Agenda Item No. 12
CITY OF YUCAIPA
AGENDA REPORT
TO: Honorable Mayor and City Council
FROM: Megan Wolfe, Director of Community Service,
?'�
FOR: City Council Meeting of November 14, 2022
SUBJECT: Special Event Permit Application — Rotary Club of Yucaipa 671h Annual Christmas Parade
RECOMMENDATION:
That City Council:
1. Approve the Special Event Permit Application submitted by the Rotary Club of Yucaipa to conduct the 67th Annual Yucaipa Christmas Parade, on Saturday, December 10, 2022; and
2. Review and approve the street closures identified in the agenda report; and
3. Approve a City co-sponsorship of the 67th Annual Yucaipa Christmas Parade.
DISCUSSION:
The City received a Special Event Permit Application (SEP) from the Rotary Club of Yucaipa (Rotary) requesting approval to conduct the 671h Annual Yucaipa Christmas Parade (Parade) on Saturday, December 10, 2022, from 12:00 noon until 3:00 p.m.
Rotary is requesting the authorization of the following street closures:
• California Street south of Acacia Avenue
• California Street north of Avenue E
• Yucaipa Boulevard east of California
• Yucaipa Boulevard west of 6th Street
• Avenue A east of 2nd Street
• Avenue A west of Bryant Street
• Avenue B east of 2nd Street
• Avenue B west of Bryant Street
• Avenue C east of 2nd Street
• Avenue C west of Bryant Street
• Avenue D east of 2nd Street
• Avenue D west of Bryant Street
• 6th Street north of Avenue E
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It is anticipated that the involved streets will be closed or partially closed from approximately 8:00 a.m. to 4:00 p.m. Staff will continue to work with Rotary to ensure that all necessary insurance documents and departmental sign -offs have been obtained prior to the event.
In addition, Rotary is requesting a City co-sponsorship in the form of marketing and logistical support. Marketing support would include promotion of the Parade on the City website, digital marquees, community calendar, social media platforms and distribution of flyers, posters, and banners at City facilities. Logistical support would include use of the Uptown Park and Yucaipa Performing Arts Center parking lot.
FISCAL IMPACT:
On October 10, 2022, City Council awarded an in -kind Community Activity Grant to Rotary in the amount of $8,713 to cover costs associated with police, fire, and public works personnel for the Parade. In addition, the Fiscal Year 2022/2023 Adopted Budget includes the amount of $1,000 in financial support for the Parade. Therefore, there is adequate funding to accommodate this request.
Attachment: Special Event Permit Application
Approved by: AL ji//�
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APPLICATION
Organization and Applicant Information 45-5149308
❑ Commercial (For -profit) ■❑ Noncommercial (Non-profit) Tax I.D. #:
Organization Name
Rotary Club of Yucaipa
Applicant Name
Todd Gutjahr
Address
PO Box 661 Yucaipa, CA 92399
Email
[email protected]
Phone Number
909-900-9537
On -Site Contact
Todd Gutjahr
Phone Number
909-900-9537
Event Information
Type of Event: ❑Athletic/Recreation ❑Festival/Celebration ❑Outdoor Market ❑Circus/Carnival ❑Concert/Performance ❑■ Parade/Procession/March ❑Other (specify):
Event Title 1 67th Annual Christmas Parade
Event Location I California Street, Yucaipa Blvd, 6th Street Event Description The Annual Christmas Parade will be held on Saturday, December 10 2022. The Parade will start on the corner of Avenue D and California St. The route proceeds north on Avenue D to California St, where it will then travel west onto Yucaipa Blvd. The route will travel west on Yucaipa Blvd and then turn south onto 6th St and end at the Oak Valley Educational Center campus.
For 2022, the Club is also requesting the use of th YPAC parking lot and parts of Acacia Ave. and California St (North of Yucaipa Blvd). This area will be used to stage bands for the parade.
Please complete a daily breakdown of event -related activities. Use multiple lines to distinguish between different daily activities. Please attach additional sheets if necessar .
Date(s)
Daily Activity
Start Time
End Time
12/10/22❑
Set-up ❑ Event Day ❑ Clean-up
8:00 a.m.
12:00 p.m.
