Agenda Item No.
CITY OF YUCAIPA
AGENDA REPORT
TO: Honorable Mayor and City Council
FROM: Megan Wolfe, Director of Community Services
FOR: City Council Meeting of September 25, 2023
SUBJECT: Special Event Permit Application — St. Frances Xavier Cabrini Fall Festival RECOMMENDATION:
That the City Council approve a Special Event Permit Application submitted by St. Frances Xavier Cabrini to conduct a Fall Festival on Saturday October 7, 2023.
DISCUSSION:
On September 5, 2023, St. Frances Xavier Cabrini (Applicant) submitted a Special Event Permit Application (SEPA) to conduct a Fall Festival (Event) at the church, the details of the SEPA (attachment A) are as follows:
• Event: Fall Festival
• Location: St. Frances Xavier Cabrini Church
• Date: Saturday, October 7, 2023
• Time: 12:00 p.m. to 9:30 p.m.
• Activities: entertainment, food and games, beer, and wine garden City staff will continue to work with the Applicant to obtain all necessary documentation and departmental approvals. The Applicant submitted their application three months past the deadline and has been asked to turn future application in at least three months prior to the event.
FISCAL IMPACT:
The applicant has paid the $200 SEPA fee.
Attachment:
1. Special Event Permit Application
Approved by:
ATTACHMENT 1
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WELCOME TO THE CITY OF YUCAIPA CITY OF
Thank you for your interest in hosting a Special Event in the City of Yucaipa. The Community Services Department
created this application to help you host a successful and exciting event here in Yucaipa. Please review and complete__, the following application in accordance with the provided. t information. A special event in the City of Yucaipa is
defined as a "Carnival", "Community Celebration", or r
"Outdoor Festival" which includes the use of amplified
sound and/or estimated attendance equal to or exceeding 300 people on City or private property. Except as otherwise provided by state law, no person or entity shall operate, maintain, conduct, advertise, or provide admission for any temporary special event Within the City of Yucaipa without possessing a permit for each such temporary special event (Ord. No. 384).
PROCEDURES
A complete permit application may be filed as early as one (1) year• before the event, but it must be received no later than three (3) months before the actual event date. Any organized activity involving the use of, or having impact upon, public property, facilities, public parks, sidewalks or street areas requires a permit. Applicants requesting a waiver of fees or services must submit their application a minimum ofsix (6) months in advance.
The permit application process begins when you submit a complete Special Event Permit application. Keep in mind that acceptance of your application should in no way be construed as final approval or confirmation of your request. Upon receipt of your application, the Special Events Supervisor will help guide you through the permit process. Copies of the application are forwarded and reviewed by all affected departments and/or agencies. During the review process, you will be notified if your event requires any additional information, permits, licenses or certificates. During our initial application screening process, you will be allowed time to provide its with all pending documents. We must receive these items before issuing a Special Event Permit (Le., certificates of insurance, secondary permits, etc.). Delays in providing these items often delay our ability to finish our review and approve your application in a timely manner. Special Event Permits can be approved administratively by City management under specific limited criteria. Events that exceed those criteria will require the approval of City Council;
City Management/Administrative Approval
• Estimated attendance 300-999 persons
• Amplified Sound (excluding Special Event Facilities)
City Council Approval
• Estimated attendance 1000+ persons
• AlcohoI Service (excluding Community Centers and YPAC) • Street Closure - traffic management
• Fee Waiver/Co-Sponsorship/In-Kind (Community Activity Grant Application required)
APPLICATION
Organization and Applicant Information
910-1176-7
F-1 Commercial (For -profit) n Noncommercial (Non-profit) Tax I.D. #:
—organization
Name
St. Frances Xavier Cabrini
Applicant Name
Luz Lara
Address
12687 California St. Yucaipa, CA 92399
Email
[email protected]
Phone Number
9097972533
On -Site Contact
Luz Lara
Phone Number
9097972533
Event Information
Type of Event:
❑ Athletic/Recreation 0 Festival/Celebration ❑ Outdoor Market ❑ Circus/Carnival ❑ Concert/Performance
❑ Parade/Procession/March ❑ Other (specify):
Event Title
St. Frances Xavier Cabrini Fail Festival
Event Location
12687 California St. Yucaipa, CA 92399
Event
Our festival is celebrated every year to commemorate the feast of Description
our patroness St. Frances Xavier Cabrini. We have entertainment, food, and games for children, youth and adults. We are also celebrating this year our 75 anniversary as a parish.
Please complete a daily breakdown of event -related activities. Use multiple lines to distinguish between different daily activities. Please attach additional sheets if necessary, Date(s)
Daily Activity
Start Time
End Time
10/6/23
■ Set-up Event Day Ll Clean-up
9:00 AM
2:00 PM
10/6/23
*Set-up Event Day ❑ Clean-up
6:00 PM
8:00 PM
10/7/23
Set-up ■ Event Day Clean-up
12:00 PM
8:00 PM
10/7/23
❑ Set-up ❑ Event Day W Clean-up
8:00 PM
9:30 PM
El Set-up D Event Day Clean-up
Set-up D Event Day ❑ Clean-up
Has this event taken place before? © Yes ❑ No How many years? 3 Total anticipated attendance: 200 Participants: 30 Spectators: —
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
1. 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.
X1,P a t e
s>
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:
Indicate how this closing/reopening of streets will be handled:
❑ City of Yucaipa to handle (cost to be specified) ❑ Event to handle CalTrans standarcls 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:
Note: 'No Parking" signs will be Posted forty-eight (48) hours in advance of required days, dates and times. Costfor the posting ofNoPar•king"signs will be specified upon reviewofthe application byCitystaff. rood and Beverage
Please describe how food will be served at the event:
FOOD WILL BE SERVED ONLY BY SPECIFIC PEOPLE WITH FOOD HANDLER'S PERMIT.
Nill food be cooked in the event area? © Yes El No
Method: 0 Gas ❑ Electric [*Charcoal ❑ Other (specify): --- Does the event involve the sale or use of alcoholic beverages? W Yes ❑ No If alcohol is to be sold, how will the alcohol sales be regulated?
ALL PARTICIPANTS ATTENDING EVENT HAVE TO BUY TICKETS AT THE TICKET BOOTH IN ORDER TO BUY ALCOHOL IN THE SPECIFIC BOOTH THAT SELLS ALCOHOL.
Who will be handling the alcohol sales?
KNIGHTS FO COLUMBUS, THEY HAVE A PERMIT FOR THIS SALE.
Restrooms
Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. One portable restroomn is required for every 50 patrons attending over the minimal site accommodations,
Will Event Organizer provide portable restroom facilities? nE Yes 0 No
Company DIAMOND ENVIRONMENTAL SERVICES
Name
Contact Name LAURA CERVANTES
Phone Number 7607447191
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.)
LIGHTING WILL BE RENTED, WE WILL NEED TO HAVE AT LEAST THREE MAIN LIGHT TOWERS TO PROVIDE SUFFICIENT LIGHTING FOR OUR PREMISES.
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 foliowin information.
Company
Name
Contact Name
Phone Number
If not hiring a professional sanitation company, please provide the following information for -lieperson(s) res 3onsible for waste removal.
Contact Name BURRTEC SERVICES
Phone Number (909)$$9-1969
Cal Fire/Medical
In case of an emergency, the on -site contact will call 9-1-1. If event requires an ambulance cmmnanv to he nil -site. nlease nrovide the fnllnwimr information - Company
Name
ST. FRANCES XAVIER CABRINI
Contact Name
LUZ LARA
Phone Number
(909)705-7955
5 I P
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:
We will have an emergency preparedness table available through the whole day in the festival from 12:00 PM-8:00 PM. The leader taking care of this table is Joe Scarite.
Jose is a retired fire fighter and is CPR certified. Joe's contact number is (951) 217-1984.
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 nmfessional security organization hired for this event? n Yes n No Company
LAND HOUSING SECURITY SERVICE
Name
Contact Name
ANGIE JIMENEZ
Phone Number
(909)474-9000
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application:
1 SECURITY WILL BE STANDING BY THE CASHIERS AND THE OTHER 2
SECURITY GUARDS WIL BE WALKING AROUND OUR PREMISES TO MAKE SURE OUR SITE IS SECURED.
