Licensing Department, City Of Chelsea, MA

Special Event Request 2022

Apr 14, 2022
submission #10
Application

CONTACT INFORMATION

Event/Activity Name ---
Facility (See link to park locations and descriptions above) ---
***Other Description Worker's Day Celebration with a parade procession of community organizations from Chelsea City Hall to East Boston Social Center.
Event Date Sunday May 1, 2022
Applicants Name ---
Contact Person ---
Email Address ---
Cell Phone ---
Day Phone ---
Billing Address ---

EVENT INFORMATION

Name of Supervisor / Vendor on Site ---
Supervisor / Vendor Phone Number +18573649036
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +16178257233
Total Estimated Number of Participants 200
Estimated Number of ADULT Participants 100
Estimated Number of YOUTH Participants 100
Organization Type Chelsea Youth Organization - must have 51% Chelsea Residents, Chelsea Adult Organization - must have 80% Chelsea Residents, Other Adult Organization, Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity Community Use (please specify below)
Brief Description of Event ---
Special Requirements ---

First Preference For Event Date

Is this event happening on one date or multiple dates? ---

First preference: Single Date - Time

Date 2022-05-01
Total Time (ex. 2:00pm-6:00pm) ---
Set-up Time (ex. 2:00pm-3:00pm) ---
Total Event Time (ex. 3:00pm-5:30pm) ---
Breakdown Time (ex. 5:30pm-6:00pm) 2:00PM to 2:30PM

Second Choice - Single Date

If your first choice date is not available, do you have a second choice? ---

Second Preference: One Date

Date ---
Total Time (ex. 2:00pm-6:00pm ---
Set-up Time (ex. 2:00pm-3:00pm) ---
Total Event Time (ex. 3:00pm-5:30pm) ---
Breakdown Time (5:30pm-6:00pm) ---
Facility (please see link above for park locations and descriptions) ---

Specialized Event

Does your event fall under one of these categories? Yes

Type of Event

Select which event type your request is for Parade/Procession/Street Race

Licensing Department and Inspectional Services Department

Are any of the following part of your event? More than 50 people in attendance, Music, entertainment, or amplified sound on site

Music and Entertainment: One Day Entertainment License Requirement

Please describe the type of music or entertainment to be provided: Brass Band from HONK! will be joining the procession

Department of Public Works

Will you require lighting? (Please call 617-466-4200 during business hours, and 617-828-7327 after hours).) ---
Will you require use of restrooms, if available? ---

Attachments

Please upload any attachments (proposed site plan) ---
Indemnification / hold harmless / cleanup

Indemnification/Hold harmless/cleanup

The signatory shall be responsible for and shall indemnify and hold harmless the City of Chelsea from and against all damages, claims or demands that may, during the term of this license, arise by negligent or intentional acts of signatory or signatory's employees. I am responsible for any and all indemnity and hold harmless the City of Chelsea
If a permit is issued, I agree that my organization will leave the permitted area clean and orderly, and that all trash will be placed in trash receptacles. I agree to pick up and clean any trash caused by this event
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature. Yes
Up Load Insurance policy/agreement Certificate of Insurance for City of Chelsea.pdf
First Review by Special Events Coordinator

Decide which Departments should review this application:

Should Fire Department review? Yes, FD should review.
Should Police Department review? Yes, Police Department should review.
Should Licensing review? Yes, Licensing should review.
Should Inspectional Services review? Yes, Inspectional Services review.
Should Public Works review? No, no PW review.
Should Traffic and Parking review ? No