12/10/22
❑ Set-up M Event Day ❑ Clean-up
12:00 p.m.
3:00 p.m.
12/10/22
❑ Set-up ❑ Event Day * Clean-up
3:00 p.m.
4:00 p.m.
❑ Set-up ❑ Event Day ❑ Clean-up
❑ Set-up ❑ Event Day ❑ Clean-up
❑ Set-up ❑ Event Day ❑ Clean-up
Has this event taken place before? ❑E Yes ❑ No
Total anticipated attendance: 6,000 Participants:
How many years? 66 years
11000 Spectators:5,000
21Page
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Site Plan
Attach a diagram showing the overall layout and setup locations using the letters below. Indicate the site for these on your diagram.
A. Alcoholic and nonalcoholic concession and/or beer garden areas B. First -aid facilities and ambulance locations
C. Tables and chairs
D. Fencing, barriers and/or barricades
E. Generator locations and/or source of electricity
F. Canopies or tent locations
G. Booths, exhibits, displays or
enclosures
H. Scaffolding, bleachers,
platforms, stages,
grandstands and related
structures
I. Vehicles and/or trailers
J. Other related event
components not covered
above (describe separately)
K. Trash containers and
dumpsters
L. Non-food vendor locations
M.Food concession and/or food
preparation areas
N. Potable toilet location(s)
Sample Site Plan:
When planning a moving route, the Yucaipa Police Department is available to assist you in planning your route. Consider the following in your planning:
• Impedance of emergency fire, police or paramedic vehicles. • Conflict with public transportation, such as buses.
• Interference with people trying to reach their own residences, businesses, places of worship and public facilities.
If your event involves street closures, you may be required to obtain traffic safety equipment, and a certified traffic control plan. Depending on the type of event, barricades, traffic cones, signs, etc., may be required. Depending on the type of event and after evaluating roadway conditions, you may be required to properly place this equipment prior to commencing the event. If the closure creates a potential hazard, your organization will be required to contract traffic service from the Yucaipa Police Department and/or Street Division.
List street(s) requiring closure as a result of this event. Include street name(s), day, date, and time of closing and time of reopening:
All streets listed below require closures on Saturday, 12/10/2022 from 8:00 a.m.-4:00 p.m.California Street: Acacia Ave. to USPSAcacia Ave: Entrance of YPAC Parking Lot to CaliforniaAvenue A: 2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue B:
2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue C: 2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue D: 2ns St to Bryant St - Maybe scaled back to 1st St to Adams StYucaipa Blvd: California St to 6th St6th St: Yucaipa Blvd to OVEC Campus Indicate how this closing/reopening of streets will be handled:
❑■ City of Yucaipa to handle (cost to be specified) ❑ Event to handle per CalTrans standards List street(s) requiring the posting of "No Parking" signs. Indicate days, dates, and times needed and an explanation of necessity of "No Parking" zone:
California Street: Acacia Ave. to USPSAcacia Ave: Entrance of YPAC Parking Lot to CaliforniaAvenue A: 2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue B:
2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue C: 2nd St to Bryant St - Maybe scaled back to 1 st St to Adams StAvenue D: 2ns St to Bryant St - Maybe scaled back to 1 st St to Adams StYucaipa Blvd: California St to 6th St6th St: Yucaipa Blvd to OVEC Note: "No Parking" signs will be posted forty-eight (48) hours in advance of required oars, dates and times. Costforthepostingof `NoParking"signs will bespecified upon reviewoftheapplication byCitystaff.
Food and Beverage
Please describe how food will be served at the event:
None.
Will food be cooked in the event area? ❑ Yes ❑■ No
Method: ❑ Gas ❑ Electric ❑ Charcoal ❑ Other (specify):
Does the event involve the sale or use of alcoholic beverages? ❑ Yes ❑- No If alcohol is to be sold, how will the alcohol sales be regulated? None
Who will be handling the alcohol sales?
None
Restrooms
Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. One portable restroom is required for every 50 patrons attending over the minimal site accommodations.
