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OGDEN CITY CORPORATION Page 1 of 4 SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave. Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Email: [EMAIL REDACTED] WARNING: SUBMISSION OF THIS FORM DOES NOT GUARANTEE APPROVAL OF THE EVENT Failure to complete all sections of this form and meet all requirements may result in delay or limitations for your project. Ogden City Corporation reserves the right to deny approval of permit for filming that does not comply with Ogden City ordinances and/or policies. FILM PERMIT APPLICATION A Film Permit Application MUST be completed for any project that takes place on Ogden City property or UDOT property located within Ogden City limits. A formal agreement including rules and regulations will be created upon receipt and approval of the application. Name of Film Event: Start Date: Location (City Park, street location, etc.) If multiple locations are to be used, please indicate below. Please include a map with this application that shows all items checked on the following pages: Description of assistance requested from Ogden City departments (Police, Fire, Streets, Parks, etc.). Additional space for information is provided on subsequent pages: Day of Week / Month / Date Location Schedule (Including Set- Up & Strike) Expected Participation Start End Actors Crew Organization: Name: Address: City, State, Zip Code: Phone: Contact / Location Manager: Name: Daytime Phone: Street: Cell or Evening Phone: City: State: Zip: FAX: Email: Secondary Contact: Name: Phone: Email: Signature (or name if form is transmitted electronically): Date: Received by: Date: Permit Issued by: Date: ---PAGE BREAK--- OGDEN CITY CORPORATION Page 2 of 4 SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Email: [EMAIL REDACTED] WARNING: SUBMISSION OF THIS FORM DOES NOT GUARANTEE APPROVAL OF THE EVENT Failure to complete all sections of this form and meet all requirements may result in delay or limitations for your project. Ogden City Corporation reserves the right to deny approval of permit for filming that does not comply with Ogden City ordinances and/or policies. Name of Film Event: Start Date: Please check all items below that apply to your film project. Please provide a detailed explanation under “details” for each item checked. Refer to requirements in each section. This information will help us to provide you the best service possible. If we require additional information or if there are restrictions associated with any of the items checked, you will be contacted. Some items may require additional permits, licenses, or insurance. Events that require city support may be assessed fees for services. You will be notified of any fees and they will be payable before your film permit can be issued. If you have questions, please contact the Ogden City Special Events office. ITEM DETAILS Fee Liability Insurance Complete information below: Certificate of insurance must be provided. See insurance Attachment A for details. Company/Agent: Telephone Fax Address: City: State: Zip: PROVIDE CERTIFICATE OF INSURANCE NO LESS THAN THREE WEEKS BEFORE EVENT Animals Hand washing stations need to be near areas where participants engage in touching animals. Clean-up after animals is also required. Barricades You must provide your own barricades. See attachment C Canopies or Tents (list sizes) Any tent over 200 sq. feet or canopy over 400 sq. feet will require fire marshal inspection. Also, tents that are heated by propane heaters will also require inspection. Fire (candles, heaters, campfire, etc.) Describe in detail: Helicopter or Hot Air Balloon Please provide detailed plan. Police presence may be required. Music Amplification All projects that involve amplified music must apply for a Noise Ordinance Variance. (Events held at the amphitheater are exempt.) Park Reservation If the project includes use of an Ogden City Park, the park must be reserved by contacting the Ogden City Parks Department at [PHONE REDACTED]. All applicable reservation fees will be charged and must be paid before the reservation can be confirmed. Fees payable to Parks department Propane gas Tanks must be secured and may require inspection by the fire marshal. List number and size of tanks: Pyrotechnics / Fireworks Special permits required – Contact fire marshal at [PHONE REDACTED]. ---PAGE BREAK--- OGDEN CITY CORPORATION Page 3 of 4 SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Email: [EMAIL REDACTED] WARNING: SUBMISSION OF THIS FORM DOES NOT GUARANTEE APPROVAL OF THE EVENT Failure to complete all sections of this form and meet all requirements may result in delay or limitations for your project. Ogden City Corporation reserves the right to deny approval of permit for filming that does not comply with Ogden City ordinances and/or policies. Name of Film Event: Start Date: Road closure Please attach a map. A 20 foot open fire lane must be maintained at all times. Signage and barricading must comply with UDOT standards. Closures of state highways (Wall Ave., Washington Blvd, Harrison, etc.) require a UDOT encroachment permit – go to www2.udot.utah.gov/index.php/m=c/tid=680 or call [PHONE REDACTED]. Scaffolding List size(s) of scaffolding (may require fire marshal inspection). Security / Crowd Control Coordinators must provide their own security. If the police department determines that police presence is necessary or if the coordinator requests police presence, a fee will be assessed. Set construction Depending on the size of the set, the fire marshal may need to inspect the site. Describe set (size, location, etc.) below: Traffic Control If traffic control is provided by police a fee will be assessed. Vehicles Cars Bicycles Driving on lawns in parks is prohibited unless special permission has been granted. Other (please list) Please describe your project. Attach additional pages if necessary. Additional Information/ Comments: ---PAGE BREAK--- OGDEN CITY CORPORATION Page 4 of 4 SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Email: [EMAIL REDACTED] Name of Film Event: Start Date: Do not write below this section. You will be notified of approval or denial of your project after