Special Event Application
Application Fee: No fee for submittal; other service fees may apply. A completed Special Events Application, with required documents such as proof of insurance (certificate of liability and additional insured endorsement page) and a plot plan, shall be filed with the Community Development Department a minimum of 30 days before the date of the event. A business license may be required. Inspections and conditions will follow upon approval. Please read city policy.
Application Submit Date
*
-
Month
-
Day
Year
Date
Applicant Information
Applicant's Name
*
First Name
Last Name
Applicant's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant's Email
*
example@example.com
On-site Contact's Name
*
First Name
Last Name
On-site Contact's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
On-site Contact's Email
*
example@example.com
Event Questionnaire
Event Title
*
Number of Attendees
*
Location Address of the Event
*
Date(s) of the Event
*
Hours of the Event
*
Setup times (date & time)
*
Tear down times (date & time)
*
Type of Event
*
Block Party
Ceremony/Rally
Concert/Performance
Festival
Parade
Run/Marathon
Street Fair/Outdoor Market
Other
Description of Event
*
(include name on sign, location of sign, materials used, etc.)
Type a question
*
Rows
Yes
No
Did you include a Plot Plan?
A plot plan is required for application approval.
Did you submit a copy of your event waiver of liability?
A copy of the event waiver is required for each active participant. The city must be named on your waiver. See procedure/policy section.
Did you include insurance coverage?
Insurance is required for application approval. The City of Loma Linda must be named as additionally insured.
Is the event a fundraiser?
Example: Donations, tickets, drawings, etc.
Will the event have amplified sound?
See Chapter 9.20 Noise Regulations of LLMC.
Is water access needed for the event?
Access is not available in all locations.
Is electrical access needed for the event?
Access is not available in all locations.
Is a sign or banner required for the event?
A sign plan (diagram) or permit may be required.
Will alcohol be sold or consumed at the event? If yes, please attach a copy of the ABC permit. Show the location and hours that alcohol will be served on the plot plan.
Will food be prepared or sold on site? If yes, please attach a copy of the San Bernardino County Health Permit & Food Handler's License. Fire Prevention must inspect the equipment before the event.
Will temporary structures be used? If yes, please show on the plot plan the location and dimensions. Tents over 400sqft. will require a tent permit from Fire Prevention.
Example: EZ ups, tents, etc.
Does the event require a street closure or block driveways? If yes, please show on the plot plan the street/driveway closure. If the closure is extensive, please submit a separate traffic closure/detour plan.
Will any modification be done to the site or building?
Example: new walls or new electrical?
Will any products or services be available for purchase at the event?
Business Licenses are required for each vendor. Please call (909) 799-2846 to apply.
Was a licensed company hired to develop and manage the event's security plan? If yes, please provide a copy of the security company's private patrol operator's license issued by the State of California.
Special Event Policy
Insurance Information
Insurance Company's Name
*
Insurance Policy Number
*
Named Insured
*
Name of Insurance Agency/Broker
*
Insurance Company's Contact
*
First Name
Last Name
Insurance Company's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upload Documents
Plot Plan
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Certificate of Insurance
*
Browse Files
Drag and drop files here
Choose a file
Naming City of Loma Linda as additionally insured
Cancel
of
Additional Supporting Documents
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Applicant's Signature
Signature
*
Submit
Should be Empty: