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Special Events Application
SPECIAL EVENTS APPLICATION Date:V� Please print or type information rat lairti 1. NAME OF APPLICANT: i HCeps' ► TY'1c ADDRESS: ) 6C) O S S Yx3 c( e, . 2 PHONE(S): 3n5 - 1C�}� - I 11 FAX: 3©j ' H LI 3 - 739 u1 EMAIL ADDRESS: C ]EX1dLo11n IYiSCE`M1n 1C' , ie, } i)+oE\ BC‘dO3in 2. CONTACT PERSON, If different: TITLE: c(v) ADDRESS: �Jj PHONE: FAX: E-MAIL ADDRESS: 3. SPONSOR STATUS: NOT FOR PROFIT ORGANIZATION TAX NO:5 " r J 1 657 553 [ ] FOR PROFIT ORGANIZATION [ ] INDIVIDUAL [ ] CHARITABLE [ ] OTHER 4. EVENT INFORMATION: NAME OF EVENT: f� f DATE OF EVENT: LOCATION (s): 04e 10e_ are no--- a 50] C 3 cemb-e n } .ate Dann -bun CcCDn GrNe SET UP DATE(S) AND TIMES 1 EVENT HOURS OF OPERATION: A CQ e 2 p v'r I n STREET CLOSURES DATES AND TIMES: S Q 'P Q OI C h P d EVENT TEARDOWN DATES AND TIMES D C'C nob() t'' ) Zoos (See 0)}ochec. See mocked; 5. SPECIFIC TYPE OF EVENT: (CHECK MORE THAN ONE BOX IF APPLICABLE) FESTIVAL [ ] FUNDRAISER PARADE [ ] POLITICAL [ ] FAIR/CARNIVAL [ ] RELIGIOUS [ ] PRIVATE PARTY [ ] FILMING [ ] SPORTS EVENT ><COMMUNITY EVENT [ ] CONCERT/PERFORMANCE [ ] AWARD SHOW D0() T ")'cYlO1. +6-S +iniP NAME OF PERFORMER / BANDS: TYPE OF MUSIC: [ ] POPULAR [ ] CLASSICAL [ ] LATIN [ ] ROCK [ ] OTHER/ -A IF FUNDRAISER, NAME OF CHARITY RECEIVING FUNDS: iJ/A 6. BRIEFLY DESCRIBE THE EVENT: -11()Q. Wis()MC\O CsL rod 14. cmci c4) 1,-)D1;dcktk- arc�c�Ps. a4-, r5 he Id On 1as1- 4ye S ud Qoolsi-Dio,90 IDS nD Y Y1"ed D TO an a cices n - a\ )o o 60.vP ny\c-, . n vo Qlrf i Zoc"} onek rocist.c:1 -Car-Hle '('e'er r ( ; 7. ATTACH TENATIVE PRODUCTION SCHEDULE (Attach as Exhibit A) 8. ATTACH SITE PLAN (Sketch of set up, vendors, staging, parking area, security detail, etc) (Attach as Exhibit B) 9. ESTIMATED ATTENDANCE ^,� Number of people 5 " ( ')DUSGY 1� i1 (Be specific, budget will be based on attendance) Prior year attendance E5"" G �i-houso, 6 10. ESTIMATED MEDIA COVERAGE: Print: Gad- a- ere\Po Radio: 1,V)r iCA81. S:;hl.l.L_l a+ 1i3L. N I). H NUifY1M!)S '!-.j)1 S Television: i�\ 1C�Cal Y}fl1��� i,�'F Ck ` .e\Le Internet: �\.)'YY)CI IIS. EjY)01 Dc,PSQ, leas` .l Please describe marketing and promotional efforts for the event: rle ev$ D pck,4-es 4of- 11. IS TIIIS EVENT FREE TO THE PUBLIC? \,0e1) uci2 T 4O;O YES [ ] NO (IF NOT) Please state admission/entry fee $ 12. WILL FOOD AND/OR BEVERAGES BE SERVED? [ ] YES [ NO NO CHARGE CHARGE # OF VENDORS [ ] FOOD [ ] [ [ ] BEER [ ] [ [ ] WINE [ ] [ [ ] SOFT DRINKS [ ] [ [ ] ARTS/CRAFTS [ ] [ ] [ ] OTHER (SPECIFY) S-e. rs sl�u?) 6C. e '1?)1 .Cooc. + b Q ra pro i coed by local bars (S'cora6+. NOTE: BEVERAGES MUST BE DISPENSED IN SOFT CONTAINER. NO GLASS CONTAINERS OR CANS ALLOWED. 13. PLEASE REVIEW THE FOLLOWING DETAILS FOR ALL VENDORS WILL VENDORS BE COOKING OR HEATING FOOD? [ ] YES [ ] NO IF YES: [ ] GAS CHARCOAL [ ] [ ] ELECTRIC OTHER [ ] (Specify) 14. WHICH OF THE FOLLOWING ITEMS WILL BE UTILIZED? [ ] BOOTH (S) # [ ] TENT(S) [ ] CANOPY [ ] OTHER none. KVA �U VPoCIprs SIZE(S) ABOVE MUST BE CERTIFIED NON-FLAMMABLE AND FURNISH COPY OF CERTIFICATE TO FIRE DEPARTMENT 15. WILL YOU BE USING ANY OF THE FOLLOWING? [ ] YES [ ] FIRE WORKS [ ] MECHANICAL RIDES DATE: DATE: TIME: TIME: PLACE: PLACE: COMPANY NAME: INSURANCE CARRIER: AGENT NAME: TELEPHONE: NOTE: ALL CARNIVAL, AMUSEMENT, OR CARNIVAL TYPE EVENTS SHALL PROVIDE THE REQUIRED INSURANCE POLICY OF POLICIES AS STIPULATED BY THE CITY OF MIAMI AND MUST GET PROPER PERMITS FROM BUILDING AND ZONING DEPARTMENT. 