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2. Please Read.
   Application Agreement
4. Contact Information
6. Department*
8. Name of Applicant*
10. Phone Number*
11. Email Address*
13. Event Information
15. Event Title*
17. Event Category*
19. Will this event be for a non-profit organization?*

    1. Yes
    2. No
21. Please upload a copy of the non-profit status.*
23. Event Date and Time*
25. Setup*
    Setup

    Setup
26. Clean Up*
    Clean Up

    Clean Up
28. Event Start*
    Event Start

    Event Start
29. Event End*
    Event End

    Event End
31. Event Location*
33. Event Schematic
35. Event Description
    Please provide a detailed description of your event. Include details regarding any components of your event such as the use of vehicles, animals, rides, sanitation provisions or any other pertinent information about the event.
37. Description*
39. Will admission be charged?*

    1. Yes
    2. No
40. What will tickets cost?*
42. Will this event be open to the public?*

    1. Yes
    2. No
43. Number of Participants*
45. How will the event be advertised and promoted?*
47. Will there be promotional signs posted and where?*
49. Special Equipment to be used for proposed event: (List all electrical needs you may require)*

    1. P.A System
    2. Generators
    3. Booths
    4. Bleechers
    5. Stages

    1. Tents
    2. Banners
    3. Barricades
    4. Tables/Chairs
    5. Other
51. How many Tables?*
52. How many Chairs?
54. What else will you need?*
56. Do you need Portable Toilets?*

    1. Yes
    2. No
57. How many Portable Toilets do you need?*
59. Where do you need them placed?*
61. Trash Collection/Disposal Needs*
63. Will the event include music of live performances?*

    1. Yes
    2. No
64. Will film, video, or photography be involved with the production of the event?*

    1. Yes
    2. No
66. Do you intend to sell food or beverage?*

    1. Yes
    2. No
67. Please attach Health Department Food Vendor Certificate*
69. Do you intend to sell other merchandise?*

    1. Yes
    2. No
70. Number of Vendors (for profit vendors must have business license on file with the City)*
72. Describe Merchandise:*
74. Will alcohol be served?*

    1. Yes
    2. No
75. Please attach ABC license*
77. Public Parking Needs:*
79. Please list your procedures for crowd control and internal security:*
81. What City services to you anticipate you will need? (i.e. Police, Fire, Public Works, etc)*
83. Other pertinent information or special requests:
85. Proof of Insurance
    INDEMNIFICATION, DEFENSE, HOLD HARMLESS

    Applications must furnish the city with a certificate of insurance in an amount no less than $1 million naming the City of Seaside as an additional insured. The amount of insurance is subject to increase at the discretion of the Finance Director who is the Risk Manager, depending upon the nature of the event. Such insurance must be primary to any city insurance and the city must have at least ten days’ notice of cancellation.
    
    For final event approval, you will need commercial general liability insurance that names “the City of Seaside, its officers, employees and agents” as an additional insured and any other public entities impacted by this event. Insurance coverage must be maintained for the duration of the event. To determine the amount of insurance coverage necessary, please contact Risk Manager. Please obtain the required insurance.

87. Insurance Agency*
89. Insurance Agent*
91. Insurance Agency Phone Number*
92. Policy Number*
94. Permit Holder
    PERMIT HOLDER hereby agrees to protect, defend, indemnify and hold and save harmless CITY, its officers, and employees against any and all liability, claims, judgments, costs and demands, however caused, including those resulting from death or injury to PERMIT HOLDER’S employees and damage to PERMIT HOLDER’S property, arising directly or indirectly out of the obligations or operations herein undertaken by PERMIT HOLDER, including those arising from the passive concurrent negligence of CITY but save and except those which arise out of the active concurrent negligence, sole negligence, or the sole willful misconduct of CITY PERMIT HOLDER will conduct all defense at its sole cost and expense. CITY shall be reimbursed by PERMIT HOLDER for all costs or attorney’s fees incurred by CITY in enforcing this obligation.
96. Applicant Signature*
97. Signature Date*
    Signature Date
99. Thank You
    Thank you for filling out the Special Event Application. Please click submit and you will be contacted by someone from the City very soon.
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101. 1. Receive an email copy of this form.
102. Email address

     This field is not part of the form submission.

103. Submit

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