City of Brentwood
Home PageContact Us!Back

City Administration

2010 Council Goals and Strategic Plan | City Council Members | Calendar of Events | Elections
eNotification | Sub-Committees| Pledge of Allegiance Sign Ups | Invocation Sign Up
Live Streaming Council Meeting | Streaming PC Help |
Streaming Mac Help |

Current Council Agenda and Past Meeting Information

 

CITY COUNCIL AGENDA ITEM NO. 3

Meeting Date: September 14, 2004

Subject/Title: Accept recommendation of Park and Recreation Department for Special Event procedures

Prepared by: Tammy Homan, Administrative Secretary
Poldina Scherff, Recreation Services Manager

Submitted by: Craig Bronzan, Director Parks & Recreation Department

RECOMMENDATION
Accept the Park and Recreation Commission’s recommendation of establish administrative procedures for the handling of special event applications.

PREVIOUS ACTION
At the City Council meeting of May 13, 2003, City Council directed staff to work on a way of streamlining the special events process to make it more customer friendly.

On April 13, 2004 City Council approved an amendment to the Brentwood Municipal Code (Section 17.850 of the Zoning Ordinance) Relating to Temporary Use Permits and approved Resolution 2004-82 amending the 2003/04 Master Fee Schedule/Cost Allocation Plan for various park and recreation facility rental and special event application processing fees.

On June 24, 2004, the Park and Recreation Commission approved a recommendation to forward Special Event procedures to City Council for acceptance.

BACKGROUND
Following the approval of an application authorizing the closure of certain streets to facilitate the second annual One Day at a Time Car Show Fundraiser at the May 13, 2003 City Council meeting, City Council directed staff to work on a way of differentiating the TUP process and Special Events, and simplifying the processing of Special Events applications. Staff was also directed to clarify how commercial events are handled versus non-profit and/or City events.

Beginning in June 2003, a group of City staff representing various departments began meeting to determine the best method of handling TUP and Special Event applications. Individuals on this committee included Tammy Homan and Poldina Scherff from Parks and Recreation, Denise Davies and Jodi Fehl from Finance, Tim Nielsen from Community Development, Lt. Brian Strock from the Police Department, Brian Bornstein from Engineering, Diane Williams from Public Works, and Jayne Bauer from Administration. The goal of this committee was to come up with a “one stop shop” method so that applicants don’t get sent from department to department. It became clear that in order to put together such a process, staff needed to define the differences and similarities between Temporary Use Permits and Special Events and that both pieces need to fit with all of the other facility use paperwork that the Parks & Recreation Department already processes. In addition, staff needed to make sure that all pieces fit in with the Parks and Recreation section on the Municipal Code, which is being completely revised and will be brought forward to the City Council meeting on September 28, 2004.

The committee decided that revision of the TUP ordinance was first priority. After approval by City Council on April 13, 2004, the committee then finalized procedures for Special Events. On June 24, 2004, the Park and Recreation Commission approved the procedures and directed staff to more forward for City Council consideration.

In an effort to better explain this process, staff has attached three documents for review. Exhibit A is a procedure that is for use by counter staff in all departments. This gives the staff person in any department instructions on how to enter the basic application information into our computer system. A database has already been set up on our intranet for this component of the process. The information put into the system is provided by the applicant on the first page of their Special Event Application Packet forms. After the information is in the system, Parks and Recreation will make contact with the customer within 24 business hours to get the application moving through the various departments.

The second document, Exhibit B, is an interdepartmental transmittal form that has been created to help staff route the document from department to department to collect information and sign-offs in a timely manner.

The third document, Exhibit C, is the “Special Event Application Packet”. This is what a customer will receive when they come in to inquire about a Special Event Permit. This document provides basic information on the process and is used to collect detailed information about the event. The document is comprehensive and will help make sure that City staff is fully aware of the scope of the event.