16. WILL YOU NEED THE FOLLOWING FROM THE PARKS DEPARTMENT? nor) C [ ] SNOWMOBILE (16'X 32') [ ] ELECTRICITY [ ] PODIUM [ ] BLEACHERS (seats 250) [ ] PUBLIC ADDRESS SYSTEM [ ] SPEAKERS [ ] OTHER (Specify) 17. HOW DOES THIS EVENT BENEFIT THE CITY OF MIAMI? (PLEASE EXPLAIN) In the last 24 years, many things in Coconut Grove and Miami have changed except far the King Mango Strut, We are still a small town parade in a big city. We still don't have named corporate sponsors. We still do not allow advertising. We do not have vendors. We do not sell tickets to view the parade. Our t-shirts and poster are collector items. The King Mango Strut began in 1981 as a rejected group (the Merry Mango Marchers) of the King Orange Bowl Parade. The Strut began the same year as the Mariel Boatlift, the Liberty City Riots and Paradise Lost. .The community was depressed and the King Mango Strut made them laugh. Nineteen years later we did it again when Miami was the butt of jokes after Indecision 2000 and the i=lian tug-o-war. In 2001, nothing could prepare us for the 9/11 tragedies in New York and Washington bC. With our slogan, "United We Strut," we brought to our community much -needed Talibashing and comic relief. And three years ago, King Mango had the last laugh. Real members of the Orange Bowl Committee with their orange jackets showed up at the strut with binoculars looking for their lost Orange Bowl parade. We have been praise by the media as. "the satirical parade that always captures the spirit of the community," and "for proving that the most valuable commodity in south Florida is a great sense of humor.'' King Mango Strutters set out to prove 24 years ago that you don't need a million dollars or a corporate sponsor or have television rights to put on a parade and make thousands of people happy. .We have shown Coconut Grove and Miami as an upbeat and fun place to be and because we have no vendors competing with the merchants, we are good for business. The King Mango Strut plans to continue the tradition of making sense of the sublime and the ridiculous and to keep the NUT in CocoNUT Grove. THE CITY OF MIAMI REQUIRES THAT ORGANIZERS OF SPECIAL EVENTS PROVIDE A CURRENT CERTIFICATE OF INSURANCE NAMING THE CITY OF MIAMI AS ADDITIONAL INSURED AND COMPLYING WITH SPECIFIED INSURANCE COVERAGES AND LIMITS AS PRESCRIBED BY THE CITY SEVEN (7) WORKING DAYS PRIOR TO THE CONDUCT OF ANY EVENT. THE INSURANCE COMPANY MUST BE RATED "A" TO BE ACCEPTED. LIABILITY LIMITS: I MILLION DOLLARS FOR GENERAL AND LIQUOR LIABILITY (IF NEEDED). I, Coverage: S E.g � 10\Ck—d II. Insurance Company: 1— 1 rA YriVnCE. Co (2)1) LI III. Limits of Liability: a. \ D D D )lD c� IV. Agent: l�:DOC'C Q frO1 A : 1�I �S V. Agent's Phone Number: ?) cJ I )4— 1` — - l ' b D VI. Is the City named as an additional insured in this policy? NOTE: PLEASE ATTACH TO THIS APPLICATION A BUDGET SUMMARY TO INCLUDE ANTICIPATED EXPENSES AND REVENUES ASSOCIATED WITH THE EVENT. IT IS UNDERSTOOD THAT THE APPLICANT IS FINANCIALLY, ADMINISTRATIVELY AND PROGRAMMATICALLY RESPONSIBLE FOR ALL ASPECTS OF THE EVENT. SIGNATURE: vbrrl-Dcf).e l le. i3C\ di1Y) TITLE: 0 rC C Tie DATE: