K-2 - Special Events Application - Storytime at the Station

Special Events Application Event Description: Storytime at the Station With Legacy Wealth Management/Principal Financial. Isaac Helgens as photographer. Possibly DeJa Brew for concessions Name of Applicant: Jessica Fick / TFD Phone: 708-504-9287 Location of Event: Fire Station Date of Event: 07DEC24 Time of Event: 10 am Estimated Number of Participants: 300 Person Responsible for Monitoring Event: Jessica Fick Plan for Restroom Facilities: Station has 4 restrooms available Plan for Police Protection: Call 911 if needed Describe Clean Up Plans: TFD volunteers handle Parking Plan: Fire station parkinglot and local on street parking Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Speaker within department Number and Type of Vehicles Including Bicycles to be Used in Event: TFD apparatus will be visible to visitors Temporary Signage Request: None Special Circumstances Requested from City: None Proof of Insurance Attached: ☑ or If proof of insurance is needed, I will speak to chief about obtaining it 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. Jessica L Fick Digitally signed by Jessica L Flick Date: 2024.09.09 19:15:27 -05'00' Signature 09SEP24 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 _____