SUMMARY OF EVENT
DESCRIPTIONSAr sun
6/25 g l/24 2002
Event Date
Event Title Festa do Divino Espirito Santo Festa
Bodo do Leite on 6125 Queen's procession on bi26
Location Religions Celebration of the Holy Spirit. Includes Description
a cow parade on saturday and a parade
of queens and dignitaries on Sunday.
Event Category Athletic/Recreation Concert/Performance Circus / Carnival Exhibits/Misc. Farmer/Outdoor Market Dance
_ Festival/Celebration L Private Event • Other:
Parade/Procession/March (not open to the public)
SAT sun
sur
Number of Participants (units and floats): 30 30 Number of Spectators: 200 | 200 Anticipated Number of Attendance: Total # 400 Number Per Day 200 DATE/TIME sun
Setup Date 6/25/22/6126/22 Time Bam| 8xm Day of Week Sat/ Sun Event Starts Date 10|25/22/4/26/22 Time 10:30 / 10mm Day of Week Sat/Sun Event Ends Date 4125/22/4/24/22 TimelPM PO Day of Week Sat/Sun Dismantle Date 1125/22/6/24/22 Time 2pm 12pm Day of Week Sat / Sun Yes No
Is this an annual event? How many years have you been holding this event? +20 years Is your event part of a larger marketing campaign (i.e. Back to School Block Party & Safety Fair, Apricot Fiesta, etc.)?
If yes, please list
PARK LOCATION • North Park • Garza Park none
VENURE • South Park Sports Complex
(Select one or more)
1 SUMMARY OF EVENT, continue
NEIGHBORHOOD Northeastern Patterson (includes Downtown Patterson & Plaza Circle) REGION / Southwestern Patterson (includes T.W. Patterson Sports Complex) Northwestern Patterson
] Southeastern Patterson
L All four regions
NEIGHBORHOOD REGION MAP
2nd Si
Northwestern Northeastern
Patterson Paterson high School Patterson
Walmart Supercenter e
Southwestern Southeastern
Patterson Patterson
* see Special Event Planning Guide with approved street closure for the Plaza Circle - under Street Closure Information on pages 5-7
2 APPLICANT AND HOST ORGANIZATION INFORMATION
A written communication from the Chief Officer of the Host Organization authorizing the applicant and/or professional event organizer to apply for this Special Event Permit on their behalf must be submitted with your permit application.
Host Organization Patterson FDES
Chief Officer of Host Organization David Fernandes
Applicant Name Maria Azevedo
E-mail Address [email protected]
Address: Street 501 Ward Avenne
City Patterson State CA Zip 45363
Telephone: Day 2094139706 Evening 2096139706 Cell same
Please list any professional event organizer, event service provider, or commercial fund-raiser hired by you that is authorized to work on your behalf to plan, produce and/or manage your event.
Applicant Name: not applicable
E-mail Address
Address: Street
City State Zip
Telephone: Day Evening Cell
ORGANIZATION STATUS/PROCEEDS/REPORTING
Yes No
• 64 Is the Host Organization a commercial entity?
Is the Host Organization a bona fide tax exempt, nonprofit entity? If yes, you must attach to this application a copy
• Are patron admission, entry or participant fees required? If yes please provide amounts:
• X Are vendor or other fees required?
If yes please provide amounts:
VENDORS
Yes No
Does your event include food vendors? If yes number of tents/canopies:
• Will any of the food vendors be cooking or heating food on-site? How many:
What methods will be used (check all that apply)? 7 Gas • Electric • Charcoal • Other What is your plan for disposing of grease, charcoal and/or waste water? * see Special Event Planning Guide for Vendor Requirements 3 VENDORS, continue
Yes No
Will items or services be sold at your event?
If yes, please describe or attach a complete list of vendors and include a sample of the vendor pass that will be used. _
Will items or services sold at your event present unique liability issues (e.g. body piercing, massage, animal rides, etc.)?
