Fillable ContactInformation 2021EventApplication CalendarYear2021 FiscalYear21/22 TheFiscalYearrunsfromJuly1 oftheeventcalendaryeartoJune30 ofthefollowingyear (City of Lewiston)

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ContactInformation 2021EventApplication CalendarYear2021 FiscalYear21/22 TheFiscalYearrunsfromJuly1 oftheeventcalendaryeartoJune30 ofthefollowingyear (City of Lewiston)

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

2021EventApplication



CalendarYear2021

FiscalYear21/22

TheFiscalYearrunsfromJuly1

oftheeventcalendaryeartoJune30

ofthefollowingyear



ContactInformation



NameofOrganization:_______________________________________For‐Profit____Non‐Profit____

OrganizationAddress:_____________________________________City:________________________

OrganizationDaytimeTelephone:________________________



ApplicantName:_______________________________________Title:__________________________

ApplicantTelephone:___________________ApplicantEmail:_________________________________

On‐siteManagerName(dayofevent):______________________________Cell:__________________



EventOverview

EventName:___________________________________RequestedLocation:____________________

RequestedDate(s)________to_________SingleDate_________RainDate(ifapplicable)_________

ActualHoursofEvent_______to_______Set‐uptime_______Tear‐downtime_______

TypeofEvent(checkallthatapply):   Checkhereifthisisarepeatevent_____



EstimatedEventAttendance_______(aCertificateofInsuranceisrequiredforeventsof25+) 

(1,000+)_____(requiresCCapproval)ParkUse_____GazeboUse_____AmphitheaterUse_____

Walk/Run_____RoadRace_____LivePerformance_____Festival_____Concert_____Parade_____

Picnic/BBQ_____BlockParty_____Arts_____WeddingCeremony_____WeddingReception_____

Carnival____Circus_____Fireworks____Vigil_____Demonstration_____March_____

OpentothePublic_____Age‐Restricted_____InvitationOnly_____Fundraiser_____

Other(pleasespecify):_____________________________________



DescriptionofEvent

_____________________________________________________________________________________

_____________________________________________________________________________________



2



2021EventApplication



EventTimeline

EventswithintheCityofLewistonrequireateameffort.Itisourgoal

toassistyouwithinformationandservicesnecessaryforasuccessfulevent.



SUBMISSIONOFEVENTAPPLICATION



AneventapplicationisnecessaryifyouaregoingtoutilizeanyCity‐controlled

propertysuchasparks,streets,sidewalks,parkingareas,amphitheater,or

gazeboforanyactivityorevent.

 Submitapplicationand$50processingfeetoAdministrationatLewistonCity

Hall.(Thiswillsecureyourparklocation.)



 Park‐VenueMap/DiagramRequired,submitmapswithapplication

o Includeplacementoftents,stage,tables,firstaid,port‐potties,hand

sanitizingstations,parkingfortheevent(PW&PDreviewrequired)

o Pleasenotetherearenobathroomfacilitiesatcityparks.Planahead

forportapotties.

 ParkingPlanMap‐foreventswhereequipmentwillbedriven,includevehicle

placementandwhatmaterials/supplieswillbeused

 FestivalZoneDesignation|CityCouncilapprovalnecessary(refertopolicy)



EVENTSTAFFMEETING&LOGISTICSREVIEW



 Licensing,permitting,andparkfeesdue

 CertificateofInsuranceduetoAdministration(seepg.__fordetails)

o Asampledocumentmayberequested

 AllrequestsforPublicWorksassistancemustbesubmittedtoMeganBates

 DIG‐SAFE

 Generalfireinspectionandreviewoffirst‐aid/incidentplans

 Fireworkspermit

 Eventorganizerwillalertbusinessownersintheeventareaofyourupcoming

event,and/orofanyroadclosuresthatmayimpedetheirbusiness



FINALWALK‐THROUGHIFAPPLICABLE



 Besurealllicensesandpermitspaidandhavebeenobtained

 Secureelectricalaccess‐ifneeded,obtainakey



WEB‐ACCESSTOPOLICIES,GUIDELINES,ANDREGULATIONS

 Usethisconvenientlinkforhelpfulinformationregardingyourevent:

http://www.lewistonmaine.gov/eventsinfo

30DAYSPRIOR

90DAYSPRIOR

7DAYSPRIOR

MAPS

REQUIRED



3



2021EventApplication



EventStaff 

Contacts–DepartmentFunctions&Requirements



ADMINISTRATION:JanetLabbe,513‐3121

DaleDoughty:ddoughty@lewistonmaine.gov

JanetLabbe:jlabbe@lewistonmaine.gov

 Processingfee&Parkfees

 CertificateofInsurance(COI)

 Securitydeposit/Performancebond

 Ensuresproperpaperworkissubmitted

 Fundraisingforanotherorganization‐letter

andfinancialsmustbesubmitted

 Organizesstaff/organizermeetings

 Reviewtoensureallfeesarepaid

 Ensureorganizercontactsareabusinessesif

applicable

 Provideapplicablepolicies,rules,etc.

 Providesupdatestoeventstaff

CITYCLERKS:KellyJ.Brooks,513‐3020

kjbrooks@lewistonmaine.gov

 Demonstrations‐issuesletterofreview

 SchedulesCityCouncilactionifrequired

 SoundAmplificationpermit

 OutdoorEntertainmentpermit

 OutdoorAlcoholpermit

 Foodservices(foodtruck)licensing

 Productvendorlicense

 CarnivalorCircuspermit

SANATARIAN/CODE:LouisLachance  

513‐3000x3224;llachance@lewistonmaine.gov

 Foodservicevendorsreviewed

 Schedulesinspection

POLICE:Sgt.CarlyConley;

cconley@lewistonmaine.gov

 Map/diagramreview/approval

 Securityreview/approval

 Paradepermit

RECREATION:513‐3005x3702



 TablesandChairs

 Events/ActivitiesatKPbasketballcourt,

MemorialArmory&athleticfields

FIRE:Asst.ChiefMarkCaron,513‐3000x3601

mcaron@lewistonmaine.gov

 Generalfiresafetyinspection‐cooking

equipment,fireextinguishers,tents

 FireDepartmentpermitforpropanetanks

over20lbs

 Openburningpermitrequirement

 Tent,awning,canopy‐flameretardant

certificationmustbesubmitted

 Fireworks‐FireDept.&FireMarshalpermits

PUBLICWORKS:MeganBates,513‐3073

mbates@lewistonmaine.gov

SteveMurch:smurch@lewistonmaine.gov

ReggiePoussard:rpoussard@lewistonmaine.gov

 Parkset‐upmapreview/approval

 Roadserviceinterruptions,closures‐plan

review/approval

 Sitevisitwithorganizer

 DigSaferequirements–sprayareasas

needed

 Electricalaccessplanreview/approvaland

keyaccess‐

 Weedwhackelectricalarea

 Wateraccessplanreviewandapproval‐

inspectionofwaterspickets

 Parkingplanreview/approvalforparking

lots,parkinggarages

 Parking&EmergencyShelterSignage

 Equipmentandvehiclesonproperty‐logistics

planreview/approval

 NP’susingparkingarea‐policyreview

 Organizercontactsprivateparkinglotsinthe

area

 Porta‐Potties,hand‐washing,andADA

requirements,planreview/approval

 Wastecollectionplanreview:needfortrash

bags,barrels,recyclebins,dumpsters

 Bollards,barricades,snowfence

 Repairarea(s)

Itisarequirementthattheeventorganizereither

haveateammeetingorcontactand/ormeetwith

EACHapplicableCityEventStaffmembertodiscuss

eventrequirementsoutlinedintheapplication.

Thankyou



4



2021EventApplication



Non‐ProfitInformation 

andFeeWaiverRequests(FY22)



SUBMISSIONREQUIREMENTSandDEADLINE



 FeewaiverrequestsareforNon‐Profitsonly.Theapplicationmustbesubmitted

withintheFiscalYearabove,whichmeansinordertosubmitarequesttoCity

Councilwiththisapplication,youreventmustbewithintheperiodof:

JULY1,2021toJUNE30,2022



AND,yourapplicationand$50processingfeemustbesubmittedbetween:

January1,2021toMarch1,2021



CityCouncilreviewandapprovalisnecessary.TheCouncilaretypically

meetsinmid‐Apriltohearrequests.Youmayberequiredtoattend.



IN‐KINDSERVICESmayberequestedforwaiver.



 Forinstance,stafftime/laborcostsforworkperformedbyPublicWorks,Police,

andFire,includingover‐time.[maximumof$2,500cashand$5,000inin‐kind

services]

 AspartofthereviewprocessforCityCouncilfeewaivers,orrequestforin‐kind

services,weassumethatyourorganizationwillnotreceivesocialserviceagency

and/orCommunityDevelopmentBlockGrant(CDBG)fundingfromtheCityof

LewistoninthefiscalyearbeginningJuly1

.



ADDITIONALINFORMATIONREQUEST



PLEASESUBMITSCHEDULEAlocatedattheendoftheapplication



50%discountonmostpermitfeesandparkfees



IfyourNon‐Profit’sofficeisphysicallylocatedinLewiston,youwillreceive50%

discount.AnyotherNon‐ProfitsorForProfitswillpayfullprice.Thankyoufor

choosingtheCityofLewistonforyourevent.Weappreciateyourpresencein

thecommunity.



FEEWAIVER

REQUESTSFOR

NON‐PROFITS

ONLY

Whatfeescan

beincludedin

waiver

requests?



SCHEDULEA

Lewiston‐

based(LBNP)

NonProfits



5



2021EventApplication



EventsinOurParks 

Lewiston‐basednon‐profits(LBNP)willreceivea50%discountonparkfees.

Ifutilizingapark,pleaseselectone

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Enjoythecity’sgreenspace,andbookaparkforyourevent.



SIMARD‐PAYNEMEMORIALPARK_____

Locatedat46BeachStreet,thisgreenspaceisoneofthecity’slargestparks,hasmanyamenitiesandis

usedformultipleeventsbothlargeandsmall.ItislocatedonthebanksoftheAndroscogginRiverand

provideswateraccessandabeautifulview.Theparkhasamulti‐purposelevelgreenspace,theriverwalk

patharoundthepark,whichleadsoverthefootbridgeandintoAuburnwherethepathcontinues.An

Amphitheater is also located in the park near the water which can be utilized for music, various

performances,weddings,orjustaplacetoenjoyyourlunch.

ParkFeeis$150perday,(LBNP)rateis$75perday.IfyouareutilizingtheAmphitheateronlyforyour

event,therateis$60perhour.Anynon‐profitswillpaytherateof$25perhour.



DUFRESNEPLAZA_____

Locatedat72Lisbon,thisparkplazadoesnothavegreenspace;howeverisnicelydonewithlandscaping

andbenches.Theparkisoftenusedfordowntownactivities,performances,andaperfectplaceto

gatherwithfriends.ParkFeeis$150perday,(LBNP)is$75perday.



KENNEDYPARK_____

Locatedat120ParkStreetandfeaturesabeautifulgreenspacewithtrees,walkingpaths,aplayground,

basketballcourts,pool,splashpad,andSkatePark!Amongthepark’samenitiesisaGazebo,with

electricalaccessuponrequest,locatedintheheartofthepark.Thereisnochargetoutilizethepark.



PETTINGILLSCHOOLPARK_____

Locatedat411CollegeStreet,thisparkfeaturesagood‐sizedlevelgreenspace,basketballhoop,

playground,andtheLennyBreauPergolawithstage.Theparkisenjoyedbymanyfamilieswithchildren,

therehasbeenaweddingatthislocation,bookingsforbirthdayparties,andconcerts.Itisalsoasite

usedforoutdoorfamilymovienights.FriendsofPettingillhelpmaintaintheparkandtakeprideinits

evolvingamenities.Thereisnochargetoutilizethispark.