Entertainment
Will sound amplification be used?* Yes ❑ No Start time: End time:
Are there any musical entertainment features for this event? 0 Yes ❑ No Name of Act
DISTINCT BANDS, FOLKLORICO, JAPANESE AND IRISH DANCERS, Contact Name
Luz Lara
Phone
(909)797-2533
Number
How many stages? I Number of bands? 3 Genre of music: R °` Will fireworks, rockets, or other pyrotechnics be used? ❑ Yes 0 No Company
Name
Contact Name
Phone Number
Describe (indicate dates, times and locations for launching and fallout areas):
Has a permit been issued: F Yes No
(Note. Additional permits may be required as Indicated by staff. These hnclude, but tree not linriled to, Conditional Use N Pernnit, Land Use Permit, and P6•e Uepartrrzennt perrrnits,) 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
Mliiiinuin $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 P Insurance certificate attached R Insurance certificate on file ❑ Insurance certificate not available
Filing Fees
Special Event Permit Application Fee: $200.00
* Other Fees may apply (e.g, street closures, Fire Permit/Inspections, utilities, facility rental, etc.)
r
I=p-a$ P
Application Checklist
0 Completed Application
0 Certificate of liability insurance
Q Site Plan (location of structures, lighting, restrooms, parking, etc.) Copy of Security Contract (if applicable)
0 Copy of Potable Restroom purchase order (if applicable) N/C facility or Shelter Reservation Application (if applicable) 0 Copy of ABC License (if applicable)
Copy of County Health Permit (if applicable)
By signing below, l 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,
Luz Lara 9/5/23
Name: Signature: Date;
Certificate of Coverage Date.9/6/2023
Certificate Holder
The Roman Catholic Bishop of San Bernardino, CA
A Corporation Sole
1201 East Highland Avenue
This Certificate is issued as a matter of information only and confers no rights upon the holder of this certificate. This certificate does not amend, extend or alter the coverage afforded below.
Company Affording Coverage
San Bernardino, CA 92404
THE CATHOLIC MUTUAL RELIEF
SOCIETY OF AMERICA
10843 OLD MILL RD
OMAHA, NE 68154
Covered Location
St. Frances Xavier Cabrini Parish
12687 California Street
Yucaipa, CA 92399-4712
Coverages
This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate 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 coverage afforded described herein is subject to all the terms, exclusions and conditions of such coverage. Limits shown may have been reduced by paid claims.
Type of Coverage
Certificate Number
Coverage Effective
Date
Coverage Expiration
Date
Limits
Property
heal & Personal Property
D. General Liability
Each Occurrence
1,000 000
General Aggregate
Occurrence
ElClaims Made
8571
7/1/2023
7/l/2024
Products-Comp/OP Agg
Personal & :\dv injury
Fire Damage (Any one fire)
Nled Exp (Any one person)
Excess Liability
Each Occurrence
annual Aggregrate
Other
Each Occurrence
Claims Made
.annual Aggregrate
Limit/Coverage
Description of Operations/Locations/Vehicles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language)
Coverage only extends for claims directly arising out of St. Frances Xavier Cabrini Parish's Festival being held on parish grounds with event setup on Friday, October 6, 2023 from 9:00am-2:00pm and 6:00pm-8:00pm and event on Saturday, October 7, 2023 from 12:00pm- 8:00pm with event clean up from 8:00pm-9:30pm. Liability coverage only extends for claims occurring during the dates and times being used by St. Frances Xavier Cabrini. The City of Yucaipa, its elected officials, officers and agents are named as additional protected person(s) as it pertains to passive negligence only.
Holder of Certificate Cancellation
Additional Protected Person(s)
Should any of the above described coverages be cancelled City of Yucaipa
34272 Yucaipa Blvd.
Yucaipa, CA 92399
before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the holder of certificate named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives.
Authorized Representative / . " -
4"1 .1 /, L,
0309007637
ENDORSEMENT
(TO BE ATTACHED TO CERTIFICATE)
Effective Date of Endorsement: 10/6/2023
Cancellation Date of Endorsement: 10/8/2023
Certificate Holder: The Roman Catholic Bishop of San Bernardino, CA A Corporation Sole
1201 East Highland Avenue
San Bernardino, CA 92404
Location: St. Frances Xavier Cabiini Parish
12687 California Street
Yucaipa, CA 92399-4712
Certificate No. 8571 of The Catholic Mutual Relief Society of America is amended as follows:
SECTION II - ADDITIONAL PROTECTED PERSON(S)
It is understood and agreed that Section II - Liability (only with respect to Coverage D - General Liability), is amended to include as an Additional Protected Person(s) members of the organizations shown in the schedule, but only with respect to their liability for the Protected Person(s) activities or activities they perform on behalf of the Protected Person(s).
It is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under this endorsement to the Additional Protected Person(s) will not precede the effective date of this certificate of coverage endorsement or extend beyond the cancellation date.
Schedule -ADDITIONAL PROTECTED PERSON(S)
City of Yucaipa
34272 Yucaipa Blvd.
Yucaipa, CA 92399
Remarks (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language):
Coverage only extends for claims directly arising out of St. Frances Xavier Cabrini Parish's Festival being held on parish grounds with event setup on Friday, October 6, 2023 from 9:00am-2:00pm and 6:00pm- 8:00pm and event on Saturday, October 7, 2023 from 12:00pm-8:00pm with event clean up from 8:00pm- 9:30pm. Liability coverage only extends for claims occurring during the dates and times being used by St.
Frances Xavier Cabrini. The City of Yucaipa, its elected officials, officers and agents are named as additional protected person(s) as it pertains to passive negligence only. t. X
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Authorized Representative
i
PKS-122(10-11)
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LAND 8t HOUSING SECURITY SERVICE
2-O.".N-7
PPO #17167
Serving Southern California
"YOUR SAFETY IS OUR GOAL"
State Licensed and Full Insured
Office (909) 474-9000
E-Mail: landhousinlgsecurit 1L_94ail.com
2601 Del Rosa Ave., Suite#222F
San Bernardino, CA 92404
LAND & HOUSING SECURITY SEA NICE
"Security Service A reement"
Land & Housing Security Services is committed to conclude a Contract with: (Client) St. Francis X Cabrinin Church to provide security services.
Place of Service: St. Francis X Cabrinin Church
Address: 12687 California St., Yucaipa, CA 92399
Contact Name and Phone #: Luz Lara (909) 797-2533
Type of Service: Standing Armed guard
(1) Armed guard overnight from 8pm to 8am on 09/22/2023 Schedule for Service: (2) Armed guards From 12pm to 9pm on 09/23/2023 Total Hours per clay: Total of 30 hrs for event Cost per Hour $ 26.00 per hour Length of Contract: Per Event
SCOPE OF SERVICE
Land & Housing Security Services: Provide the following services for all its clients,
1. QUALIFIED Security Officers during the hours of coverage.
2. "EXPERIENCE, mobile field Supervisors to inspect every clients location, every client is provided with a FREE hour daily -per -shift supervision from a highly experience mobile field supervisor, We have established a policy of at least one site check per shift to guarantee the well being of clients' property. This is usually more supervision than offered by any other security companies.
3. We offer Armed and Unarmed Security Officers.
4. SPECIAL packages can be designed to meet your needs, upon request.
SECURITY SERVICE PROVIDED
Land & Housing Security Services' Security Officers will maintain a safe and secure environment by performing the following activities during a Patrol of the site or Standing Guard.
1) Patrol perimeter of property, access points and buildings included but not limited to, common areas, laundry facilities, pools, and all vacant units to detect signs of intrusion and ensure security of doors, windows, and gates.
2) Protect property by vigilantly maintaining a safe and secure environment, and creating a clearly visible presence on the property when onsite to deter criminal activity.
3) Respond quickly and investigate alarms and/or disturbances. 4) Monitor entrance and departure of visitors, and other persons to guard against theft and maintain security of premises.
5) Write accurate daily activity reports related to patrol activities and irregularities observed, such as equipment or property damage, theft, presence of unauthorized persons, unusual occurrences, contact made with residents and guests, and any warnings regarding rule violations.
Offer any safety warning and tips that based on Security Officers observations would assist in preventing crime and/ or ensure onsite safety.
6) Call police or fire department for emergencies or as appropriate, such as for a fire, presence of unauthorized persons, physical altercations, accidents resulting in serious physical injuries, or observed criminal activity. Write an accurate serious incident reports providing a detailed recitation of any such events, including obtaining contact information from witnesses.
7) Circulate among visitors, patrons, and employees to preserve order and protect property in a friendly and approachable manner. 8) Warn persons of rule infractions or violations, and request that unauthorized persons leave the premises or contact authorities to remove unauthorized persons from the premises.