Will Event Organizer provide portable restroom facilities? ❑■ Yes ❑ No 41Page -161-
Company
Name Diamond Environmetal
Contact Name
Phone Number
Lighting
If this is an evening event, please state how the event and surrounding areas will be illuminated to ensure the safety of the participants and spectators. (If required, show a separate site map which details streetlights, portable lights, and other illuminating devices.) None
Waste Removal
Event Organizer is responsible for arranging for the removal of all waste related to the event. This includes but is not limited to emptying of trash bins and the removal of waste from the event site and other affected areas. If hiring a professional sanitation company, please provide the following information.
Company
Yucaipa Rotary
Name
Contact Name
Todd Gutjahr
Phone Number
909-900-9537
If not hiring a professional sanitation company, please provide the following information for the person(s) responsible for waste removal.
Contact Name
Yucaipa Rotary -Todd Gutjahr
Phone Number
909-900-9534
Cal Fire/Medical
In case of an emergency, the on -site contact will call 9-1-1. If event requires an ambulance companv to be on -site, please provide the following information:
Company
Name
C a I Fire
Contact Name
Phone Number
5 1 P a g e -162-
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:
Police Services/Security
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 as well as a security contract and/or public safety staffing plan for review by the Police Department.
Is there a professional security organization hired for this event? n Yes n No Company
Name
SBLrSD
Contact Name
Phone Number
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application:
Entertainment
Will sound amplification be used? ❑■ Yes ❑ No Start time: 12:00 p.m. End time: 4:00 p.m, Are there any musical entertainment features for this event? ❑■ Yes ❑ No Name of Act Various Bands in the Parade
Contact Name
Phone Number
How many stages? Number of bands? 4-6 Genre of music: Various Will fireworks, rockets, or other pyrotechnics be used? ❑ Yes ❑■ No Company
Name.
Contact Name
Phone Number
6 1 P a g e -163-
Describe (indicate dates, times and locations for launching and fallout areas):
Has a permit been issued: U Yes �*J No
(Note. Additional permits may be required as indicated bystaff. These include, but are notlimited to, Conditional Use 24 Permit Land Use Permit, and Fire Departmentpermits.)
Insurance
Before a Special Event Permit is issued, a certificate of insurance must be submitted. Insurance certificate must be issued by insurance underwriters "admitted" by the California Insurance Commission and rated `A' or better by AM Best. Requirements are:
• Minimum $1,000,000 General Liability Limit
• Minimum $1,000,000 General Automobile Liability
• Minimum $1,000,000 Worker's Compensation
• On an additional insured endorsement, the City, its elected officials, officers, and agents are to be named as additional insured
• Minimum limits of coverage may change depending on event 0 Insurance certificate attached ❑ Insurance certificate on file ❑ Insurance certificate not available Filing Fees
Special Event Permit Application Fee : $16.25
* Other Fees may apply (e.g. street closures, Fire Permit/Inspections, utilities, facility rental, etc.) 71Page
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Application Checklist
❑■ Completed Application
❑ Certificate of liability insurance
OF Site Plan (location of structures, lighting, restrooms, parking, etc.) ❑ Copy of Security Contract (if applicable)
❑ Copy of Potable Restroom purchase order (if applicable) � Facility or Shelter Reservation Application (if applicable) OJACopy of ABC License (if applicable)
'� Copy of County Health Permit (if applicable)
N�.
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: Todd Gutjahr
Signature: �� Date: 9/8/22
8 1 P a g e -165-
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Yucaipa Community Center, Scherer Community Center &
Yucaipa Performing Arts Center
Facility Rental Use Policies & Agreements
The rules and regulations herein have been developed to ensure that facilities are used in a responsible manner and that the public investment in these facilities is adequately safeguarded.
Application Process
A reservation is not confirmed until a Facility Reservation Application has been completed, signed, and all deposits have been paid. Quotes and telephone/email inquiries are not binding and do not constitute a Initial
reservation.
Fees, Cancellations & Refunds
01 Full payment is due fifteen-(15) days prior to the event date. Cancellation of a rental more than thirty (30) days prior to the event date will result in a loss of the deposit. Cancellation requests between twenty- nine (29) and sixteen (16) days prior to the event will result in a loss of 50% of rental fees paid and loss Initial
of the deposit. Cancellation of a rental fifteen (15) days prior to the event will result in loss of 100% of rental fees and deposit.
