Insurance Policy of the City (see page 4).
8. Provisions addressed in Ordinance #1941 Chapter 12.42 (Temporary Street Closures) shall apply.
Event Sponsor shall be responsible for insuring that all vendors involved with the event obtain a City of Merced business license.
10. The applicant shall arrange and pay for special event City Refuse service by contacting Public Works at (209) 385-6800
11. The applicant shall comply with the Indemnification and Insurance provisions as outlined on page 3 of this application.
12. Event sponsor shall provide and maintain a minimum 22-foot-wide emergency vehicle access path into and through the closure area at all times via movable barriers. Fire hydrant access shall not be blocked at any time whatsoever.
13. 14.
(Additional conditions may be imposed as deemed necessary) Street Closure Application (Over 400 Feet) -Page 2
clause shall apply to any damages or claims for damages whether or not such insurance policies shall have been determined to apply.
INSURANCE: Prior to engaging in the event, Event Sponsor shall complete and file with the City a special events, general liability and automobile policy of at least $500,000 combined limit for bodily injury and property damage which covers the entire event. Said policy shall stipulate that this insurance will operate as primary insurance and that no other insurance will be called on to cover a loss covered thereunder. Additional insured endorsements evidencing this special events, general liability and automobile coverage, naming the City and its officers, agents, and employees as additional insureds, must be submitted to the City prior to the event. This certificate shall provide that thirty (30) days written notice of cancellation shall be given to the City.
REFUSAL OR REVOCATION OF PERMIT: Failure to comply with any law, rule or regulation applicable to the use of said streets shall be grounds to revoke any such permit and, in such circumstances, the Chief of Police shall immediately revoke said permit. The Event Sponsor or permit holder, in such case, shall have the right to appeal said revocation to the City Council.
The undersigned declares under penalty of perjury that he/she has the authority to sign for and bind the Event Sponsor to the conditions imposed by the City upon the granting of this Application.
Signature:
-
Print Name: AlisAt Sanavongsay
Date: 01/16/2024
NOTE: Falsification of this application is a misdemeanor and grounds for revocation of any permit.
For City Department Use Only
Fees paid
Proof of Non-Profit Status Insurance Receipt #
Location Map Indemnification_ By:_
Approved Denied Approved Denied
Planner Date Fire Chief Date
INDEMNIFICATION: Event Sponsor shall indemnify, protect, defend, (with counsel selected by the City) save and hold City, its officers, employees, agents, and volunteers harmless from any and all claims or causes of action for death or injury to persons, or damage to property resulting from intentional or negligent acts, errors, or omissions of Event Sponsor or Event Sponsor's officers, employees, agents, volunteers, and participants during performance of the Event, or from any violation of any federal, state, or municipal law or ordinance, to the extent caused, in whole or in part, by the willful misconduct, negligent acts, or omissions of Event Sponsor or its officers, employees, agents, volunteers, or participants, or resulting from the negligence of the City, its officers, employees, agents, and volunteers, except for loss caused solely by the gross negligence of the City. Acceptance by City of insurance certificates and endorsements required for this Event does not relieve Event Sponsor from liability under this indemnification and hold harmless clause. This indemnification and hold harmless clause shall apply to any damages or claims for damages whether or not such insurance policies shall have been determined to apply.
INSURANCE: Prior to engaging in the event, Event Sponsor shall complete and file with the City a special events, general liability and automobile policy of at least $500,000 combined limit for bodily injury and property damage which covers the entire event. Said policy shall stipulate that this insurance will operate as primary insurance and that no other insurance will be called on to cover a loss covered thereunder. Additional insured endorsements evidencing this special events, general liability and automobile coverage, naming the City and its officers, agents, and employees as additional insureds, must be submitted to the City prior to the event. This certificate shall provide that thirty (30) days written notice of cancellation shall be given to the City.
REFUSAL OR REVOCATION OF PERMIT: Failure to comply with any law, rule or regulation applicable to the use of said streets shall be grounds to revoke any such permit and, in such circumstances, the Chief of Police shall immediately revoke said permit. The Event Sponsor or permit holder, in such case, shall have the right to appeal said revocation to the City Council.
The undersigned declares under penalty of perjury that he/she has the authority to sign for and bind the Event Sponsor to the conditions imposed by the City upon the granting of this Application.
Signature:
Print Name: LISAK SAPAVOLGAY
Date: 01/T4/2024
OFFICE USE
APPLICATION APPROVED SUBJECT TO CONDITIONS
BY DATE
Development Services Department (385-6858)
BY DATE
Merced Police Department (385-6912)
BY DATE
Merced Fire Department (385-6891)
Street Closure Application (Over 400 Feet)-Page 3
DEVELOPMENT SERVICES DEPARTMENT CITY OF MERCED 678 W. 18TH ST, MERCED CA 95340 PHONE (209) 385-6858
LIQUOR LIABILITY INSURANCE -POLICY-
YOU HAVE APPLIED FOR STREET CLOSURE/PARKING LOT CLOSURE AND HAVE
INDICATED THAT ALCOHOLIC BEVERAGES WILL EITHER BE SERVED OR SOLD AS PART OF THE FUNCTION OR ACTIVITY BEING CONDUCTED AT THIS EVENT.