OFFICE FACILITIES
Land & Housing Security Services: Is based in San Bernardino, California.
We are a 24-hour / seven days a week company to fit your needs. We provide you with a live person from 8:00 a.m, to 5:30 p.m. and after hours an answering service.
TERMS & CONDITIONS
The services provided under this Agreement are solely for the benefit of Client and neither this Agreement nor any services rendered shall create or be deemed to create any rights in any other party as a third party beneficiary, Land & Housing Security Services will defend and hold Client harmless Client from any and all claims arising out of the performance of the security services by Land & Housing Security Services.
Land & Housing Security Services shall maintain the following insurance. 1) Commercial general liability coverage in the amount of at least $1,00%000 per occurrence and $2,000,000 aggregate, and 2) professional liability insurance in the amount of at least $1,000,000 per occurrence. Land & Housing Security Service shall provide proof of professional liability coverage, and name Client as an additional insured on its commercial general liability.
Billing will be every 15 days with a net of 10 days from invoice date.
Especial events, payment is required at the tune of the event.
The undersigned shall be deemed an independent contractor and is not an employee, partner, agent, or engaged in a joint venture with the Company.
The client will not hire employees from Land & Housing Security Services unless an agreement has been made between both parties otherwise a breach of contract occurs. Land & Housing Security Services will take action to protect the rights of the contract and under applicable law, unless the breach is remedied within 5 clays of the breach.
Consistent with the foregoing, the Client shall not deduct withholding taxes, FICA or any other taxes required to be deducted by an employer as I acknowledge my responsibility to pay same as independent contractor.
I further acknowledge that the company shall not be entitled to any fringe benefits, pension, retirement, profit sharing or any other benefits accruing to employees.
To the fullest extend permitted by law, Client will indemnify and hold harmless Contractor, their officers, directors, partners, representatives, agents and employees from and against any and all claims, suits, liens, judgments, damages, losses and expenses, including legal fees and all court costs and liability (including statutory liability) arising in whole or in part and in any manner from injury and/or death of person or damage to or loss of
any property resulting from the acts, omissions, breach or default of contractor, its officers, directors, agents, employees and subcontractors, in connection with the performance of any work by or for contractor pursuant to any contact Purchase Order and/or related Proceed Order, except these claims, suits, liens, judgments, damages, losses and expenses caused by the negligence of (Enforcement Security Patrol). Client will defend and bear all costs of defending any actions or proceeding brought against Contractor, their officers, directors, agents and employees, arising in whole or in part our of any such acts, omission, breach or default. The foregoing indemnity shall include injury, death or disability of any employee of the Client and shall not be limited in any way by amount or type of damages, compensation, or benefits payable under any applicable workers compensation, disability benefits or other sunilar employee benefit act.
The Client hereby expressly permits the "Contractor to pursue and assert claims against the Client for indemnity, contribution and common law negligence arising out of claims for damages for death and personal injury.
Termination of service requires a 30-day written notice.
Any dispute that arises here under shall be resolved by arbitration pursuant to "Commercial Arbitration Rules of the American Arbitration Association, which shall take place in Los Angeles, California.
In the event that litigation is commenced to enforce any of the terms of this agreement the prevailing party in the litigation (whether by court or arbitration) shall be entitled to the costs thereof, including reasonable attorneys fees.
This agreement shall be interpreted pursuant to the law of the State Of California.
EXECUTED this day
In the State of California.
05/15/2023
Land & Housing Security Services Date
(Client Name) Date
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Environmental Services, LP
Solid Waste Services, Inc
Power Services, Inc
( t 1
C-10 CS1.13tl900341
v,ww,Dla nlondprovides,com
oo HEADQUARTERS
19 r L; l0
807 E. Mission Road
San Marcos, Ca 92069
2 760,744.7191
760.7,14.7184
8ILL TO: ST FRANCES XAVIER CABRINI
12687 CALIFORNIA ST
YUCAIPA, CA 92399-4712
SERVICE ADDRESS: 12687 CALIFORNIA ST I YUCAIPA, CA 92399A712 Xnvolce Date 10/6/2023
Invoice Nurnber 0004731580
Account Number 104153
Invoice Due Date 10/6/2023
�—� 1 N � oao.vrq
WE ACCEPT AMERICAN EXPRESS, VISA,
MASTERCARD & DISCOVER
PAY ONLINE: Portal. Manion dprovldes.cotn
CHECKS OR MONEY ORDERS PAYABLE TO
DIAMOND ENVIRONMENTAL SERVICES LP
REMITTANCE AMOUNT
CHECK NUMBER
PLEASE RETURN TOP PORTION WITH PAYMENT
Customer agrees to pay Diamond Environmental SeMces
legal fees, attorney's fees, costs (Including expert antnos< costs) and expenses of lidgadon, in the event there Is ant litigation filed to enforce the temps or conditions of this agreement, Including any litigation as a result of Custome nonpayment under any agreement With Diamond,
FROM
TO
QTY
DESCRIPTION.
