Foundation Special Event Proposal-Repeat Event (FSEPR)

• Name of Group:   Non-Profit ID Number: 

  Address:   City/Zip: 

  Phone Number:   Fax Number: 

PERSON IN CHARGE OF EVENT

• Name: 

  Address:   City/Zip: 

  Home Phone Number:   Cell Phone Number: 

  Email Address: 

EVENT (Type and Location of Event)

ESTIMATED NUMBER OF PARTICIPANTS: 

DATES:    From   To 

HOURS OF OPERATION:

• Set-Up:   to  

  Event:   to  

  Clean-Up:   to  

Security Measure

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Name of Event:       Date of Event: 

 

 shall indemnify, and hold harmless the City of San Ramon, its officers, employees and agents from and against any and all claims, demands, liability, costs and expenses of whatever nature, including court costs and counsel fees arising out of injury to or death of any person or persons or loss of physical damage to any property resulting in any manner from the willful misconduct acts, or negligence of the applicant, its subconsultants, agents, employees, volunteers, licensees, or guests in the making or performance of this Special Event Permit.

 

It is understood that the City of San Ramon issues the permit in order to review and approve all plans for events which will affect public facilities or the public right of way.

 

Signature: 

Title: 

Security Measure

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