Fillable EXPRESSIVE EVENT OF A TIME SENSITIVE NATURE APPLICATION (City of Worcester)

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EXPRESSIVE EVENT OF A TIME SENSITIVE NATURE APPLICATION (City of Worcester)

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EXPRESSIVE EVENT OF A TIME SENSITIVE NATURE
APPLICATION FOR PERMIT
An “expressive event of a time-sensitive nature” is a spontaneously-planned event in response to a
recent occurrence, including but not limited to rallies, protests or vigils addressing current political,
religious or social issues, when the organizers could not have reasonably anticipated their need for such
event in advance of the permitting timeline established by the City’s Special Events regulations. The City
provides an expedited permitting process to facilitate this type of event.
Date of Application:_______________ Date of Event:________________
APPLICANT INFORMATION:
Applicant Name:___________________________________________________________
Applicant Address:_________________________________________________________
Telephone Number:________________________________ Fax:_____________________
Alternate Telephone (if any):_________________________
Email:___________________________________________
Other Responsible Parties:
Name:___________________________________________________________
Address:_________________________________________________________
Telephone Number:________________________________ Fax:_____________________
Alternate Telephone (if any):_________________________
Email:___________________________________________
ORGANIZATION INFORMATION:
Complete this section if there is an organization or entity sponsoring the Event:
Sponsoring Organization Name:___________________________________________________________
Sponsoring Organization Address:_________________________________________________________
Sponsoring Organization Contact Person:___________________________________________________
Telephone Number:________________________________ Fax:_____________________
Alternate Telephone (if any):_________________________
Email:___________________________________________
EVENT INFORMATION:
Type of Event:
Picket Religious Ceremony Rally Assembly/Public Demonstration
March Petition/Signatures Parade/Procession Flier Distribution
Other (please explain):__________________________________________
Parade, Procession, March/Walk:
Requested Location: street sidewalk other:___________________________
Assembly Location (address):_______________________________________
Dispersal Location (address):_______________________________________
Route: (please provide a written description of the proposed route, including street names, number of
lanes, direction, etc.) __________________________________________________________________
____________________________________________________________________________________
Stationary Assembly:
Requested Location: street sidewalk park other: _________________
____________________________________________________________________________________
Address/Description: __________________________________________________________________
Event Purpose:________________________________________________________________________
Date, Time and Expected Duration of Event:_________________________________________________
_____________________________________________________________________________________
Approximate Expected Attendance:______________
Please indicate any equipment owned by the Applicant or Event Sponsor that are expected to be used:
____________________________________________________________________________________
____________________________________________________________________________________
Is this a spontaneous event which has been planned in response to a specific occurrence? ___________
Please provide a brief statement explaining why use of this forum is necessary for the Event: ________
____________________________________________________________________________________
____________________________________________________________________________________
Will this activity be free and open to the public? YES NO
Will donations be accepted? YES NO
Will there be sound amplification? YES NO
If yes, please describe:_________________________________________________________________
___________________________________________________________________________________
The City of Worcester requires that the Event Organizer provide a certificate of insurance evidencing
coverage in the amount of $1,000,000 per occurrence/$2,000,000 aggregate and the applicable
endorsement prior to the Event; said certificate shall list the City of Worcester as additional insured, and
the City Manager, City of Worcester, 455 Main Street, Worcester, MA 01608 shall be listed as Certificate
Holder.
If obtaining the required coverage for your event imposes an undue financial burden or is impracticable
due to other circumstances, please explain: ________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Applicant and Event Sponsor will be liable for any loss, damage or injury to persons or property resulting
from the Event. Applicant and Event Sponsor must obey all existing laws, ordinances and regulations
applicable to the Event, including but not limited to those pertaining to trespass, obstructing the right of
way, noise, disorderly conduct, and regulations concerning emergency medical services at special
events.
When your permit is issues, applicant and/or a representative of the sponsoring organization shall carry
the permit throughout the event and be prepared to present it at the request of any public officials.
Submission of this application confirms receipt and understanding of the applicable event permitting
requirements of the City of Worcester. By signing below, Applicant and/or Event Sponsor indicate
understanding and agreement with said policies and requirements. Further, Applicant and/or Event
Sponsor hereby certify compliance with all existing laws, ordinances and regulations.
_____________________________________ ____________________________________
Signature Title/Organization (if applicable)
_____________________________________ ____________________________________
Print Name Date
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“Expressive event of a time-sensitive nature” (“Event”) shall mean any a spontaneously-
planned event in response to a recent occurrence, including but not limited to rallies, protests
or vigils addressing current political, religious or social issues, when the organizers could not
have reasonably anticipated their need for such event in advance of the permitting timeline
established by the City’s Special Events regulations. The City provides an expedited permitting
process to facilitate these events.
In the case of an Expressive Event of a time-sensitive nature, the certificate of insurance shall
be provided to the city before the scheduled commencement of the event. The City of
Worcester requires that the Event Organizer provide a certificate of insurance evidencing
coverage in the amount of $1,000,000 per occurrence/$2,000,000 aggregate, and the
applicable endorsement. Said certificate shall name the City of Worcester as additional
insured, and shall identify the certificate holder as: City Manager, City of Worcester, 455 Main