VETERANSMEMORIALPARK_____

Locatedat2MainStreet,thisspaceincludesapavedwalkingpath,variousmemorials,Americanand

militaryflags,GoldStar,andlovelylandscapingonthebankoftheAndroscogginRiver.Theparkisused

primarilyforveterans,andtheVeteransAssociationapprovesallevents.

Thereisnochargetoutilizethispark.

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Thecityhasseveralotherparksthatarenotnormallybookedforevents.Pleasenote,thereare

nobathroomfacilitiesattheseparks.Pleaseplanaheadwithporta‐potties.

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OTHER_____ NAMEOFPARK/LOCATION__________________________________________

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ParkFee_____(ifapplicable)xnumberofdaysreserved_____ AmountDue$__________

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6



2021EventApplication

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CityClerk’sOffice 

inconjunctionwithSanitarian/CodeEnforcement

Pleasecheckallthatapply

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SOUNDAMPLIFICATION‐willyoubeamplifyingsound?Yes____No____pleasedescribebelow:

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_______________________________________________________________________________ 



SOUNDAMPLIFICATIONPERMITmayberequired$17perday/$8.50(LBNP) Amount$_______

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OUTDOORENTERTAINMENT(liveperformance)Yes____No____pleasedescribebelow:

_______________________________________________________________________

_____________________________________________________________________________ 

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OUTDOORENTERTAINMENTPERMIT $50/$25(LBNP)  Amount$_______

CityCouncilapprovalisrequired

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FOODYes____No____GivenAway____

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FoodTruckYes____No____FoodTruckName____________________LicensedYes____No____ 

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BBQYes____No____isthisacateredevent?Nameofcaterer_________________________

(copyofrules&regulations)

__

FOODSERVICELICENSEmayberequired$50upto3days/$25(LBNP) Amount$_______ 

Sanitarian/Codeinspectionmayapply,Fireinspectionmayapply





BEVERAGESYes____No____Sold____GivenAway____Type_______________________________ 

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OutsideAlcoholYes____No____(restrictionsmayapply) 



LicensedBusinessName____________________________

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FOODSERVICELICENSEmayberequired$50upto3days/$25(LBNP)Amount$_______ 

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OUTDOORALCOHOLPERMITREQUIRED$25perevent&otherfeesmayapply Amount$_______

Nodiscountsapplyonalcoholpermits

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PRODUCTYes____No____Sold____GivenAway____Type________________________________ 



PEDDLERS/FLEAMARKETPERMITmayapply

$34perdayfor1‐75spaces/$17.00(LBNP)

$61perdayfor76+spaces/$30.50(LBNP)Amount$_______





CARNIVALYes____No____RidesOffered____Details______________________________________

CIRCUSYes____No____



STATEPERMITREQUIRED;hasitbeenobtained?Yes____No____

CARNIVALORCIRCUSPERMITREQUIRED$180perdayx_____numberofdays Amount$_______

Nodiscountsapplyoncarnivalorcircuspermits

 



7



2021EventApplication

 

EventLogistics



Willyoureventincludeanytypeoftrafficinterruption?

Detour/RoadClosureInformation

Pleasecompletethefollowinginformationifyourevent/activitywilldisrupt,detour,orcloseanytraffic

(Fire,PWroutereview;PDroute/securityreview)



NameofRoad(s)orIntersection(s)___________________________________________________

______________________________________________________________________________

______________________________________________________________________________



LOGISTICSREVIEW   Map‐DiagramRequirements

Pleasecheckallthatapply   Returnmap(s)withapplication  



ParkEvent_____PARKMAPIncludeplacementoftents,stage,tables,

first‐aid,porta‐potties,handsanitizingstations,andevent

parking



Run|Walk|Cycle____ ROUTEMAPIncludestagingarea,actualroute,andend

point

 .