There are additional informational documents and/or forms that will be provided to the applicant based on the specific type of event. Additionally, rules and regulations for our various City of Brentwood and school facilities, business license applications, and encroachment permit applications and such will be distributed as applicable to the event. Once accepted by City Council, any necessary revisions to Exhibits A, B, and/or C will be approved by the Director of Parks and Recreation.

FISCAL IMPACT
This administrative procedure in itself bears no fiscal impact. Application fees collected for these special events are to cover staff costs of processing the application.

Fees mentioned in this staff report that are necessary for its implementation will be approved when the City’s Master Fee Schedule is amended.

Attachments:
Exhibit A – Special Event Procedure
Exhibit B – Special Event Internal Transmittal Form
Exhibit C – Special Event Application Packet

PROCEDURE FOR SPECIAL EVENT APPLICATIONS

1. When a person comes in to ANY City office front counter (including City Hall, Community Development, Engineering, Police, Public Works, Economic Development, Parks and Recreation, and Aquatics Complex) and asks for a Special Events application, the person at the front desk can hand them “the packet”. No person shall be redirected.

2. The staff person then needs to complete the Special Event Application form on the intranet while the applicant is at the counter.

3. Upon submission of the service request forms, a confirmation with the application tracking number is automatically sent within seconds so that the front counter person can give that number to the applicant and let them know that they will hear from a Parks & Recreation staff member within 24 business hours.

4. When the work request is submitted, the Parks & Recreation Dept. Special Events Coordinator is automatically notified through the work request system. In the event that Jodi Fehl is out of the office, Michelle Inglis will be the designated back-up.

5. Staff will proceed with making contact with the applicant within one working day to begin the process.

6. Staff will attach a “Special Event Application Transmittal” to the application and route it to the individual department contacts on the list that the event is applicable for.

• Class I and II applications will be routed through all individuals on the list.
• Class III and IV applications are routed through Parks and Recreation and Police only.
• Exceptions are if there are identified specific needs for this application to involve other departments.

7. The form needs to be filled out completely, listing any conditions required by that department. It is important to provide detailed information and accurate fees so that Parks and Recreation can collect the correct amounts.

8. It is imperative that this document be returned to the Parks & Recreation Dept. staff member within one working day of arrival at a department contact’s desk.

9. Once the final department has reviewed the application and has made comments, staff will coordinate the finalizing of the Special Events Permit.

Note: For events requiring a Temporary Use Permit (TUP), the Community Development Department will be notified and will work with the applicant throughout the TUP process, including taking the TUP to City Council for approval.

SPECIAL EVENT APPLICATION TRANSMITTAL

Date Date
Received Returned

Parks & Recreation Jodi Fehl
Michelle Inglis
Kerry Salisbury
Poldina Scherff
Ken DeSilva
Police Department Brian Strock
Public Works Diane Williams
Community Development Tim Nielsen
Engineering Brian Bornstein
Finance Coy Ornelas
Parks & Recreation Jodi Fehl

PLEASE RETURN THIS DOCUMENT TO JODI FEHL WITHIN 24 HOURS. THANK YOU!
PARKS & RECREATION:

Recreation Division:
Requested location/facility available?  Yes  No
Has location/facility been booked?  Yes  No
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:

Parks Division:
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:

POLICE:
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

# of barricades required: # of cones: # of signs:

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:

PUBLIC WORKS:
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

# and size of trash containers: # and size of recycling containers:

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:
COMMUNITY DEVELOPMENT:
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:

ENGINEERING:
Is Encroachment Permit required*?  Yes  No
If yes, an Encroachment Permit application will need to be obtained at through the Engineering Department.
* An Encroachment Permit is required if any modifications and/or construction to existing City improvements within City right-of-way or easement area.
Special Permit Conditions (if necessary, attach additional sheet or any required forms)

Estimated costs:
Were any work requests submitted related to these conditions?  Yes  No
If yes, which forms and tracking number?

 Approved  Denied Staff Signature:

FINANCE:
Business License required?  Yes  No
Business License number:
Seller’s Permit required?  Yes  No
Seller’s Permit verified?  Yes  No
Seller’s Permit number:

 Approved  Denied Staff Signature:

SPECIAL EVENTS INFORMATION

The City of Brentwood would like to encourage event promoters in their efforts to develop activities in the City of Brentwood that may be of interest to visitors as well as residents. We have put this document together to assist you in planning a successful event.

In the City of Brentwood, “Special Event” shall mean any event which is scheduled to take place within the City of Brentwood, including events which will be conducted on or contiguous to a City street, sidewalk, alley or other right-of-way, or other public areas, (or events on private property which are likely to obstruct, delay or interfere with the normal flow of pedestrian or vehicular traffic). Or which may require special accommodations, regulation, or waiver of the usual traffic laws or controls, or is likely to generate a crowd of spectators sufficient in size to restrict access to parks, recreation areas or other public areas, or any event which is likely to result in the need, for public safety reasons, for Police regulation, monitoring and control.

Some events may include street closures, amplified music, admission charges, sales of goods or services, unusually large numbers of people, or the use of City property and City personnel. These requirements each have separate permit costs, related fees and various departmental approval requirements. See Page 2 of this packet to determine the classification of your event.

Once your completed application is received, we will coordinate obtaining input from other City departments. Once all information/conditions have been received from all necessary departments, we will then advise you, in writing, of the status of your request. Dates will be held only with receipt of a $500 refundable deposit. The permit is not valid until verification that all conditions have been met, fees paid, and has been signed by both parties.

When turning in your application, you must:

 Thoroughly complete all applicable forms.
 Submit completed application a minimum of 60 days prior to the event for Class 1 or 2 events.
 Submit completed application a minimum of 14 days prior to the event for Class 3 or 4 events.
 Pay a $100.75 non-refundable application fee when applying for a Class 1 or 2 event.
 Pay a $30.75 non-refundable application fee when applying for a Class 3 event.
 Pay a $61.00 non-refundable application fee when applying for a Class 4 event.
 Pay a $500 refundable deposit to hold your date for a Class 1 or 2 event.

Federal, State, County, and City Government agencies and school districts are exempt from the fee requirements.

It is hoped that this information assists you in planning your event and will help answer many of your questions. For further information, please call the Parks and Recreation Department at
(925) 516-5444.
SPECIAL EVENT PERMIT APPLICATION
#________

Name of Event: Date of Event:
Location: Today’s Date:
Contact Name: Contact Phone:
Organization:

All requests for Class 1 or 2 events require a minimum of 60 calendar days to review. Class 3 and 4 events require a minimum of 14 calendar days. See next page to determine the class of your event.

1. This application is made according to rules set forth in Brentwood Municipal Code (“BMC”) Section 7.02.030, regarding Special Event Permits.

2. If the Applicant has any questions regarding the requirements of the Special Event Permit, or this application, a request for clarification should be made the Parks and Recreation Special Events Coordinator at (925) 516-5444. However, no clarification made by the City is binding unless incorporated into the terms of the Special Event Permit.

3. Please provide the information requested in items “A1” through “A5” below. If any portion of the requested information does not apply to this application, please indicate “N/A” for that item.

A. The name, address, and daytime telephone number of each of the following:

A1. The person filing the application (also include cell phone number).
Name: Phone #:
Address: Cell #:

A2. An alternate person to contact if an emergency arises (someone other than a City employee)
and the applicant is unavailable (also include cell phone number).
Name: Phone #:
Address: Cell #:

A3. The name of the organization sponsoring this event. (The “Applicant”)
Name: Phone #:
Address:

A4. The president, chair, leader or other head of the organization.
Name: Title:

A5. The person who will be present and in charge of the event on the day of the event.
Name: Phone #:
Address: Cell #:

4. Please check the type of Special Event you will be having and then complete the indicated section for your event type.

