CC PACKET 04252023 - Laserfiche WebLink

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4/17/23, 6:57 AM Form Center • St Anthony Village, MN • CivicEngage https://www.savmn.com/Admin/FormCenter/Submissions/Edit?id=5195&formID=124&referrerURL=&submissionDataDisplayType=0&backURL=%2FA…7/8 The Applicant must provide the City with a Certificate of Insurance showing proof of the required liability insurance(s). The City must be listed as an additional insured on all liability policies. Applicant’s insurance shall act as the primary insurance coverage for any claims of loss covered by the insurance policy. The City requires the Applicant to obtain any or all of the following insurance coverage, in at least the coverage amounts contained herein: 1. Commercial general liability insurance or equivalent special event coverage protecting Applicant and City from claims for damages or bodily injury and property damage which may arise out of or in connection with the event’s operation and use of the City’s property or right-of-way. This general liability insurance policy shall be in an amount not less than $1,000,000.00 per occurrence. 2. If Applicant will be using an automobile for any portion of the Applicant’s event, Applicant must obtain automobile liability insurance in an amount not less than $1,000,000.00 per occurrence. Such policy must include liability coverage for owned, nonowned, and hired automobiles. 3. If alcohol will be served or included in Applicant’s event, Applicant must obtain liquor liability (also known as dram shop) insurance in an amount not less than $1,000,000.00 per occurrence. The City reserves the right to modify these insurance requirements at its sole discretion based on the nature and scope of Applicant’s proposed event. Signature of Event Applicant I understand that I am required to obtain insurance coverage as outlined herein before the City will approve my use of City property or right-of way. I hereby agree to obtain such coverage as the City may deem necessary and to provide City all necessary documentation of such insurance coverage. I further certify under the penalty of perjury that I am authorized to execute contracts and other instruments and legally bind the Applicant. I agree. Electronic Signature Agreement* By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. Electronic Signature michael r sholl Date 4/16/2023 In granting or denying the permit, the City Council will consider the type and size of the group for which the permit is requested, the extent to which the group involves city residents and their use of city park facilities, the anticipated effect upon other users of the park and adjacent residential properties, the likelihood of damage to park property and any other facts relevant to the health, safety, and general welfare of the residents of the city. The City Council reserves the right to deny any permit or to add conditions to any permit which it grants. This site is powered by CivicPlus Rev:5 0 87301 For assistance please visit our support site Learn more about the CivicPlus ** HOMEPAGE DASHBOARD MODULES JENNIFER D HELP