LABOR/
RENTAL
AGENCY/
TAX
TOTAL
SERVICE '
ENERGY
12607CALIFO RNIA'ST
10/6/23
2 EVENT PREMIER RESTROOM
124,04
1.17 250.40
1016123
1 EVENT ADA RESTROOM
194.03
1.17 195.20
10/6123
1 EVENT HAND SANITIZER STAND
104,03
1.17 105.20
I
DELIVERY 10/6/23 REMOVAL 10/09/23
No Prorating for Early Pick Up
I
PORTABLE RESTROOM SERVICE/ PUMPING LABOR PROVIDED AT THE OPTION OF THE LESSEE E Mlsslon Road Billing questions? Email us at [email protected] Account 104153
San Marcos, CA 92069
Invoice 0004731580
lo807
Net 10 Days;.1,.:
INVOICE TOTAL
U1 760.714,7191TERMS;
; l :a 760,744,7184 1.5% Late Charge due on outstanding balances more DiamondproAdes.corn than 30 days from date of Invoice (18% Per Annum) $550.80
Restroonls Dumusters Fencing Power Septic puns 11114
ANCSDIA�14ctor3 v20100644
9/6/23, 9:20 AM
Permit
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa, CA 92399
PHONE:(909) 790-7460
FAX:(909) 790-2589
EMAIL:communityservices?tyucaipe.org
Organization Name
St. Frances Xavier Cabrini - 402
Customer Type
DNU Non -Profit Res (III)
Organization Address
12687 California St.
Yucaipa, CA 92399
Agent Name
Luz Lara
System User Tish Christian
PermitContract
COMMUNITY ke
SERVICES Ma.
year
Better!
Permit # R5674
Status Tentative
Date Sep 6, 2023 9:19 AM
Expiration Date Sep 5, 2024
Organization Phone 1 (909) 797-2533x222
Number
Work Phone Number (909) 797-2533
Home Phone Number (909) 705-7955
Email Address [email protected]
Rental Fee
$200.00
Discounts
$0.00
Subtotal
$200,00
Deposits
$0.00
Deposit Discounts
$0.00
Total Permit Fee
$200.00
Total Payment
$0.00
Refunds
$0.00
Balance
$200.00
St. Frances Fall Festival 2023
Booking Summary
1 resource(s) 2 booking(s) Subtotal: $200.00
START DATEMME I END DATE/TIME I ATTENDEE I AMT W/O TAX
Oct 6, 2023 9:00 AM Oct 6, 2023 8:00 PM 200 $200.00
Special Event Fee (Res -IV) $200.00 / Each x 1 $200.00
Oct 7, 202312:00 PM Oct 7, 2023 9:30 PM 200 $0.00
Payment Schedules Original Balance: $200.00 Current Balance: $200.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT I BALANCE Sep 22, 2023 $200.00 $0.00 $0.00 $200.00
htips:llanprod.active.com/yucaipa/ui.do?method=showPermitContract&permit_id=COBDO68FO630 1/2
9/6/23, 9:20 AM
PermitContract
X
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: communityservices�?yucaipa.org
X:
Date:
St Frances Xavier Cabrini
Customer Type: DNU Non -Profit Res (Ilq
Customer ID: 27337
Mailing Address: 12687 California St., Yucaipa, CA
92399
Organization Phone 1 Number: (909) 797-2533x222
Authorized Agent Name: Luz Lara
Work Phone Number: (909) 797-2533
Home Phone Number: (909) 705-7955
Email Address: luziara9(Agmaii.com
https:l/anprod.active.com/yucaipa/ui.do?method=showPermitContract&permit_id=COBD068F0630 2/2