houston, tx specialeventsapplication2012

7/31/2019 Houston, TX Specialeventsapplication2012

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SPECIAL EVENT APPLICATION

FOR OFFICE USE ONLY:

EC: SE# SF# PP#

DUE:

EVENT NAME:

EVENT DATE(S):

Start Day/Date: End Day/Date:

HOUR(S):

Start Time: End Time:

APPLICANT NAME: _________________________________________________________________________________________ __

ORGANIZATION NAME: ___________________________________________________________________________________________

ORGANIZATION TYPE: FOR PROFIT NONPROFIT TAX ID #: _____________________________________________________

ORGANIZATION ADDRESS: _______________________________________________________________________________________Street / P.O. Box City State Zip

ORGANIZATION PHONE:____________________________ FAX: __________________________

PRIMARY CONTACT: _____________________________________________________________________________________________(If different from applicant)

CONTACT PHONE:____________________________MOBILE: ____________________________

E-MAIL: ________________________________________________________________________________________________________

EVENT DAY ON-SITE CONTACT: __________________________________(MOBILE) ______________________________(If different from primary contact)

EVENT INFORMATION HOTLINE (if available): _________________________________________________________________________

WEBSITE (if available): ____________________________________________________________________________________________

NONREFUNDABLE SPECIAL EVENT APPLICATION FEES (CHECK ALL THAT APPLY):PARK / OTHER: $51.61 STREET FUNCTION: $51.61 PARADE: $258.07

All application fees must be in the form of cash, money order or cashiers check payable to the City of Houston.*Only exact change will be accepted.

PLEASE NOTE:If you are submitting an application for a Non Revenue Generating Parade you have the option to submit an affidavit of inability to pay. Pleasecontact the Mayors Office of Special Events for more information.

For your convenience, all special event applications may be filed electronically and submitted to our office via electronic mail. An application is not consideredcomplete unless all questions have been answered and all attachments included in accordance with Sec. 25-107 and any other documentation required by theMayors Office of Special Events. Submission of a Special Event Application does not guarantee event approval.

Applications must be submitted to:Mayors Office of Special Events

City Hall, 1st Floor901 Bagby Street

Houston, Texas 77002

The Mayors Office of Special Events accepts applications between the hours of8:00 a.m. and 5:00 p.m., Monday Friday, except for City-observed Holidays.

EVENT TYPE:

PLEASE CHECK ALL THAT APPLY:

FESTIVAL/FAIR RUN/WALK CYCLING/SKATING PRESS EVENT

BLOCK PARTY PRIVATE EVENT MARKETING/PROMOTION

TV/FILM SHOOT DEMONSTRATION/EXPRESSIVE ACTIVITY/RALLY

REVENUE-GENERATING PARADE NON REVENUE-GENERATING PARADE

OTHER (DESCRIBE) _______________________________________ ___

FOR OFFICE USE ONLY

Received By: ______________________________________________ Date: ______________________

Receipt No(s): _____________ Application(s) Amount Paid: $ ______ ______


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EVENT INFORMATION: (To be completed by ALL Applicants)

SET-UP / TAKE-DOWN DATE(S):

Start Day/Date: End Day/Date:SET-UP / TAKE-DOWN HOURS:

Start Time: End Time:

EVENT LOCATION

Please list the proposed event location and attach a map of the proposed logistical layout for your event:

EVENT PARKING

STREET PARKING

WHAT PARKING ARRANGEMENTS HAVE BEEN MADE FOR THE EVENT?

(If you are using alternate parking lots for event parking, a letter of approval from the property owner mustaccompany this application)

EVENT SET-UP:

_______________________________________________________________________________________

_______________________________________________________________________________________

EVENT PARTICIPANTS(Production Trailers, Media Vehicles, Vendor Vehicles, Volunteers):

_______________________________________________________________________________________

_______________________________________________________________________________________

EVENT ATTENDEES:

_______________________________________________________________________________________

_______________________________________________________________________________________

ARE YOU REQUESTING THE USE OF A PARKING LANE(S) FOR YOUR EVENT? Yes No(If you are requesting street parking for your event, please also complete the Street Function portion of thisapplication, check the Street Function box on page 1, and include the applicable application fees)

EVENT SIZE

# of Participants: # of Spectators: # of Staff/Volunteers:

TOTAL Attendees Expected:

Has this event beenproduced before?

Yes No

Is this an Annual Event?

Yes No

How many years? Previous Name(s) of Event:

Are there anychanges from

previous years?

Yes

No

Describe Changes:_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Is this Event Public?

Yes No

Is this Event Private?

Yes No

If open to the public, please check all advertisement methods:

Print TV Radio Internet Billboards Posters Other:_____________

You may not promote your event until you have received final approval.

EVENT SCOPE

Briefly describe the scope of your event (attach detailed proposal):

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________


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PARK/OTHER EVENT LOGISTICS:(To be completed by Park/Other Applicants ONLY)

STRUCTURES

PLEASE CHECK ALL STRUCTURAL ELEMENTS THAT APPLY:

TENT(S) BOOTH(S) TABLE(S) CHAIR(S) STAGE(S) FENCING POWER GENERATOR

OTHER STRUCTURES (DESCRIBE) ________________________________________________________

UTILITIES

PLEASE CHECK ALL UTILITY ELEMENTS THAT APPLY:

ELECTRICITY WATER PROPANE POWER GENERATOR

(Please be sure to check the availability of the above with your assigned Event Coordinator)

ENTERTAINMENT

PLEASE CHECK ALL ENTERTAINMENT ELEMENTS THAT APPLY:

SOUND/PA SYSTEM PERFORMER(S) BAND(S) INFLATABLE(S) CHILDREN ACTIVITIES

OTHER (DESCRIBE) _______________________________________________________________

PORTABLE TOILETS

PLEASE INDICATE THE NUMBER OF PORTABLE TOILETS YOU WILL HAVE AT YOUR EVENT:

____REGULAR ____ADA ACCESSIBLE

(At least 10% of the portable toilets must be ADA accessible)

EVENT CLEAN-UP NAME: _________________________________________ MOBILE: ______________________________

EVENT RECYCLING

PLEASE DESCRIBE YOUR RECYCLING PLANS FOR THE EVENT:

__________________________________________________________________________ _____________

________________________________________________________________________________ _______

__________________________________________________________________________ _____________

FOOD/BEVERAGESPLEASE CHECK ALL FOOD/BEVERAGE ELEMENTS THAT APPLY:

SALE OF FOOD/BEVERAGES

DISTRIBUTION OF FOOD/BEVERAGES

PLEASE NOTE: You will need a Health Permit for the distribution and/or sale of any food/beverages, and you willneed a Health Permit Authorization Form from the MOSE in order to get your Temporary Health Permit.

SALE OF ALCOHOLIC BEVERAGES

DISTRIBUTION OF ALCOHOLIC BEVERAGES

PLEASE NOTE:You must obtain a TABC Permit for the distribution and/or sale of any alcoholic beverages, and you

will need a TABC Authorization Letter from the MOSE in order to get your Temporary TABC Permit if required.

Please also state your plans to keep others from bringing alcoholic beverages into your event and to keep patronsfrom taking alcoholic beverages out of the event:

__________________________________________________________________________ _____________

________________________________________________________________________________ _______(Please reference Permit Fee Guide for cost breakdown)

EVENT INSURANCE ____ EVENT INSURANCE (INITIAL): By initialing here, the applicant understands that he/she is required to furnishevent insurance. Event Insurance must be general liability coverage for a minimum of one million dollars($1,000,000.00) showing the City of Houston as an additional insuredand including a waiver of subrogation orwaiver of right of recovery for all event dates including set-up and operation. Please include this information in allinsurance documentation.

EVENT SECURITY THE APPLICANT AGREES TO PAY THE COST OF PROVIDING UNIFORMED CERTIFIED PEACE OFFICERS BY(CHECK ONE):

Securing uniformed peace officers. If so, the applicant must submit a Security Control Plan (completing Sections I& II only) to the Mayors Office of Special Events (MOSE) to be approved by the HPD Special Operations Division.Upon approval of your event, your Event Coordinator will provide you with a Security Control Plan.

Coordinator:_________________________________ Agency:__________________ _______________

Reimbursing the Houston Police Department (HPD) at overtime costs. All costs must be paid ten (10) businessdays prior to the event. (Please reference Permit Fee Guide for cost breakdown)

EVENTNOTIFICATION

____ EVENT NOTIFICATION (INITIAL): By initialing here, the applicant understands that he/she may be requiredserve notices to residents and/or businesses in and around the area where the event will be conducted and tofurnish evidence thereof to the director.


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STREET FUNCTIONS: (To be completed by Street Function Applicants ONLY)

STREET/LANECLOSURE FROM:

(Time) (Date)

THROUGH

(Time) (Date)

STREET CLOSURES

METERED PARKING

PLEASE LIST THE STREET CLOSURES REQUESTED FOR YOUR EVENT (MAP REQUIRED):(For partial street or lane closures please indicate what lane(s) you are requesting)

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

IS A FREEWAY RAMP/STATE RIGHT-OF-WAY CLOSURE REQUESTED? Yes NoIf yes, please identify entrance/exit closure(s) and include the proper documentation (i.e. Freeway Ramp ClosureApplication; TXDOT form 1560; Insurance Certificate; and a Traffic Control Plan).

_____________________________________________________________________________________________

ARE THERE METERED SPACES WITHIN YOUR PROPOSED STREET CLOSURE? Yes NoIf yes, please Indicate where:

Street: Block: Both Sides North South EastWest





TRAFFIC CONTROLSERVICES

THE APPLICANT AGREES TO PAY THE COST OF PROVIDING TRAFFIC CONTROL SERVICES BY(CHECK ONE):

Contracting with a private contractor to provide traffic control services. The applicant will submit the name, addressand phone number of the contractor as well as a certified traffic control plan (as provided by the contractor) to theMOSE at least ten (10) business days prior to the event.