your application has been reviewed by all departments involved in the approval process. EVENT APPROVALS: (After signing, return only this page to Special Events unless you have included comments or fees on specific items listed on previous pages.) DEPARTMENTAL RECOMMENDATIONS (Please indicate applicable fees on previous pages and include comments, budget and/or project number in comments on this page.) Req’d Department Approval Signatures: Approved as Submitted Comments – denial of event or modification needed: Questions, comments or concerns: Please call Ogden City Special Events coordinator at [PHONE REDACTED]. Communications: Fire: Legal Department Licensing Public Ways & Parks Park reserved – Receipt # Alcohol permit purchased – Receipt # Police: Risk Management: Traffic Engineer Other Approval: List: Special Events (verification of documents) Copy of event application sent to: Utah State Tax Commission FAX [PHONE REDACTED] Weber County Health Department FAX [PHONE REDACTED] UDOT FAX [PHONE REDACTED] UTA FAX [PHONE REDACTED] H25 Association ---PAGE BREAK--- OGDEN CITY CORPORATION Email: [EMAIL REDACTED] SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Film Permit Application Attachment A Insurance Requirements All projects that take place on public property require a certificate of insurance for a minimum of $2,000,000 commercial general liability coverage with $1,000,000 for each occurrence. This is a standard request and most insurance companies supply the certificate at little or no charge. If you cannot obtain a certificate, Special Event Insurance may be purchased directly from Fred A. Moreton & Company [PHONE REDACTED]. Fees range from $145 to $1500 per event. In accordance with the rules and regulations of the city's Risk Management Department, Ogden City requests the additional insured language to read as follows: 1. "Ogden City, its elected and appointed officials, employees, volunteers and agents are named as Additional Insureds for the __(event) scheduled for (date) 2. "20 days written notice shall be given to certificate holders for any changes to policy." (Please cross out “shall endeavor” and other language that contradicts this requirement.) 3. List the addresses below as Certificate Holders and you may fax and/or email the certificates. However, signed originals should also be mailed to: Howard Moss Carolyn Brierley Ogden City Risk Management Ogden City Special Events 2549 Washington Boulevard, Suite 820 2036 Lincoln Ave. Suite 105 Ogden, UT 84401-3111 Ogden, UT 84401 FAX No.: [PHONE REDACTED] Fax No.: [PHONE REDACTED] Email: [EMAIL REDACTED] Email: [EMAIL REDACTED] Unfortunately, insurance information received inaccurately or not in a timely manner is cause for not issuing a permit to hold an event in Ogden City, or for revoking a previously-issued permit to hold an event in Ogden City. If you have questions, please call Ogden City Risk Management at [PHONE REDACTED] or Ogden City Special Events at [PHONE REDACTED]. ---PAGE BREAK--- OGDEN CITY CORPORATION Email: [EMAIL REDACTED] SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Film Permit Application Attachment B Fee Schedule Temporary Business License (all events) $ 83.00 Vendor One-Day License (each) 5.00 Class Beer License 135.30 Police Support (per officer per hour) 50.00 Parks Personnel (per hour per person) 25.00 Portable Stage setup/removal 200.00 (does not include rental fee) Set/remove barricades (per hour) 50.00 50-seat bleacher rental (per set) 400.00 Steel picnic table rental (per table) 50.00 (includes pick-up & delivery) Extra trash cans (each) 5.00 Park reservations and deposits vary according to the park that is reserved. Please contact the parks division at [PHONE REDACTED] to reserve a park. Ogden City does not set or control fees for services provided by the Weber-Morgan Health District, Weber County or other entities outside of Ogden City. Please contact the appropriate agency to determine the amount of applicable fees. ---PAGE BREAK--- OGDEN CITY CORPORATION Email: [EMAIL REDACTED] SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 Film Permit Application Attachment C Ogden City Corporation Noise Ordinance Variance Request “Special Permit Application” In order to be granted a temporary permit for relief from provisions of the noise ordinances under Section 12-14-8 of the Ogden Municipal Code, the following information must be submitted to the Mayor for review. Applicant must present adequate proof of either undue hardship, or that the activity will be temporary in duration, no other reasonable alternative is available and noise levels will not constitute a danger to public health, as required under Subsection 12-14-8.D of the ordinance. Contact Information: NAME: ORGANIZATION: ADDRESS: PHONE: FAX: DATE(S) PERMIT NEEDED: DURATION OF EVENT: The information requested on the next page must be provided. Please complete the form and attach it to this sheet when submitting application. Insufficient information may result in summary denial of the permit request. Mayor may impose additional requirements depending upon the nature of the activity. Please submit request to: Mayor’s Office, Ogden City, 2549 Washington Blvd., Suite 910, Ogden, UT 84401. Or Fax to [PHONE REDACTED] For more information call [PHONE REDACTED]. ---PAGE BREAK--- OGDEN CITY CORPORATION Email: [EMAIL REDACTED] SPECIAL EVENTS Phone: [PHONE REDACTED] 2036 Lincoln Ave, Suite 105 FAX: [PHONE REDACTED] Ogden, Utah 84401 1. The nature, location and duration of noise source for which application is made, i.e. business or resident name, address, contact information. 2. The reason for which the permit is requested, including hardship that will result if permit is not granted. 3. Level of noise during the period of the permit. 4. Description of interim noise control measures to be taken to minimize noise. 5. Specific schedule of noise control measure that shall be taken to bring source into compliance with ordinance within a reasonable time. 6. Benefits (social, economic, etc.) to the public for granting permit. 7. How the applicant intends to deliver notice to all surrounding businesses or residents with point of contact name and phone number.