HomeMy WebLinkAboutA05.0 Special Event Permit Attachment E GRAP VNE,
-11 E A 0 Attachment: E — Section: A / 5.0
City of Grapevine
Special Event Permit Application
Thank you for considering Grapevine for your event. By providing the information below, you will help
us to determine how to help make your event safe and pleasant for all involved. Your application will
either be approved, approved with conditions or denied based on this information. Should certain
parts of this application require additional information, you will be responsible for supplying that
before the application will be approved. Please submit a map with your application. There is a $100
non-refundable Administrative Fee for submittal of all applications.
This application must be signed, notarized (with advance notice, the City can provide notary services),
and submitted to the Parks and Recreation Administration division at least 45 days prior to the event.
Parks and Recreation will forward it to the other City departments involved for approval.
Event Title Parade Race Other (explain)
Event Date Event Start Time a.m./p.m. Event End Time a.m./p.m.
Organization Hosting Event Phone
Address
Contact Person Phone
Address
Date of Application Email
Drivers License Number Non-Profit Yes No
Does Event use any Corps of Engineer property? Yes _ No_ If yes, an additional COE permit is
required.
Participants Expected: Number of Persons Number of Vehicles
Number of Animals Types of Animals
Description of Vehicles and Comments
Will there by any food or beverages sold or served at the event? Yes No
If yes, you must contact the Tarrant County Health Department at 817-321-4960.
Will there be any tents? Yes No If yes, contact Permits Dept. at 817-410-3166.
Any entertainment, such as bands, DJ's, outside speakers, etc.? Yes No
(If yes to any of the above, contact Development Services @ 817-410-3154 as additional permit may be
required.)
Revised: 02/01/2014
Number of Lanes Requested for Closure Street(s)
City of Grapevine
Special Event Permit Application
Page 2
Direction of Closure
If you are requesting street closure you MUST include a route map as an attachment and a traffic control plan.
If you have questions or need assistance with your traffic control plan, please contact Mike Looper at 817-410-
3243.
Person responsible for implementing traffic control plan
Name: Phone
Indemnity
The holder of this permit shall waive all claims, fully release, indemnify, defend and hold harmless the
City and all of its officials, officers, agents, consultants, and employees in both their public and private
capacities, from any and all liability, claims, suits, demands or causes of action, including all expenses
of litigation and / or settlement which may arise by injury to property or person occasioned by error,
omission, intentional or negligent act of the permit holder, its officers, agents, consultants,
representatives, and employees, arising out of or in connection with the activities authorized pursuant
to this permit, and the permit holder will, at its own cost and expense, defend and protect the City and
all of its officials, officers, agents, consultants, and employees in both their public and private
capacities, from any and all such claims and demands. This indemnity shall apply whether the claims,
suits, losses, damages, causes of action or liability arise in whole or in part from the intentional acts or
negligence of the holder of this permit or any of its officers, officials, agents, consultants,
representatives, and employees, whether said negligence is comparative negligence, concurrent
negligence, gross negligence or any other form of negligence. Provided, however, that nothing herein
shall waive the City's defenses or immunities under Section 101.001 et seq. of the Texas Civil Practice
and Remedies Code or other applicable statutory or common law.
Applicant Signature (to be witnessed by a notary)
Printed Date
Position You Hold in Organization Applying For Permit
CORPORATE ACKNOWLEDGMENT:
The State of Texas
County of Tarrant
Before me, the undersigned, on this day personally appeared
of , proved to me through the presentation of a valid Texas Driver's
License to be the person whose name is subscribed to the foregoing instrument and acknowledged to
me that he/she executed the same for the purposes and consideration therein expressed. Mr./Ms.
furthermore attested that he/she is signing this permit application and indemnity agreement in his/her
capacity as of and that such capacity makes
his signature valid to bind the entity,
Revised: 02/01/2014
GIVEN UNDER MY HAND AND SEAL OF OFFICE, this day of ' 20
City of Grapevine
Special Event Permit Application
Page 3
Notary Public in and for the State of Texas
My Commission Expires:
(Signature)
This application will either be approved, approved with conditions, denied, or more information will be
requested within ten business days of submission to one of the departments listed below. You will be notified
in writing or by telephone of the application status.
Office Use only
Requirements and Approvals
City Manager or designee comments
Signature Date
Risk Management Comments/Requirements
Signature Date
Public Works Department Comments/Requirements
Signature Date
Parks Department Comments/Requirements
Signature Date
Fire Department Comments and Requirements
Signature Date
Police Department Comments/Requirement
Signature Date
Convention & Visitors Bureau (CVB) Comments/Requirements
Revised: 02/01/2014
Signature Date
Development Services Comments/Requirements
Signature Date
CITY OF GRAPEVINE
SPECIAL EVENT PERMIT
Permit Number
A. The permittee will clean the grounds, remove equipment, and restore the permitted site by 12:00 PM of the day
after the event. The sale of goods, food, beverages or other such items on City property can be authorized only in
the absence of a concessionaire in the permitted site or his inability to supply the needs of the proposed activity.
B. The permittee is responsible for providing parking assistance and adequate policing for crowd supervision and
control.
C. The permittee will not nail, staple, or otherwise attach any event-connected signs to any guardpost, signpost,
utility pole or tree. If information or directional signs are needed for the event, the permittee will provide the
signposts and will remove it by 12:00 PM of the day after the event.
D. Admission to the event will not be limited to membership nor will any discrimination be made against a person
because of race, creed, sex, color, age, or national origin in conducting the event. Admission to view the event
will be open to the general public without discrimination on the grounds of race, color, religion, national origin,
sex, or age. Participation in the event may be limited to member of the sponsoring group, provided that the group
does not unlawfully discriminate against participation in the event on grounds of race, color, religion, national
origin, sex, or age. Request for special events permits citing special circumstances for participation requiring
gender or age discrimination must be accompanied by a exceedingly persuasive justification. This may be
appropriate for activities such as contact sports and sports such as tennis, golf, or competitive swimming. Fishing
tournaments do not qualify for discrimination based on gender.
E. Private use of City of Grapevine lands will not preempt public use of all recreational resources.
F. The activity will be of a limited duration, generally not more than eight hours in any one-day and will not exceed
two consecutive days or more than two times per year.
G. The permittee will furnish a map showing the area where the special event is to be conducted.
H. The permittee will comply with all provisions of Grapevine Code of Ordinances, Chapter 16,Article III.
Other conditions in connection with this event are as follows:
I have read the Special Event Permit and understand the conditions under which it is issued, and agree to comply with
these conditions in conducting the event.
Point of Contact Address:
Permittee Signature and Date
APPROVED BY:
Revised: 02/01/2014
Authorized Representative of the City of Grapevine
*Note—If using any tents larger than 10' x 10', a Building Permit for a Tent must be completed and approved.
*If you are having any food sales, a permit from the Health Dept. must be completed and approved.
Special Event Permit Application Fee payment:
If you would like to pay by credit card, please fill out the following information:
Name on Card:
Account No:
Exp. Date:
CC Type: MC or Visa
Revised: 02/01/2014