K-2 - Special Events Application - Autumn Family Fun - Karla Aubrecht

Special Events Application Event Description: Family fair tie dye activity, balloon animals, sidewalk chalk, bubble station, food trucks, Fireworks, kids city of the park, kids sensory bin, vendor tables Name of Applicant: Kara Aubrecht-Chervin Moment Phone: (319)325-7227 Location of Event: Jim Bartels Tiffin City Park Date of Event: Saturday, September 23, 2023 Time of Event: 8AM-1PM Estimated Number of Participants: 75-100 Person Responsible for Monitoring Event: Kara Aubrecht & Becky Zwack Plan for Restroom Facilities: Portable Plan for Police Protection: N/A Describe Clean Up Plans: Our staff will make sure park is now it was before, no mess or littering Parking Plan: Use parking on west side of playground Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Using a small speaker for announcing bingo Number and Type of Vehicles Including Bicycles to be Used in Event: Food trucks - Deja Brew, Sevinic creations, & Rona Ice. Fire truck or 2 from Tiffin Fire Department Temporary Signage Request: For sponsors, may hang banner on fence by baseball field like at Reifest. Special Circumstances Requested from City: N/A Proof of Insurance Attached: ☐ or will send by email later today I certify that I am the person authorized to act on behalf of the event to request this permit and understand and agree to pay on behalf of the City all sums which the City shall be obligated to pay by reason of any liability imposed upon the City for damages of any kind resulting from use of public property and the public right of way, whether sustained by any person or persons, caused by accident or otherwise and shall defend as its own expense and on behalf of the City any claim against the City arising out of the use of public property and the public right of way and agree to follow all other ordinances that shall pertain including Ordinance 2006-277, City of Tiffin, Iowa. I understand that I will not erect any temporary signage for the event prior to City Approval of signage. [Signature] 8/18/2023 Date For City Use: Authorized City Signature Date Copy to Applicant _____ Johnson Co. Sheriff Notified _____ Fees Collected _____ Public Works Notified _____ Tiffin Fire Department Notified _____ Council Approval _____