Fillable APPLICATION AND BOOKING FORM (Invercargill City Council New Zealand)

Fill Online, Printable, Fillable, Blank APPLICATION AND BOOKING FORM (Invercargill City Council New Zealand) Form

Use Fill to complete blank online INVERCARGILL CITY COUNCIL NEW ZEALAND pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

APPLICATION AND BOOKING FORM (Invercargill City Council New Zealand)

On average this form takes 39 minutes to complete

The APPLICATION AND BOOKING FORM (Invercargill City Council New Zealand) form is 22 pages long and contains:

  • 0 signatures
  • 108 check-boxes
  • 104 other fields

Country of origin: NEW-ZEALAND
File type: PDF

Use our library of forms to quickly fill and sign your Invercargill City Council New Zealand forms online.

BROWSE INVERCARGILL CITY COUNCIL NEW ZEALAND FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
*Council reserves the right to cancel this booking at any time. The booking is
not confirmed until all fees are paid and Council has signed the application.
SCHED
ULE 1 - APPLICATION DETAILS
– SECTION 1 – ALL EVENTS
AND//OR:
APPLICATION AND BOOKING FORM
FOR INVERCARGILL CITY COUNCIL PARKS AND RESERVES LAND
CONTACT INFORMATION
Address (Physical): if different from postal
Country:
Address (Postal):
Email Address:
Mobile:
Event Organiser’s full name
Invercargill City Council
Private Bag 90104,
Invercargill 9840
W:
www.icc.govt.nz
P: 03 2199070
E
: parks@icc.govt.nz
AM/PM
AM/PM
Postponement
Date/s:
DETAILS – DATE, TIMES AND NUMBER OF PERSONS
Number of persons
attending:
NAME OF PARK/ LOCATION:
SUBMISSION DATE:
Phone Numbers: Day
2
Please attach a separate sheet with a site plan of each location including street address,
identified shoot areas, camera setup, catering, structures, identified activity areas parking etc.
Please provide as much detail as you can as this may help speed up your application.
Provide street address and site map; identify shoot areas, camera, lighting, parking etc.
ANY FILMING ON ROADS WILL REQUIRE A TRAFFIC MANAGEMENT PLAN
Work
function
Other - Please Specify:
Environmental
group
Concert
Filming – also requires completion of section 2
Picnic
Birthday
Sports and
recreation
UAV/drone – also requires completion of section 2
Fair/circus/carnivals
Type of Event:
3
OTHER SPECIAL
REQUIREMENTS
Risk Management Plan
and site specific Health
and Safety Plan may be
required
I
F NONE TICK BELOW
ACCESS
REQUIREMENTS
eg. Whether any
Council gates, barriers
or other structures
need to be opened.
Includes afterhours
access
USE OF PUBLIC
FACILITIES
eg. Whether any public
toilets or other public
facilities need to be
used
PARKING
REQUIREMENTS
Provide Map
Include number, type
of
vehicles and
parking
arrangements
for
all
vehicles at the location.
Include whether Traffic
Management Plan is
required
SPECIAL EFFECTS
eg. Fire, smoke, rain,
wind, guns, explosions,
fireworks, snow.
This will require
Council approval
prior to granting
application/permit.
COMMERCIAL ACTIVITIES
AMUSEMENT DEVICES EG BOUNCY
CASTLE, MINI JEEPS, BUMPER BALLS
ANIMALS
TICK IF NONE
OTHER, SPECIFY
WATER
DRONES
OPERATOR NAME:
Note ICC requires all drone operators to hold CAA Part 101 and/or 102 certification depending on the size
TEMPORARY
STRUCTURES
eg. Marquees,
scaffolding, tents, stage
etc
POWER
UNDERGROUND/OVERHEAD
SERVICES
4
WATERWAYS: Environment Southland approval obtained and harbor master being/been contacted?