CLASS 1 CLASS 2 CLASS 3 CLASS 4
Car Shows Arts/Crafts/Safety Fairs Art Show Receptions Block Parties
Carnivals/Circuses Business/Health Fairs Athletic Field Rentals
Concerts Clothing/Food Giveaways Bounce/Jump Houses
Egg Hunts City Building Rentals
Festivals/Fairs City Gazebo Rentals
Movies in the Park Community Meetings
Outdoor Retail Sales Park Dedications
Parades/Processions School Gymnasiums & MP Rooms
Parking Lot Sales Sports Tournaments/Contests
Pyrotechnics Walk-A-Thons
Races/Rallies/Runs/Marathons
□ □ □ □
See page 3 for application requirements for Class 1 events See page 4 for application requirements for Class 2 events See page 5 for application requirements for Class 3 events See page 7 for application requirements for Class 4 events

With the exception of block parties, an event is automatically classified as Class 1 if it involves a street closure.

If your event is not listed above, the Director of Parks and Recreation or his designee will determine the classification. Classifications of events are subject to change based on the specific parameters of the event.

5. Assure the following documents are attached:
A. Map as described in supplemental section. □ Attached
B. Flyers describing event. □ Attached
C. Insurance coverage documentation.* □ Attached
D. Written document of the authority of the applicant (3.A.1.). being authorized to sign this
application on behalf of the organization (3.A.3) □ Attached
E. If private property is to be used for the event, applicant will provide written authorization from □ Attached
the property owner of the property to be used, with dates and time from beginning to end. □ N/A
and time from beginning to end.
F. Fire Department approval/proof of permit if temporary structures are involved □ Attached
G. Proof of County Health Department permit if food is being served. □ Attached
H. City of Brentwood Business License No. □ Attached
I. Seller’s Permit No. □ Attached

* A CERTIFICATE OF INSURANCE SHOWING VALID LIABILITY COVERAGE IN THE AMOUNT OF $1,000,000 MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT. A SEPARATE ADDITIONAL INSURED ENDORSEMENT MUST BE SUBMITTED NAMING “CITY OF BRENTWOOD, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS”. THE CITY CAN PROVIDE YOU WITH THIS INSURANCE THROUGH DIVERSIFIED RISK. IF YOU WISH TO APPLY FOR THIS INSURANCE, PLEASE CONTACT THE PARKS AND RECREATION DEPARTMENT AT 925-516-5444 A MINIMUM OF 14 DAYS PRIOR TO THE EVENT.

6. By submitting this application, the Applicant understands that the City shall review the application under the procedures set forth in the Special Event section of the Brentwood Municipal Code (B.M.C.). If the City approves the application, the Permit shall be sent to the Applicant for signature. Pursuant to B.M.C. Section 7.02.030, the Permit shall not be effective until signed by both the Applicant and the City.

7. On behalf of the Applicant, I hereby submit this Application for a Special Event Permit for the event described in this application.

Applicant Signature Applicant Name (Printed) Date

SPECIAL EVENT APPLICATION – CLASS 1

Name of Event:

1. Will this Event require a street closure? □ Yes □ No

If yes, provide map showing which street(s) to be closed. Map to show location of:

□ Tents □ Portable Stage
□ Vendors and Booths □ Electric Generators
□ Extra Parking □ Comfort Stations (water and first aid)
□ Sound Systems □ PortableToilets
□ Electrical Power Sources

2. Check all included items:

□ Crafts □ Fireworks/Pyrotechnics
□ Booths □ Parade
□ Food (contact CCCHD for info) □ Publicity Banners/Signs
□ Portable Stage □ Alcohol to be sold
□ Entertainment □ Beer/Wine □ Hard Liquor
□ Rides/Amusements □ Alcohol to be given away
□ Music □ Beer/Wine □ Hard Liquor
□ Disc Jockey □ Live Band □ Open admission
□ Entry by invitation only □ Tickets to be sold for entry
□ Mobile Medical Service Vehicles □ Animals (includes for rides, petting zoos, etc.)
□ Catering (provide name and phone number)
___________________________ □ Other Describe: ______________________
_________________________________

• IF ALCOHOL WILL BE SOLD, IT WILL BE NECESSARY TO OBTAIN A PERMIT FROM A.B.C. A.B.C. CAN BE REACHED AT
(800) 398-2282.
• CONTACT THE POLICE DEPARTMENT AT 925-634-6911 FOR MORE INFORMATION.

