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Annie's Pop-Up Vet Clinic Application Application Review APPlic ,t;WR ivewrva:aPEOIALE-1PEaM1 Annie And Millie's Place Pop-Up Veterinary Clinic Tuesday September 19,2023 •Declined e PRINT APPLICATION Application Comments SnN+e��awrls/Onuynvaovos.oav Under Review /tis:P,a,aouwa+Pry •Dart ned Hello-this application has been declined due to lack of Insurance.Please contact Rosa Wright at Boulder Parks and Recreation,Wright@bouldercolorado.gov,with any questions.Ifyou would like to reapplyfor the Permit you are more than welcome to however you must have Insurance and If you would like to have the animal section on your future event,register with the City of Boulder.Please look Into our Insurance '.. requirements on the special event guide before reapplying. Details Application to 2346 Permits: Applicant: Leslie Irvine Account User: Leslie Irvine Administrator: City Parks and Paths Last Updated: Sep 18,2023 04:33:48 PM Permits Related Applications There are no rstated applications. Application n Host Organization Event Organization Annie and Millie's Place Certificate of Good Standing Certificate of Good Standing,ptif Organization Type Non-Poifil Boulder Business License Status We are not selling anything.We are providing free pet food and veterinary services for pets of the homeless. Attach Proof of Non-Profit Status for Event Organization 7ax.ExeIDptstatus.w Organization Website https:/Aw ..annieandmilli,s.,rg/ Address 1 P.O.Box 6643 City Longmont Country United States of America State Colorado Zip Code 80501 Is there a pormering Non-Prodi organization? Ves Non-Profit Organization Partner The Street Dog Coalition n Primary&On Site Contacts Primary Ccnlacl First Name Leslie Primary Contact Last Name Irvine Primary Contact Email Irvinelesliej@gmail.com Primary Contact Phone Number 7204424878 Primary Contact Position Vice-President.Board of Directors Is the Omem Contact the same as the Primary Contact? Ves Onsite Contact First Name Leslie Onsite Contact Last Name Irvine Onsite Contact Email Irvinelesliej@gmail.com Onsite Contact Phone Number 7204424878 n Event information Event Title Annie and Millie's Place Pop-up Valenti Clinic Event Location(s) Civic Area,Muti-Use Paths Application Type New Event Event Type Other Other Event Type Pop-up veterinary clinic and pet food distribution. Event Purpose This event will provide no-cost basic veterinary services(i.e.,examinations and vaccinations)to the pets of the unhoused.It will also provide free pet food,leashes,collars,toys,and related pet supplies to owners.The target audience consists of nhoused pet owners. At clinics previously conducted with Feet Forward's Tuesday distribution event,we have brought two pop-up tents and three folding tables.We do not raise funds at these clinics.The event provides benefits by improving public heath through keeping animals vaccinated and healthy.Impact on the surrounding community will be none. Will the entire event be open to the general public? No Event Description Not Open to Gail Public We provide services only to mutes unhoused or at-risk of losing their housing within two weeks.The generel public is welcome to walk by,ask questions,and observe from is distance,but we do not provide services to members of the public who are housed. A Event/Permit Dates B Attendance Single Day Set-up,Event and Dismantle take place on the same day Vas Event Dale 09-19-2023 Set-up Start Time 1:00 pm Set-up End Time 1:45 pm Event Start Term 2:00 pm Event End Time 4:00 pm 1/4 Dismantle Slart Time 4:00 pm Dismantle End Time 5:00 pm Estimated#of Participants 20 Estimated If of StaffNolunteers 6 •Site ands Route Map:Do you have a proposed Site and/or Route Map that includes all Event Details, Yes Do you have a site map? Yes Attach Site Map Event map.pdf Do you have a route map? No Are you serving alcohol during the event? No Site/Route Map Related Documents Cly Special EveM CooMinator Approved Comments and Files: Production Schedule:Do you have a Production Schedule that includes all Event load-in/out Details? No Alcohol:Will the event indude the sale,distribNion and/or consumption of alcoholic beverages? No Food:Will the event include food vendors and/or mobile food vehicles serving,cooking and/gr heating food onsite? No Vendors and/or Exhibitors:Will the event include any booths,vendors and/or exhibitors engaging in business onsite? No Amplified Sound:Will the event include the use of amplified sound? No Onsite Electricity:Will the event and/or vendors need access to onsite electricity? No Water:Will the event and/or vendors need access to onsite water? No Toilets:Will the event Include toilet rentals from a third party? No •Tents/Structures:Will the event include the addition of any tents,canopies andlor temporary structure,including inflatables or fencing onsite? Yes Tent Information We will bring two 10'X 10'collapsible canopy-type tents. Tent Related Documents cry apeclel Evert coon— Approved Comments and Fill— icav>o.x:onasorb x�nuvn.aovoxveu Please make sure to secure tents with weights.Do not stake the tent into the ground. Large Tents and/or Rental Tents Installed:Will any single tent or group of tents exceed 400 sq.ft.(with walls)or 700 sq.ft.