MOBILE TRADING AND
LIQUOR LICENSING
CONTACT:
lyndon.cleaver@es.govt.nz
ALCOHOL OR FOOD SUPPLY SALES
ANY OTHER MOBILE TRADERS
SECURITY
Provide details of any
proposed security
PERMITS AND
CONSENTS
The Applicant
acknowledges the
permits/consents listed
have been applied for
and granted and must
be produced upon
request
5
SCHEDULE 1 - APPLICATION DETAILS
– SECTION 2 FILM/UAV
BRIEF DESCRIPTION
Other - Please Specify:
Tourism
TV Content
Web Advert
Feature
Stills
Web Content
Music Video
Type of Production:
TV Commercial
PRODUCTION DETAILS
eg. a 60 minute documentary about mountain biking to be screened in New Zealand in January.
CONTACT INFORMATION
CONTACT PERSON FOR
SHOOT
DAYS ON SET
CONTACT
PERSON
FOR
SAFETY
OFFICER
N/A
Contact Number:
NAME:
NAME:
MOBILE:
M
OBILE:
Location Manager:
6
Must include all persons on location (e.g. crew, cast, extras, clients and agency)
If these are not confirmed please fill in an approximate number
If these are not confirmed please fill in an approximate date range
ACTION BEING FILMED:
AGENCY:
CREW:
CLIENT:
CAST:
EXTRAS:
Shoot Start
Date:
Weather
Cover Start
Date:
Weather
Cover Finish
Date:
Arrival Time at Location:
Departure Time at Location:
7
LS OF EQ
SIGNIFICANT PROPS //
SET DRESSING
eg. Animals,
signage, plants
DETAILS OF
EQUIPMENT
IF NONE TICK BELOW
HELICOPTER
GENERATOR
CAMERA CRANE
TRACKING VEHICLE/GATOR
OTHER, SPECIFY
TRIPOD
CAMERA TRACK/DOLLY
CAMERA
DRONE/UAV – make sure you
have filled out drone section in
section 1
OR
Large/Complex Bookings With Special Requirements
8
Council
reserves the right to cancel a booking at any time
CHECK PROCESS FOR RESERVE BOOKINGS
Event Type: ………………………………………………………..
Proposed Date: …………………………………………………..
Contact Name: …………………………………………………..
Contact Phone: …………………………………………………..
Initial Process – All Bookings
Initial contact received from Event Organiser by Parks regarding booking a Reserve for an event
Date checked in Bookings Calendar and available for hire. Event Organiser advised date availability and that he/she
will be advised within two (2) working days whether Reserve site is suitable for type of event
Discussion with Event Organiser regarding special requirements which may require Risk Management Plan, Traffic
Management Plan, Public Liability Insurance, consent from Outside Entity, Site Specific Plan, Liquor Licence, Food
Vendor Certification eg:
Power/water Involves animals
Food/alcohol provision Involves amusement devices
Vehicle access Parking/Traffic Management
Commercial activity Erection of Temporary Structures
Filming/UAV Other
Tentative booking entered
Parks staff undertake checks regarding suitability of site or event
Event Organiser contacted and advised Reserve suitability for event or alternative site offered
Booking form information sent including Council aerial photograph of site showing known services marked on it.
Event Organiser advised tentative bookings only held for four weeks and payment is due upon receipt of application
Completed application received and payment receipted (including bond if required). All required supplementary
information received
Event Organiser advised regarding access (ie key collection or on-site pre-entry meeting, dependent on type of event)
Small/Simple Bookings – Only Special Requirements Are Power/Water/Access
(ie Picnic/BBQ, Wedding etc)
Event Organiser collects Key (if required) for access or arrangements made for Gates to be opened
Reserve checked by Parks prior to booking on day of event
Reserve checked by Parks following booking to ensure site is tidy, all rubbish removed and no damage
Event Organiser returns Key (is advised of any issues and further fees paid)
(ie Public Event/Commercial Activity/Filming etc)
Event Organiser to contact Parks to arrange on-site pre-event meeting prior to entry onto reserve being
granted
Event Organiser provides any additional information requested to Council prior to entry
On-site pre-event meeting on ……………………………………………….. (date) at which time any services (both above
and below ground) are identified and located
Parks staff provide access to Reserve
Parks staff carry out routine visits during event
Following event, Event Organiser ensures site is tidied, all rubbish removed and grounds are in good order
with no damage
Parks staff undertake post-event inspection and Event Organiser is notified of any issues
Bond reimbursed to Event Organiser or Event Organiser is invoiced for any reinstatement costs over and
above Bond retained.
