Special Event and Property Use Permit Application

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

Back to step 1 Back to step 2Back to step 3

Is this event:  For Profit Not for Profit

Open to the public?:  Yes No

Estimated Attendance (required):

Estimated No. of Vehicles:

Describe Parking Plan:

Type of Event:
 Run/Walk Rally Parade Concert Carnival Filming Street Fair Festival Policial Event Raffle Other

Other Type of Event (if applicable):

Describe all tents and pavilions to be used (size, etc):

Fee Schedule (required):
 Resident or organization with no admission fee: $50 Resident or organization with admission fee: $100 Non-town entities: $150

Police Chief Notification (978) 521-1212 | Date Discussed:

Fire Chief Notification (978) 374-1923 | Date Discussed:

 I accept the terms and conditions.

Please check all that apply.

 STREETS/PUBLIC WAYS — BLOCK PARTIES: NOISE — Hours of operation 8 a.m. to 10 p.m. — Strictly enforced. Notify Groveland Police Department if event may exceed acceptable noise levels.

 STREET CLOSURE: Permission is required from Police & Fire Department for any street closures or detours. Also requires approval of the Board of Selectmen.

SECURITY DETAILS:

 GRILLS/PROPANE TANKS: Permmits required from Plumbing & Gas Inspector and Fire Department for the use of propane tanks or grilling at any public event including concession trailers. The Fire Department needs to know the number and size of propane tanks.

NOTE: Please be advised that if the event could pose a safety problem, the decision will be made by the head of the proper department. Also, the final decision on the need and amount of police and fire coverage will be made by the Police Chief, Fire Chief and the Selectmen.

Health Department (978) 556-7210 | Office Hours: Monday 10 AM — 6 PM, Tuesday through Thursday 10 AM — 4 PM, Friday Closed

 FOOD AND BEVERAGES: All vendors that handle, prepare, transport, and/or serve food, non-alcoholic beverages, and pre-packaged retail food must file an application with the Groveland Board of Health. All food must be prepared in a Board of Health certified kitchen and transported to the event in accordance with all applicable regulations and laws.

 SANITARY FACILITIES: Portable Toilet(s). Proof of contract will be required prior to event or you will be charged a bathroom fee.

If yes, please indicate the company providing units:

 Facility use at Pines Recreation Area and Shanaham Field fee: $65. You will need to make arrangements for bathrooms to be opened.

 TRASH — Private Trash Container(s) and/or Dumpster(s) may be required for events that exceed 100 or more.

 ENTERTAINMENT LICENSE — Outdoor concerts, carnivals, circus, fairs, etc., require permit from the Board of Selectmen. Alcoholic beverages served or sold required license from the Board of Selectmen.

RAFFLE: Town Clerk — Non-profit organizations only may receive a raffle permit. Proof required.

 A Permit good for one year is required from Town Clerk for any raffle.

 SALES/CONCESSIONS (Hawker and Peddler License) — State and Licensing Board permits are required for the planned sales or concessions.

 INSURANCE — Certificate of insurance, which shows a minimum of $1,000,000.00 in Commercial Genera Liability Insurance and a Policy Endorsement, is required. Some events may require a higher limit of insurance. Each event is evaluated on its risk exposure. The vendor must submit an insurance certificate for all coverage, listing the Town of Groveland as an additional insured, to the Town Administrator's office prior to the event.

 TENTS — Events that gather people outside in a tent or other structures that cover an area in excess of 120 square feet, including all connecting areas or spaces with common means of egress or entrance which are used or intended to be used for the gathering together of ten or more persons will be required to obtain a permit from the Building Inspector. Organizers are encouraged to have the tent rental company secure necessary tent permits. All tents, regardless of size, must be properly secured or weighted.

 SIGNAGE — Review with Building Inspector.

Statement of Acceptance

I agree to abide by the Policies relating to use of Town Groveland property as written and agree to pay any stipulated fees.
By signing and dating this application, I am stating that I have complied with all local, state and federal regulations and laws, that the information supplied accurately describes the proposed event. I agree to reimburse the Town of Groveland for any expenses incurred by the Town as a direct result of my use of Town Property.

Hold Harmless/Indemnification Agreement

I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.I shall, to the maximum extent permitted by law, indemnify and save harmless the Town of Groveland, its officers, agents, volunteers, and employees from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs and expenses (including reasonable attorney’s fees) that may arise out of or in connection with the lease or use of Town property for any damage to its real or personal property that occurs in conjunction with the lease or use of Town property by myself, or any agent of mine, unless the damage is caused by the Town of Groveland's gross negligence or willful misconduct.

Insurance Requirements

It is the intent of the Town of Groveland to protect itself from liability arising from the use of the Town property by organizations or individuals utilizing the Town property for private or public events. To this end the applicant must do the following: Provide a CERTIFICATE OF INSURANCE COVERAGE which serves as proof that the applicant carries adequate insurance and that names the Town of Groveland as an Additional Insured. (This is mandatory for approval to serve alcoholic beverages.)

 I accept the terms and conditions.

You must send a Certificate of Insurance to ROldham@grovelandma.com in order for your request to be marked approved.

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