Source: https://www.pvaz.net/FormCenter/Parks-Recreation-10/Special-Event-Permit-Application-57
Timestamp: 2019-08-21 22:38:13
Document Index: 103296896

Matched Legal Cases: ['§4', '§10', '§4', '§4', '§10', '§4']

Special Event Permit Introduction: Pages 1-12
Includes: Frequently asked questions; application process; event rules and regulations; fee schedule terms and definitions; Addendum A: Insurance Certificate and Endorsement; Addendum B: Conditional Approval and Denial Letters; Addendum C: Delivery and Parking Pass; Addendum D: Special Event Liquor License Requirements; and Addendum E: Special Event Permit
Name of Event Organizer/Producer
Production Company/Organization
Please attach current verification of 501(c)(3) status - Commercial Use or Occupancy only.
Event Day On-Site Contact
Event Sponsor: Are you, the applicant, organizing this event on behalf of another organization?
If yes, please provide additional information as requested below.
Sponsor Organization Phone
If you checked "Yes" above, please submit an endorsement letter from the organization (on their official letterhead) on whose behalf you are organizing this event.
Is the sponsoring organization requesting a 501(c)(3) discount on the permit fee for a charitable fundraising event?
(Commercial Use or Occupancy only - 5.2.1.1.2) Please check no or yes above. If yes, please provide additional information as requested below.
If yes, please attach current version of 501(c)(3).
1st Park Choice Location
Date(s) Start Date
Date(s) End Date
2nd Choice Park Location
Event Times Start Time
Event Times End Time
Step-Off Time
Applicable only for events with a route.
If your event includes multiple days and/or varying times, please attach a schedule.
Set-up Date(s)
Set-up Date(s) Start Date
Set-up Date(s) End Date
Set-up Times Start Time
Set-up Times End Time
Tear-Down Date(s)
Tear-Down Date(s) Start Date
Tear-Down Date(s) End Date
Tear-Down Time(s)
Tear-Down Time(s) Start Time
Tear-Down Time(s) End Time
If your event is a recurring walk or run, please submit your final previous year participant roster list identifying the number of participants. Do not include personal or confidential information.
Provide a detailed description of your event (Strive to answer the who, why, where, what , and when aspects of your event).
Any additional documents or other materials describing event.
Previous Year Date/Location
Has this event been previously held?
Please list 3 references from past events that you have held.
Does your event plan to charge admission for entry?
If yes, please provide additional information as requested below. Document(s) with this information may be attached. 5.4.4.2.3.6 Events for which admission is charged will be subject to profit-sharing 12% of gross receipts (but does not include team participation fees).
Document(s) with admission information.
Admission Fee per Adult
Admission Fee per Child
All event features are subject to the approval of the Department. Event features such as alcohol, street closures and those mentioned below may require separate permits from the Town of Prescott Valley. For information regarding Prescott Valley permits, please contact either the numbers noted below.
No “spirituous liquor” as defined in ARS §4-101 (as amended) may be sold, served or consumed in facilities without a separate permit issued by the Council in accordance with Town Code §10-02-060 (as amended). Such permits shall, among other things, specify the name of users applying for the permit, the nature of the event, the types of invitees expected to be part of the event, the date and times when service and/or consumption of spirituous liquor is authorized, and the specific locations where service and/or consumption of spirituous liquor is authorized. Users who desire to sell spirituous liquor in facilities must also obtain a special event license from the Arizona Department of Liquor Licenses and Control pursuant to ARS §4-203.02 (as amended). License applications may be downloaded from the the State of Arizona Department of Liquor Licenses and Control website. By applying for the separate permit, Users understand that the Town assumes no duty or obligation whatever to supervise the dispensing of spirituous liquor at the event for which the permit is obtained, and that the Town expressly disclaims any responsibility or liability therefore.<br> <br>Users involved with events where spirituous liquor will be sold, served or consumed must furnish a licensed, bonded and insured security guard or off-duty police officer to provide security during the event. There shall be at least 1 such security guard for every 50 persons anticipated to attend the event.
No “spirituous liquor” as defined in ARS §4-101 (as amended) may be sold, served or consumed in facilities without a separate permit issued by the Council in accordance with Town Code §10-02-060 (as amended). Such permits shall, among other things, specify the name of users applying for the permit, the nature of the event, the types of invitees expected to be part of the event, the date and times when service and/or consumption of spirituous liquor is authorized, and the specific locations where service and/or consumption of spirituous liquor is authorized. Users who desire to sell spirituous liquor in facilities must also obtain a special event license from the Arizona Department of Liquor Licenses and Control pursuant to ARS §4-203.02 (as amended). License applications may be downloaded from the the State of Arizona Department of Liquor Licenses and Control website. By applying for the separate permit, Users understand that the Town assumes no duty or obligation whatever to supervise the dispensing of spirituous liquor at the event for which the permit is obtained, and that the Town expressly disclaims any responsibility or liability therefore.
Users involved with events where spirituous liquor will be sold, served or consumed must furnish a licensed, bonded and insured security guard or off-duty police officer to provide security during the event. There shall be at least 1 such security guard for every 50 persons anticipated to attend the event.
Alcohol Sale - Are you requesting permission to serve beer or wine at your event to event participants?
If yes, please provide additional information as requested.
Name of licensed organization serving alcohol and liquor license number:
Alcohol Sale - Are you requesting permission to sell beer or wine at your event?
Previous holding name of an Arizona Liquor License:
List any previous liquor related violations:
If your event includes the sale or sampling of alcohol, please submit the necessary paperwork to the Town of Prescott Valley’s Town Clerk’s Office. For more information please contact the Town Clerk’s Office at 928-759-3135. A copy of the appropriate license(s) issued by the State of Arizona, permits by the Town of Prescott Valley and appropriate insurance certificate must be submitted to the department 30 days prior to your event.
Product Sales & Sampling
Sales, sampling or giveaways of food, non-alcoholic beverages, or merchandise may require separate permits from Yavapai County and the Town of Prescott Valley prior to department approval of the request. If any question below is answered “yes”, then submit a Concession Waiver Application and obtain the appropriate permits from the Town of Prescott Valley.
Are you requesting permission to sample food and/or beverages?
Yes, to event participants only
Yes, to the general public
Are you requesting permission to sell food and/or beverages?
Are you requesting permission to sample merchandise?
Are you requesting permission to sell merchandise?
If you checked “yes” to any question in the above section, please submit a Concession Waiver Application. A copy of the appropriate permit(s) issued by the County Health Department, and appropriate insurance certificate must be submitted to the department 30 days prior to your event. The Yavapai County Health Department can be reached at 928-771-3377
Grilling must be confined to covered propane or gas grills. Its is suggest that grills be placed outside of any Ramada or pavilion so as eliminate the possibility of expanded grease fires and stains. For more information on fire/burn restricted dates please contact the Central Yavapai Fire District at 928-772-7711.
Does your event plan to use grills to prepare/cook food?
Number of Gas/Propane Grills:
Documents with this information may be attached.
Are you requesting permission to have amplified sound?
Amplified sound must be directed away from residences and must comply with Ordinance 10-01-070 of the Prescott Valley Town Code. If you check “yes,” please describe your purpose and plans for amplified sound, including hours of sound.
Describe Sound System
If you checked “yes” above, please identify the proposed location of sound system, direction of sound and location of all speakers on your site map. No amplified sound beyond 11 p.m. and before noon on Sunday.
Are you planning to provide live entertainment as a feature of your event?
Do you have the express permission from copyright holders for use of copyrighted materials?
If you checked “yes” above, please describe the artist/talent you plan to provide in the space provided above and a copy of the performance agreement and contact information. Document(s) with this information may be attached.
Will you need electricity for your event?
Equipment type and number of amps needed:
Do you plan to employ an electrician?
If yes, name/contact information:
Tents and/or canopies over 240 square feet are required to be permitted from the Community Development Department, 928-759-3050. All tents and/or canopies must be indicated on the site map. The event organizer is responsible for any damage caused to park property/facility and must consult department staff prior to installation. In addition, you will be required to submit a letter from the department verifying the number and sizes of tents and/or canopies larger than 240 square feet before Community Development will issue a permit. A copy of all permits issued by Community Development must be submitted to the department before the submission deadline. Therefore, please plan accordingly by submitting all appropriate paperwork (including a letter of support from the department) at least 10 business days prior to your event day.
Will your event feature tents and/or canopies?
Number of tents/canopies:
Tents/canopies size(s):
If you have multiple number of tents/canopies, tents/canopies with varying sizes, indicate the number with the corresponding size.
If you checked “yes” above, please indicate the number of tents with the corresponding size. Document(s) with this information may be attached. A copy of all permits issued by the Community Development Department must be submitted to the department 10 business days prior to your event.
Vendors are organizations and businesses that may sell or advertise products and/or services to your event participants. Sales, sampling or giveaways of food, non-alcoholic beverages, or merchandise may require separate permits from the department prior to approval of the request. If you answer “yes” below, then submit a Concession Waiver Application and obtain the appropriate permits from the Prescott Valley Town Clerk or Yavapai County Health Department.
Will your event feature vendors?
If yes, please provide additional information (types of vendors and quantities of each) as requested below. Document(s) with this information may be attached.
The department may consider granting vehicle passes for the delivery of equipment and supplies for event set-up and tear-down. A vehicle pass does not grant permission to park or drive on the grass or throughout any portion of a park or athletic field. Parking for event staff/participants is available at parking lots and designated street parking, but may also be granted on-site for a limited number of vehicles. Driving and parking vehicles on grass or athletic fields is strictly prohibited.
Are you requesting permission to operate staff/supply vehicles on Park service roads for delivery of equipment and supplies?
If yes, please provide additional information as requested below. Document(s) with this information may be attached.
Please include the make, model and purpose of each vehicle.
Are you requesting permission to retain vehicles on-site for the duration of the event?
f you checked “yes” above, please include the make/model of each vehicle you are requesting permission to operate on Town property.
Will your event feature any promotional vehicles, inflatables, banners, or other promotional elements? The location of all promotional features must be identified on your site map. The event organizer is responsible for any damage caused to park property/facility and must consult department staff prior to installation.
Promotional Vehicles: Will your event feature promotional vehicles?
Inflatables: Will your event feature inflatables?
Banners: Will your event feature banners?
Signage: Will your event feature signage?
If yes, please provide additional information as requested below. Placement of signage must be approved in advance.
If yes, how many signs and what dimensions?
Other Promotional Elements: Will your event feature other promotional elements?
Stages/Platforms, Portable Toilets, Dumpsters, Fencing, Barricades & Other Structures
If you are planning to erect, install, or use any of these structures, please describe below and identify the location of all structures on your site map. Include sizes and quantities of individual structures. A separate sheet with this information may be attached. Some structures, such as large stages/platforms, may require a separate building permit from the Community Development Department, 928-759-3050. A copy of all permits issued by Community Development must be submitted to the Department 10 business days prior to your event. Therefore, please plan accordingly by submitting all appropriate paperwork to the Community Development Department at least 30 days prior to your event day.
Stages/Platforms: Will your event include the installation of stages/platforms?
Portable Toilets: Will your event include the use of portable toilets?
If yes, please provide additional information as requested below. Document(s) with this information may be attached. The placement of all portable toilets must be approved by the department and then removed from Town property within 24 hours after the event.
Number of portable toilets:
Name and contact number of provider:
Dumpsters: Will your event include the use of dumpsters?
If yes, please provide additional information as requested below. Document(s) with this information may be attached. The placement of all dumpsters must be approved by the department and then removed from Town property within 24 hours after the event.
Number of dumpsters:
Fencing: Will your event include the installation of fencing?
Addtional Documents
Barricades: Will your event include the use of barricades?
Number of barricades:
Other Structures: Will your event include the use of other structures not identified above?
Please note that all costs incurred promoting and marketing events prior to the issuance of an approved Special Event Permit from the Town of Prescott Valley and changes/modifications relative to the event from the Town of Prescott Valley and/or the Department of Parks and Recreation and other associated departments is at the sole expense and risk of the Event Organizer.
How will your event attendees be notified or invited to the event?
Document(s) with this information may be attached.
Will your event be publicly advertised?
At what level will the event be promoted?
What type of publicity will be used?
Telephone number to be released for public information:
Will your event be advertised on a dedicated webpage?
If yes, what is the webpage link?
Provide a transportation plan that explains how participants/spectators will get to and from the proposed event location. The Town recommends you inform event participants/spectators of alternative modes of transportation that will reduce traffic congestion such as the bicycle, car pooling, shuttles, etc. <br> <br>Your description must identify proposed parking locations with recommended routes and alternative modes of travel. You must also describe how you will inform participants/spectators about appropriate travel recommendations that will easily and safely guide them to your proposed event location. If you are planning a walk/run event, please provide sufficient time for registration. Vehicle passes are granted for setup and tear-down of equipment and supplies only.
Provide a transportation plan that explains how participants/spectators will get to and from the proposed event location. The Town recommends you inform event participants/spectators of alternative modes of transportation that will reduce traffic congestion such as the bicycle, car pooling, shuttles, etc.
Your description must identify proposed parking locations with recommended routes and alternative modes of travel. You must also describe how you will inform participants/spectators about appropriate travel recommendations that will easily and safely guide them to your proposed event location. If you are planning a walk/run event, please provide sufficient time for registration. Vehicle passes are granted for setup and tear-down of equipment and supplies only.
Street Closures or Use of Public Way
If your event is requesting the closure of/use of a public street or public way (including sidewalks or street crossings) you must obtain approval and all necessary permits from the Town. For more information regarding Town requirements, please contact the Department of Public Works at 928-759-3070. All proposed routes are subject to department approval. The Town is not responsible for any costs associated with the denial of a proposed route.
Will you be requesting permission to alter normal traffic patterns for your event?
This includes closing a street or any other public way from the Town of Prescott Valley. If yes, please describe below. Document(s) with this information may be attached
Will public parking areas, streets, sidewalks, etc. be restricted or obstructed?
Include in site plan
Does your plan include on-site parking?
Does your plan include off-site parking?
Will you charge for off-site parking?
ADA requires with accessibility guidelines as adopted by the State of Arizona are now in effect. The following provisions are to be considered regarding ADA accessibility.
ADA restrooms facilities will be made available?
1 handicapped for each group of portable toilets
Handicapped parking provisions have been provided?
Handicapped assistance will be offered?
Will your event include sponsors that will make either in-kind or monetary contributions for the purpose of conducting this event?
If yes, please provide the specific trade names, this includes product sampling, giveaways, and exhibits. Document(s) with this information may be attached
Will your event include special effects?
If yes, please describe below. Document(s) with this information may be attached.
What type of special effect will be used?
Location of special effect:
Date/Start Time/End Time
Date/Start Time/End Time Start Date
Date/Start Time/End Time Start Time
Date/Start Time/End Time End Date
Date/Start Time/End Time End Time
Date/Sart Time/End Time
Date/Sart Time/End Time Start Date
Date/Sart Time/End Time Start Time
Date/Sart Time/End Time End Date
Date/Sart Time/End Time End Time
Do you plan to employ a special effects professional?
Special Effects Company Name
Day of Event Contact Number
<b>Please note:</b>Central Yavapai Fire District will issue a permit contingent upon weather conditions and separate insurance being provided for fireworks. Town Code 10-1-030 requires Chief of Police or his/her designate approval. A copy of all permits issued by the Central Yavapai Fire District and the special effect providers certificate of insurance must be submitted to the department 60 business days prior to your event.
Please note:Central Yavapai Fire District will issue a permit contingent upon weather conditions and separate insurance being provided for fireworks. Town Code 10-1-030 requires Chief of Police or his/her designate approval. A copy of all permits issued by the Central Yavapai Fire District and the special effect providers certificate of insurance must be submitted to the department 60 business days prior to your event.
Parades & Carnivals
Will your event include a parade?
Please describe below. Document(s) with this information may be attached.
Who and how many will participate?
Purpose/Theme of Parade
Proposed parade route attached?
Parade Time Start Date
Parade Time Start Time
Parade Time End Date
Parade Time End Time
Set-Up Start Date
Set-Up End Date
Set-Up End Time
Break-Down Start Date
Break-Down Start Time
Break-Down End Date
Break-Down End Time
Will your event include carnival games or rides?
<b>Please note:</b> Town Code 10-1-030 requires a 90 day pre-approval by the Chief of Police or his/her designate and providers certificate of insurance.
Please note: Town Code 10-1-030 requires a 90 day pre-approval by the Chief of Police or his/her designate and providers certificate of insurance.
Route Map & Site Map
Security Plan & Medical Services
Depending on the size (500 plus) and activities (alcohol, etc.) of your proposed event the Prescott Valley Police Department may require the presence of security personnel. Event organizers are responsible for the actions and conduct of any and all persons and organizations (participants, spectators, sponsoring organization, its Officers, Employees or agents or any person under their control insofar as permitted by law) associated with the permitted event. Furthermore, the event organizer is responsible for and will bear all costs related to policing, cleaning and restoring the park upon conclusion of the event or activity and will reimburse the Department for any such costs incurred by the Town of Prescott Valley.
Have you made provisions for on-site security services?
Please note that the Prescott Valley Police Department may be available for your event. For more information, contact the Police Department at 928-772-9261.
If yes, please provide the information requested below. Document(s) with this information may be attached.
Number of Security Staff per Shift per Day
Event Day Cell
If you checked “yes” above, please provide the security company’s license and certificate of insurance as required by the Town. Provide a detailed schedule indicating the number of security personnel per shift throughout each day of the event (including set-up, event and tear-down days) and contract. Document(s) with this information may be attached. Please note: all security plans must be approved by the Chief of Police or designee. Additional information may be requested upon review of any and all security plans.
Have you made provisions for on-site medical services?
It is understood that completion of this application does not obligate the Town in any fashion to reserve any facility or approve and event.<br> <br>Applicant will indemnify and defend the Town of Prescott Valley, its officials, agents, and employees (the “indemnities”) against any losses, costs, damages, liabilities, claims, suits, actions, causes of action and expenses that the indemnities may suffer, incur, or sustain or for which it or they may become liable resulting from, arising out of, or relating to any negligence or intentional misconduct by the applicant of the sponsoring organization, its officers, employees, or any person under its control in connection with this permit.<br> <br>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. I have read the terms and conditions outlined in this document, the Town of Prescott Valley Code and its associated Facility Use Policies and agree to abide by them.
It is understood that completion of this application does not obligate the Town in any fashion to reserve any facility or approve and event.
Applicant will indemnify and defend the Town of Prescott Valley, its officials, agents, and employees (the “indemnities”) against any losses, costs, damages, liabilities, claims, suits, actions, causes of action and expenses that the indemnities may suffer, incur, or sustain or for which it or they may become liable resulting from, arising out of, or relating to any negligence or intentional misconduct by the applicant of the sponsoring organization, its officers, employees, or any person under its control in connection with this permit.
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. I have read the terms and conditions outlined in this document, the Town of Prescott Valley Code and its associated Facility Use Policies and agree to abide by them.
Thank you for completing your Special Event Permit Application. Before you submit your application to the Town of Prescott Valley’s Department of Parks and Recreation, please make sure that the following steps have been completed.<br> <br>Have you:<br> ⌧ Signed and dated your application?<br> ⌧ Attached your event site map? (A route map must also be included for athletic level events)<br> ⌧ Provided all documents and information as requested throughout the application?<br> <br>Submit your completed Special Event Permit Application to the Department of Parks and Recreation. All applications will be coordinated through the Department of Parks and Recreation.<br> <br>Town of Prescott Valley Department of Parks & Recreation<br> <a class="Hyperlink" target="_blank" href="mailto:parks@pvaz.net">Email</a><br> <br> 7501 E Civic Circle<br> 4th Floor<br> Prescott Valley, AZ 86314<br> <br>Phone: 928-759-3090
Thank you for completing your Special Event Permit Application. Before you submit your application to the Town of Prescott Valley’s Department of Parks and Recreation, please make sure that the following steps have been completed.
⌧ Signed and dated your application?
⌧ Attached your event site map? (A route map must also be included for athletic level events)
⌧ Provided all documents and information as requested throughout the application?
Submit your completed Special Event Permit Application to the Department of Parks and Recreation. All applications will be coordinated through the Department of Parks and Recreation.
Town of Prescott Valley Department of Parks & Recreation