Parade____ PARADEROUTEMAPIncludestagingarea,actualroute,

andendpoint



.

Other____

InvolvingDetour/RoadClosure

 

Pleasespecify______________________ 



BusinessOwnerContactPlanisduewhenapplicationissubmitted. 

Ifyoureventisinanareawherebusinessesarepresent,ie.LisbonStreet,largereventsatSimard‐PaynePark,etc.

Youwillneedtosubmityourplanforcontactingthempriortoyourevent.ESPECIALLYifaroadclosure

ordetourwillimpactabusiness.



ParkingLogistics

FreeParkingisavailableinCity‐ownedlotsandgaragesfromFriday6:00PMtoMonday6:00AM

(PWandPDreviewofeventparkingplan)



*Parkingaccommodations/anticipatedneed_____________________________________________________

WillyoubeutilizingCity‐ownedparkinggarages?Parkinglots?Yes_____No_____

IncludeName/Location

_________________________________________________________________________

_____________________________________________________________________________________

(Fire,PWroutereview;PDroute/securityreview)

PARKINGPLANMAPSarealsorequiredforevents.

Includevehiclestransportingmaterialandsupplies,location

andstorage







(Fire,PWroutereview;PDroute/securityreview)



8



2021EventApplication



  

ParkingLogistics(continued)



WillyoubeutilizingCity‐ownedparkinggarages?Parkinglots?Yes_____No_____

IncludeName/Location

_____________________________________________________________________________________________

_______________________________________________________________________

Willequipmentbedrivenand/orparkedinCity‐ownedparkinggarages?Parkinglots?Yes____No____

Ifso,listthelocationandmaterials/suppliesthatwillbeusedandwhetheritwillbestoredthere.

_____________________________________________________________________________________

_____________________________________________________________________________________

Ifaprivatelotistobeutilized,theeventorganizermustcontactthelotowner.Listthenameofthe

ownerandlocationoflot.________________________________________________________________



PoliceDepartment 

Pleasecheckallthatapply



ReviewofSecurity,RoadDetours/Closures____MapReview____BBQReview____

EventSecurity____Cruiserneeded____Parade____PERMITREQUIRED,obtainatPD



FireDepartment

Pleasecheckallthatapply



ReviewofRoadDetours/Closures____

foranyeventsthatwilldisrupt,detour,orcloseanytrafficroutes‐notificationtoPolice,

UnitedAmbulance,and9‐1‐1



BBQReviewifcookinginaCityPark____CookingEquipment____FireExtinguishers____ 

PropaneTanks____Tankover20lbs.____

PERMITREQUIREDMapReview____

Fireworks____PERMITREQUIRED(30daysinadvance)&STATEFIREMARSHALPERMITREQUIRED

Tents____Size____x____Howmany____(Flame‐retardantcertificationrequired) 

ReviewofFirstAid____IncidentPlan____EmergencyEvacuationPlan____

Rallies,Assemblies,Gatherings,orMassGathering–FireInspectionandReviewRequired







9



2021EventApplication



Recreation



Therecreationstaffisavailabletoassistwithanyevent/activitytakingplaceontheCity’sathleticfields,

KPbasketballcourt,orattheLewistonMemorialArmory.Recreationstaffwouldbegladtomeetwith

youtodiscussthedetailsofyourevent/activity.

Recreationalsohastablesandchairstorent.Ifyou

areinterested,pleaseprovidetheinformationneededbelow.



RecTablesYes____No____Howmany____;RecChairsYes____No____Howmany_____ 



Pleasenotethatthisfeecannotbeincludedinnon‐profitfeewaiverrequests.$5pertable;chairs(0‐25)

nocharge,(26‐50)$20,(50‐100)$35,(101‐150)$45,etc.Eventorganizermustarrangefortransport.



PublicWorks

Pleasecheckallthatapply



Tents/Awning/CanopyYes____No____Size____x____Howmany____Stakes____Weights____

Ifthestructurewilldisturbthesurfaceoftheground,Dig‐SafeisREQUIRED.PWmustbenotified30

dayspriortotheevent.Includetentlocationwithvenuemap.Flame‐retardantcertificationREQUIRED

andshouldbereturnedwiththeapplication.



 Dig‐Safe Yes____No____

WasteMaterial‐theCitydoesnotprovidecontainersorcollectionsofrecyclables.Pleasebesurethat

youhaveadequatecontainers,trashbags,etc.topickupanddisposeofallwaste.Cleanupisrequired

followingtheevent.



 CityDumpsterRequested  Yes____No____

 CityTrashReceptaclesRequested Yes____No____

ElectricityYes____No____ KeyAccess____



Electricity‐Isadditionalwiringisrequired?Yes____No____Ifyes,theapplicantmust

contractalicensedelectricianwhowillberequiredtoobtainapermit.

 NameofElectrician:_____________________BusinessName:_______________

ElectricrequiringalicensedelectricianmustbereviewedbyCityElectricianKyleSheehan.

ksheehan@lewistonmaine.gov.Ifakeyistobeobtainedpriortoyourevent,pleasecontactPublic

Worksrpoussard@lewistonmaine.govormbates@lewistonmaine.govtomakearrangements,oneweek

priortoyourevent.



10



2021EventApplication



PublicWorks(continued)



Willyouneedanyofthefollowing?



SnowFence Yes____No____

Barricades Yes____No____

Bollards Yes____No____



ParkingandEmergencyShelterSignageYes____No____

WaterAccessYes____No____

PortaPotties

Therearenobathroomfacilitiesatourparks,orCity‐controlledproperty.Pleasenote,theCity

willnotprovidenorfundporta‐pottyservices;therefore,thefollowingisrequired:



 Requirements‐Foreventslasting3hoursormore:



o One(1)ADAporta‐pottyfor0‐200attendeesaswellashandwashing/sanitizingstations.

o Anadditionalporta‐pottywillbenecessaryforattendeesover200,etc.

EstimatedAttendance_______



RestRoom|PortaPotties Yes____No____Ifyes,howmany?ADA____Regular____

HandSanitizingStations Yes____No____

FirstAidFacility  Yes____No____Note:_______________________________________



SiteVisitPriortoEvent

PleaseplanonhavingasitevisitwithamemberofPublicWorkspriortoyourevent.Thelogisticsteam

takecareofmanyaspectsofeventpreparation.Theywillreviewthemapsprovided,reviewparking

plans,inspectionofwaterspicketsandcoordinateotheraspectsofparksetup.Thankyou.





Administration



CertificateofInsurance(COI)

Requiredforeventswith25+people.Duenolaterthan30dayspriortoyourevent‐submittoAdministration



Eventliabilityinsuranceisnecessaryforanyevent/activityinwhichaperson/groupwishestoreserve

anyCity‐controlled/ownedpropertysuchasaparkorstreet,andforeventswhichinclude,butarenot

limitedto,walks,races,festivals,concerts,andsimilarevents,requiregeneralliabilityinsurance

coverageandtheissuanceofaCertificateofInsurance.TheCOIshallbeissuednamingtheCityof

Lewistonas“additionalinsured;”specifyingtheevent/activity,thedates,andanyotherpertinent

informationandshallprovidegeneralliabilitycoverageofaminimumof$1,000,000peroccurrence.

OncetheeventisapprovedbytheCity,theCOIwillneedtobereceivednolaterthan30dayspriorto

theeventunlessotherwiseauthorizedbytheofficeoftheCityAdministrator.FMIandasample

document:http://www.lewistonmaine.gov/eventsinfo





11



2021EventApplication



Administration(continued)



MapRequirements&BusinessOwnerContactPlan

(Dueuponapplicationsubmission)

Animportantpartoftheeventprocessandplanningisthesubmissionofmaps.Whetheryouarehaving

afestival,roadrace,oranemployeepicnic,amapofthevenueisrequired.RouteMapsarerequiredif

youreventwilldisrupt,detour,orclose,anytrafficroute.Aplantocontactbusinessownersforlarger

events,andeventswithroadclosuresisalsorequired.







FestivalZoneDesignation

EstablishmentofaFestivalZonerequiresCityCouncilapproval.Youmustsubmitamapclearlyshowing

whatCity‐controlledareasaretobesetasideandprovideawrittenexplanationastowhyandhowsuch

adesignationwillbeusedbytheevent/activity.SeeSpecialEventsPolicy“G”formoredetail.

WillyouberequestingaFestivalZonedesignation?Yes____No____



Policies,Procedures,Regulations&Requirements

TheCity’swebsiteEVENTSPAGEhasallofthepertinentinformationinregardtoplanninganevent.

http://www.lewistonmaine.gov/eventsinfo



Youmayalsorequestan“eventpack”whichwillincludeapapercopyofthisinformation.



Liability

(Section9‐CityofLewistonPark‐UsePolicy)



A. Theeventorganizer/permitteeshallbeliableforanydamagestotheparkortoanycontents

ownedbytheCityduringtheperiodofuse,whethersuchdamageiscausedbypermitteeorits

agents,servantoremployees,orbyanyinvitees,permittees,ortrespassers.

B. TheCityofLewistonshallnotbeliableforanydamageorlosstoanypropertyofthepermittee

oranyotherpersonfromanycausewhatsoeverwhilesaidpropertyislocatedonthepremises

forstoragepurposesorforanyotherpurpose,norshalltheCitybeliableforanyinjuries

resultingfromtheuseofthepark.

C. Thepermitteeagreestodefend,indemnify,andholdharmlesstheCityofLewiston,its

departmentsandtheirrepresentatives,officers,agentsoremployeesfromandagainstallclaims

ofanynaturewhatsoeverfordamages,includingdamagesorlosstopersonalproperty,personal

injuriesanddeathresultingtherefromtheuseoftheparkinconnectionwiththeeventfor

whichthepermitisgranted.However,nothingcontainedhereinshallbeconstruedasrendering

thepermitteeliableforactsoftheCityofLewiston,itsdepartments,ortheiragentsor

employees.





Fundraisers–SeeScheduleA‐(lastpageofdocument)

Isyoureventafundraiser?Yes____No____;areyouseekingdonations?Yes____No____;willyoube

chargingadmission?Yes____No____;raisingmoneyforanotherorganization?Yes____No____.



12



2021EventApplication



Administration(continued)



Applicablefees

AlleventsthatresultintheuseofCitystaff,services,orassets,tosupportaneventoractivityonCity‐

ownedand/orcontrolledpropertymayrequiretheorganizationorindividualtopayfeesthatinclude,

butarenotlimitedto:

 $50processingfee,dueatthetimetheapplicationissubmitted;park‐usefeesand/or

amphitheaterfees;applicablepermitand/orlicensingfeesaredue30dayspriortoyourevent.

 Stafftime/laborcosts,feesduewillbebilledbyPublicWorksandPolice.Advancepayment

and/oraperformancebondmayberequestedbytheCityAdministrator’soffice.

Thankyou

ThankyouforchoosingtheCityofLewistonforyourevent.

Ifyouhaveanyquestions,pleasedon’thesitatetocontacteitherJanetLabbeat207.513.3121,

jlabbe@lewistonmaine.gov;orDeputyCityAdministratorDaleDoughtyat207.513.3012,

ddoughty@lewistonmaine.gov



DeclarationandSignature



 Ihavereadtheeventspolicyandallapplicableguidelinesandrequirementsthatareoutlinedon

theCity’swebpage.http://www.lewistonmaine.gov/eventsinfo



 Iwillattendaneventteammeetingand/orcontacteachdepartmenttodiscussrequirements

outlinedintheapplicationonceithasbeenreviewedandapproved.



