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The Corporation of the District of Saanich Special Event Permit Application 780 Vernon Avenue, Victoria, BC V8X 2W7 INTRODUCTION Saanich believes that special events add to the social fabric of our community From international sporting events to community picnics, festivals, parades and athletic activities, the District of Saanich is proud to host a wide variety of events each year PERMIT PROCESS The application process begins when you submit to the District of Saanich a completed Special Event Permit Application To help guide you in this process we have outlined the appropriate contact below based on the location of your event Please keep in mind that acceptance of your application should in no way be construed as final approval or confirmation of your request WHERE IS YOUR EVENT LOCATED? Public Property (roadways, parking lots, trails) Complete the application form and contact the Community Events Coordinator at: Saanich Community Services 780 Vernon Avenue Victoria BC 250 475-5558 robphillips@saanichca Saanich Park Complete the application form and contact the Saanich Parks Division at: Saanich Parks 1040 McKenzie Ave Victoria, BC V8P 2L4 250 475-5522 parks@saanichca Saanich Recreation Centre Contact each Centre directly to arrange a Facility Rental Agreement: Cedar Hill 475-7121 Gordon Head 475-7104 GR Pearkes 475-5400 Commonwealth Place 475-7600 Copies of the application are forwarded and reviewed by all affected municipal departments and in some cases the CRD Parks office Throughout the review process you will be notified if your event requires any additional information, permits, licenses or certificates During our initial application screening process you will be allowed time to provide us with all pending documents (eg certificate of insurance, secondary permits, etc) We must receive these items before issuing a Special Event Permit Delays in providing these items often delay our ability to finish our review process and approve your application in a timely manner PARK EVENTS If you plan to hold your event in a Saanich park, it is your responsibility to contact the Parks Division in order to coordinate the scheduling of your event A tentative booking of your event will be made on a first come first serve basis and all Park bookings will not be confirmed until all event related documents have been submitted For any events that are open to the general public and in excess of 100 participants the Special Events Coordinator will provide you with a list of recommendations that must agreed upon before final confirmation of your booking is made The letter of recommendation must be presented to the Parks Division at the time of payment to confirm your booking Special rules, regulations and restrictions unique to each site or facility may apply Most park areas cannot be reserved for the exclusive use of one group, and access to the area by the general public must be available at all times Please complete all areas of the application form to ensure that we can quickly process your request On behalf of the District of Saanich we thank you for contributing to the spirit and vitality of our community through the staging of your event Best wishes for a successful event!

The Corporation of the District of Saanich Special Event Permit Application 780 Vernon Avenue, Victoria, BC V8X 2W7 INSURANCE ALL APPLICATIONS MUST INCLUDE PROOF OF COMPREHENSIVE OR COMMERCIAL GENERAL LIABILITY INSURANCE COVERAGE IN THE MINIMUM AMOUNT OF $2,000,000, INCLUSIVE PER OCCURRENCE, FOR BODILY INJURY AND PROPERTY DAMAGE, UNDER WHICH THE DISTRICT OF SAANICH AND THE SAANICH POLICE BOARD ARE ADDITIONAL INSUREDS THE COVERAGE MUST INCLUDE A WAIVER OF ALL RIGHTS OF SUBROGATION OR RECOURSE AGAINST SAANICH AND THE SAANICH POLICE BOARD Your insurance broker can provide you with such a document or Saanich can give you a form to be completed by your broker I have read and understand the Insurance requirements: Initials Required INDEMNITY AGREEMENT IF THE SPECIAL EVENT PERMIT IS GRANTED TO YOU BY SAANICH, YOU AND YOUR ORGANIZATION MUST INDEMNIFY AND SAVE HARMLESS SAANICH, THE SAANICH POLICE BOARD AND THEIR OFFICIALS, OFFICERS, EMPLOYEES AND AGENTS FROM ANY CLAIM, LAWSUIT, LIABILITY, DEBT, DEMAND, LOSS OR JUDGMENT (INCLUDING COSTS, DEFENCE EXPENSE AND INTEREST) WHATSOEVER AND HOWSOEVER ARISING EITHER DIRECTLY OR INDIRECTLY AS A RESULT OF THE GRANTING OF THE PERMIT OR THE USE OF SAANICH PROPERTY OR FACILITIES YOU ALSO AGREE TO WAIVE ALL RIGHTS OF SUBROGATION OR RECOURSE AGAINST SAANICH AND THE SAANICH POLICE BOARD AS A RESULT OF THE GRANTING OF THE PERMIT OR THE USE OF SAANICH PROPERTY OR FACILITIES I have read and understand the Indemnity Agreement: Initials Required APPLICANT INFORMATION Organization Name: Contact Name: On Site Contact: Address: Address: City: Postal Code: City: Postal Code: Phone: Fax: Phone: Fax: Email: Email:

EVENT INFORMATION Event Name: Location: Site Map Attached Park or Trail Roadway Public Facility Date: Ticketed Public Event Free Public Event Private Event Event Category please check all that apply Race / Walk / Cycling Festival / Celebration Private Gathering Parade Concert / Performance Outdoor Market Charity / n profit Exhibits / Tradeshow Other (explain below) Attendance: estimated # of participants estimated # of spectators estimated # of staff or volunteers Event Description: (please describe your event or attach a summary in letter format) Will fees be charged? Is this an annual event: # of years Event Schedule: Set Up Date: Time: Day of Week: Event Starts Date: Time: Day of Week: Event Ends Date: Time: Day of Week: Take Down Date: Time: Day of Week: PARKING Please provide a brief description of how event parking will be coordinated: Will a shuttle bus be used if parking is not contained with the available parking area? Please describe your plan for emergency vehicle access to the event site: Will alternative means of transportation be promoted to avoid congestion? How and when will affected residents and or businesses be notified? TRAFFIC CONTROL Events requiring road closures must be received at least 12 weeks prior to the event and will require the approval of a detailed route map provided to Saanich Police Do you plan to close or block any road ways or sidewalks at any time during the event? Do you require the assistance of the Saanich Police to manage traffic congestion? Will the use of Certified Traffic Control Persons be utilized during your event? Please note: Saanich Police (or in some cases Certified Traffic Control Persons* will be required at: all signalized intersections all intersections considered major by the Traffic Control Unit of the Saanich Police any location not considered suitable for private traffic monitors (marshals)

Other intersections: lower volume intersections and areas requiring low to moderate traffic control may be regulated by Certified Traffic Control Persons* locations requiring an informational level of traffic direction may be monitored by volunteer personnel who have been suitably trained Certified Traffic Control Persons * - please provide names and proof of training EQUIPMENT & ACTIVITIES Are there any musical entertainment features related to your event? Number Stages Number of Performers or Bands Will sound amplification be used for announcements, speeches or other public addresses? Do you plan to sell any goods or services at your event? Do you require an electricity source during your event? Will generators be utilized during the event? Will portable toilets be supplied for this event? Washroom facilities vary at each Saanich Park so it is recommended that portable washrooms be used for events that are larger than 200 participants Will animals be used for any portion of this event? (Petting farm, pony rides etc ) Will tents be used during this event? Will any bleachers or grandstands be used during this event? Does your event involve a parachute jump as part of an open ceremony? If yes, please provide a detailed letter explaining the coordinates of the landing and the names of all certified participants Permission from Transport Canada is required for all jumps First Aid: In the event of an emergency or injury to participants what first aid provisions have been made: Security: What arrangements have been made to ensure the safety of participants, staff and volunteers at the event: Waste Management: What arrangements have been made to reduce litter and for removal of excessive waste during or after the event: FOOD & BEVERAGE Will food and beverage service be available during your event? Please describe the equipment that will be used to prepare the food at this event: Gas Charcoal Electric Other: Will alcoholic beverages be available during your event? If YES, a Special Occasion License is required Please explain who will be providing the service and what products will be available

ADVERSTISING & PROMOTION Please check all that apply Television Radio Newspaper Website Posters Flyers Billboards / Kiosks Other: FEES If your event is located within a Saanich Park the $25 Special Event Fee is not applicable, please contact the Saanich Parks Department for a list of Park Usage Fees Special Event Application Fee: $25 Please make cheque payable to the District of Saanich Park Fees: Applications can be sent to: Saanich Community Services 780 Vernon, Avenue Victoria BC V8X 2W7 Fax: 2504755411 If you have any questions or require further information please contact the Community Events Specialist at 2504755558 Signature: Date: For Office Use Only: Reviewed by Police: Reviewed by Saanich Fire: Reviewed by Parks Division: Reviewed by Recreation Dept: Date Received: Date Approved: Police Assistance: Certified Traffic Control Persons: This collection of personal information is authorized under the Local Government Act, Community Charter and section 26(c) of the Freedom of Information and Protection of Privacy Act The information will be used for processing this application Questions can be directed to the District s Privacy Officer at: 770 Vernon Avenue, Victoria BC, V8X 2W7, t 250-475-1775, e foi@saanichca