THE MERCED CITY COUNCIL HAS ADOPTED ORDINANCE #1941 CHAPTER 12.42
TEMPORARY STREET CLOSURES WHEREAS WHEN ALCOHOLIC BEVERAGES ARE TO BE
SERVED OR SOLD, THE GROUP OR INDIVIDUAL SHALL BE REQUIRED TO COMPLY WITH ALL OTHER LAWS RELATING TO THE SALE OF ALCOHOLIC BEVERAGES.
FOR GROUPS SELLING ALCOHOLIC BEVERAGES AT A FUNCTION OR ACTIVITY, WE
RECOMMEND THAT YOU CONTACT YOUR INSURANCE CARRIER TO OBTAIN SPECIFIC
INFORMATION ON COVERAGE OR CONSIDER CONTRACTING WITH A CATERER WHO ALREADY HAS THE NECESSARY PERMITS, LICENSES, AND INSURANCE COVERAGE.
WHETHER YOU SELL OR SERVE ALCOHOLIC BEVERAGES, IT IS YOUR RESPONSIBILITY
OR YOUR GROUP'S RESPONSIBILITY TO COMPLY WITH THE RULES AND REGULATIONS
OF THE CALIFORNIA STATE DEPARTMENT OF ALCOHOL BEVERAGE CONTROL WITH REGARD TO OBTAINING THE NECESSARY LICENSES OR PERMITS. SHOULD YOU HAVE
ANY QUESTIONS REGARDING THE REQUIREMENT FOR A LICENSE OR PERMIT, YOU
SHOULD CONTACT THE CALIFORNIA STATE DEPARTMENT OF ALCOHOL BEVERAGE CONTROL, 31 EAST CHANNEL STREET, ROOM 168, P. O. BOX 150, STOCKTON, CALIFORNIA 95201; TELEPHONE (209) 948-7739.
I CERTIFY THAT I HAVE READ AND REVIEWED THE LIQUOR LIABILITY POLICY OF THE CITY OF MERCED AND WILL COMPLY WITH THESE REQUIREMENTS. some Samo DATE 01/16/2024
EVENT DATE Lao New Year Gelebration
LOCATION OF EVENT Bangkok Thai Restaurant Parking Lot
N:shared/planning/applications/city-ownedrealpropertyuse.doc DEVELOPMENT SERVICES DEPARTMENT CITY OF MERCED 678 W. 18TH ST, MERCED CA 95340 PHONE (209) 385-6858
LIQUOR LIABILITY INSURANCE -POLICY-
YOU HAVE APPLIED FOR STREET CLOSURE/PARKING LOT CLOSURE AND HAVE INDICATED THAT
ALCOHOLIC BEVERAGES WILL EITHER BE SERVED OR SOLD AS PART OF THE FUNCTION OR ACTIVITY BEING CONDUCTED AT THIS EVENT.
THE MERCED CITY COUNCIL HAS ADOPTED ORDINANCE #1941 CHAPTER 12.42 TEMPORARY STREET
CLOSURES WHEREAS WHEN ALCOHOLIC BEVERAGES ARE TO BE SERVED OR SOLD, THE GROUP OR
INDIVIDUAL SHALL BE REQUIRED TO COMPLY WITH ALL OTHER LAWS RELATING TO THE SALE OF ALCOHOLIC BEVERAGES.
FOR GROUPS SELLING ALCOHOLIC BEVERAGES AT A FUNCTION OR ACTIVITY, WE RECOMMEND
THAT YOU CONTACT YOUR INSURANCE CARRIER TO OBTAIN SPECIFIC INFORMATION ON
COVERAGE OR CONSIDER CONTRACTING WITH A CATERER WHO ALREADY HAS THE NECESSARY PERMITS, LICENSES, AND INSURANCE COVERAGE.
WHETHER YOU SELL OR SERVE ALCOHOLIC BEVERAGES, IT IS YOUR RESPONSIBILITY OR YOUR
GROUP'S RESPONSIBILITY TO COMPLY WITH THE RULES AND REGULATIONS OF THE CALIFORNIA
STATE DEPARTMENT OF ALCOHOL BEVERAGE CONTROL WITH REGARD TO OBTAINING THE NECESSARY LICENSES OR PERMITS. SHOULD YOU HAVE ANY QUESTIONS REGARDING THE
REQUIREMENT FOR A LICENSE OR PERMIT, YOU SHOULD CONTACT THE CALIFORNIA STATE DEPARTMENT OF ALCOHOL BEVERAGE CONTROL, 31 EAST CHANNEL STREET, ROOM 168, P. O. BOX 150, STOCKTON, CALIFORNIA 95201; TELEPHONE (209) 948-7739.
I CERTIFY THAT I HAVE READ AND REVIEWED THE LIQUOR LIABILITY POLICY OF THE CITY OF MERCED AND WILL COMPLY WITH THESE REQUIREMENTS.
SIGNATURE 01/16/2024
EVENT DATE Man 4, 2024
LOCATION OF EVENT LaO New fear Celebration
Street Closure Application (Over 400 Feet)-Page 4