САНО САНА CITY OF RIALTO
SPECIAL EVENT PERMIT Community Services Department
APPLICATION Attention: Jessica Perez
Office: 214 North Palm Ave. Rialto, CA 92376
Phone (909) 820-8036 Email:[email protected]
www.yourrialto.com
GENERAL INFORMATION
BM4s Classi salute to service Location of Activity (Address):
RIALTO CIVIC CENTER
ation of Rialto/Mayor in Collaboration a/ Potentono, anas ANORAH ROBERTSON, MAyA A SCOTT MEAFEE
Maling Address 50 S. Palm Ar $ 1013 N. Pond Bikes imail:
on Site Contact am Deborah Robertson & Evaline o ScotT MaAlle Tele9h89-644-8528
DATE(S)/TIME(S) INFORMATION
та /1/ 12/23 Hours of Operation from: To9 PM
Set-up Date(s) From: T1/10
23 Set-up Times) m 03рн
To 7 pm
DESCRIPTION OF EVENT
Describe Planned Activities:
EVENT DETAILS
Estimated Attendance 500 Estimated No. of Staff / Volunteers 50-100 Will any fees be charged? LYes No
Will fees be collected on site? If so, what fees will be charge and who will the proceeds benefit? Alcoholic beverage sales/on-site consumption: _Yes _ No Electrical (provided by applicant):
* Yes _ No
If yes, attach copy of ABC Permit
If yes, type:
It is the responsibility of the Event Organizer to ensure that all Temporary Food Fallity Vendors at the event comply with food safety and sanitary requirements enforced by the San Bernardino County divisian of Environmental Health Services. All vendors selling food must have a City of Rialto business license.
Will food be served on site: Yes
Iyes, attach copy of the San Bernardino County Temporary Event Health Permit All vendors selling products must have a City of Rialto business license. Additional fees will apply. Will there be any items for sale at this event? _ Yes - _ No
For fireworks or pyrotechnics an additional application must be processed with the City of Rialto Fire Department a minimum of 90 days prior to your event.
Additional fees may apply. Are you requesting approval to provide fireworks show at the event? Will additional portable restrooms be brought to the event site? -Yes _ _ No If YES, please provide the following information.
Portable Restroom Company Name: Phone Number: Number of Restrooms:
ADA: _
Clean up of the event area immediately following the event, including trash removal from the site is the responsibility of the applicant. Burrtec Waste Industries disposal has an exclusive franchise with the city and must be used for all trash hulling. Will you require any trash containers or recycling bins? Police personnel is required for all street closures as determined by the Rialto Police Department. Additional police personnel are required for events with alcohol or large crowds. Additional fees apply. Are you requesting any public streets be closed for this event/activity? Yes No If YES, identify the streets/blocks and indicate the times the closure is requested:
A traffic control plan may be required for events which require barricades or traffic control signage. An approved traffic control plan will be required prior to Implementing any closures. Plan should specify pedestrian management traffic signal modifications, etc. Additionally, a message sign may be required, please list your traffic control plan if applicable:
Are you requesting vehicles be permitted to load/unload on city streets? _ Yes _ _No If YES, please indicate the location and times loading and unloading will occur.
Updated 3/2/2023
1 if City staff assistance is requested, the applicant will be charged additional fees to cover cost incurred by the City. Will city staff be requested? _ Yes — - No
IF YES, please explain:
IN THE SPACE PROVIDED BELOW PLEASE DESCRIBE THE PROPOSED ROUTE FOR PARADES, RUNS, WALKS, ETC. A DETAILED MAP OF THE EVENT SITE OR ROUTE MUST BE INCLUDED WITH THIS APPLICATION IF TRAFFIC CONTROL OR PARKING ARE SIGNIFICANT ISSUES.
EVENT SITE OR ROUTE MAP
A map of the event site is required, please draw your map in the space provided below or attach your map to the application upon submittal. Site Plan- should include; north arrow and drawing to scale, dimensions and shape of the lot, location and name of abutting streets and alleys, location of nearest off-site structures on the site, placement/locations of tents/canopies, identification of the use(s) within tents/canopies, interior seating plan within tents and method of seating, location, composition and height of all existing and proposed walls and/or fences, location of driveways showing all pints of ingress/egress to the site and event, parking layout showing accessible parking spaces and path of travel from the public right-of-way to the proposed event, location on site landscaping if existing, location of restroom facilities, any equipment, Storage, generator, any other materials associated with the event, location of refuse enclosures, and placement/location of temporary signage.
To be continued!
