Park Reservation/Street Closure/Parade Request. If the City can assist you in any other way, please come into City Hall or call

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1 Park Reservation/Street Closure/Parade Request Special events are iportant to our counity. They bring exciteent to our City and enhance our quality of life. The City of Dillon is happy to assist organizations and groups providing quality events. To do so, we require copletion of the attached application. Copletion of this application for all street closure requests that take place on public property will assist you and the City in having a successful event. Also, it deterines if events proposed are in conforance with applicable laws and regulations and ensures activities are not detriental to public health, safety and welfare. Attached is soe general inforation to assist you. You should review your plans with your insurance agent to assist you in providing the City of Dillon with insurance inforation necessary to approve your request. If the City can assist you in any other way, please coe into City Hall or call Mayor Director Operations

2 SPECIAL EVENTS APPLICATION Person or Organization Making Application: Address: City, State, Zip Phone Nuber Eail: PURPOSE OF THE APPLICATION PARADE REQUEST PARK RESERVATION: STREET CLOSURE REQUEST Jaycee Park Bicentennial Park Ray Lynch Park OTHER Ibey Meorial Park Vigilante Park Children s Park Depot Park Date of Event: Start Tie: Stop Tie: Detailed Description of Event: Parade Route or Streets requested to be closed: Action to be taken in the event of a disturbance, edical eergency or other type of eergency: ALCOHOL RELATED EVENTS: How will adission of those under the legal age to drink be handled and what will consequences be if/when underage drinking occurs? How will those under the influence of alcohol be handled? Will alternate transportation be offered? OFFICE USE Proof of Required: Yes No If Yes date received: $ Deposit Paid Yes No Date received: Date returned: Event is Open to the Public: Yes No Council Approval Required: Yes No If Yes was it approved: Yes No Date: If council approval is required obtain appropriate signatures below before presenting to the council. Police Departent: Director of Operations: MT Dept of Transportation on State Maintained Highways Fire Departent

3 The City of Dillon ay review with Police and Fire Departents and City Council for Approval. No ore than two approvals will be issued within the downtown business district on the sae date. Upon approval of the event, a CLEAN UP AND DAMAGE DEPOSIT in the aount of $ will be given to the City. After the event, city staff will inspect the area and the deposit will be returned if the area is clean of all trash and garbage and there is no daage. Any arkings (no paint allowed) to be placed on public right-of-way shall be approved by the City Director of Operations prior to placeent. Said arkings ust be environentally safe and not conflict with existing arkings. The City ay provide cones and barricades if needed, but they ust be checked out and picked up at City Hall and returned to the city the next business day after event. If lost or daaged, the City of Dillon will be reibursed for replaceent cost. A Certification of General Liability ay be required for certain events and provided to the City for the period of this agreeent at a iniu of $750, per clai and $1,000, illion per occurrence and the City of Dillon will be naed as an Additional Insured. If liquor is served, a liquor liability certificate shall be provided to the City. Upon the approval of the requested special activity, and upon signing this application, the applicant agrees not to violate any state or city codes. In consideration for perission to conduct its event as requested, applicant agrees to indenify, defend and hold harless the City of Dillon, its officers, agents, eployees, and volunteers fro daage to property and for injury to or death of any person and fro all liability clais, actions or judgents which ay arise fro the activity. Applicants also agree to obtain valid save or hold harless agreeents fro all participants in its activity, including daages of any kind or nature. APPLICANT SIGNATURE: DATE: ADDITIONAL RESTRICTIONS OR SPECIAL CONDITIONS:

4 Special Events Policies MMIA has consistently recoended that cities and towns practice sound risk anageent principles and take reasonable steps to anage the exposures in your operations. We have always aintained that if exposures are created by others who are using unicipal facilities and if you (the city) do not have the ability to control the outcoe, then you should transfer that exposure onto the event holder. If you can t control the outcoes, you do not have the ability to anage the risk. If you can t anage the risk, you should require the person/entity who can anage the risk, to assue the exposure by accepting the liability for the event and providing insurance. One significant difficulty in this sound risk anageent practice has been the inability to find affordable insurance coverage for these events. We believe that we have found a solution to this proble. The MMIA and the Independent Agents of Montana (IIAM) have worked together to provide access to Special Events Liability Coverage for events held on unicipal property in Montana that are sponsored by a private individual or organization. This progra offers easy and affordable, short-ter coverage for a wide variety of events. To obtain coverage, please contact a local Montana agent to review the event details and set up the coverage. Please allow a iniu of 5 business days prior to the event for coverage to be offered. For questions, contact the MMIA at or the Independent Assoc. of MT (IIAMT) at

5 Location Nae Contact Phone Eail Baker, MT Store Jade Boggs (406) Big Fork, MT PayneWest Aanda Sesock (406) Big Tiber, MT Key Julie Schidt (406) Billings, MT Darnielle Deanna Darnielle (406) Billings, MT PayneWest Troy Stowe (406) Billings, MT Peter Yegen Charlie Yegen (406) Bozean, MT First West, Inc. Tyler Delaney (406) Bozean, MT McHenry Erin McHenry (406) Broadus, MT Broadus Jade Boggs (406) Services, Inc. Butte, MT Daniels To Daniels (406) Butte, MT PayneWest Francie Reed (406) Chinook, MT HUB International Mike Inan (406) Choteau, MT Leavitt Great West Toni Sattler (406) Colubus, MT Mandeville Susie Shreiner (406) Conrad, MT Leavitt Great West Shannon Naylor (406) Cut Bank Leavitt Great West Lyndie Kraft (406) Dillon, MT HUB International Anna Cossel (406) Ennis, MT HUB International Jeff Schlitzkus (406) o Forsyth, MT Rosebud County Kileen Hagadone (406) Fort Benton, MT Vielleux Steve Vielleux (406) Glasgow, MT United & Erika Bengochea (406) Realty Great Falls, MT Boland Jerry Boland (406) Great Falls, MT Cogswell Johnna Stringer (406) Great Falls, MT Wood Enterprises Marty & Tina (406) Wood Hailton, MT HUB International Ay Conder (406) Hailton, MT PayneWest Elizabeth Gustin (406) Harlowton, MT Mid-Montana Jodi Tierney (406) Havre, MT Baldwin Brad Baldwin (406) Havre, MT Koefod Ki Wirtzberger (406) Helena, MT PayneWest Sherry Sauer (406) Hingha, MT Hi-Line Ray Lipp (406) Hobson, MT Hobson Kristy Hodik (406) Jordan, MT Jordan Terri Coldwell (406) terrijis@idrivers.co

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