Deposit Refund Process
A security deposit will be required for all reservations. The security deposit is in addition to the reservation fees. Refunds on deposits will be processed on the first regular business day following the event date. The deposit is refundable provided the facility is returned in the same condition in which it was found. If the facility is found in satisfactory condition (clean, no damage, or loss of equipment), the refund deposit will be returned via credit card if the reservation was paid with a credit card. If the refund Initial
deposit was paid by cash or check, it will be returned via check and mailed to the address on the Facility Reservation Application approximately four (4) to six (6) weeks after the event date. If damage or loss does occur, the deposit will be held until estimates can be obtained. All replacement and/or repair fees will be deducted from the deposit.
Alcohol
'Bringing any alcoholic beverage into a function not approved in the original Facility Reservation Application will result in the event being immediately canceled and 100% of fees will be forfeited" Alcohol is not permitted at private parties where the guest of honor is under the age of 21. If the Applicant is approved by the City to have alcoholic beverages at the event, ,it must be served over a bar by a person at least 21 years of age designated by the Applicant. All alcohol must be served in individual, non- breakable containers, and not set out to be self -served. All champagne bottles must be opened in the kitchen and remain there. Bottles of any kind may not be placed on the tables or be used as centerpieces.
Alcohol must remain in the designated facility (Banquet Rooms, Meeting Rooms & Courtyards). Alcohol is Initial
not allowed in the facility lobby or outside of the facility. Types of alcohol are restricted to beer, wine, and champagne only, unless permitted by the Director of Community Services.
Sellin,q Alcohol: If alcohol is sold at an event (i.e. cash bar, tickets, and drinks for a fee), the Applicant will be required to provide a license from the State Alcoholic Beverage Control Department. The Applicant must provide a copy of the permit from the Alcoholic Beverage Control office to the City seven (7) days prior to the event. Injuries caused to any person as a result of alcoholic beverages being served and/or consumed by a minor on City premises shall be the sole responsibility of the Applicant, user, group, organization, its sponsors, or the adult representative. -167-
Other
• It is the Applicant's responsibility to check their equipment's compatibility with the facility's equipment prior to their rental date (i.e. laptop, slideshow, audio/visuals). Equipment testing may occur during the facility's business hours when the room is available.
• Smoking is prohibited in all City parks and facilities (reference City Park Ordinance #256). • City equipment shall not be removed from the facility.
Initial • Tables and chairs are provided and will be set up and taken down by staff. Set up diagrams must be submitted at least two (2) weeks prior to the event. If a diagram is not submitted, tables and chairs will not be set up until the start of the reservation.
• Staff is responsible for, and has authority over, the facility, equipment, and activities. Staff shall have the authority to request changes in activities or termination of activities for public safety and well-being.
I, the undersigned applicant, agree to abide by and enforce the rules, regulations, and policies governing this facility as set forth by the City of Yucaipa. I understand that by signing this document I accept responsibility for any damages to premises, furniture, equipment, or grounds resulting from the use of the facility. I further agree that any violation of the Facility Use Policies and Agreements can result in immediate cancellation of the reservation and forfeiture of all fees and deposits.
Applicant Signature :� Date:
Print Applicant Name: /e /,/ L-,� -t `✓
`l /7ti �7,Z
A� R" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
07/01 /2022
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 .
PRODUCER
Arthur J. Gallagher Risk Management Services, Inc.
2850 Golf Road
Rolling Meadows IL 60008
CONTACT
NAME:- Ali Sulita
PHONE 1-833-3ROTARY FAX
' 06
EMAIL [email protected]
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A: Westchester Surplus Lines Insurance Company
10172
INSURED
INSURER B :
INSURERC:
All Active US Rotary Clubs & Districts
Rotary Club of Yucaipa
ATTN: Risk Management Dept.
INsuRERD:
INSURERE:
1560 Sherman Ave.
Evanston, IL 60201-3698
INSURERF:
COVERAGES CERTIFICATE NUMBER: 899307648 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.
