South Bear Creek Park Permit Checklist

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South Bear Creek Park Permit Checklist If alcohol will be involved, you must contact Alberta Gaming and Liquor to obtain a permit application which will need to be submitted with this application to the City of Grande Prairie as well. 1.800.272.8876 All conditions are met on the liquor licence Same as above if food is involved, contact Alberta Health Services at 780-513-7517. Pick your date and location; check availability with City of Grande Prairie Decide on time for event (including set up and take down times) Determine what amenities will be required for the event o Bleachers o Electrical Access o Barricades o Extra Garbage Cans o PA System o Tables o Chairs o Extra Washrooms o Vests/Signage o Staging o Tents o Picnic Shelters Contact First Call and the City Parks Department to do locates if any structures that require staking into the ground are going to be erected Obtain Insurance Certificate and provide a copy to The City of Grande Prairie at least 2 weeks prior to event Set up a site meeting (if necessary) with Fire Prevention at least 2 weeks prior to event Ensure you have a contingency plan in place to accommodate weather which may affect your event

SOUTH BEAR CREEK PARK PERMIT APPLICATION APPLICANT INFORMATION Organization Name: Name of Event Organizer: Organization Street Address: City: Province: Postal Code: E-mail Address: Daytime Phone: Event Day On-Site Supervisor: (if different from event organizer) EVENT INFORMATION Cell: Cell: Special Event Name: Special Event Date(s): Set-up and Takedown Event Set-up to begin on at am pm Event Takedown to end by at am pm Day of Event No. of Participants No. of Spectators Event Start Time Event Finish Time SPECIAL EVENT CATEGORY Tournament Walk/Run Rally/Protest Promotional/Commercial WEATHER CONTINGENCY PLANS Describe Other (specify)

INSURANCE Copy attached - $5 million liability insurance (High Risk Events) and will include The City of Grande Prairie as an additional insured. EVENT ACTIVITIES All event activities are subject to the approval of The City of Grande Prairie. Certain event activities may require separate permits from The City and the Province of Alberta. These include sales, sampling or giveaways of food, alcoholic & non-alcoholic beverages or merchandise or road closures. If any question below is answered YES, you will need to contact the appropriate authorities. Will your event include any of the following? Food and Non-alcoholic Beverages YES NO If YES, will they be sold or served? SOLD SERVED Contact Alberta Health Services for a Special Event Permit 780.513.7517 Alcoholic Beverages: YES NO If YES, will they be sold or served? SOLD SERVED Alcohol is only allowed on The City of Grande Prairie select property, when a Special Event Permit has been issued and the alcohol is being provided by a company/organization that has appropriate licenses from the Province of Alberta. Please contact the Alberta Gaming & Liquor Commission at 1.800.272.8876. Merchandise Sales: YES NO If YES, please specify what will be sold: Tents and Canopies Do you plan to erect tent(s) or any other canopies? YES NO If YES, describe and give the quantity of tents and/or canopies along with the sizes of each: Call Alberta First Call at 1.800.242.3447 to arrange utility location were spiking or staking is requested. Contact the Fire Hall as well as Building Safety Codes if tents exceed 200 square feet.

Stages, Bouncers, Portable Toilets, Dumpsters, Fences and Barricades, and other Structures If you are planning to erect, install, or use any of these structures, please describe sizes and quantities of individual structures. Call Alberta First Call at 1.800.242.3447 to arrange utility location were spiking or staking is requested. Contact the Fire Hall as well as Building Safety Codes to ensure structures are adequate. Promotional Signs or Banners YES NO If YES, please specify sign size, sign type and how many Amplified Sound Do you plan to use any device to amplify sound? YES NO If YES, please specify what type of music? LIVE RECORDED Electrical Access Will you require access to electrical power? YES NO If YES, please specify where and for what purpose: Security Will your event require security? YES NO If YES, please specify what security measures you have planned. First Aid, Emergency Response Please outline your plan for provision of first aid services and emergency response.

There are no motorized vehicles allowed on The City of Grande Prairie parks or trails. The City of Grande Prairie may consider granting vehicle access if there is a reasonable request by the event organizer. Are you requesting permission to operate staff/supply vehicles on Grande Prairie parks or trails? YES NO If YES: No. of Vehicles Type of Vehicles (Car, Truck, ATV &/or Gators) Route Map If your event is a run, walk, parade or other activity in which participants will be following a course, then you must attach a separate map of the proposed route. All proposed routes are subject to The City of Grande Prairie approval and use of any roads must be approved by The City. If you are requiring road closure, the cost incurred for this service is the responsibility of the applicant. Additionally, The City of Grande Prairie is not responsible for any costs associated with the denial of a proposed route. Site Map Please provide a site map attached on a separate sheet. The site map should indicate the precise location of the following: all sources of amplified sound; tents and canopies; stages; inflatables; portable toilets; dumpsters; fences, barricades and other structures; proposed driving paths for all equipment, supply and emergency vehicles; and location of alcohol, food and merchandise services. All site maps are subject to the approval of The City of Grande Prairie. ALL APPLICATIONS MUST INCLUDE A MAP

SIGNATURE Each party shall indemnify and save harmless the other party to the Agreement, its officers, agents, and employees from and against all claims, demands, actions, losses, expenses, costs or damages of every nature and kind which the parties may incur or suffer as a result of the other parties actions. Any personal information on this form is collected under the authority of section 33 of the Freedom of Information and Protection of Privacy (FOIP) Act for the purpose of evaluating the proposed special event permit application. I do solemnly swear (or affirm) that all answers given and statements made on this application are full and true to the best of my knowledge and beliefs. I have read the terms and conditions outlined in this document and The City of Grande Prairie bylaws and agree to abide by them. Failure to comply with the conditions herein could result in the permit being withdrawn, future applications being denied, and/or prosecution for breach of The City of Grande Prairie bylaws. Sponsoring Group (or) Name of Applicant: Per (or) Signature Date City Approval Date For office use only: Parks Maintenance Reviewed by: Date For office use only: Fire Prevention Reviewed by: Date For office use only: Permitting Reviewed by: Date