If yes, please describe or attach a complete list of vendors.
SITE PLAN/ROUTE MAP
Your event site plan/route map should be submitted in blueprint or CAD format and include but not be limited to:
An outline of the entire event venue including the names of all streets or areas that are part of the venue and the surrounding area. If the event involves a moving route of any kind, indicate the direction of travel and all street or lane closures.
The location of fencing, barriers and/or barricades. Indicate any removable fencing for emergency access. N The provision of minimum twenty foot (20') emergency access lanes throughout the event venue.
The location of first aid facilities and ambulances.
The location of all stages, platforms, scaffolding, bleachers, grandstands, canopies, tents, portable toilets, booths, beer gardens, cooking areas, trash containers and dumpsters, and other temporary structures.
A detail or close-up of the food booth and cooking area configuration including booth identification of all vendors cooking with flammable gases or barbecue grills Generator locations and/or source of electricity.
Placement of vehicles and/or trailers.
Exit locations for outdoor events that are fenced and/or locations within tents and tent structures.
Identification of all event components that meet accessibility standards.
Other related event components not listed above.
NARRATIVE
Please provide a narrative and timeline of your event. You may provide this information as an attachment if necessary. 25l22 We will organize at 5o ward beginning at sam, strEEt LinE up AT 10:30 AM, PARADE BODO POLEITE BEginS II AM - mANCH TO CHURIA PERPORM BLESSING RETURN TO HALL 12:30-1 pm DISmAnE cLEM up 1-2 pm 6/26/22 8Am- organize at hall 10 Am stREET LInEmA 10:30 mARCH TO chune 12-12:30 Line up Return To Hand 1pm. DIsmAnnE/CLEAN up BErNCEn 1-2 pm
SECURITY PLAN
Yes No
Have you hired a licensed professional security company to develop and manage your event's security plan? If yes, you are required to provide a copy of the security company's valid Private Patrol Operator's License issued by the State of California.
Security Organization: MAsHpu securim - Anthony Marshall Address: Street PO BOx 551
City_ Keokuk State lowa _ Zip_ S24 32
Telephone: Day209 $042287 Evening Cell
Private Patrol Operator License # 14638
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application.
Our security will have guards) patrol parking Lot
outside hall, within the hall, at the doors and door of bar.
There grinds will help with parade road closure and
crowd control
MEDICAL PLAN
Yes No
Have you hired a licensed professional emergency medical services provider to develop and manage your event's medical plan?
If yes, please list:
Medical Services Provider:
Address: Street
City State Zip
Telephone: Day Evening Cell
Paramedic, EMT) and types of resources that will be at your event and the manner in which they will be managed and deployed. Your plan should include hours of setup and dismantle of medical aid areas. You may attach the plan to this application if necessary.
5 ACCESSIBILITY PLAN
This checklist is intended to serve as a planning guideline and may not be inclusive of all City, County, State and Federal access requirements. You may attach more detailed information if necessary:
Yes No
Will there be a Clear Path of Travel throughout your event venue? Please describe It is a straight rout, between st a chanc
Have you developed a Disabled Parking and/or Transportation Plan (including the use of public trans- portation or shuttle services) for your event? Please describe transportation i nin at our location me obber disabled parking
Will a minimum of 10% of portable rest rooms at your event be accessible? Please describe AT HALLA WE HAVE RESTROOM AD cHuC
Will all food, beverage and vending areas be accessible? Please describe._. accessible
These are cleen putts to beverages and seating tor
Will all signage be provided in highly contrasting colors and placed so pedestrian flow will not obstruct its visibility? Please describe Any signage will be visible on walls, doors, posts
If an information center is provided at your event will customer service representatives be available to assist disabled individuals? Please describe not applicable If all areas of your event venue cannot be made accessible will maps or programs be made available to how the location of accessible rest rooms, parking, phones (it any), drinking fountains, and first alc stations? Please describe not applicable
PARKING AND SHUTTLE PLAN
Yes No
• X Will your event involve the use of a parking and/or shuttle plan? If yes, please describe or provide an attachment of your plan
STREET CLOSURE INFORMATION
Yes No
Will your event involve street closures?