9
The following Terms and Conditions apply to all events, including filming and UAV control:
NOTE:
The Event Organiser is responsible for adhering to all the following conditions. If the Event Organiser is applying on
behalf of an organisation then that company is responsible for ensuring all the conditions below are adhered to.
1/ BOOKINGS: All events must be recorded in the Parks Division booking system. While we may not be able to provide
you with exclusive use of a park, we can advise other Event Organisers of your event, thus avoiding unnecessary
double bookings.
Booki
ng form and payment is due within four weeks of tentatively making a booking if this is more than four weeks
in advance of the date of your event. If the event is within four weeks of your booking then you are required to pay
and hand in booking form at time of the booking. Other circumstances are up to the Park Manager’s discretion.
Some hiring of parks and reserves require collection of a key from the Parks Office to gain access to specific
areas/facilities. Please check with the Parks Office whether you require a key prior to your event.
Pl
ease note that members of the public must have freedom of use of the park except for closed events.
We
strongly advise you to provide a postponement date and to consider organising a wet weather venue in case of
inclement weather.
The park is hired on an "as is" basis and Council is not responsible to carry out any extra work (ie extra grass mowing,
opening of barriers etc.) unless prior agreement has been reached with the Parks Manager and the appropriate fee
paid.
Co
uncil will not be responsible for any damage caused to the hirer's property or items of clothing in any way
whatsoever.
2/ CANCELLATION AND TERMINATION: Please advise the Parks Office as soon as possible if you decide to cancel
or postpone an event so other groups wishing to use the park can benefit. Due to popularity for some Parks
and Reserves, the fee will only be refunded should the event be cancelled at least two weeks prior.
Sho
uld any conditions as part of this consent not be met or adhered to, Council may withdraw permission at
any time, and any future applications for park use may be denied.
3/ CHA
NGE IN USE: The Event Organiser’s use of the Location shall be restricted to the specifics detailed in Schedule 1.
The Event Organiser shall immediately inform Council of any proposed change to the details recorded at Schedule 1.
Council retains the right to cancel this Permit should the notified changes result in substantial alteration to the
details (in the opinion of the Council).
4/ FE
ES AND CHARGES: Use of some Council parks is conditional on the payment of a fee to be paid when booking or by
arrangement with the Parks Manager (please see the list of fees and charges on page 15). We will also need to know
whether you require power for some facilities or any other special requirements when making the booking. Extra
charges may apply.
Th
e Parks Manager reserves the right to charge additional fees if the event or activity is deemed to require extra staff
to be on duty.
Any m
arquee, stage, large structure, circus, fair, carnival or other commercial organisation will be subject to the
approval of the Parks Manager and may be charged an additional fee and in some cases, a bond for damages.
Ea
rly entry on to reserve may incur a penalty fee.
10
5/ NO B
INDING CONTRACT: The Council shall not be obliged to grant this Permit until such time as:
(a)
it receives the fully completed and executed Permit from the Event Organiser;
(b)
the terms of the Permit are approved by Council (in its sole discretion);
(c)
all fees in relation to the application have been met.
6/ DRO
NES: Applications for UAV Consent to operate within the defined areas as shown in the ICC Unmanned
Vehicles Policy is subject to:
o
Compliance with all CAA and Air Traffic Control requirements (Invercargill Air Traffic Control: 03
211 8118)
o
No other recreational activity being undertaken in the area at the time
o
Operation only being undertaken between the hours of dawn to dusk and the UAV being within
visible sight lines at all times.