Street, Worcester, MA 01608.
No person or entity shall conduct or hold a demonstration, protest, vigil, or other expressive
event of a time-sensitive nature on City Property where the anticipated attendance is expected
to exceed 50 participants, without first obtaining a Permit from the City.
The Application must be filled out completely and signed and dated by the Applicant. If the
event is sponsored or produced by an entity, a person legally authorized to bind the entity must
sign the Application.
If any of the submitted information changes after submission of an Application, the Applicant
must immediately provide the City with any information that will amend, supplement or change
any of the information originally provided in the Application.
The city may condition the issuance of an Event Permit by imposing reasonable requirements
concerning the time, place and manner of the event, and such requirements as are necessary to
protect the safety and rights of persons and property, and the control of traffic.
Such conditions may include but are not limited to:
A. Alteration of the date, time, route or location of the event proposed on the event
application.
B. Conditions concerning the area of assembly and disbanding of an event occurring
C. along a route.
D. Conditions concerning accommodation of pedestrian or vehicular traffic, including
E. restricting the event to only a portion of the street.
F. Requirements for the use of traffic cones or barricades.
G. Requirements for the provision of first aid or sanitary facilities.
H. Requirements for use of event monitors and providing notice of permit conditions to
event participants.
I. Restriction on the number and type of vehicles, animals or structures at the event.
J. Compliance with animal protection ordinances and laws.
K. Requirements for use of garbage containers, cleanup and restoration of city property.
L. Restrictions on the use of amplified sound.
M. Twenty-four-hour advance notice to residents and/or businesses regarding any activity
which would require a street closure.
N. Pre- event street closure signage and detour sign and routing plan.
Grounds for Denial of Application for Permit
The City will approve an Application and grant a Permit unless there is a basis for
denial of the Application. The following grounds will constitute a sufficient basis for denial of
an Application for an Event Permit under:
1. the Application for a Permit (including any required attachments and submissions) is
incomplete;
2. the Application for a Permit contains a material falsehood or misrepresentation;
3. the Applicant has not tendered the required application fee;
4. the proposed Demonstration conflicts or interferes with a previously scheduled, annual,
or otherwise regularly-held event or ceremony that is sponsored by or on behalf of the
City or any other person or entity at the same City Property for the same date and time;
5. a prior Application for a Permit for the same City Property and for the same date and
time has been received, and a Permit has been or will be granted to a different
Applicant authorizing uses or activities which do not reasonably permit multiple
occupancy of the particular City Property or part thereof;
6. the property sought to be used for the Event is closed or partially closed for
construction, renovations, or other reasons, and use of the City Property will pose a
threat to the safety of participants or will impose an adverse impact upon the natural
environment of the City Property;
7. the Event will substantially or unnecessarily interfere with traffic in the area contiguous
to the activity, and will unreasonably disrupt movement or circulation of vehicular or
pedestrian traffic, unless there are readily available at the time of the proposed Event
sufficient city resources to mitigate any interference or disruption;
8. there are unavailable at the time of the Event a sufficient number of police officers to
police and protect lawful participants in the Event and non-participants from traffic
related hazards in light of the other demands for police protection at the time of the
proposed Event;
9. the concentration of persons, vehicles, or things at the assembly and disbanding areas
and along the route of the Event will prevent proper fire and police protection or
emergency medical service;
10. the City has revoked a Permit which was previously issued to the Applicant or for an
Event that was previously sponsored by the Event Sponsor;
11. the proposed route of any march or parade to be conducted in connection with such
Event will proceed in a direction that is opposite of the normal flow of vehicular traffic
on such route, unless the direction of the march or parade, or the location thereof, was
inextricably intertwined with the purpose of the Event;
12. the City Property cannot safely accommodate the expected number of participants in
the Event without an unduly adverse impact upon the natural environment of the City
Property;
13. the Event cannot reasonably be accommodated with the customary recreational and
other uses and policies attendant to the City Property, e.g., a neighborhood park;
14. the Event for which the Applicant has requested the provision of services from the City
will place an undue burden on the personnel resources of the City;
15. the Event will have an unduly adverse impact on the landscaping, planting, or natural
environment of the City Property:
16. the Event will have an unduly adverse impact on the public health or safety of the
Applicant, other users of the City Property, City employees, or the public (e.g., the Event
will unreasonably interfere with the movement or service capability of police vehicles,
fire-fighting equipment, or emergency medical or ambulance services);
17. the Event will unreasonably interfere with the customary functions and uses of, and
ingress and egress to and from, buildings that are immediately adjacent to the City
Property;
18. the Applicant, or the person on whose behalf the Application for a Permit was made,
has on prior occasions damaged City Property and has not paid in full for such damage;
19. the Applicant, or the person on whose behalf the Application for a Permit
was made, has not reimbursed the City for requested City personnel or requested City
equipment utilized in connection with a previously issued Permit;
20. the Event is prohibited by law, including applicable City ordinances and regulations;
21. the City Property requested is a limited public forum and the expressive activities of the
Event do not fall within the designated category of expressive activities for which the
limited public forum has been opened;
22. the City Property requested is a non-public forum that has not been opened
for expressive activity to the general public; and/or
23. the Application is sought for an event that is more appropriately covered by the City’s
“Special Events Policy” or for an event that does not satisfy the definition of Expressive
Event of a Time Sensitive Nature.
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EXPRESSIVE EVENT OF A TIME SENSITIVE NATURE APPLICATION (City of Worcester)

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Completed 10 February 2021

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