I declare, under penaity of perjury, that the information on this application is true and correct to the best of my knowledge. I further understand that knowingly providing any false information is cause for the immediate denial of a Special Event Permit or its suspension/revocation if one has been issued. I hereby state that 1 am main Mago Datin fatalien 8/2/2300 Signature of Applicant:
Updated 3/2/2023 2
PROPERTY OWNER AUTHORIZATION (for non-City facilities only) • Property Owner Agent (A letter of authorization is required to be submitted along with signature below) Name (Please Print):
Title:
Mailing Address:
Phone:
Signature Authorizing this Application:
Date:
SUMMARY OF REGULATIONS FOR SPECIAL EVENT PERMITS
GENERAL INFORMATION:
No person or entity shall operate, maintain, conduct, advertise, or provide admission for any temporary special event within the City of Rialto without possessing a permit for each such temporary special event. Applications must be submitted at least 90 days prior to the event date and at least 120 days prior for those seeking a street closure or requesting alcohol, to insure proper processing and scheduling. All special event costs will be the responsibility of the applicant/requesting organization.
SUBMITTAL REQUIREMENTS CHECKLIST:
• Site Plan
• Obtain City of Rialto Business License at least 30 days prior to the event, if applicable • Copy of Facility Reservation application/Authorization Letter, if applicable • Copy of County Health Permit at least 2 weeks prior to the event, if applicable • Copy of Rialto Fire Department operational permit, if applicable • Copy of ABC License, if applicable
• Copy of security contract and potable restroom purchase order, if applicable • Copy of certificate of liability insurance at least 30 days prior to the event INSURANCE REQUIREMENTS: Before a Special Event Permit is issued, a certificate of insurance must be submitted 30 days prior to the date of the event. Subject to approval by the City Manager and City Attorney, the following may be requirements of your event/organization:
• Minimum $1,000,000 General Liability Limit with the City named as additional insured. The endorsement page is required with the following: The City of Rialto, its directors, officials, employees, agents, and volunteers shall be named as additional insureds.
• Minimum $1,000,000 General Automobile Liability
• Minimum $1,000,000 Worker's Compensation (If the organization has paid staff) • Minimum limits of coverage may change depending on event Insurance Certificate Attached • Insurance Certificate on File • Insurance Certificate Not Available
Insurance Company: Expiration Date:
ADDITIONAL FEES AND REQUIRMENTS MAY APPLY (i.e., street closures, City personnel fees, facility and park shelter rental, etc.) SECURITY AND PORTABLE RESTROOMS: In the event that a carnival/street fair and/or alcohol service will be included in the event, an alcohol garden and security plan will need to be submitted along with a security contract and/or public safety staffing plan for review by the Police Department. Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. If applying for a carnival, a separate Application for Carnival, Circuses, etc. must be filled with the Building & Planning Department.
REVIEW PROCESS: Once the application is submitted to the Parks, Recreation & Community Services Department, the application will be reviewed. If the application is complete the applicant will be scheduled to present his/her applications to the Special Events Planning Team for review. City staff will route the application and all other associated documents to all applicable departments who will review the application and site plan. Once the Department review is complete, Staff will determine if the permit can be approved and will coordinate the processing and responses from other City departments and will contact the applicant regarding status. If the event is approved, a letter will be written for the approval which will contain conditions under which the event will be permitted to operate. A copy of this approval letter and event conditions must be kept on site for the duration of the event.
By signing below, I agree to indemnify, hold harmless, and defend the City and its officials, employees, and agents, against all claims, liabilities, and losses arising from activities connected with or undertaken pursuant to the Permit. The City is not liable for any business loss, property loss, or other damage that may result from the use of the Permit, or suspension or revocation of the Permit.
Name: Signature:
Date:
Updated 3/2/2023
3 OP RIALING
City of Rialto Special Events Application Department Routing Sheet
BUT SEC
DEPARTMENT & CONTACT STATUS SIGNATURE COMMENT
BUILDING Approved
[email protected] Denied
(909) 820-2505
BUSINESS LICENSE Approved
[email protected] 8
Denied
(909) 820-2517
CITY CLERK Approved
[email protected] Denied
(909) 820-2519
COMMUNITY DEVELOPMENT Approved
[email protected] 00
Denied
(909) 820-8070
FIRE Approved
[email protected] Denied
(909) 820-2501
POLICE Approved L
[email protected] Denied
(909) 820-2578
PUBLIC WORKS Approved
[email protected] Denied
(909) 820-2602
RISK MANAGEMENT Approved
[email protected] Denied
(909) 820-2540
SPECIAL EVENTS PROGRAMMER Approved
[email protected] Denied
(909) 820-8036
WASTE MANAGEMENT Approved
[email protected] Denied
(909) 421-7222
SAN BERNARDINO COUNTY Approved
Environmental Health Services Denied
[email protected]
(800) 442-2283
FINAL EVENT APPROVAL:
Approved
Denied Parks, Recreation, and Community Services Director Date Approved
Denied City Manager Date
For internal Use
J Reviewed • Committee Meeting Date: • Department Routing • Permit • Approval Letter Comments:
Updated 3/2/2023 4