• ALCOHOL IS NOT ALLOWED AT AN EVENT BEING HELD FOR A PERSON UNDER DRINKING AGE.

• A CERTIFICATE OF INSURANCE SHOWING VALID LIABILITY COVERAGE IN THE AMOUNT OF $1,000,000 MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT. A SEPARATE ADDITIONAL INSURED ENDORSEMENT MUST BE SUBMITTED NAMING “CITY OF BRENTWOOD, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS”. THE CITY CAN PROVIDE YOU WITH THIS INSURANCE THROUGH DIVERSIFIED RISK. IF YOU WISH TO APPLY FOR THIS INSURANCE, PLEASE CONTACT THE PARKS AND RECREATION DEPARTMENT AT 925-516-5444 A MINIMUM OF 14 DAYS PRIOR TO THE EVENT.

3. The proposed date(s) of the event:
Set-up time of the event:
Starting time of the event:
Take down and clean-up time:
Estimated number of participants:

4. If City personnel, services, or equipment are requested for this event, an additional fee may be assessed by City Council resolution. Some of these City personnel, services, and equipment include, but are not limited to: Police personnel, maintenance personnel, trash and/or recycling receptacles, inspections, etc. Please list any needs for City personnel, services, or equipment.
□ N/A

5. Are there any unusual activities associated with this event that should be brought to the attention of the City of Brentwood to evaluate this application? If yes, describe below:
□ N/A

DEPENDING UPON THE NATURE OF THE EVENT, YOU MAY BE REQUIRED TO MAKE PROVISIONS FOR PORTABLE TOILETS, TRASH REMOVAL, RECYCLING, EMERGENCY SERVICES, ETC.

SPECIAL EVENT APPLICATION – CLASS 2

Name of Event:

1. Will this Event require a street closure? □ Yes □ No

If yes, provide map showing which street(s) will need to be closed. Map to show location of:
□ Tents □ Portable Stage
□ Vendors and Booths □ Electric Generators
□ Extra Parking □ Comfort Stations (water and first aid)
□ Sound Systems □ PortableToilets
□ Electrical Power Sources

2. Check all included items:

□ Crafts □ Fireworks/Pyrotechnics
□ Booths □ Parade
□ Food (contact CCCHD for info) □ Publicity Banners/Signs
□ Portable Stage □ Alcohol to be sold*
□ Entertainment □ Beer/Wine □ Hard Liquor
□ Rides/Amusements □ Alcohol to be given away
□ Music □ Beer/Wine □ Hard Liquor
□ Disc Jockey □ Live Band □ Open admission
□ Entry by invitation only □ Tickets to be sold for entry
□ Mobile Medical Service Vehicles □ Animals (includes for rides, petting zoos, etc.)
□ Catering (provide name and phone number)
___________________________ □ Other Describe: _____________________
__________________________________

• IF ALCOHOL WILL BE SOLD, IT WILL BE NECESSARY TO OBTAIN A PERMIT FROM A.B.C. A.B.C. CAN BE REACHED AT
(800) 398-2282.
• CONTACT THE POLICE DEPARTMENT AT 925-634-6911 FOR MORE INFORMATION.

• ALCOHOL IS NOT ALLOWED AT AN EVENT BEING HELD FOR A PERSON UNDER DRINKING AGE.

