K-3 - Special Events Application - National Night Out - Johnson County Sheriff

Event Description: National Night Out Name of Applicant: Johnson County Sheriff's Office Phone: (319) 358-6020 (319) 688-8215 Location of Event: Deerview Park Date of Event: Aug 6th, 2024 Time of Event: 6-7:30 pm Estimated Number of Participants: Same As Last Person Responsible for Monitoring Event: JCSO Plan for Restroom Facilities: Same As Last Plan for Police Protection: JCSO Describe Clean Up Plans: Same As Last Parking Plan: Same As Last Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Possible - 1-2 Speakers For DJ Number and Type of Vehicles Including Bicycles to be Used in Event: Fire Deputy - No More Than 5 Temporary Signage Request: Same As Last Special Circumstances Requested from City: N/A Proof of Insurance Attached: □ or Same As Last 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: [signature] Date: 05-12-24