Contact:_________________________________ Company:__________________ _______________

Paying the salary cost of the City of Houston Public Works and Engineering Department employees on an

overtime basis, as required, to deploy and remove the traffic cones, barricades and signage. The applicant agrees toprovide to the MOSE a deposit sufficient to cover the cost of the same at least ten (10) business days prior to theevent.

SECURITY THE APPLICANT AGREES TO PAY THE COST OF PROVIDING UNIFORMED CERTIFIED PEACE OFFICERS BY(CHECK ONE):

Securing uniformed peace officers. If so, the applicant must submit a Security Control Plan (completing Sections I& II only) to the Mayors Office of Special Events (MOSE) to be approved by the HPD Special Operations Division.Upon approval of your event, your Event Coordinator will provide you with a Security Control Plan

Coordinator:_________________________________ Agency:__________________ _______________

Reimbursing the Houston Police Department (HPD) at overtime costs. All costs must be paid ten (10) businessdays prior to the event. (Please reference Permit Fee Guide for cost breakdown)

EVENT INSURANCE

____ EVENT INSURANCE (INITIAL): By initialing here, the applicant understands that he/she is required to furnishevent insurance. Event Insurance must be general liability coverage for a minimum of one million dollars($1,000,000.00) showing the City of Houston as an additional insuredand including a waiver of subrogation orwaiver of right of recovery for all event dates including set-up and operation. Please include this information in allinsurance documentation.

EMERGENCYVEHICLE ACCESS

____EMERGENCY VEHICLE ACCESS (INITIAL): By initialing here, the applicant agrees to conduct the function insuch a manner that at least one lane of the street(s) to be utilized will be capable of being opened at all times foraccess by persons requiring emergency access to properties abutting the function and by police, fire, ambulance andother such emergency vehicles.

EVENTNOTIFICATION

____ EVENT NOTIFICATION (INITIAL): By initialing here, the applicant understands that he/she may be requiredserve notices to residents and/or businesses in and around the area where the event will be conducted and to furnishevidence thereof to the director. PLEASE NOTE: If your closure impedes access to any businesses or residenceswithin your closure, you must submit written approval/notification letters to the MOSE with this application.


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PARADES:(To be completed by Parade Applicants ONLY)

TYPE OF PARADE INSIDE DOWNTOWN OUTSIDE DOWNTOWN

PARADE START TIME: ____________________

REVENUE-GENERATING: Any parade for which a participation fee is charged or for which cash is accepted orcollected as sponsorship in support of the proposed parade.

NON-REVENUE-GENERATING: Any parade for which no participation fee is charged or for which no cash isaccepted or collected as sponsorship in support of the proposed parade.

PARADE ROUTE

STAGING

DISBANDING

METERED PARKING

PLEASE LIST THE PARADE ROUTE (MAP REQUIRED):_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

IS A FREEWAY RAMP/STATE RIGHT-OF-WAY CLOSURE REQUESTED? Yes NoIf yes, please identify entrance/exit closure(s) and include the proper documentation (i.e. Freeway Ramp ClosureApplication; TXDOT form 1560; Insurance Certificate; and a Traffic Control Plan).

__________________________________________________________________________________________

LIST THE STREET(S) TO BE USED FOR PARADE STAGING:(If you are using alternate areas for parade staging, a written approval from the property owner mustaccompany this application)

____________________________ BETWEEN ________________________ AND __________________________

____________________________ BETWEEN ________________________ AND __________________________

____________________________ BETWEEN ________________________ AND __________________________

LIST THE STREET(S) TO BE USED FOR PARADE DISBANDING:(If you are using alternate areas for parade disbanding, a written approval from the property owner mustaccompany this application)

____________________________ BETWEEN ________________________ AND __________________________

____________________________ BETWEEN ________________________ AND __________________________

____________________________ BETWEEN ________________________ AND __________________________

ARE THERE METERED SPACES WITHIN YOUR PROPOSED ROUTE, STAGING OR DISBANDING AREAS?Yes No (If yes, please Indicate where):




PARTICIPANTS ESTIMATED NUMBER OF PARADE PARTICIPANTS: _____________

ESTIMATED NUMBER (IF ANY) OF THE FOLLOWING THTAT WILL PARTICIPATE IN THE PARADE:

Animals: __________

Exotic Animals: __________

Motor Vehicles: __________

Motorized Displays (Floats): ___________

Marching Units or Organizations (Bands, Color Guards, Drill Teams): ___________

EVENT INSURANCE ____ EVENT INSURANCE (INITIAL): By initialing here, the applicant understands that he/she may be required toprovide event insurance includingautomobile liability if applicable. Event Insurance must be general liability coveragefor a minimum of one million dollars ($1,000,000.00) showing the City of Houston as an additional insuredandincluding a waiver of subrogation or waiver of right of recovery for all event dates including set-up andoperation. Please include this information in all insurance documentation.

EVENTNOTIFICATION

____ EVENT NOTIFICATION (INITIAL): By initialing here, the applicant understands that he/she may be requiredserve notices to residents and/or businesses in and around the area where the event will be conducted and to furnishevidence thereof to the director.

APPLICANT SIGNATURE: ____________________________________________ DATE: _________________

houston, tx specialeventsapplication2012

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