HomeMy WebLinkAboutTUP2013-2246CITY 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 l,
Name
Address
Q)o✓yr E:v //, / , z) �Zs
Phone no. �'/ 7 - `�� _ I j fax no.
2. Property owner
Name 6-,!l " /,,,, ? ) �S' A 4 n/
Address 1 -.10 l ,�i4 )D/ , / �=' ��� r1f tee; -7'--x 7 S-Z"6 /
Phone no. � 2- 2 fax no. 1 7 7 71S - 33 Z 5
3. Address of temporary use or entertainment u I �4,
4. Date or dates of proposed entertainment E4, Dirt - tiI vJ;tz 2a.3 to
5. Kind or type of entertainment ! t /
6. Total number of off - street or highway parking space f0
7. Total capacity per capita of facility to be used for entertainment
0
10
Number of restrooms available within facility
Time and hours of temporary use !• O0 1;4 -
Number of outdoor speakers
CITY OF GRAPEVINE.DEVELOPMENT SERVICES.P O BOX 95104. GRAPEVINE .TEXAS.76099.(817)410 -31
O:\ZCU \Forms \app.temp use public ent.doc
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use on property I own at
Owner (print)
Owner signatL
ny
The State of :V!! V2
hereby authorize
to request a temporary
IL
County Of, 1A P " T
Before Me Liw o5 i o1 5 i'1 U
appeared 1144 Ii I ! c-1 y1 1 1 � �`� (applicant) 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.
(notary) on this day personally
(Seal) Given under my hand and seat of office this v day of yu y ,
A.D. IL
LORISSA ASHURST
My Commission Expires
November 6, 2016
FOR OFFICIAL USE ONLY
CITY MANAGER " RISK MANAGER o6 _ _ DEVELOPMENT SERVICES DIR
FIRE O iL POLICE (?K HEALTH A
CITY OF GRAPEVINE. DEVELOPMENT SERVICES.P 0 BOX 95104. GRAPEVINE .TEXAS.76099.(817)410 -3154. FAX (817)410 -3018
0:1ZCU1Formslapp.temp use public ent.doc 3
6,10
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TRAVELERS J�
COMMERCIAL GENERAL LIABILITY
COVERAGE PART DECLARATIONS
INSURING COMPANY:
THE TRAVELERS LLOYDS INSURANCE COMPANY
One Tower Square, Hartford, Connecticut 06183
POLICY NO.: X- 660- 660X9871 - TLC -11
ISSUE DATE: 07 -15 -11
DECLARATIONS PERIOD: From 08 -02 -11 to 08 -02 -12 12:01 A.M. Standard Time at your mailing
address shown in the Common Policy Declarations.
The Commercial General Liability Coverage Part consists of these Declarations and the Coverage Form shown
below.
1. COVERAGE AND LIMITS OF INSURANCE:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
General Aggregate Limit
(Other than Products - Completed Operations)
Products - Completed Operations Aggregate Limit
Personal & Advertising Injury Limit
Each Occurrence Limit
Damage To Premises Rented To You Limit (any one premises)
Medical Expense Limit (any one person)
2. AUDIT PERIOD: NONE
3. FORM OF BUSINESS: NON- PROFIT ORGANIZAT
LIMITS OF INSURANCE
$ 3,000,000
$ 3,000,000
$ 11000,000
$ 1,000,000
$ 100,000
$ 5,000
4. NUMBERS OF FORMS, SCHEDULES AND ENDORSEMENTS FORMING PART OF THIS COVERAGE
PART ARE ATTACHED AS A SEPARATE LISTING.
COMMERCIAL GENERAL LIABILITY COVERAGE
IS SUBJECT TO A GENERAL AGGREGATE LIMIT
CG TO 01 11 03 Page 1 of 1
PRODUCER: CHARITY FIRST AJG CO JC630 OFFICE: NAT'L PRGM'S -ORL 019
DECLARATIONS PREMIUM SCHEDULE POLICY NUMBER: X- 660 - 660X9871 - TLC -11
This Schedule applies to the Declarations for the period of 08 -02 -11 to 08 -02 -12
It shows all of your known rating classes as of the effective date. Any exceptions will be so noted. This includes
all locations you own, rent or occupy.
OPN
NO.
LOCI
BLDG
NO.
CLASS
DESCRIPT/
CODE NO. SUBLINE
PREMIUM
BASE/
EXPOSURE
RATES
ADVANCE
PREMIUM
MINIMUM PREMIUMS
PREM /OPS $376
LOB
$250
1/ 1
FREE WALK
002
40061 PREM /OPS T
1 11.950
12
EACH GAME
1/ 1
SALES OR SERVICE ORGANIZATIONS
PRODUCTS - COMPLETED OPERATIONS ARE SUBJECT
TO THE GENERAL
AGGREGATE
LIMIT.
003
47367 PREM /OPS P
138,000 .960
132
1/ 1
BUILDINGS OR PREMISES - OFFICE -
PREMISES
OCCUPIED BY EMPLOYEES OF THE
INSURED - NOT - FOR - PROFIT ONLY
PRODUCTS - COMPLETED OPERATIONS ARE SUBJECT
TO THE GENERAL
AGGREGATE
LIMIT.
