2. Special Event Permit Application

4. Date Submitted*
   Date Submitted
5. Does the event pertain to the following department?*

   1. Health Department
   2. Public Works
   3. Police/ Security
   4. Park and Recreation
   5. Marina
   6. Beach
7. Applications must be received a minimum of 90 days prior to the special event. Fees are not refundable.
11. Organization Information
13. Organization Name*
15. Address*
16. City*
18. State*
19. Zip Code*
21. Phone Number*
22. Email Address*
26. Event Contact Person
28. Name*
29. Address*
31. City*
32. State*
33. Zip Code*
35. Phone Number*
36. Work Number*
38. Email Address*
40. Picture ID*

    A copy of valid ID must be kept on file

    1. Yes

    1. No
41. Picture ID upload*
45. On-Site Contact on Day of Event
47. Name*
48. Address*
50. City*
51. State*
52. Zip Code*
54. Phone Number*
55. Work Number*
57. Email Address*
59. Picture ID*

    A copy of valid ID must be kept on file

    1. Yes

    1. No
60. Picture ID upload*
64. Event Information
66. Name of Event*
67. Event Date(s)*
    Event Date(s) Start Date

    —

    Event Date(s) End Date
69. Location of Event*
70. Start / End Time*
    Start / End Time Start Time

    —

    Start / End Time End Time
72. Choose all events types below that pertain to your event. Select all that apply*

    If events checked off will need any extra fees, total amount will be added if approved.

    1. Open to Public
    2. Private or Ticketed Event
    3. Recurring/ Annual Event

    1. Protest/ Rally
    2. Parade
    3. Festival/ Fair/ Block Party

    1. Concert/ Performing Arts/ Church Gathering
    2. Other Event Type
74. You MUST attach a detailed map/ sketch of your event indicating the specific location, layout of your event and the direction of the route, including all turns and number of traffic lanes to be used. *
76. Will any of the following be needed?*

    If any of these are chosen fees will be added.

    1. Shelter
    2. Pavillion

    1. Gazebo
    2. None of these are needed
80. Generally Describe Your Event
82. Make sure to be extremely detailed or add additional pages to describe event. The City of East Chicago reserves the right to suspend, shutdown or reschedule events at anytime.*
84. Estimated Number of Participants*
85. Estimated Number of Spectators *
87. Estimated Number of Venders*
91. Parking *

    Please describe where you would like to have parking for the event. 

93. If you have a flyer to event, please add to the application*
95. Description of location, of food truck is needed*
99. Health Department
101. Is there going to an outdoor bar that serves alcohol?*

     If yes, a fence fee will be added.

     1. Yes

     1. No
103. Will you be selling or serving food?*

     If yes permits and TB Shots will be needed.

     1. Yes

     1. No
105. Will you be having vendors?*

     If yes, each vendor information must be given.

     1. Yes

     1. No
107. Covid Action Plan
109. In an effort to keep our community safe, yet allow people to enjoy events we ask all applicants to describe how they will follow our covid plans and if they are taking any other precautions also.*
113. Public Works
115. Would your event need electricity?*

     1. Yes

     1. No

     
     

     If you answered yes to the above items, the Fire and Building Department will need to inspect prior to event.

116. Will you be setting up any lighting?*

     1. Yes

     1. No

     
     

     If you answered yes to the above items, the Fire and Building Department will need to inspect prior to event.

118. Will your event require fencing?*

     1. Yes

     1. No

     
     

     If you answered yes to the above items, the Fire and Building Department will need to inspect prior to event.

119. Does your event require amplified music?*

     1. Yes

     1. No

     
     

     If you answered yes to the above items, the Fire and Building Department will need to inspect prior to event.

121. How many hours of amplified music? Start Time and End Time*
     How many hours of amplified music? Start Time and End Time Start Time

     —

     How many hours of amplified music? Start Time and End Time End Time
123. Noise control plan*

     Please descibe or attach

125. Will you be erecting any tents, canopies or temporary structure(s)?*

     1. Yes

     1. No
127. Will barricades be needed?*

     1. Yes

     1. No
128. If yes, how many?*
132. Security
134. Please provide details of safety and security plan below or attach to application*
136. Have you given the police, site plan of event?*

     1. Yes

     1. No
138. Please provide an emergency action plan in case of fire, weather, emergencies or cancellations.*
140. If this is a parade, have you given the route to police?*

     1. Yes

     1. No
144. Park and Recreation
146. Will shelter, pavilion or gazebo need to be rented?*

     1. Yes

     1. No
147. Will you have a bouncy house?*

     If yes, your insurance form will have to add the City of East Chicago as being insured.