Name of streets) to be closed: (Attach additional pages as needed; or for moving events such as parades, runs, walks,marches, etc. indicate "see route" and attach the approved map.) see hett pase EmAItEn copy do may
Street Name between
Start Time End Time
STREET CLOSURE INFORMATION, continue
ward 1, Saladao, ' 10 am 2 pm
Street Name between and Start Time End Time
see rovote map. 10 am 2pm
Street Name between and Start Time End Time
STREET OF EVENT CLOSURE LOne Lane L Two Lane - Half of Street X Full Street (Select one or more)
Closure Type: A Rolling Street Closure (street opens to normal traffic after participants pass) Hard Street Closure (street closed for an extended period of time and/or event equipment will be placed in street for duration of the event; no vehicle access) Yes No
Will your event requiring encroachment on City right-of-way or public facilities (park, sidewalks, facilities? **Please refer to Page16 and Attachment "O" for a list of Best Management Practices (BMPs) that must be implemented during your event.
ENTERTAINMENT AND RELATED ACTIVITIES
Yes No
Are there any musical entertainment features related to your event? If yes, complete the following information or provide an attachment listing all bands/performers, type of music, sound check and performance schedule.
Number of Stages What are the dimensions?
If yes, please describe
Number of Performers/Bands 3-5 marching bands
Performer/Band name and musictype marching band during parade Will sound checks be conducted prior to the event?
If yes, Start time J0 pm Finish time9 pm
L Will sound amplification be used?
If yes, Start time 10 Arm Finish time 9 pm
XI Do you plan to have a patron dance component to either live or recorded music at your event? If yes, please describe Portuguese dancers duning paradels) Please describe the sound equipment that will be used for your event mobile PA system, band (marching)
Will inflatables, hot air balloons or similar devices be used at your event? If yes, please describe
-Does your event include the use of fireworks, rockets, lasers, or other pyrotechnics? If yes, please describe
Will your event include the use of any signs, banners, decorations, or special lighting? If yes, please describe
7 ALCOHOL
* see Special Event Planning Guide (pages 9-11) for Alcohol Management Plan Yes No
Does your event involve the use of alcoholic beverages? If yes, please check all that apply: X Beer X Wine X Distilled Spirits Explain your sales plan (ticket system, cash at service area, etc.): TICKET SYSTEM / CASH AT
SERVICE PREA
Explain who will serve the alcohol (professional bartenders, volunteers, etc.): Volunteers comprised of committee and members
Yes No
Is the event open to all ages?
Explain how IDs will be checked, wristbands applied and how you will monitor for underage drinking: Security guards to be posted at bar door, ID's will be checked be secuity if age is questionable
Yes No
Do you have an alcohol sponsor?
if yes, explain:
TENTS
Yes No
X Will your event include tents or canopies for vendors? (Food and non-food vendors) Number of tents / canopies:
If yes, indicate on the site map and explain
8 TENT PERMIT APPLICATION
Location of tent:
Date of set-up: Date of take down:
Event Date(s): Start Time:
Event Sponsor:
Event Address:
City: State: Zip:
Sponsor Contact: Phone:
Rental Company:
Address:
City: State: Zip:
Rental Contact: Phone:
Brief Description of Event:
Estimated Attendance:
Applicant Signature: Date:
Tent Permit Fees are $159.00. A check made payable to the City of Patterson Fire Department shall be submitted with this application.
*Permits that require after hours inspection will be billed by invoice for the inspection. Normal inspection hours are Monday - Friday 8:00 am to 5:00 pm. 9 PORTABLE REST ROOMS
You are required to provide portable rest room facilities at your event, unless you can substantiate the sufficient availability of both ADA accessible and nonaccessible facilities in the immediate area of the event site which will be available to the public during your event.