•
An application for consent may be granted or refused by Council and may be subject to any conditions
that the Council deem necessary to ensure public safety and the prevention of nuisance. Consent may be
granted on an ongoing basis or may be granted for a single event.
•
You must be registered with the Air Share Website. This information helps CAA keep track of regular and
non-regular UAV operators in each area.
All applications must oblige by the ICC UAV Policy for the use of parks and reserves for events. Event Organisers must
also comply with the Privacy Act for all events held on Council land.
7/ LOCATION RELEASE: Council grants its licensees, agents, successors and assigns, the right, but not the obligation, in
perpetuity throughout the world and in all media, now or hereafter known, to use (in any manner it deems
appropriate, and without limitation) in and in connection with the motion picture/photograph, by whatever means
exhibited, advertised or exploited, the appearance of the location or property as specified in the booking form.
8/ SE
CURITY ON SITE: The Event Organiser is solely responsible for the security of event participants and any facilities
or structures brought on to the reserve for the duration of the event.
9/ ADVERTISING: The
Event Organiser
shall advertise only on the reserve on which the event is being held.
Advertising is restricted to within two weeks of the event and must be removed immediately following the
event. See Parks Staff for further information on rules around signage and advertising events.
10/ NO TRANSFER: The Event Organiser shall not assign, sub-license, mortgage, charge, encumber or part with
possession of any area within the park, or any facilities or equipment without the prior written approval of the
Parks Manager.
11/ DIRECTIONS: The Event Organiser shall comply with all reasonable instructions given by the Council at any time.
12/ SERVICES: The
Event Organiser
shall be responsible for the identification of any underground/above ground
services which may be affected by its activities and the obtaining of any relevant service authority’s permission to
operate below/above. Please use ‘B4U Dig’ or contact PowerNet for cable location. For identified events where
ground penetration is needed, signoff by a Parks staff member is required.
13/ RUBBISH: The Event Organiser is responsible for ensuring that your area of the park is kept tidy and rubbish free
during your event and that all rubbish resulting from your event is removed from the park at the conclusion of your
event.
If the Event Organiser fails to collect and dispose of all rubbish and litter by the expiry of this Permit then the Council
shall be entitled to have the rubbish and litter removed and the cost of removal is to be borne by the Event
Organiser, either by deduction from the Bond or payment direct from the Event Organiser. Any rubbish that can be
recycled shall be.
In some cases it may be necessary to supply additional rubbish bins/bags during your event. This will be the
responsibility of the Event Organiser.
11
14/ DAMAGE: Any damage to the location, vegetation, structures, or other property or any loss incurred by any person
whatsoever resulting from the
Event Organiser’s
use of the location, as determined by Council, is the responsibility
of the
Event Organiser
and is to notify Council as soon as possible. The
Event Organiser
is liable to pay all amounts as
a result of such damage or loss to the Council and to do any other thing necessary to make good such damage or
loss.
If you are holding your event on a Council park, you may be required to pay a bond to cover potential costs of
repairing any damage and undertaking any clean up work (if the area is not left in the way it was found).
The bond amount will depend on the area you are using and the scale of activities you are undertaking. You will be
required to pay the bond prior to the event.
Bonds will be refunded if the park is returned to its original condition at the end of the event and conditions have
been complied with. Council reserves the right to deduct any costs it incurs as a result of the event, from any bonds
held.
15/ REPAIRS: Any repairs to Council land will be carried out by Council and all associated costs will be met by the
Event Organiser
.
16/ PA
RKING AND TRAFFIC MANAGEMENT: If your event is likely to attract more than the allocated space for vehicles to
the park, consideration must be given to parking requirements and the management of overflow parking. If any part
of your event is to be staged on a road, or restricting vehicle or pedestrian access, causing distractions to drivers and
pedestrians, a Traffic Management Plan will be required.