• A CERTIFICATE OF INSURANCE SHOWING VALID LIABILITY COVERAGE IN THE AMOUNT OF $1,000,000 MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT. A SEPARATE ADDITIONAL INSURED ENDORSEMENT MUST BE SUBMITTED NAMING “ CITY OF BRENTWOOD, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS”. THE CITY CAN PROVIDE YOU WITH THIS INSURANCE THROUGH DIVERSIFIED RISK. IF YOU WISH TO APPLY FOR THIS INSURANCE, PLEASE CONTACT THE PARKS AND RECREATION DEPARTMENT AT 925-516-5444 A MINIMUM OF 14 DAYS PRIOR TO YOUR EVENT.

3. The proposed date(s) of the event:
Set-up time of the event:
Starting time of the event:
Take down and clean-up time:
Estimated number of participants:

4. If City personnel, services, or equipment are requested for this event, an additional fee may be assessed by City Council resolution. Some of these City personnel, services, and equipment include, but are not limited to: Police personnel, maintenance personnel, trash and/or recycling receptacles, inspections, etc. Please list any needs for City personnel, services, or equipment. □ N/A

5. Are there any unusual activities associated with this event that should be brought to the attention of the City of Brentwood to evaluate this application? If yes, describe below:
□ N/A

DEPENDING UPON THE NATURE OF THE EVENT, YOU MAY BE REQUIRED TO MAKE PROVISIONS FOR PORTABLE TOILETS, TRASH REMOVAL, RECYCLING, EMERGENCY SERVICES, ETC.

SPECIAL EVENT APPLICATION – CLASS 3

Type of Event: Estimated # of Participants:

Location:

PLEASE COMPLETE THE FOLLOWING:

1. Check all included items:

□ Decorations  Describe: _______________________________________
□ Tables  How many required? __________
□ Chairs  How many required? __________
□ Music  □ Disc Jockey □ Live Band □ Other: _____________
□ P.A. system
□ Food  Contact Contra Costa County Health Dept. for information
□ Catered Food  Company Name and Phone: ___________________________________
□ Alcohol to be given away  □ Beer/Wine □ Hard Liquor
□ Alcohol to be sold*  □ Beer/Wine □ Hard Liquor
□ Open admission
□ Entry by invitation only
□ Tickets to be sold for entry
□ Jump House  Separate permit required
□ Other (describe in detail)
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________

• IF ALCOHOL WILL BE SOLD, IT WILL BE NECESSARY TO OBTAIN A PERMIT FROM A.B.C. A.B.C. CAN BE REACHED AT (800) 398-2282. CONTACT THE POLICE DEPARTMENT AT 925-634-6911 FOR MORE INFORMATION.

• ALCOHOL IS NOT ALLOWED AT AN EVENT BEING HELD FOR A PERSON UNDER DRINKING AGE.

• ALCOHOL IS NOT PERMITTED TO BE SERVED AFTER 11:00 P.M.

• ALCOHOL MUST BE REMOVED FROM THE PROPERTY BEFORE 12 MIDNIGHT.

• A CERTIFICATE OF INSURANCE SHOWING VALID LIABILITY COVERAGE IN THE AMOUNT OF $1,000,000 MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT. A SEPARATE ADDITIONAL INSURED ENDORSEMENT MUST BE SUBMITTED NAMING THE “CITY OF BRENTWOOD, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS”. THE CITY CAN PROVIDE YOU WITH THIS INSURANCE THROUGH DIVERSIFIED RISK. IF YOU WISH TO APPLY FOR THIS INSURANCE, PLEASE CONTACT THE PARKS AND RECREATION DEPARTMENT AT 925-516-5444 A MINIMUM OF 14 DAYS PRIOR TO THE EVENT.

PARKING LOTS ADJACENT TO THE BRENTWOOD COMMUNITY CENTER ARE FOR PUBLIC USE AND ARE NOT UNDER THE JURISDICTION OF THE CENTER. THEREFORE, AVAILABILITY CANNOT BE GUARANTEED.
2. RENTAL TIME: Proposed date(s) of the event:
Set-up time: ____________ AM/PM to ___ AM/PM
Actual event time: ____________ AM/PM to ____________ AM/PM
Take down/Clean-up: ____________ AM/PM to ____________ AM/PM
Set-up, event and closure must be scheduled for consecutive hours.

3. Will you be bringing in any additional equipment? If yes, please describe the equipment, who will bring it in, and when it will be brought in: □ N/A

4. If City personnel, services, or equipment are requested for this event, an additional fee may be assessed by City Council resolution. Some of these City personnel, services, and equipment include, but are not limited to: Police personnel, maintenance personnel, trash and/or recycling receptacles, inspections, etc. Please list any needs for City personnel, services, or equipment. □ N/A

5. Are there any unusual activities associated with this event that should be brought to the attention of the City of Brentwood to evaluate this application? If yes, describe below:

I hereby certify that I shall be responsible on behalf of my organization for damage sustained or cost incurred by the City of Brentwood because of occupancy of said premises by myself or my organization. I have read and received all the Rules and Regulations for use of the facility and agree to abide by them.

I also agree to hold the City of Brentwood and its employees; the individual members thereof agents, and employees free and harmless from any damage, liability, cost or expense that may arise during or be caused in any way by such use or occupancy of the Brentwood Community Center.

Applicant Signature Date

Recreation Manager/Supervisor Approved Date

SPECIAL EVENT APPLICATION – CLASS 4 (
BLOCK PARTY

1. Will this Event require a street closure? □ Yes □ No

If yes, provide map showing which street(s) will need to be closed. Map to show location of:
□ Tents □ Portable Stage
□ Vendors and Booths □ Electric Generators
□ Extra Parking □ Comfort Stations (water and first aid)
□ Sound Systems □ PortableToilets
□ Electrical Power Sources

2. Check all included items:
□ Crafts □ Fireworks/Pyrotechnics
□ Booths □ Parade
□ Food (contact CCCHD for info) □ Publicity Banners/Signs
□ Portable Stage □ Entertainment
□ Rides/Amusements □ Bounce House (“Jumpie”)
□ Entry by invitation only □ Tickets to be sold for entry
□ Music □ Open admission
□ Disc Jockey □ Live Band □ Animals (includes for rides, petting zoos, etc.)
□ Mobile Medical Service Vehicles □ Other Describe: ______________________
__________________________________
__________________________________
□ Catering (provide name and phone number)
___________________________

3. The proposed date(s) of the event:
Set-up time of the event:
Starting time of the event:
Take down and clean-up time:
Estimated number of participants:

4. If City personnel, services, or equipment are requested for this event, an additional fee may be assessed by City Council resolution. Some of these City personnel, services, and equipment include, but are not limited to: Police personnel, maintenance personnel, trash and/or recycling receptacles, inspections, etc. Please list any needs for City personnel, services, or equipment. □ N/A

5. Are there any unusual activities associated with this event that should be brought to the attention of the City of Brentwood to evaluate this application? If yes, describe below:

□ N/A

NOTE: A CERTIFICATE OF INSURANCE SHOWING VALID LIABILITY COVERAGE IN THE AMOUNT OF $1,000,000 MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT. A SEPARATE ADDITIONAL INSURED ENDORSEMENT MUST BE SUBMITTED NAMING “CITY OF BRENTWOOD, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS”. THE CITY CAN PROVIDE YOU WITH THIS INSURANCE THROUGH DIVERSIFIED RISK. IF YOU WISH TO APPLY FOR THIS INSURANCE, PLEASE CONTACT THE PARKS AND RECREATION DEPARTMENT AT 925-516-5444 A MINIMUM OF 14 DAYS PRIOR TO THE EVENT.

NOTE: THE POLICE DEPARTMENT MAY REQUIRE SIGNAGE AND BARRICADES FOR THE EVENT.

City Administration
City of Brentwood City Council
150 City Park Way
Brentwood, CA 94513
(925) 516-5440
Fax (925) 516-5441
E-mail allcouncil@brentwoodca.gov