HomeMy WebLinkAboutTUP2013-2714CITY OF GRAPEVINE
TEMPORARY USE
& PUBLIC ENTERTAINMENT
PERMIT APPLICATION
SEC. 15 -9. The application for the permit shall be filed not less than thirty (30) days before the first
performance and shall contain the following information.
1. Applicant
Name
Addre;
Phone no. fax no..
2. Property owner
Name o',
cg
Addressqo�`���Y,
Phone no.9-40-' : :od -SM, fax no. c)-+;z -- -
3. Address of temporary use or entertainment lgga s � ? {�
�Tx
4. Date or dates of proposed entertainment to
5. Kind or type of entertainment.
6. Total number of off - street or highway parking space
7.
a
Total capacity per capita of facility to be used for entertainment _ (�
Time and hours of temporary use
v
10. Number of outdoor speakers
CITY OF GRAPEVINI;.DEVELOPMENT SERVICES.P o BOX 95104.GRAPPVINE, TEXAS. 76090.(817)410.3164•FAX(817)410 -3018
O:12CW01M$l3PP.lemP use pubilo entdoo 2
10
use on property I own at
Owner (print)
Owner signatl
The State of 1qL--xa:S .
County Of /
hereby authorize
to request a temporary
6
Before Me �L?2t L- -l.._EW r (,_L,—yh� . (notary) on this day personally
appeared t' nuI2.va- f3Y4,Y? r, (property owner) known to me (or proved
to me on the oath of card or other' document) to be the person whose name is subscribed to the
foregoing instrument and acknowledged to me that he executed the same for the purposes and
consideration therein expressed.
(Seal) Given under my hand and seal of office this _ ag day of _ J ULN'i ,
A.D. atir
8UE LLE- WELLYN
MY e0mmleet0n expires Notary Signature
Decembar 16, 2015
co to/f
FOR OFFICIAL.
CITY MANAGER \ ) RISK MANAGER 0 r
FIRE
0 r- DEVELOPMENT SERVICES
CITY OF GRAPEVINE.DEVELOPMENT SERVICES.P O BOX 85104. 011APEVINE .7FXAS.76098.(817)410- 3154.FAX (017)410.3018
O :\ZOUtForm bpp.temp use publlc ent.doo
3
EMBASSY SUITES OUTDOOR WORLD
2401 BASS PRO DRIVE
GRAPEVINE, TX 76051
EVENT NAME: TOYOTA VEHICLE SHOWCASE
EVENT DATES: AUGU9-1 2013 TO SEPTEMBER 8, 2013
Here is a detailed description of what happens in the tent.
It's a 20 X 40 tent with 3 side walls covered which would be one 40 ft wall and 2 20ft
walls. Inside this tent will be 1 table 8R along with 15 chairs for our sales people to sit if
needed.
We will also have a display of a truck chassis sitting inside this tent so that our people in
training will be able to touch and feel this display and learn about it. Throughout the day
we will have 3 sessions of I hour each that will go from this display to our street drive
and back and forth. This will happen in 1 hour increments. There will be no food served
inside this tent, the only thing that might be there would be water for our participants to
stay hydrated. That's pretty much all that happens in this tent so I hope this helps. Thank
you.
Alfred Lemos,
Event Planner for Toyota
CC PAOLA ENRIQUEZ- BUNSTER
Catering Admin Assistant at Embassy Suites Outdoor World
CC LAURA BAIR
Executive Meetings Manager at Embassy Suites Outdoor World
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SI DEWALL
40 FEET
FIRE EXTINGUISHER BX30 TABLE
o TRAINING SESSION 15 CHAIRS
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CD
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o CAR MODEL EMERGENCYE T
rr
ENTRANCE
OPEN -NO SIDEWALL
FACING HOTEL
t
AC R°® CERTIFICATE OF LIABILITY IINSu
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TH
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWf
'EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER"
.IPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) mutt be endol
the terms and conditions of the policy, certain policies may require an endorsement. A. statement
certificate holder in lieu of such endorsements .
PRODUCER CONTACT
Mash
NAME:^ _._--
1000 R1dge:Yay Loop Road, fish Floc �ANlCONO. E
Memphis, TN 381211 E -MAIL
Nia Le*Mrreadre 901- 684 -3 &90 noDRESS:
INSURED
John Q filmrm s Hotels ManatJemenb LLC
Atrium Finance I, LP
300 John Q Hamams Pafkway
S(irin tend, mo 6580(i
LANCE DOW8120�D YYY}
rS UPON THE CERTIFICATE HOLDER. THIS
COVERAGE AFFORDED BY THE POLICIES
N THE ISSUING INSURER(S), AUTHORIZED
I, If SUBROGATtON IS WAIVED, subject to
this certificate does not center rights to the
INSURER A ; Tfavaters Property C2sualty Company Of America
INSURER a : Com( ew And Indui" Ins co
INSURERS: Trav6mIndemdtyti0
C0VFRAAFS VFRTIFIN^ATF M1 IMRFR" AP I or= lfrernl,I KIN IRK. I
19410
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INISURE(J NAMED ABOVE FOR THE POLICY PERIOD
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 INSURANCE AFFORDED BY THE POLICIES DESC�IIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS.