Mot
orised vehicles are not permitted on Council parks other than on areas designated as roadway or parking
without prior written authority from the Parks Manager. Vehicle speed must be kept to a minimum and all road
rules followed.
Pl
ease discuss your requirements with the Parks Manager.
17/ STR
UCTURES: Large structures and temporary buildings may require prior consent from Council’s Building Consent
Department. Please discuss your requirements with the Parks Manager in the first instance. A copy of the building
consent must be produced upon request.
18/ ANIMALS: In 2005 the Council adopted the Dog Control Policy for the City’s parks and reserves. In most parks
this requires all dogs to be kept on a lead and under control at all times and for dog owners to clean up after
their dogs. Dogs are not permitted on marked sports fields or within ten metres of any play equipment, areas
around ponds and wildlife lagoons, and any other areas indicated by signage for temporary dog prohibition.
Please discuss your requirements with the Parks Manager if you wish to have animals as part of your event.
Circuses and other events requiring animals will be required to guarantee that all animals will be suitably housed
and kept under control at all times.
19/ HEALTH AND SAFETY: The Council considers the Event Organiser to be in control of the location during the term of
this Permit and the Event Organiser shall take all practical steps to prevent any harm occurring. The Event
Organiser is re
sponsible for the safety of all users of the Location during the term of this Permit. An audit may
be carried out by Council at any time during the term of this Permit to ensure compliance with the HSWA 2015.
Hazards may be present at the location or may arise as a result of the Event Organiser’s activities at the location.
The Event Organiser shall, prior to entering the location, identify and notify Council of all hazards identified and
the procedures to be put in place by the Event Organiser to prevent/isolate such hazards. Where accidents,
incidents or near misses occur at the Location the Event Organiser will immediately notify Council and advise the
procedures that are being put in place to prevent further similar events.
In most cases, members of the public will have freedom to move around and through the park during your
event without restriction. The Event Organiser is responsible for ensuring that the plan is followed and that
there is compliance with the requirements of the Health and Safety at Work Act 2015, including any
amendments or regulations thereafter.
12
The plan should outline possible causes of hazards, possible outcomes, and the suggested actions to reduce
such hazards.
Yo
ur Risk Management Plan for your event must be submitted to the Parks Manager for approval at the time
of application prior to the event commencing.
A Ri
sk Management Plan is required for your protection and Council’s. A Risk Management Plan is a
document that:
-
Identifies all the hazards which may threaten participants or other people in the vicinity during the
event.
-
Indicates what reasonable controls the organiser has put in place to eliminate, isolate or minimise the
hazards identified.
20/ TOILET FACILITIES: Many of the parks have public toilets provided. Some toilets may require an arrangement to
have them unlocked/locked by Parks Staff. Please check with the Parks Office for information on where these
are. You may also be required to bring your own toilet paper and other products to ensure the toilets are kept
clean for the next event.
It
is the responsibility of the Event Organiser to ensure that adequate toilet facilities are provided for the
numbers of people expected to attend your event. Portable toilets should be hired if required and removed
immediately following the event.
21/ FOOD STALLS AND PERMITS: If your event is on a Council park or reserve you will need to indicate whether
you intend to have food traders (including a ‘sausage sizzle’) at your event when you complete your event
application form. As the Event Organiser you are obliged to make your food traders aware of the basic
hygiene rules for handling food. Council encourages the provision of healthy food options.
Al
l mobile or travelling shops and stalls (including public events where food is intended to be provided free of
charge, ie sausage sizzle) are required to obtain a stall licence or health premise licence from the Council to
trade. For more information contact the Council’s Environmental Health Division. Council reserves the right
to charge a fee for each mobile trader/stall for any event.
The t
rading of tobacco or illegal substances is not permitted on Council parks.
22/ MOBILE TRADERS: Mobile traders may be permitted on some parks at the discretion of the Parks Manager and
will be dependent on the following conditions:
- Mobile traders will be charged a daily, weekly or monthly fee according to the length of time requested.
