Special Event/Use. Permit Application GVRD PARKS FACILITIES INFORMATION. You will be required to supply the following documents:

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1 Special Event/Use Permit Application GVRD PARKS FACILITIES IFORMATIO Regional Parks 4330 Kingsway Burnaby, B.C. V5H 4G8 Special Permits fax: Thank you for contacting Regional Parks regarding your Special Event. Please complete this application form and return by mail or fax to the address shown at least one month prior to your event. While not all the questions may apply to your group, please reply in as much detail as possible to assist GVRD Parks staff in evaluating your event. Once your application has been reviewed and approved, you will be contacted by a GVRD representative to arrange for a site visit, if necessary, and to confirm details. A Special Event contract will be issued listing conditions of use, fees and any outstanding requirements (e.g. insurance). It is very important that the estimated attendance for your event is as accurate as possible, due to ecological and staffing impacts, as well as conflicts with other park users. If you require additional information to complete your application, please call Regional Parks Special Permits at Events with less than 30 days notice may not be accommodated. us at: programs.info@ gvrd.bc.ca ou will be required to supply the following documents: 1. Signed rental contract including indemnification agreement on page 5 2. Proof of insurance 3. Fees as shown on rental contract 4. Special Occasion License and/or Catering Permit, if applicable. 5. Site layout and route map for walks and runs. 6. Copy of event brochure or advertising material, and event website address. Page 1 of 5 Jul. 05

2 PARK Information Application Date: Park: Specific Park Area: Event Date: COTACT Information ORGAIZATIO REPRESETATIVE ame: Business Address: City: Province: Postal Code: ORGAIZATIO ALTERATE REPRESETATIVE ame: PERSO RESPOSIBLE FOR TRAFFIC COTROL ame: PERSO RESPOSIBLE FOR CLEA UP ame: O-SITE COTACT ame: Page 2 of 5 Jul. 05

3 EVET Information Special Event/Use Permit Application ame of Event: Sponsoring Organization: Date of Event: Event Start/End Time: Park Arrival Time: Park Departure Time: Expected Attendance: Participants: Spectators: on-profit Society #: How will your event be publicized? Is this an annual event? Where has this event been held before? Purpose of Event: Description of Event and Activities: umber of Vehicles on Site: Types of Vehicles: cars, bus, etc. (specify) Will you charge a fee to participants? Will you charge a fee to vendors? If so, what are the amounts? Participants: Vendors: Are event organizers paid? es o Are funds donated to a charitable cause? es o ame of Charity? Expected Donations: $ OFFICE USE OL Special Event Simple Complex Large Scale Special Use Page 3 of 5

4 Will you include any of the following in your event? ES O Entertainment/activities please include all equipment Temporary structures, such as tents, stage, bleachers, concessions, etc. please specify Posters, Signs Route Markers Movement of Vehicles Portable generator(s) Amplified music/speeches Alcoholic beverages Food preparation/caterers please specify Merchandise vendors or food sales please specify Fundraising activities such as raffles, etc. please specify Please explain your arrangements for the following: 1. Extra garbage receptacles & removal: 4. Removal of route markers/signs and site cleanup 2. Parking/traffic control (arrival & departure): 5. Overnight security, if required: 3. Portable toilets: Additional info for fundraising WALKS / RUS: 1. Location of Start/Finish Activities: 6. Road/street closures: 2. Event marshals: 7. Portable cell phones, radios: 3. ame of person responsible for setup of route: 8. First aid station and attendants: 4. Provision of drinking water: 9. Police notification: 5. Department of Highways approval: 10. Municipal approval: Page 4 of 5

5 Special Event Indemnification Agreement GVRD PARKS FACILITIES IFORMATIO Regional Parks 4330 Kingsway Burnaby, B.C. V5H 4G8 fax: Reservations Special Permits In consideration of being permitted to use certain lands and premises owned by or under the control of Greater Vancouver Regional District known as Regional Park (the Premises ) and other good and valuable consideration, the undersigned agrees: 1. To save harmless and indemnify the Greater Vancouver Regional District, its directors, officers, servants, employees and agents (the Indemnified Parties ) from and against all actions, claims, demands, proceedings, suits, losses, damages, costs and expenses of whatsoever kind or nature (including but not limiting the generality of the foregoing, in respect of death, injury, loss or damage to any person or property) arising in any way out of or connected with the use of the Premises by the undersigned (the Users ) except to the proportionate extent that such actions, claims, demands, proceedings, suits, losses, damages, costs and expenses were caused by the Indemnified Parties or any of them. 2. To obtain and maintain all its own expense for so long as the undersigned uses the premises, a Comprehensive General Liability Insurance Policy with an insurer or insurers acceptable to Greater Vancouver Regional District with limits in an amount of not less than $2,000,000 (Two Million Dollars), on an occurrence basis, providing coverage against all claims for personal injury, death or property damage suffered by others arising directly or indirectly out of the use of the Premises by the undersigned. Such policy or policies of insurance shall have the Greater Vancouver Regional District as additional insured and if such policy or policies contain any coinsurance clause the undersigned shall maintain at all times sufficient amount of insurance to meet the requirements of such coinsurance clause so as to prevent the undersigned from becoming a coinsurer and to permit full recovery up to the amount insured in the event of a claim. Such policy or policies of insurance shall contain a standard cross-liability clause and an agreement by the insurer(s) not to materially alter, amend or cancel the same without the insurer(s) giving at least 30 (thirty) days prior written notice to Greater Vancouver Regional District. 3. The provisions of clause 2 of this part shall not in any way limit the indemnity granted by the undersigned by the indemnified parties in clause 1 of this part. 4. To provide certification of the above mentioned insurance policy to the Greater Vancouver Regional District on demand. I, as the duly designated contact on behalf of the Users hereby indicate that I have read and understand the Indemnification Agreement and the terms and conditions of this contract as well as any attached information and clearly understand my responsibility to the group I represent and the GVRD Parks Department. X: ame of Organization Signed Authorized Representative Dated at Jul. 05