 Ihaveincludedmynon‐refundable$50processingfee,map/diagrams,NPstatus

documentationandallotherrequesteddocuments.



____________________________________ __________________________________ ______

SignaturePrintedNameDate



TheCityofLewistonshallreservetherighttodenyanyapplicationiftherequestedinformationisincomplete;

conflictswithCitypolicies,ordinances,events,orCityservices;containsinformationthatisinaccurateor

fraudulent;orappearstoviolatelocal,state,orfederallaw.Insomeinstances,abackgroundcheckmaybe

requiredandwillincludea$21fee.



Returncompletedapplicationanddocumentation

eitherbymail,PDF,orFAXto:



JanetD.Labbe,ExecutiveAssistant   Email:jlabbe@lewistonmaine.gov

27PineStreet,Lewiston,ME04240  FAX:795‐5069



Makecheckspayableto:CityofLewiston  Inperson‐groundfloorofCityHall,

Call513‐3121withcreditcardpayment  CityAdministrator’soffice



13



2021EventApplication



  SCHEDULEA(NON‐PROFITSonly)CalendarYear2021;FiscalYearFY22







FEEWAIVER/CHARITABLEDONATIONREQUESTYes____No____ 



CashDonationYes____No____Amount$_______

City‐donatedServicesand/orsupportrelativetoCityproperties,resources,assets,or

departments(i.e.Publicworksroadclosures,Policeintersectioncontrol,etc.)

Yes____No____Describe________________________________________________________

______________________________________________________________________________



Weassume,inreviewingyourrequestforfeewaiverorcharitabledonationfromtheCityCouncil,that

yourorganizationwillnotreceivesocialserviceagencyand/orCommunityDevelopmentBlockGrant

(CDBG)fundingfromtheCityofLewistoninthenextfiscalyearbeginningJuly1.Thisscheduleand

applicableattachmentsmustbecompletedinfullandreturnedtotheaddressbelow.



EventName_________________________________________RequestedDate____________

NameofNon‐ProfitOrganization_________________________________________________

ApplicantName______________________________________Phone____________________

Email______________________________________________NewEvent____Repeat____

FINANCIALINFORMATION/BUDGETS‐RepeatEventsOnly(returnwiththisdocument)



 Includetheorganization’sfinancialstatementsfromthepreviousyear’sevent.



Includeorganization’sbudgetfortheupcomingevent.

FUNDRAISING‐RepeatEventsOnly

 Wasthepreviousyear’sfundraisingeventasuccess?Yes____No____



Briefcomment___________________________________________________________



Wasanon‐employeehiredtoorganizeand/ormanagetheevent?Yes____No____



Nameoforganization:___________________________Individual_________________



WereeventservicesprovidedbyyoutoraisemoneyforoneormoreNPagencies?

Yes____No____Nameoforganization(s):____________________________________



Provideasignedstatementfromeventorganizerincludingfinancialinformationto

includeamountraisedandagencyname.)

 Pleaseincludeastatementofhowyourevent

ReturncompletedScheduleAandrequireddocumentationwithyoureventapplicationto:JanetLabbe,CityHall,

27PineStreet,Lewiston,ME04240;jlabbe@lewistonmaine.govorFAX795‐5069



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NAME

ContactInformation 2021EventApplication CalendarYear2021 FiscalYear2122 TheFiscalYearrunsfromJuly1 oftheeventcalendaryeartoJune30 ofthefollowingyear (City of Lewiston)

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Fillable ContactInformation 2021EventApplication CalendarYear2021 FiscalYear21/22 TheFiscalYearrunsfromJuly1 oftheeventcalendaryeartoJune30 ofthefollowingyear (City of Lewiston)

Fill Online, Printable, Fillable, Blank ContactInformation 2021EventApplication CalendarYear2021 FiscalYear21/22 TheFiscalYearrunsfromJuly1 oftheeventcalendaryeartoJune30 ofthefollowingyear (City of Lewiston) Form

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