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Special Event Permit Application Online Submittal Form

  1. COC Logo Horizontal-01
  2. Special Event Permit Application
  3. Insurance and Site Plan
  4. Insurance and Site Plan: All applicants will be required to provide a site plan or sketch showing property location in relation to surrounding properties. Applicants will also be required to present a valid certificate of insurance in the amounts and types determined by the city and naming the City of Cottonwood as additional insured will be required.

  5. SECTION 1: EVENT INFORMATION
  6. Property Owner Permission?*

    If you are not the property owner we will need a written statement showing proof of permission. 

  7. Will you be having any of the following? *
  8. Please provide a list of all retail/food vendors and include the business name, contact name, and telephone number. All food/retail vendors must have a current City of Cottonwood Business License; all food vendors must have a current Yavapai County Health Department permit if required by applicable county regulations. (Attach additional sheets if necessary)
  9. SECTION 2: SUPPLEMENTAL INFORMATION
  10. Describe the following items. Please attach any additional information if necessary.
  11. SECTION 3: ALCOHOL
  12. Will alcohol be sold? *
  13. If yes, the appropriate Liquor License must be approved by the Arizona Department of Liquor Licenses and Control. Submit applications to the City of Cottonwood at least 30 days prior to event.
  14. SECTION 4: TRAFFIC CONTROL
  15. If an event requires a partial closure of traffic access points such as roads, parking lots, sidewalks or streets, an approved Traffic Control Plan will be required for any special event. A Traffic Control Plan must include vehicle/pedestrian traffic control, detour routes and directional signs, the time periods of the closure for any street, sidewalk, alley, right-of-way, parking lot or other public access area. Notice of the closure must be posted 72 hours prior to event with appropriate Uniform Traffic Control Devices.
  16. Will barricades be set up and removed from the City streets
  17. SECTION 5: INDEMENITY AND HOLD HARMLESS
  18. By submitting this application and to the fullest extent allowed by law, the applicant agrees to waive and release the City of Cottonwood and its officers, elected and appointed officials, employees, agents, representatives, or volunteers from and against any and all claims, costs, liabilities, expenses, or judgments, including attorney’s fees and court costs (collectively "Claims"), arising out of or related to the activities of the permitted Special Event and also agrees to indemnify and hold harmless the City from and against any and all Claims arising out of or related to the activities of the permitted Special Event unless such Claims are caused solely by the negligence, gross negligence or willful misconduct of the City, its officers, elected and appointed officials, employees, agents, representatives, or volunteers.
  19. SECTION 6: PUBLIC SAFETY
  20. Depending on the size of the event, the Cottonwood Police Department may require a security plan to be submitted and may set the number of officers/security personnel to be required. Private Security companies must be licensed and bonded in the State of Arizona. For events including liquor, the organizer will be required to use off-duty police officers. Depending on the size of the event, the Cottonwood Fire Department may require the event organizer to contract for EMT or Paramedic services. I understand that, in the event of inclement weather, the City reserves the right to determine that certain City-owned property may be unsafe or unusable for a Special Event, in which instance the City may amend or withdraw the Special Event Permit.
  21. SECTION 7: CERTIFICATION
  22. I hereby certify that: (i) I am the applicant filing this application as listed in Section 1; (ii) I am authorized to execute this application on behalf of any organization listed herein; and (iii) the statements made in this application are true and complete to the best of my knowledge. I FURTHER CERTIFY THAT I HAVE READ CHAPTER 7 OF THE COTTONWOOD CITY CODE TITLED "SPECIAL EVENT PERMITS" AND THE SECTION OF THIS APPLICATION TITLED "INDEMNITY AND HOLD HARMLESS" AND I AGREE TO BE BOUND BY THEIR TERMS. I understand that intentional omissions or falsification of information may result in denial of this application or subsequent revocation of the Special Event Permit.
  23. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  24. Leave This Blank:

  25. This field is not part of the form submission.