Festival & Event Community Event Trailer Only Application Checklist

Festival & Event – Community Event Trailer Only Application Checklist:

A completed Festival & Event – Community Event Trailer Only Application includes:

☐A completed application

☐Proof of Insurance meeting the requirements herein (mandatory)

☐Signed Indemnification/Hold Harmless Agreement

☐Signed Event Application

For further information and assistance, please contact:

Lynda Kissner, Supervisor, Community Programs & Events at 905 318 5932 x 6134

or by email at

Please return completed packages to: Haldimand County

Attention: Lynda Kissner

45 Munsee Street N., PO Box 400,

Cayuga, ON N0A 1E0

Festival & Event –

Community Event Trailer Only Application

EVENT NAME: Click here to enter text.
Name of Organization responsible for the Event:
Mailing address and postal code of the organization: / Click here to enter text.
First Time Event:
Yes☐ or No☐ / Annual Event:
Yes☐ or No☐ / # Years Event Held:
Click here to enter text. / Rain or Shine:
Yes☐ or No☐
Day: / Time: / Day / Time: / Type of Use:
Opening Day / Click here to enter text. / Closing Day
Rain Date / Click here to enter text. / Click here to enter text.
Duration of Community Event Trailer Use and type of use:
Primary Contact / Alternate Contact
Name: / Click here to enter text. / Click here to enter text.
Position with the Organization: / Click here to enter text. / Click here to enter text.
Phone Numbers: (day)
(night)
(cell) / Click here to enter text. / Click here to enter text.
E-mail Address: / Click here to enter text. / Click here to enter text.
HALDIMAND COUNTY COMMUNITY EVENT TRAILER REQUEST:
Please Note:
A Certificate of Insurance for the company/individual moving the trailer must be provided to Haldimand County prior to pick up. *See table on page 3 for specific requirements.
Pick up and return of the trailer must be weekdays, 8:00am-4:00pm at the Kohler Yard located at 1162 Kohler Road Cayuga, Ontario Canada, N0A 1E0
It is the Event Organizer’s responsibility to:
· arrange pick up and return of the trailer;
· clean the trailer prior to return, this includes garbage removal, sweeping/mopping;
· comply with the set up and take down procedures as posted; and
· report ANY vandalism of the trailer immediately 1-888-849-7345.
Additional charges will be applied for not cleaning the trailer, late returns and for any damages. This will be invoiced directly upon return and inspection.
Trailer Pick Up Date: Click here to enter text. / Time: Click here to enter text. / Approximate Arrival time to Site:
Click here to enter text.
Trailer Return Date: Click here to enter text. / Time: Click here to enter text.
Delivery Address (if other than Haldimand County park): Click here to enter text.
Location of Trailer at Event: Click here to enter text.
Company/Individual Picking Up Trailer: Click here to enter text. / Phone Number:
905-961-6446

INDEMNIFICATION/HOLD HARMLESS AGREEMENT

On behalf of the sponsoring organization, with its authorization, I shall indemnify and hold harmless Haldimand County, its Mayor, Councillors, officers, directors, employees, agents, representatives, successors and assigns, from and against any and all claims, causes of action, demands, losses, costs, charges, fees, expenses, duties, dues, accounts, covenants, or other proceedings of every kind or nature whatsoever at law or in equity brought against, suffered by or imposed on Haldimand County including reasonable legal fees, occasioned wholly or in part by any negligent acts or omissions by the above named, their officers, agents, employees, volunteers or others for whom they are responsible at law, arising out of any cause whatsoever, either direct or indirect, through its use and/or operation of Municipal property in connection with the ______Festival or Event.

Primary Contact / Alternate Contact
Signature:
Print Name: / Click here to enter text. / Click here to enter text.
Position: / Click here to enter text. / Click here to enter text.
Date: / Click here to enter text. / Click here to enter text.

EVENT APPLICATION

I have read the terms and conditions as outlined in the guidelines and on this application and fully disclosed all details and components of the proposed community event trailer rental.

I will abide by all terms, conditions and regulations as indicated on the applications required.

I am aware that failure to comply as outlined could lead to cancellation of this application and/or my community event trailer rental at any time.

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