All fees are to be paid in advance.
- In accordance with the Mobile Trading Bylaw 1983 all mobile or travelling shops and stalls are required to
obtain a licence from the Council to trade. For more information contact the Council’s Environmental
Health Division.
- Details of the type of goods to be sold are to be submitted to the Parks Manager on application.
- Details of the appearance of the mobile unit are to be submitted to the Parks Manager on application.
- The unit shall not impede or inconvenience the flow of pedestrians or park users at any time. No public
seating or facilities are to aid, form part of or be used in conjunction with the unit.
- No amplified music is permitted.
- Advertising shall be limited to that which can be attached to the unit.
- The trading of tobacco or illegal substances is not permitted on Council parks.
- The Mobile trade permit holder may give one week’s notice of termination of this agreement.
- Failure to comply with any of these conditions will result in the permit being cancelled or varied.
23/ LIQUOR LICENCES: If you wish to supply or sell alcohol at your event, you may need to obtain a Special Liquor
Licence from the District Licensing Agency. Permission is required from the Parks Manager prior to the Event
Organiser applying for a special licence. Please Note: Applications for a Special Liquor Licence must be lodged
at least 20 working days prior to the event. A liquor ban is in effect in some Council parks – please discuss
your requirements with the Parks Manager.
13
24/ SUSPENSION: If the Council is not satisfied that the Event Organiser is complying with its obligations under this
Permit then it may temporarily suspend this Permit for such period of time until the Council decides that the Event
Organiser is complying with its obligations. The Event Organiser shall cease all activities at the Location during any
period of suspension.
25/ COMPLIANCE: Event Organisers shall adhere to the management policies of the current Reserve Management Plan
and any Council Bylaws, Policies and Regulations. Parks staff can assist with providing this information.
Thi
s Permit is not a consent under any other statute, regulation or bylaw affecting the Location or its use and the
Event Organiser shall, prior to entering the Location, obtain all necessary consents (including resource consents),
licences and other permits necessary to allow it to carry out filming pursuant to this Permit. In the event that the
Event Organiser fails to hold such valid consent, licence or permit, then the operation of this Permit shall be
suspended until such time as the Event Organiser holds such valid consent, licence or permit, and the Event Organiser
will vacate the Location during such suspension.
Eve
nt Organisers must also comply with the Privacy Act for all events held on Council land.
26/ REST
RICTED ACCESS: If due to any reason, including but not limited to, fire, storm, earthquake, emergency or disaster,
whether man-made or not, or for any other reason the Location is not available, the Council’s liability under this Permit
is limited to refunding the Fee to the Event Organiser.
27/ REGULATORY FUNCTION: Nothing in this Permit shall be read as limiting or otherwise affecting the proper and valid
undertaking or exercise of any regulatory or statutory power or function by the Council or any part of its operations.
28/ INDEMNITY: The purpose of an indemnity is to require the person giving the indemnity to meet any
claims against the person who holds the indemnity.
The Event Organiser shall keep the Council indemnified
against all claims, actions, losses, and expenses of any nature which the Council may suffer or incur or for which the
Council may become liable in respect of:
(a)
the negligent or careless use or misuse by the Event Organiser or persons under the control of the Event
Organiser of the Location;
(b)
any accident or damage to property or any person arising from any occurrence in or near the Location wholly
or in part by reason of any act or omission by the Event Organiser or persons under the control of the Event
Organiser ; and
(c)
anything otherwise arising directly or indirectly from the use of the Location by the Event Organiser.
If an event is to take place in an area which is usually open to the public, and which has private property nearby,
Council needs to ensure that no injury occurs to members of the public and that no damage occurs to other people’s
property.
29/ PUBLIC LIABILITY INSURANCE: Public liability insurance is an insurance policy held by an organiser of an activity. It
provides the organiser with some protection if a third party brings an action against the organiser or when there is a
risk of damage. Without such a policy the organiser would be personally liable. Public liability insurance will also be
important when the organiser has indemnified Council, and a third party makes a claim against Council.