INSR
LTR
TYPE OF INSURANCE
AIJULbUBK
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
G73578917 001
7/1/2022
7/1/2023
EACH OCCURRENCE
$2,000.000
CLAIMS -MADE �X OCCUR
Y
PE T RENTED
PREMISES Ea occurrence
REM
$500,000
MED EXP (Any one person)
$
X
Liquor Liability Included
PERSONAL & ADV INJURY
$2,000.000
GEN'LAGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$4,000,000
X POLICY ❑ PRO -
POLICY ❑ LOC
PRODUCTS - COMP/OPAGG
$4.000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
G73578917 001
7/1/2022
7/1/2023
COMBINED Ea accident)SINGLELIMIT
$2.000.000
BODILY INJURY (Per person)
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AIUTOS ONLY X AUTOS ONLY
X
PR PEI'A A
Per accident
$
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
NOT APPLICABLE
EACH OCCURRENCE
S
AGGREGATE
$
EXCESS LIAB
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
NOT APPLICABLE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
❑
N / A
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The Certificate Holder is included as an additional insured where required by written contract or permit subject to the terms and conditions of the general liability policy, but only to the extent bodily injury or property damage is caused in whole or in part by the acts or omissions of the insured.
GLK I IFIGA I L HOLULK CANCELLATION
City of Yucaipa
34272 Yucaipa Blvd.
Yucaipa, CA 92399
Rotary Club of Yucaipa
Nutrition Center Rental - Weekly Meet; Bus Bench Program -City Wide Yucaipa Christmas Parade-12/10/2022; City Wide Banner Program
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
3�
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are eglstered marks of ACORD -16�-
ENDORSEMENT #
This endorsement, effective 12:01 AM 07/01/2022
Forms a part of policy no.: G73578917001
Issued to: US ROTARY CLUBS & DISTRICTS
C/O ROTARY INTERNATIONAL
By: WESTCHESTER SURPLUS LINES INSURANCE COMPANY
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
(Based on CG2026 04/13)
This endorsement modifies insurance provided by the following:
COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Additional Insured Person(s) or Organization(s) City of Yucaipa, its elected officials, officers, and agents 34272 Yucaipa Blvd
Yucaipa, CA 92399
RE: Rotary Club of Yucaipa - 67th Annual Christmas Parade 12/ 10/2022
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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations; or
2. In connection with your premises owned by or rented to you.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
Includes Copyrighted Information of the Insurance Services age o Offices, Inc., with its permission. All Rights Reserved. -170-
2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of the policy remain the same.
Authorized Representative
Offices, Inc., with its permission. All Rights Reserved.
To
ACct 90902
Rotary Club of Yucaipa
PO BOX 661
Yucaipa, CA 92399
Todd Gutjahr 1 909-900-9537
Event Restroom Agreement
Visit us @ www.diamondprovides.com
(888) 744-719 1
Date: September 29, 2022
From: Laura Cervantes
Office: (760) 744-7191
Direct Line: (760) 290-3330
[email protected]
Project Contact Project game & Location Pricing e,,pires in 30 days Todd 909-900-9537 Christmas Parade 2022: Yucaipa Blvd. & Adams St.
Qty Description Unit Price Line Total
8 f Classic Restrooms - Toilet & Urinal $65.20 $521.60
2 !Hand Sanitizer Stand - 2 hand pumps $60.20 $120.40
1 !Deliver: Saturday, Dec loth - 4am - 7am
$175.00,
$175.00
1 I
{Remove: Saturday, Dec 10th - 4pm - 7pm
I
i
j $175.00
I
i
+
$175.00
iI
* I Customer agrees to pay in full prior to taking possession of the equipment. * !Customer is responsible for insurance for the equipment. If the equipment does not function * 1 properly notify lessor within 30 minutes of occurrence or no refund/allowance will be made. i FED TAX ID # OR CA DRIVERS LICENSE # and DOB
PRINT NAME TITLE
Total * $992.00
Prevailing Wage
O Yes O No
SIGNATURE FOR WORK AUTHORIZATION DATE
*Agency & Energyfee will be added to all invoices. Customer's Indemnity: Customer will indemnify Diamond Environmental Services, it's employees and agents against any claim, liability, or costs arising from this agreement or the use of the equipment, including property damage and personal injuries, except to the extent that such claims, liabilities or costs are due to Diamond Environmental Services sole negligence. Customer is responsible for damage caused by Acts of God, fire, theft, negligence, abuse, or vandalism, and agrees to pay all costs and expenses necessary to restore or replace said equipment. Failure to sign Diamond agreement and/or replacement of Diamond agreement with a P.O. or contract does not waive or alter Diamond language. Customer representative must be present at time of installation of Diamond equipment. Damaged or missing equipment or material will be charged to Lessee. Damage caused to after installation or delivery shall be the responsibility of Lessee. Rates quoted do not include Prevailing Wages unless specified. Diamond cannot comply with any PSA's & PLA's requirements. Prices subject to change due to desired actual material installed, ground conditions and/or accessibility. Lessee responsible for utility marking.