004
61225 PREM /OPS A
250 60.677
15
900
ADD FOR MINIMUM
PREM /OPS
217
COVERAGE PART TOTAL
376
*This class is subject to the prem /ops transition program.
❑ If an "X" is entered in this box, these Declarations are completed on the Premium Schedule Extension CG TO 12.
CG TO 07 09 87 PAGE 1 (END)
WWO(7� W.H.O. (Women Helping Others) Foundation
F O U N 1 A T I O N 2121 Mid vav Road
iWOMEN HELPING OTHEPS Carrollton, TX -5006
phone: 1- 800 -�)46 -4663
web: v; \r w.%,.,hofoundation.org
May 15, 2013
Dear City of Grapevine:
The BeautiControl, Inc's. Annual Celebration Conference will be held again this
year at the Gaylord Texan Resort in Grapevine on July 24th through
July 27th. For the past 9 years the WHO Foundation, BeautiControl's charity, has
held it's Walk for WHO we would like to hold it again this year on Friday July 26,
2013.
The W.H.O. Walk is one of our largest fundraisers of the year
and this year the BeautiControl's president Daisy Chin -Lor will
be showing her support by leading the walk, which will make this fundraiser even
stronger.
With 9 years of experience holding this walk in Grapevine, with no problems I can
say confidently that we have in place the processes and procedures to make our
walk safe and fun. We have 2 Grapevine officers at the walk, a trained EMT if a
medical emergency arises and numerous staff members accompanying the
walkers.
Since 1993 the WHO Foundation has been supporting community focused
charities that serve the overlooked needs of women, children and families. We
have granted over $5.2 million of which over $1.3 million has been given to
charities in our own state of Texas. We are able to help these organizations
because of fundraisers like this Walk.
Thank you for your consideration of the request to hold our Walk on Friday, July
26th. We anxiously await your response.
Sincerely,
Cindy Turek
Executive Director
Page 1 of 1
Susan Batte - Re: Temp Use App - WHO Foundation
From: Craig Reed
To: Dan Hambrick; Melanie Hill; Randie Frisinger; Ronald Hudson; Susan B...
Date: 5/22/2013 2:08 PM
Subject: Re: Temp Use App - WHO Foundation
Approved by FD
Craig Reed #749
Captain / Assistant Fire Marshal
Grapevine Fire Department
601 Boyd Drive
Grapevine, TX. 76051
creed @grapevinetexas.gov
817 - 410 -8100
>>> Susan Batte 5/21/2013 6:09 PM >>>
please see attached and let me know if you approve
file: / /C: \Documents and Settings \sbatte \Local Settings \Temp\XPgrpwise \519CD141GRPV... 5/22/2013
"I,
hereby authorize
INEEL" f��lih:�lltl�;►ti !l�Ilt�tVl> +i�i� to request • •
use on property I own at
Owner (print)
Owner
The State of
County Of �� LLT
Before Me P- 4) ;15 R-� U T (notary) on this day personally
appeared Imu J `F� W (applicant) 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 _ v day of 1 ra y ,
A.D. -
�, ¢ LORISSA ASHURST
My commission Expires
November 6, 2016
�4 Of ISM ffn
Notary Signal r
FOR OFFICIAL USE ONLY
CITY MANAGER
FIRE
RISK MANAGER
POLICE
DEVELOPMENT SERVICES DIR
HEALTH
CITY OF GRAPEVINE, DEVELOPMENT SERVICES.P O BOX 95104. GRAPEVINE .TEXAS.76099.(817)410- 3154.FAX (817)410 -3018
0:2WFormslapp.temp use public ent.doc 3
(6/17/2013) Susan Batte - Re: Temp Use App - WHO Foundation Page 1
From: Tim Hall <timh @grapevinetexas.gov>
To: Sbatte @grapevinetexas.gov
Date: 6/17/2013 3:29 PM
Subject: Re: Temp Use App - WHO Foundation
As long as the walk is one of the two courses normally used for events at the Gaylord (convention center
to Hwy 26 and back or to Katie's Woods and back), I approve it.
Sent from my iPhone
On Jun 17, 2013, at 11:15 AM, "Susan Batte" <Sbatte @grapevinetexas.gov> wrote:
> the walk portion of the event has already been approved with Fatima.
> >>> Tim Hall <timh @grapevinetexas.gov> 6/17/2013 11:12 AM >>>
> Is there a map of where they will be walking? Did I miss it on the attachment.
> Sent from my iPhone
> On Jun 17, 2013, at 10:04 AM, "Susan Batte" <Sbatte @grapevinetexas.gov> wrote:
> > I still have not heard from the police department on this one
> > >>> Susan Batte 6/5/2013 8:37 AM >>>
> > I have not heard from police on this one
> > >>> Susan Batte 5/21/2013 6:09 PM >>>
> > please see attached and let me know if you approve
> > <SKMBT_C652D13052118030.pdf>