INS"
Lyn
TYPE OF INSURARCE
DD
efl
POLICY NUMBER
POLICY EFF
G1M/DDtYYYY
POLICY EXP
M#1vD YYYV
LIMITS
A
GENERAL LIABILITY
101011201
10101/2013
OC RAENCE
1,00.000
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
X LI[ItlOr LiabtSly
PREMISES I a occur a
$ •
MED EXP (Anyone parson)
$
PERSONAL 8 AD_V INJURY
S 1.000000
GENERN- AGGREGATE
GrULAGGREGATELIM0- APPLIES PER.
POLICY PRO• X LOC
PRODUCTS- COA {PlOPAGG
$ 2,000,1X70
820.00000DPoEcyAggregate °'
S
AUTOMOBILELIABILITY
X
ANY AUTO
14101/2012
1(710112013
COldBINEDSiNGLEUAIFF
' n
2�
5GOILY INJURY (Per person)
$
ALLOWNED SCHEDULED
AUTOS AUOS
GafagekepesLibi ty(ridd
BODILY INJURY (Per acckkft)
$
HIRED AUTOS NON OY1NE0
AUTOS
pP{OPI=FiTY DNJAGE
Paracciden
3
$
I
B
X
UMBRELLA LIAR
X
OCCUR
1091/2012
10101/201
EACHOCCURRENCE
3 25•�•�
AGGREGATE
$ 25,000.040
EXCESSLIAD
CLAIMS -MAOE
OEO X RETEN7rONS
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPMETORWARTNERIEXECUTIVE YIN
OFFICERJAICPI.BER EXCLUDED?
N1 A
1010112012
197011201
X WC STATU- OA-, -
E.L- EACH ACCIDENT
$
E. I,DISEASE -FA EMPLOYE_
§ 11000,000
(Mandatory in. NH)
If y8S
E.L. U15EASE •POLICY LIMIT
j,Q00,(i0Q
$
DESG�RIIP 0 O OPERATIONS belav
s
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLE$ (Aliach ACORD 101, Additional Remarks Schedule, If more space Is required);
RE:180785 Embassy Bolles Grapev ire 2401 Bass PfD Df., Grapevine TX 76451
i
Embassy suites Grapevine SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
2401Ras5ProDrive THE EXPIRATION DATE -THEREOF, NOTICE WILL BE DELIVERED IN
Gfape` §ne,1X 76051 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPOESENTA71VE
of Marbh USA MCI
Tim Brandt
9 19811-2010 ACORD CORPORATION. All rig h is. reserved.
ACORD 25 {20101.05) The ACORD nanne and logo are registered marks of AC RD
F(8 /� 5/2013) Susan Batte - Re: Temp Use App -Embassy Suites
From:
Ronald Hudson
To:
Batte, Susan
Date:
8/5/2013 12:12 PM
Subject:
Re: Temp Use App - Embassy Suites
Ok, letter attached to application had event date as 8/8.
>>> Susan Batte 08/05/2013 12:04 PM >>>
August 28 - Sept 7
>>> Ronald Hudson 8/5/2013 12:01 PM >>>
Approved but is it August 8 or August 28?
>>> Susan Batte 08/05/2013 11:56 AM >>>
please see the attached application and let me know if you approve
-- — - —Page 1
use on property 1 own at
Owner (print)
Owner signatt
The State of %fix ra .s
County Of J;492 ,�, la4j • i
hereby authorize
to request a temporary
Before Mew, ( (notary) on this day personally
appearedY1ulz va lira y a- (properly owner) known to me (or proved
to me on the oath of card or other' document) to be the person whose name Is subscribed to the
foregoing instrument and acknowledged to me that he executed the same for the purposes and
consideration therein expressed.
(Seal) Given under my hand and seal of office this _ q day of ,.� UL.�
A.D. ati� f
AMwa�.1�.�1r�.Mw+4.Aw�+
LlHE LLEWILWO
My Oommieeloe Exptree
Declmber 16, 2016
FOR OFFICIAL USE ONLY
CITY MANAGER RISK MANAGER
FIRE
Notary Signature
DEVELOPMENT SFRVICES DIR
POLICE HEALTH
cITYOF GRAPEVINE.DEVELOPMENT SERVICES.P O BOX05104. GRAPEVINE .TEXAS.7mo.(817 )410.3154.FAX (817)110.3018
Q.1ZCU1Fom41app.lemp uso public enl.doo
3
L(8/5/2013) Susan Batte - Re: Temp Use App _ Embassy Suites
From: Craig Reed
To: Susan Batte
Date: 8/5/2013 1:58 PM
Subject: Re: Temp Use App - Embassy Suites
Make sure tent is not in fire lane.
Vehicle that is inside of tent must have the battery disconnected while it is inside of the tent.
Craig Reed #749
Captain / Assistant Fire Marshal
Grapevine Fire Department
601 Boyd Drive
Grapevine, TX. 76051
creed @grapevinetexas.gov
817 - 410 -8100
>>> Susan Batte 8/5/2013 11:56 AM >>>
please see the attached application and let me know if you approve
Page 1