30/ CONSULTATION:
If your event is likely to attract large crowds, or if it involves amplified sound, road closures, traffic
control or parking restrictions, you may need to consult with nearby businesses and residents.
Ro
ad closures, parking restrictions and traffic control may affect residents’ access to their properties and may also
impact on workers accessing their place of business or customers accessing commercial properties and shops. Please
discuss your requirements with the Parks Manager.
31/
NOISE/ GLARE/ VIBRATION/ DUST CONTROL:
Please discuss any adverse effects that might result from your event with
the Parks Manager.
No
ise control comes under the provisions of the Resource Management Act 1991 which aims to protect people from
unreasonable or excessive noise; provide noise control in the community; protect the rights of people and industry to
make a reasonable amount of noise; and to allow the public, local authorities and Police to work together to control
noise. For more information about the amount of noise and resulting nuisance your event is likely to create, contact
the Council's Environmental Health Division.
14
32
/ GENERAL CONDITIONS:
32.1
Emergency and public access ways must be kept clear at all times.
32.
2
Activities must not restrict general public access and enjoyment of the park.
32.
3
Please follow all directions given by the Park staff member responsible.
32.
4
All park resources, including buildings, fences, structures, services, vegetation, rocks and turf are protected and
are not to be altered in any way. Which includes any facilities (including the fixing of temporary signs or
advertisements in the park or to the exterior of any facility) without the prior written approval of the Parks
Manager
32.
5
Consent applies to the approved allocated area as indicated on the booking form and plan and as instructed by
the Parks Manager for the specified date/s only.
32.
6
The lighting of fires and fireworks is not permitted on parks without the prior written approval of the Parks
Manager and the appropriate fire permit has been obtained.
32.
7
The Event Organiser shall notify the Parks Manager of any accident on the park during an event, or any defect in
the park facilities or equipment that the Event Organiser becomes aware of immediately.
32.
8
The Event Organiser must ensure that the performance, playing or showing of any copyrighted work complies
with the Copyright Act 1994.
32.9
All organised events on Parks and Reserves should be promoted as being healthy and Smoke Free.
32.10
It is recommended signage and high visibility gear is used during an event to warn public
15
Gen
eral Casual Use Park Charge 2018/19
(Plus any special requirement charges) (including GST)
Any area of any park or reserve for a wedding, picnic or non-commercial event $ 25.00
Special Locations (plus any special requirements)
Queens Park Band Rotunda (includes power) $ 50.00
Queens Park Winter Gardens (between 5.00 to 7.00pm Summer only) $ 85.00
Anderson Park Pavilion/Kitchen (includes power) $ 60.00
Anderson Park Pavilion/Kitchen and BBQ (includes power) $ 90.00
Anderson Park Second Picnic Area $ 40.00
Otepuni Gardens Band Rotunda (includes power) $ 50.00
Otatara Scenic Reserve (ex Guide Camp area) $ 40.00
Spec
ial Requirements
Queens Park
Power - where available $ 25.00
Gates - to have gates opened for official vehicles (1 hour maximum) $ 100.00
Anderson Park
Marquee site - includes use of pavilion and kitchen From $ 400.00
Access after dusk $ 195.00
Gala Street Reserve
Power - Fountain $ 25.00
Power - Circus Area – Connection fee PLUS cost of power used based on actual reading
Wachner Place - including power (per day charge) $ 50.00
Commercial site including power (per day charge) From $ 240.00
Other reserves and activities (including concerts or similar)
As determined by the Parks Manager based on size, duration, location and nature of event From $ 125.00
Power (where available) $ 25.00
Access to reserves through gates and barriers (key fee) $ 100.00
Fairs and Carnivals From $ 290.00
Circuses (non-performing and performing days) per day From $ 290.00
As determined by the Parks Manager based on size, duration, location and nature of event Plus power if available
Bonds (Where not defined below, bond to be determined by Parks Manager)
Marquee site From $ 530.00
Commercial activities (including fairs and carnivals) From $ 530.00
Circuses From $ 1,125.00
General Park Charge
$
List of Auxiliary Activity Providers
Special Requirements
$
Risk Management Plan
$
Site Specific Health and Safety Plan
$
Indemnity and Public Liability Insurance
$
Parking and Traffic Management Plan
Bond
$
Food stalls, Liquor Licenses etc
Total Amount Due
$
Mobile Trader Permit
Fees are calculated as per the Fees and Charges above. Payment is required with submission of this application.
