SEP - 0018
APPLICATION FOR SPECIAL EVENT PERMIT
EVENT SPONSORED BY Chapman Crafted
NAME/DESCRIPTION OF EVENT Old TowneOrange Chili Cook Off 123 N Cypress Street, and the parking lot and paseo is located on the northwest corner of w LOCATION OF EVENT Chapman Ave & N Lemon Street
DATE OF APPLICATION, 3/19/24 _START DATE.6/22/24 _CLOSING DATE_6/22/24 EXPECTED ATTENDANCE 500 _HOURS OF EVENT. Gam-6pm
WILL ALCOHOL BE SERVED OR SOLD AT THIS EVENT? YES X NO
(ABC may need to be contacted).
WILL EVENT BE ON PUBLIC STREET? YES — _ NO x (If YES, contact Sgt. John Mancini at 714-744-7323).
WILL EVENT BE ON PUBLIC PARK? YES - NO x If YES, contact Community Services at 714-744-7274).
WILL TENTS OR CANOPIES BE USED? YES _ X (If YES, contact Planning Department at 714-744-7220 for approval of location of tents and when approved, contact the Fire Department FOR A SEPARATE PERMIT at 714-288-2541).
Number of Persons Employed to Conduct Event 25
Location of Previous Events Conducted in California (No more than two (2) permits for similar events shall be issued for a location within one (1) year)N/A
SPONSOR OR ASSOCIATION CONDUCTING EVENT (Full Name, Address, Telephone Number):
_ Chapman Crafted. 123 N Cypress St Orange. 844-855-2337 CONTACT PERSON(S) FOR THIS EVENT (Full Name, Address, Telephone number):
Jennifer Gonzalez or Wil Dee
123 N. Cypress St. Orange
THE FOLLOWING DOCUMENTS ALONG WITH THIS APPLICATION MUST BE SUBMITTED 4 WEEKS PRIOR TO THE EVENT!
BEFORE THE EVENT (OMC 17.46.050):
1. Dated and signed notice regarding water quality conditions for special events.
2. A Letter of Intent asking for approval to conduct the event, stating all the details of the event such as date, time, location, reason for or purpose of the event, activities, anticipated number of participants, food served, etc.
ANY REQUEST FOR A CARNIVAL, CIRCUS OR STREET CLOSURE MUST BE SUBMITTED THREE (3) MONTHS IN ADVANCE FOR COUNCIL APPROVAL.
3. Completed Application for Business Tax Certificate providing the name, address, phone number, business license and service to be provided for any and all vendors involved. If not applicable, so state. N/A
4. Insurance policy and a separate endorsement naming the City of Orange as an ADDITIONAL INSURED with a 30-day notice of cancellation. Minimum limits - $1,000,000 for death & bodily injury to one person, and $50,000 property damage. (If the event has anything to do with autos, "ANY AUTO" must be checked on the Certificate of Liability Insurance). (See SAMPLE). 1 5. A separate check may be required to be used as a Bond towards any City services that may be required. Any unused portion will be refunded.
6. A detailed hand drawn diagram of the event layout, showing the location of any staging areas, buildings, tents, aisles, routes, required parking and what would be taken up by the event.
7. A letter from the property owner or manager stating approval to use the premises for the event and a contact phone number.
8. A check made payable to the City of Orange in the amount of $105.00 for the application processing fee. (Subject to change if event requires other city staff time and/or services, such as permit fees, bonds, etc. and may increase to a maximum amount of $500.00)
9. Regulatory Permit if required by the OMC for events such as Carnivals (not small school events).
For fee amounts, please contact the City of Orange Business License Department at 714-744-2270.
10. If food will be served at the event, a Health Permit may be required. Contact the Orange County Health Department at (714) 433-6000. If alcohol will be served at the event, contact ABC.
11. Submit this application, all documents and required checks to the City of Orange, Special Events Coordinator. Ensure that you have obtained all required permits from other departments as necessary. (See SPECIAL DEPARTMENT CONCERNS below.)
AS SPONSOR OF THE EVENT DESCRIBED HEREIN, IT IS UNDERSTOOD THAT IF THIS PERMIT IS APPROVED, WE
AGREE TO INDEMNIFY THE CITY AND ITS EMPLOYEES, SERVANTS AND AGENTS, AND HOLD THEM HARMLESS
FROM ANY LIABILITY, PENALTY, EXPENSE OR LOSS ARISING OUT OF ANY INJURY TO ANY PERSON OR
DAMAGE TO ANY PROPERTY RESULTING FROM THE PROVISION OR FAILURE TO PROVIDE SERVICES FOR THIS
SPECIAL EVENT/PAGEANT PERMIT, INCLUDING WITHOUT RESTRICTION ANY SUCH LIABILITY, PENALTY, OR
LOSS RESULTING FROM THE AFFIRMATIVE OR PASSIVE NEGLIGENCE OF THE SPONSOR, ITS EMPLOYEES, SERVANTS OR AGENTS.
Signature_ Date. 3/19/24
SPECIAL DEPARTMENT CONCERNS: IMPORTANT INFORMATION RELATED TO YOUR EVENT PLEASE
READ/REVIEW BELOW
BUILDING DIVISION - Bleachers, stages, electrical installations may have to be approved by Building Dept. and building permits may be required. All rides, amusement devices and concessions must be accompanied by a permit from California Division of Industrial Safety.
POLICE DEPARTMENT - All games, security requirements, and ABC permits must be approved by the Chief of Police or his representative. Estimated man-hours recommended for traffic control and/or policing will be handled by the Police Department representative as required
FIRE DEPARTMENT - Tents, air-supported structures, LPGs and flame proofing must comply with requirements set forth in the California Fire Code and Title 19 of the State Fire Marshal's Regulations, and must be approved by the Fire Chief or his representative. Call Fire Prevention at 714-288-2541 and speak with Gabby Menendez with any questions.
PUBLIC WORKS - Traffic control, clean up, trash bins and containers, compliance with water quality conditions, hanging of banners, street closures.
COMMUNITY SERVICES - Availability and adequacy of park sites, clean up, trash bins and containers.
PLANNING DIVISION - On street parking, signage, noise, lights and glare. 2 **ATTENTION**
IMPORTANT NOTICE
WATER QUALITY CONDITIONS FOR SPECIAL EVENTS
1. ALL CATCH BASINS WITHIN THE IMMEDIATE EVENT
AREA WILL BE COVERED TO PREVENT TRASH, DEBRIS
AND SEDIMENT FROM ENTERING THE STORM DRAIN
SYSTEM.
2. HOSING OF STREETS, SIDEWALKS OR OTHER AREAS
IS NOT ALLOWED WHERE THE WASH WATER CAN BE
CONVEYED INTO THE CITY'S STORM DRAIN SYSTEM.
ANY WASH WATER RESULTING FROM THE SPECIAL
EVENT SHALL BE PROMPTLY VACUUMED UP AND
DISPOSED OF IN PLANTERS OR LANDSCAPE (WITH
OWNER'S APPROVAL) OR THE SEWER (IF NO HAZARDOUS
SUBSTANCES USED AND WITH OWNER APPROVAL).
3. PORT-A-POTTYS, IF USED, SHALL BE PROVIDED WITH
SECONDARY CONTAINMENT TO CAPTURE LEAKS OR
SPILLS.
I HAVE READ, UNDERSTAND AND AGREE TO ABIDE BY
THE CONDITIONS SET FORTH HEREIN.
DATED: 3/19/24
SIGNED:
CHAPMAN
CRAFTED
BEER | COFFEE
April 22, 2024
Staff At City of Orange
RE: Public Property use for Special Event
City Staff,
Chapman Crafted is requesting the closure and use of a public parking lot and paseo in conjunction with a special event. Chapman Crafted is planning the First Annual Old Towne Orange Chili Cook Off for June 22, 2024 from 6am to 6pm. We are excited to partner with a local charity, the Rotary Club of Orange, to gain charitable donations off of the event. Chapman Crafted is located at 123 N. Cypress Street in Old Towne Orange, and the parking lot and paseo is located on the northwest corner of W Chapman Ave & N Lemon Street. We have gained approval from the California Alcoholic Beverage Control to extend our normal operations to allow attendees access to the paseo and parking lot via our main entrance off of N. Cypress Street, and will be placing a 4' barrier around the parking lot and part of the paseo. We will be launching a special beer and coffee in conjunction with the show, and will pour our locally made beer (21 & over) and coffee to attendees of the show. All alcoholic beverages will be poured in distinctive plastic cups to attendees wearing wristbands that have been ID checked upon entrance. Food will be served from licensed food trucks and approved food vendors in conjunction with the Orange County Health Department as Chapman Crafted is a licensed host facility. All Chili Cooks are required to abide by the Orange County Health Department guidelines.
The First Annual Old Towne Orange Chili Cook Off expects around 20 Chili Cooks and 10-15 Local Restaurant Cooks, and to draw around 500 people over the course of the event. We will have ample staff and volunteers to control the flow of the attendees entering and exiting the premises, and to maintain a comfortable capacity within the entire area.
Please contact our Event Coordinator, Jennifer Gonzalez, with any questions regarding the event at
Thank you for your consideration of this use.
Sincerely yours,
Wil Dee
Co-Founder
Chapman Crafted
ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/11/2024
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 BELOW. 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 on this certificate does not confer rights to the certificate holder in lieu of such endorsements).
NAME: Emily Kauffman
Milestone Risk Management & Insurance Services PHONE (949) 852-0909 LAC. NO, EXTE. C, No: (949) 852-1131
License No. 0B72766 [email protected]
ADDRESS
8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NAIC #
Irvine CA 92606 Hanover American Insurance Company 36064 INSURER A:
INSURED INSURER B: Alimerica Financial Benefit ins. Co. 41840 Chapman CBG. LLC, DBA: Chapman Crafted Beer Company INSURER C : Hanover Insurance Group 123 N. Cypress Street INSURER D: Preferred Employers ins. Co. 10900 INSURER E:
Orange CA 92886
CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (MM/DDAYYY)(MA/OD/YYYY)
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000
CLAIMS-MADE OCCUR PREMISES (Ea occurrence)
MED EXP (Any one person) S10,000
A ZZ3H95599902 03/07/2024 03/07/2025 Is 1,000,000
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO = 2,000,000
POLICY JECT LOC PRODUCTS - COMP/OP AGG
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
_(Ea accident)
X ANYAUTO BODILY INJURY (Per person)
OWNED SCHEDULED AW3H95600202 03/07/2024 03/07/2025 BODILY INJURY (Per accident)
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident).
UMBRELLA LIAB OCCUR Is 1,000,000
EACH OCCURRENCE
EXCESS LIAB UH3H95600002 03/07/2024 03/07/2025 $ 1.000.000
CLAIMS-MADE AGGREGATE
DED RETENTION $
WORKERS COMPENSATION X PER OTH
STATUTE ER
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $ 1,000,000 NIA WKN166322-6 09/08/2023 09/08/2024
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) EL. DISEASE - EA EMPLOYEE = 1,000,000 f yes, describe unde 1,000,000
DESCRIPTION OF OPERATIONS belon EL DISEASE - POLICY LIMIT.
Each Occurrence $1,000,000
Liquor Liability ZZ3H95599902 03/07/2024 03/07/2025 $2,000,000 A Aggregate
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addlional Remarks Schedulo, may be attached If more space is required) Te: or orange 15 10 led as Altional insured, with respect to the L, Where required by witten contract, per the attached andoreemant form..
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Orange ACCORDANCE WITH THE POLICY PROVISIONS.
300 East Chapman Ave AUTHORIZED REPRESENTATVE
- Orange CA 92866
© 1988-2015 ACORD CORPORATION. All rights reserved.
ZZ3 H955999 01 1001687
POLICY NUMBER: ZZ3 H955999 01 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifles Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
City of Orange LOC#03
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who is An Insured is amended to ®. Vith esp in to the sue cooling to thoma include as an additional insured the person(s) or • additional additional organization(s) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily Infury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after:
caused, in whole or in part, by:
1. All work, including materials, parts or
1. Your acts or omissions; or equipment furished in connection with such
2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or
on behalf of the additional Insured(s) at the
• additional location of the covered operations has been designated above. completed; or
However: 2. That portion of "your work" out of which the injury or damage arises has been put to it
1. There only apie toed tent headled by intended use by any person or organization other than another contractor or subcontractor
law; and engaged in performing operations for
2. If coverage provided to the additional insured is principal as a part of the same project. required by
Search Google Maps Yi Restaurants pit Hotels @ Things to do IM Museums Transit # Pharmacies an ATMS This area 66°
Moderate traffic in this area Randy Ema N Cypress St
Chili Cooks &
Typical conditions
Food Vendors
Enter/Exit ONLY
Old Towne West During Set Up
oc House of Jint Parklan Shamanie
6-8am
And Break
Purple = Down 5-6pm-
10x10 EZ Up Closed for any
Booths for entry or exit
Chill Cooks access during
Public Event
Blue = Food Hours
Event Exit
Vendors 10am-4:30pm
Chapman Crafted Beer
Green =
EZ UP
Event Entrance
Red = Chili
Stage and
Veterans Mernorial tee Announcment
at Depot Park Area
DURb
Orange =
Event
Permiter
NAtchison St
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