CITY OF JERSEY CITY Office of Cultural Affairs Steven M. Fulop Mayor

Transcription

1 CITY OF JERSEY CITY Office of Cultural Affairs Steven M. Fulop Mayor Summit Avenue, # C3 Jersey City, NJ Ph: (201) Elizabeth Cain Director Special Event Application (Application must be submitted at least two months prior to event) Application Date: Contact Person: Phone # - Day: Phone # - Evening: Contact Number for Public: Organization: Organization (if different) Are you a n-profit? EIN: *** Please attach a copy of n-profit Status to application *** If any person, organization or corporation engaged in this activity will realize a profit, please provide their name and address: If charity, gratuity or offerings will be solicited or accepted, name the charity and give the reason: Title of Event: Day & Date of Event: Event TIMES - Start: End: Setup Start: Breakdown End: Location(s): Owner of Property: Telephone Number - Day: Block and Lot Numbers: How are you advertising? Block: Social Media TV Estimated Attendance for this year: Radio Lot: Print Other: Attendence in Previous Years (If applicable): Applicant must submit Insurance Policy identifying the City of Jersey City as certificate holder. Please attach a copy of the Liability Insurance Policy which provides coverage for the purpose of this event. Insurance coverage must be approved by City Risk Manager Name of Insurance Carrier: Policy Number: *** Please attach a copy of Insurance Certificate which provides coverage for this event *** EVENT AFFILIATION - (CHECK ALL THAT APPLY) Music Health Visual Arts n-profit For Profit Performing Arts Civic Community Ethnic Cultural Political Organization Farmers Market Environmental Athletic Page 1 of 5

2 EVENT TYPE - (CHECK ALL THAT APPLY) Moving Assemblage Walk Run Marathon Rally Strike Protest Bike Cycling Procession Parade Farmers Market Market Carnival Community Clean-up Canning Soliciting Filmmaking Photograph Flea Market Sidewalk Sale Trade Show Health Fair Circus Block Party ** Festival Name of Concessionaire: Contact Person: Telephone Number: ** Is your Neighborhood Block Association registered with the RRC? If you chose NO please call (201) to register your Block Association with the City of Jersey City to take advantage of the opportunities available to registered Block Associations. *** Please provide a brief description of your event in space below*** Attach additional pages if needed STREETS PARKING Will any street closing be required? APPLICATION ATTACHED If what street & when? Streets: Dates: Streets: Dates: If more than one day, will street closure be overnight? If block to be closed primarily residential, how many residents? List the name(s) and address(s) of all businesses on block to be closed below: Attach additional pages if needed. Will parking be prohibited or restricted? What time: If, contact Dave Wise at The Parking Enforcement to order paper signs at least 72 hours before event at (201) ext. 111 Page 2 of 5 Updated 4/04/2016

3 HEALTH & HUMAN SERVICES APPLICATION GIVEN Will you be serving food? Will there be food trucks? If, how many? Will you have food vendors? If, how many vendors? Do they have an existing Jersey City license? *** Please attach a copy of Health Certificate *** FIRE DEPARTMENT APPLICATION GIVEN TO ORGANIZATION Will you be using a generator? If, how many? Will you be installing electrical wiring If, Please explain below: Are Fireworks included in your plan? If, please explain below: Will you be having rides or inflatable amusements? Will you be cooking or serving food? ALCOHOL BEVERAGE CONTROL (ABC) What size? If, please explain below: ABC APPLICATION GIVEN ORGANIZATION Will any beer, wine or other alcoholic beverages be present and/or sold for public consumption? If so, NO glass bottles should be distributed at public events. PUBLIC SAFETY Is a Parade expected to be held with this event? If, how many contingent groups marchers are expected? Groups: Number of vehicles floats: Type of vehicles: Total # of Marchers: Route of Event: *** Please attach map of route with application *** Do you have any outstanding bills with the Department of Public Safety from previous events? Page 3 of 5

4 RECREATION Will a sound stage or reviewing stand showmobile be included? If, will it be constructed rented or requested from the City? Showmobile Stage Request is being made for the following: Will entertainment be involved? If, please describe in detail (amount of Bands Dancers Other): Attach additional pages if necessary. PARKS INSTRUCTIONS Will you be requesting use of a City park? If, what Park? Describe any literature you plan to sell or distribute: Please note that NO Cooking, Alcohol Distibution or Private Events are permitted in City Parks Will you be requesting City Bleachers? INCINERATOR AUTHORITY. JCIA APPLICATION GIVEN TO ORGANIZATION Clean-up Requirements Event Organizers are responsible for clean-up. 1-2 sweeper(s) are required for Parades & Festivals, depending on expected attendance. A dumpster or packer is required at every public event depending on expected attendance. A professional cleaning company with wheeled barrels & individuals sweeping to remove refuse is recommended. If not, this must be done by volunteers to restore the site during after event. *** Please provide clean-up plan for Sidewalks Parks & Streets below *** Individual Company responsible for Clean-up: Name: Contact Number: Portable Toilets: Event Organizers must provide ample units to accomodate attendees. ADA accessible units must be included and available for public. List portable toilet company here, along with the number of units orderd & set-up requested. Clean potable drinkable water must be available at public events free of charge. What is your plan to provide water? Page 4 of 5

5 Does your event included amplified sound? If, Please explain elaborate below: The City of Jersey City welcomes public events and celebrates the vast diversity of our community. We encourage public art programming, civic pride events and music. We ask, however, that all event organizers adopt the philosophy that events should occur with as little inconvenience to our residents as possible. So, in addition to obeying all city ordinances relating to time constraints and noise, we ask that you keep amplified sound at a reasonable level. Amplified sound is intended to broadcast music and spoken word to reach the audience in attendance. Excessive amplification is unnecessary and compromises the quality of life in our city. Please keep that in mind. PLEASE NOTE: If severe weather conditions will inevitably postpone the start time of the event, or if the entire event must be cancelled or moved to another location, the Office of Cultural Affairs must be notified at least twenty four hours prior to the start time of the event. The Office of Cultural Affairs reserves the right to rescind this application at any time for good cause, especially in the case of a State of Emergency. COMMERCE Will there be Street Vendors Peddlers If, how many? Less than to 20 Over 20 vendors List your vendors: (Please attach full list of addresses): Will you conduct Raffles or Games of chance? License Issued By: Raffle Application given Date: The undersigned Applicant agrees to assume any and all risk of loss or damage of any kind whatsoever to property or injury to or death including wrongful death of persons arising out of the Applicant's use of any premises during the Special Event. The Applicant further agrees to indemnify and hold harmless the City, its officers, directors, employees or agents from and against any and all claims, suits and demands based upon any of the risks so assumed, whether just or unjust, fraudulent or not, and for all costs and expenses incurred by them in the defense, settlement or satisfaction of any such claims, including attorney's fees and costs of suit. If so directed, the Applicant shall, at no cost or expense to the City, defend against such claims, in which event the Applicant shall not, without obtaining express permission in advance from the Corporation Counsel of the City, raise any defense involving in any way the immunity of the City, or the provisions of any statutes respecting suits against the City. The Applicant's liability hereunder shall continue after the termination of the Special Event with respect to any liability, loss, expense or damage resulting from acts occurring prior to termination. Print Name: Signature of person coordinating the Event Application ( Applicant ): Phone Number: Date Submitted: The City of Jersey City can better meet your event needs if you include a site map with this application. Did you include it? *** DO NOT WRITE BELOW THIS LINE *** OFFICIAL Application Received by: Approved for Processing Date Received: t Approved: Cultural Affairs Event Planner or Representative Assigned: Page 5 of 5