-172-
COMMUNITY SERVICES DEPARTMENT APPROVAL
n APPROVED ❑ DENIED
COMMENTS:
FEES:
NAME: �4�A(G
SIGNATURE:'"' i;ij;t .1 1 t'- DATE:
DEVELOPMENT SERVICES APPROVAL
>IAPPROVED ❑ DENIED
COMMENTS:
FEES:
NAME:
c�
SIGNATURE: \44Z DATE: i { {o Zt
�
- - - -174-
YUCAIPA FIRE DEPARTMENT APPROVAL
,[`r4j APPROVED F-1 DENIED
COMMENTS: M 0 C-oiv e-,er'&3
FEES: w )N
101 r-Al LTA I
SIGNATURE:
gn-f W& 1.**n F�vc- (,k\
-VIRE DEP.T
DATE: I I k /j'a
SHERIFF'S DEPARTMENT APPROVAL
POLICE
jG APPROVED ❑ DENIED
COMMENTS:
FEES:
G'
NAME:
SIGNATURE: �''��� DATE:.
10/13/22, 8:28 AM PermitContract
- po"'vaIV,COMMUNITY ParePermitSERVICES DEPARTMENT
City of Yucaipa Community PHONE:(909) 790-7460 Permit # R4703 Services FAX:(909) 790-2589
Status Tentative
34272 Yucaipa Blvd EMAIL:[email protected] Date Sep 14, 2022 8:18 AM Yucaipa, CA 92399
Expiration Date Sep 14, 2023
Organization Name Rotary Club Of Yucaipa - 336 Organization Phone 1 (909) 900-9537 Customer Type Non -Profit (R) Number
Organization Address PO Box 661
Yucaipa, CA 92399
Agent Name Todd Gutjahr Home Phone Number (909) 900-9537 System User Tish Christian Payer Rotary Club Of Yucaipa Rental Fee
$200.00
Discounts
$0.00
Subtotal
$200.00
Deposits
$0.00
Deposit Discounts
$0.00
Total Permit Fee
$200.00
Total Payment
$200.00
Refunds
$0.00
Balance
$0.00
67th Annual Yucaipa Christmas Parade
Booking Summary
1 resource(s) 1 booking(s) Subtotal: $200.00
START DATEITIME END DATE/TIME ATTENDEE I AMT W/O TAX
Dec 10, 2022 8:00 AM Dec 10, 2022 4:00 PM 50 $200.00
Special Event Fee (Res -IV) $200.00 / Each x 1 $200.00
Payment and Refund
RECEIPT # I DATE I FEE DESCRIPTION I EVENT I RESOURCE I PAYMENT / REFUND 1140069.002 Oct 13, 2022 Special Event Fee (Res- 67th Annual Yucaipa Special Event Permits $200.00 IV) Christmas Parade
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10/13/22, 8:28 AM
PermitContract
G
Date:
City of Yucaipa Community Services
Mailing Address: 34272 Yucaipa Blvd, Yucaipa, CA
92399
Phone Number: (909) 790-7460
Fax Number: (909) 790-2589
Email Address: [email protected]
X:
Date:
Rotary Club Of Yucaipa
Customer Type: Non -Profit (R)
Customer ID: 27557
Mailing Address: PO Box 661, Yucaipa, CA
92399
Organization Phone 1 Number: (909) 900-9537
Authorized Agent Name: Todd Gutjahr
Home Phone Number: (909) 900-9537
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