SUMMARY OF EVENT
DESCRIPTION
December 3, 2022
Event Date
Event Title Santa Comes to Town Parade and Trees in the Park
EVENT LOCATION
Dow
Location
Description
Event Category Athletic/Recreation Concert/Performance _ Circus / Carnival Exhibits/Misc. • Dance
parate Outor Market Other:
Festival/Celebration
Parade/Procession/March (not open to the public)
Number of Participants (units and floats): 30+ Number of Spectators: 300+/- Anticipated Number of Attendance: Total #900+/- Number Per Day
DATE/TIME
Setup Date 12/3/22 Time 3 pm Day of Week Saturday
Event Starts Date 12/3/22 Time 5 Pm Day of Week Saturday Event Ends Date 12/3/22 Time Day of Week Saturday
Dismantle Date 12/3/22 Time 8:30 Day of Week Saturday
Yes No
Is this an annual event? How many years have you been holding this event? • 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
• North Park Garza Park
PARK LOCATION
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
• All four regions
NEIGHBORHOOD REGION MAP
Northeastern "
Northwestern
Patterson Palterson High School C Patterson
Shenare
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-Westley Chamber of Commerce Naomi Jacobson
Chief Officer of Host Organization
Applicant Name Patterson Westley Chamber of Commerce
E-mail Address [email protected]
Address: 13 Plaza Suite 2
Street
City Patterson CA Zip 95
State
Telephone: Day 209-985-6234 Evening 209-985-6234 209-995-6234 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: Kristen Valentine
E-mail Address [email protected]
Street 111 Marguerite Lane
Address:
City Patterson State Zip 95
Telephone: Day 209-324-1105 Evening 209-324-1105 209-324-1105
ORGANIZATION STATUS/PROCEEDS/REPORTING
Yes No
• 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:
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)? Gas • Electric • Charcoal • Other What is your plan for disposing of grease, charcoal and/or waste water? N/A * 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.
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.
Community Santa Comes to Town Parade and lighting of the Christmas Trees in the Park 4 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: Patterson Police Department
Address: Street
City State Zip
Telephone: Day Evening Cell
Private Patrol Operator License #
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application.
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: Patterson Fire Dept
Medical Services Provider:
Address: Street
City State Zip
Telephone: Day. Evening Cell
Please describe your medical plan including your communications plan, the number, certification levels (MD, RN, 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
V Will there be a Clear Path of Travel throughout your event venue? Please describe 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 Will a minimum of 10% of portable rest rooms at your event be accessible? Please describe _ Will all food, beverage and vending areas be accessible? Please describe Will all signage be provided in highly contrasting colors and placed so pedestrian flow will not obstruct its visibility? Please describe
If an information center is provided at your event will customer service representatives be available to assist disabled individuals? Please describe
If all areas of your event venue cannot be made accessible will maps or programs be made available to show the location of accessible rest rooms, parking, phones (if any), drinking fountains, and first aid stations? Please describe
PARKING AND SHUTTLE PLAN
Yes No
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.) E 4pm 7pm
E Street 9th
Street Name between and Start Time End Time
6 STREET CLOSURE INFORMATION, continue
7th St 4 pm 7pm
Street Name between and Start Time End Time
F St @ Las Palmas 4pm 7Pm
Street Name between and Start Time End Time
STREET OF EVENT CLOSURE •one Lane • Two Lane L Half of Street M Full Street (Select one or more)
Closure Type: / Rolling Street Closure (street opens to normal traffic after participants pass) v 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 Flat bed trailer
Number of Performers/Bands
Performer/Band name and music type _
Will sound checks be conducted prior to the event?
If yes, Start time 4 pm Finish time
L Will sound amplification be used?
If yes, Start time4 pm Finish time &
• • Do you plan to have a patron dance component to either live or recorded music at your event? If yes, please describe
Please describe the sound equipment that will be used for your event_ DJ and PA system with microphones
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 There will be banners, decorations and Christmas lighting. 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: •Beer •Wine Distilled Spirits Explain your sales plan (ticket system, cash at service area, etc.):
Explain who will serve the alcohol (professional bartenders, volunteers, etc.):
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:
Yes No
Do you have an alcohol sponsor?
If yes, explain:
TENTS
Yes No
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.
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 2
If no: Please explain:
Salinas Portables
Rest Room Company
Address: Street 13101 N Sycamore Ave
City Patterson State CA Zip 95
Telephone: Day 209-678-2230 Evening Cell
12/3/22 Time 3 pm 12/4/22 Time 10:00am
Equipment Setup: Date Pickup: Date
SANITATION AND RECYCLING
Number of Trash Cans
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.
10 MITIGATION OF IMPACT
Yes No
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 Posters, banners and social media Will there by live media coverage during the event?
If yes, please describe Possible Facebook live
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 On fences at North / South Park and by skate park 11 DATE (M/DDAY
ACORD CERTIFICATE OF LIABILITY INSURANCE
11/29/2021
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. this certificate does not confer rights to the certificate holder in lieu of such endorsements).
CONTACT Amber Silva
(AG, No, Ext: 209-892-6226 [AC, No): 209-892-5010
Schut Insurance Services
E-MAIL
PO Box 1107 ADDRESS:
INSURERS) AFFORDING COVERAGE NAIC #
Patterson CA 95363 INSURERA: NATIONWIDE MUTUAL INSURANCE COMPANY INSURED INSURER B:
PATTERSON - WESTLEY CHAMBER OF COMMERCE INSURER C:
INSURER D:
PO BOX 365 INSURER E:
PATTERSON CA 95363 INSURER FA
COVERAGES 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.
ADDL SUBR POLICY EFF POLICY EXP
INSR (MM/DD/YYYY (MM/DD/YYYY) LIMITS
LTR TYPE OF INSURANCE INSD WVD. POLICY NUMBER
A X COMMERCIAL GENERAL LIABILITY ACP GLO 7800713129 11/04/2021 11/04/2022 EACH OCCURRENCE 1,000,000
DAMAGE TO RENTED
OCCUR PREMISES (Ea occurrence) 100,000
CLAIMS-MADE
MED EXP (Any one person) 5,000
PERSONAL & ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PRO- PRODUCTS - COMP/OP AGG 2,000,000
POLICY LOC
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY Ea accident
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUIUS PROPERTY DAMAGE
HIRED NON-OWNED
AUTOS ONLY (Per accident)
AUTOS ONLY
A UMBRELLA LIAB X ACP CAA 7800713129 11/04/2021 | 11/04/2022 EACH OCCURRENCE 1,000,000 OCCUR
X EXCESS LIAB AGGREGATE 1,000,000
CLAIMS-MADE
RETENTION S PRO / COMP OPS $ 1,000,000
DED
WORKERS COMPENSATION STATUTE
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBEREXCLUDED? N/ A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
yes, describe unde E.L. DISEASE - POLICY LIMIT S
ESCRIPTION OF OPERATIONS beld
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
ANNUAL SANTA COMES TO TOWN PARADE
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE COMMERCIAL LIABILITY PER THE ENDORSEMENT
CERTIFICATE HOLDER CANCELLATION
CITY OF PATTERSON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 PALZA THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PATTESON, CA 95363
AUTHORIZED REPRESENTATIVE
cu: Scht
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DECLARATIONS
GREATAMERICAN®
REAL ESTATE PROFESSIONAL
INSURANCE GROUP ERRORS & OMISSIONS INSURANCE POLICY
301 E. Fourth Street, Cincinnati, OH 45202
THIS IS A CLAIMS MADE INSURANCE POLICY.
HIS POLICY APPLIES ONLY TO THOSE CLAIMS THAT ARE FIRST MADE AGAINST A NSURED DURING THE POLICY PERIOD. ALL CLAIMS MUST BE REPORTED IN WRITING T THE COMPANY DURING THE POLICY PERIOD OR WITHIN SIXTY (60) DAYS AFTER THE END OF THE POLICY PERIOD.
Insurance is afforded by the company indicated below: (A capital stock corporation) Great American Fidelity Insurance Company
Note: The Insurance Company selected above shall herein be referred to as the Company.
Policy Number: RAB4443601-22 Renewal of: RAB4443601-21
Program Administrator: Herbert H. Landy Insurance Agency Inc. 100 River Ridge Drive, Suite 301
Norwood, MA 02062
Item 1. Named Insured: Greg Nunes Inc dba Greg Nunes Realty Item 2. Address: 44 N Third Street
City, State. Zip Code: Patterson, CA 95363
Attn:
Item 3. Policy Period: From 03/01/2022 - To - 03/01/2023 (Month, Day: Year) (Month. Day, Year)
(Both dates at 12:01 a.m. Standard Time at the address of the Named Insured as stated in Item 2.) (inclusive of claim expenses):
Item 4. Limits of Liability: A. $ 1.000,000 Limit of Liability - Each Claim B. $1,000,000 Limit of Liability - Policy Aggregate
C. N/A Limit of Liability - Initial Claim Expense Aggregate D. $ 500,000 Limit of Liability - Fair Housing Claims
E. $ 500,000 Limit of Liability - Fungi Claims
Item 5. Deductible (inclusive of Claim Expense): $ 5,000 Each Claim Item 6. Premium: S 6,736.00 Additional Premium 3% CA Tax 202.08 & 0.25% CA Stamping Fee 16.84 Item 7. Retroactive Date (if applicable): 03/01/2004
Item 8. Forms, Notices and Endorsements attached:
D43180 (08/19) D43444 (03/17) D43411 (05/13)
143442(03/15) D43447 (06/17) D43448 CA (06/17) D43418 (05/13) Beday a maguson IL7324 (07/21) Authorized Representaive
D43181 (03/15) Page l of 1