Cheques should be made out to ‘Invercargill City Council’ and can be posted or delivered with the completed booking form to:
Invercargill City Council Parks Division
Ph: 03 219 9070
216 Queens Drive
Queens Park Office Fax: 03 217 5358
Private Bag 90104, Invercargill
Email: parks@icc.govt.nz
Full payment is required when booking unless arrangement has been made with the Parks Manager. Bonds for damages will be refunded at
the conclusion of the event once the site has been inspected.
The Queens Park Office does not have EFTPOS or Credit Card facilities.
FEES, CHARGES AND REQUIREMENTS
16
The Council relies on the information contained in this application being complete and accurate. The Event Organiser must take all reasonable steps
to ensure that it is complete and accurate and accepts responsibility for information in this application being so.
Full name of person lodging this form
Firm/Company
Dated
Signature of the Event Organiser:
Approved on behalf of Council:
For Office Use
General Park Charge . $ Booking entered / confirmed
Power/BBQ (AP/QP/OG) . $ Payment received / Receipt sent
Gates opened (QP) am/pm. $ Bond received
Service vehicles/after dusk access (QP/AP) $ Health & Safety Plan received
QP Winter Gardens (Summer 5 – 7pm) $ Insurances sighted
Marquee/stage/structures etc $ Traffic Management plan sighted
Mobile trader days x $ /day $ Food/Liquor licenses sighted
Commercial activity days x $ /day $ Key allocated
Circus, fairs etc days x $ /day $ Rangers/Supervisor/Ops notified
Wachner Place days x $ /day $ Security notified
Filming/UAV $ Key returned
Bond .
$
Site inspected / Bond refunded
Risk Management Plan received
TOTAL
$
BOOKING REF:
APPLICATION & DECLARATION
I HAVE READ ALL RULES AND CONDITIONS OF THIS PERMIT AND AGREE TO ABIDE BY THEM
I ACKNOWLEDGE THAT COUNCIL IS ENTITLED TO IMPOSE CONDITIONS UPON USE OF THIS PARK AT ITS DISCRETION
I ACKNOWLEDGE THAT AS AN EVENT ORGANISER I AM RESPONSIBLE FOR ENSURING THAT ALL AUXILIARY ACTIVITY PROVIDERS
HAVE READ AND AGREE TO THE TERMS AND CONDITIONS FOR THE USE OF PARKS FOR EVENTS. A LIST OF ACTIVITY PROVIDERS IS
ATTACHED TO THIS FORM
I AGREE TO PAY ALL CHARGES AND BONDS FOR THE USE OF THIS PARK AS REQUESTED BY COUNCIL
I HAVE BEEN AUTHORISED TO BIND MY ORGANISATION TO THIS AGREEMENT
PLEASE TICK
Invercargill City Council
Private Bag 90104,
Invercargill 9840
W:
www.icc.govt.nz
P: 03 2199070
E
: parks@icc.govt.nz
I HAVE BEEN IN CONTACT WITH AIR TRAFFIC CONTROL (03 211 8118) AND AM AWARE OF THE INVERCARGILL CONTROL ZONE
AND ASSOCIATED RESTRICTIONS
I AM REGISTERED WITH AIR SHARE
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

APPLICATION AND BOOKING FORM (Invercargill City Council New Zealand)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 November 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document