     1. Yes

     1. No
151. Marina & Beach*

     Will you be hosting an event at the marina?
     No Bounce House allowed on beach or at the marina

     1. Yes

     1. No
155. Special Event Permit Fees:

     Deposit for any event is $200. Deposit is due when reserving date.

157. Events with alcohol
158. Price*
160. Events with no alcohol
161. Price*
163. Parade Permit Fee
164. Price*
166. Pre-Event Safety Inspection if needed
167. Price*
169. Public Work Fees
170. Price*
172. Marina Fee
173. Price*
175. Security Fee
176. Price*
178. Park and Recreation Fee
179. Price*
181. Deposit
182. Price*
184. Total Cost for Event
185. Total*
189. Insurance Requirements

     Special events sponsor will obtain liability insurance for an event that includes alcohol, has more than 100 people per day or involves road closures. Proof of this insurance with coverage no less than $1,000,000.00 which names and endorses the City of East Chicago, it's officers, agents, employees, and contractors as an additional insured party is due no later than 20 days prior to event. 

191. Are you able to provide insurance documents, if required?*

     1. Yes

     1. No
193. The individual signing application will be held responsible/ liable for any and all issue pertaining to event. If event does not follow plans provided or department head requests, the City of East Chicago has the right to suspend, cancel or move the date of event. Fee will not be refunded.
197. If you have read and understood the request from department heads to move forward with the event please sign below.
199. Sign*
200. Date*

202. everything below this line is for internal use only

206. Health Department

     If this event needs permits or Tb shot verification, has that been provided?

     1. Yes

     1. No
208. Has a covid action plan been provided?

     1. Yes

     1. No
210. If vendors are ggoing to be at event, have all information and documents of permits been provided?

     1. Yes

     1. No
212. Health Department Notes
214. Signature of Approval
218. Police/ Security

     East Chicago Police Department will determine the amount of police security and / or non police security, barricades and fencing that is needed for the event.

     For Internal Use Only

220. Number of Police Security
221. Number of None Police Security
222. Number of Barricades
224. Was a security plan provided?

     1. Yes

     1. No
225. Was a safety plan provided?

     1. Yes

     1. No
227. If this is a parade, has a route been provided?

     1. Yes

     1. No
228. Has a plan for alcohol disbursement been provided?

     1. Yes

     1. No
230. Police Security Notes
232. Signature of Approval
236. Park and Recreation

     For Internal Use Only

238. Have rental fees been paid?

     1. Yes

     1. No
239. Will there be a bounce house?

     1. Yes

     1. No
241. If yes, has a certificate of insurance been received?

     1. Yes

     1. No
243. Park and Recreation Notes
245. Signature of Approval
249. Marina

     For Internal Use Only

     
     

251. Have rental fees been paid?

     1. Yes

     1. No
253. Marina Notes
255. Signature of Approval
259. Emergency Management

     For Internal Use Only

     
     

261. Have you reviewed all plans and approve of plans?

     1. Yes

     1. No
263. Emergency Management Notes
265. Signature of Approval
269. Public Works

     For Internal Use Only

     
     

271. Dumpster/ Cleaning Service

     The City of East Chicago will let you know if there will be added cost for clean up, after initial event clean up.

     1. Yes

     1. No
272. Cost
274. Are portable bathrooms or wash stations need?

     The City of East Chicago will let you know if Portable Restrooms and wash stations are needed.

     1. Yes
     2. No
276. Number of Portable Restrooms
277. Number of Portable Wash Stations
279. Will street sweepers be needed?

     1. Yes

     1. No
280. Will they need extra garbage or recycling?

     1. Yes

     1. No
282. Public Works Notes
284. Signature of Approval
288. Event Approved

     1. Yes

     1. No
289. Approval Date

     1. Yes

     1. No
Leave This Blank:


291. 1. Receive an email copy of this form.
292. Email address

     This field is not part of the form submission.

293. Submit

* indicates a required field