Yes No
Do you plan to provide portable rest room facilities at your event? If yes: Total number of portable toilets
Number of ADA accessible portable toilets
If no: Please explain:
Rest Room Company
Address: Street
City State Zip
Telephone: Day Evening Cell
Equipment Setup: Date Time
Pickup: Date _ Time
SANITATION AND RECYCLING
Number of Trash Cans
walla
Number of Trash Cans with Lids
Number of Dumpsters with Lids
(One for every increment of 400 people)
Number of Recycling Containers
Sanitation Company:
Address: Street
City State Zip
Telephone: Day Evening Cell
Equipment Setup: Date Time Pickup: Date Time
Please describe your plan for cleanup and removal of recyclable goods, waste and garbage during and after your event.
HALL AnD Church have trash cans available for use. We also hame designated people to help pick up trash, recyclabies during and after event.
10 MITIGATION OF IMPACT
Yes No
• L Have you meet with the residents, businesses, places of worship, schools and other entities that may be directly impacted by your event? * see Special Event Planning Guide for requirements If yes, please attach a complete list of these entities.
If no, please explain
Do you have a sample of the notice that you propose to distribute two weeks prior to your event? * see Special Event Planning Guide for sample of the notice If yes, please attach
If no, please explain
MARKETING AND PUBLIC RELATIONS
Yes No
Will this event be marketed, promoted, or advertised in any manner? If yes, please describe Social Media: Facebook, Instagram, Radio Stations KLBS, EmAiL mnnouncements
Will there by live media coverage during the event?
If yes, please describe
• Will media vehicles be parked within the event venue? If yes, please describe safety plan
Do you plan to place signs or hang banners on City property? If yes, please describe
11 INSURANCE REQUIREMENTS
Name of Insurance Agency Western Valley Insurance
*see Special Event Planning Guide for insurance requirements Address: Street
City State Zip
Telephone: Day Evening Cell
Contact Name Luis Oliveira
Policy Number
Yes No
Have you submitted the Certificate of Insurance & Additional Endorsement? (Your permit will not be issued until both the Certificate of Insurance and Additional Endorsement have been received.) If you do not have insurance, contact HUB International Insurance for Special Event coverage. For more information visit www.eventinsure.com
AFFIDAVIT OF APPLICANT
I have read the rules and regulations contained in this document and agree to abide by these rules and regulations. I am duly authorized by the Organization to submit this application on its behalf and agree to be financially responsible for any fees and costs that may be incurred by or on behalf of the event in the City of Patterson. I certify that the information that I have provided on this application is true and accurate to the best of my knowledge. If the event details change, I agree to submit a revised application or provide additional information in writing at least 30 days prior to the event.
Name (please print) MARIA Azevedo
manah
Signature
§5/2/22 A9986189
Date _ "Driver License #
Additional Documentation Required: Please attach a current copy of your Driver's License or California ID to complete application.
12 Thank you for completing your Special Event Permit Application.
Before you submit your application to the City of Patterson, please make sure that the following steps have been completed:
Have you?
• Signed and dated your application?
Attached your event site plan?
Attached your event security plan?
Provided a copy of your security company's Private Patrol Operator's License? Attached your event medical plan?
Attached a copy of your accessibility plan?
Attached your event parking and shuttle plan?
Attached a complete entertainment list and schedule?
Included letters of support or endorsement from impacted entities and community groups within your venue area?
Provided samples of communications that will be distributed to impacted residents, businesses, schools, places of worship and other entities? Attached your Certificate of Insurance and Additional Endorsement? Attached a copy of your IRS 501(C) tax exemption letter, if applicable? Submit your completed permit application to:
City of Patterson
Recreation & Community Services
1033 W. Las Palmas Ave.
Patterson, CA 95363
This information is available in alternative formats upon request. → Printed on Recycled Paper (REC. 06/20)
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