K-2 - Special Events Application - October 2024 Storytime

Special Events Application City of Tiffin ∙ 300 Railroad St. PO Box 259 ∙ Tiffin, IA 52340 ALL APPLICATIONS MUST BE SUBMITTED 30 DAYS PRIOR TO EVENT Event Description: Storytime at the Station Name of Applicant: Jessica Fick / TFD Phone: 708-504-9287 Location of Event: Fire Station Date of Event: 19OCT24 Time of Event: 10 am Estimated Number of Participants: 100 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 Fick Date: 2024.09.09 19:13:16 -05'00' Signature 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