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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 Nfi JII6'IVlii[J . 47 ti SI DEWALL 40 FEET FIRE EXTINGUISHER BX30 TABLE o TRAINING SESSION 15 CHAIRS V) CD LL Z LL Y O V) 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