(without walls)?Will any tents be installed by a third party? No Generators.Will the event include any temporary or portable generators,heaters and/or electrical wiring? No Large Generators and/or Rental Generatore Installed:Will the event indude any towable industrial generators(1 5KW or more),light lowers and/or installed electrical services onsite?Will the eventuclude any generator installation from a third party? No •SignsMotlfications:Will the event include any print or sign notifications(direct mail,fliers,notices)and/or event promotional signs or banners installed or displayed? Yes Signs and/or Public Notification Details We will have one sign measuring approximately 2'X 3'with The Street Dog Coalition logo taped to one table to identify the event. Signs and/or Public Notification Related Documents Ciy special EveM CeeMinater Approved Comments and Fi lea: Parking:Will the event include and/or impact any on-street or otf-street parking(paid or free),parking lots/gamges,public or private driveways,entrances or exits? No Streets,Paths and/or Sidewalks:WIII the event indutle,use,close,modify and/or impact any public right of way,street,multiuse path or sidewalk? No Securily/Safety:Will the event plan,prepare and/or staff for any security or safety measures? No Fireworks/Open Fire:Will the event include fireworks,pyrotechnics anchor fire performances? No ••Animals:Will the event include any live animals? Yes Animal Information The'live animals"will be the dogs and cats of the unhoused. Animal Related Documents Approved ort Declined Comments and Files: tsw.m.i®.wy�..onsosorn ax Please ensure to register the Non-Profit with the City of Boulder for th s event.To do so,go the Boulder Online Tax System:Mips://bouldemnl neW,.genM,cpc.netrrAP/_/select the link"Register to Attend a Special Event(Vendor)"found under Registration and follow the prompts. There is no fee to register and it should take a few minutes.Attached is a detailed guide on how to register. C'Special Event-Vendor Guide put lnrru•""e �a"9v.=iusaa:vaa+ This request Is unclear and it seems inapplicable.We are not a vendor and we will have no vendors at this event.No payment will be exchanged at this event. lsera rm/�xs�v,�oavm:xeu All entities,Including non-profits with no taxable transactions,that engage within the City of Boulder must be registered.The entity'Annie and Millie's Place'Is currently not registered with the City.Please use the steps listed above to register. ixr"= s ra"a".M/®smw.waaoe.unw Approved by Regulatory Licarw ng Menagerie license not required for this event. 2/4 lcnvbrxzanaao��u i®sm��.+w.+u:aseu Hello,please provide an update on the necessary applications for the city in order for Sales tax to approve this permit. lse;— Mse` o,.,m:— The entity"Annie and Millie's Place"is still not registered with the City.Please use the steps listed above to register. '.. oevaer ANNIE AND MILLIES sill has not registered for a City o1 Boulder bus nm sales and use tax I'cense Water Activities.Will the event include any water activities? No Drone Use:Will the event include the use of drones? No CamivalRRides:Will the event include any Carnival or Mechanical rides? No Auctions:Will the event include any auctions or auction type of activities? No Other Activities:W;II the event include any other activities not yet mentioned' No ••Event Contingency,Emergency Response Plan,Rmt Aid,Emergency Medical Assistance,Ambulance,Fire Department Water Rescue Required If required,Yes,I agree to provide the proper Emergency Response Plan and staffing as requested by the City of Boulder.I understand Yes events not In compliance are subject to citations,fines and/or permit denials. Do you have a Medical Service Provider for the event? No Does the Event have or plan to create a Emergency Response Plan? No Approved city special E—caaraim Approved Comments and Files: icy va.x:owmen.i Bn�yu,oxaavru Please provide a plan for how to handle a Marc es at the event.Will you call 911 In case of emergencles? 1npnH.a�; �myvrvaox7oxsnnr We will call 911 in the event of emergency. Sm e:,n.e �s.e r.m,av,enr This tunic,of the application is approved with the urd,,t ndi,g that 911 will be activated. •Zero Waste Requirements Required Do you use any professional zero waste services provider at your event? No Zero Waste Inform-lion We have no Vendor Agreements.We bring in and take out any trash associated with the event. Zero Waste Related Documents and/or Provider Agreement Yes,I agree to provide the proper zero waste requirements and stalling as required by the City of Boulder.I understand events not in Yes compliance are subject to citations,fines,permit denial and/or permit revocation. city apecim swam eaarainaror Approved Comments and Files: COVID-19 Mitigation Plan Required Covid-19 Mitigation Plan(CMP) This openair event poses little risk for COVIDI9 transmission.If requested by a client,all staff will wear masks. Covid-19 Mitigation Plan Related Documents Yes,I agree to provitle the proper COVID-19 Mitigation Plan for the event as required by the City,County and State guidelines.I Yes understand events not in compliance are subject to permit denials. Comments and Files: •Insurance Requirements Required Yes,I agree to provide the proper proof of Liability Insurance for the event as requiretl by the City of Boulder.I understand events mol in Yes compliance are subject to permit denials. Cedificate of Insurance I will upload required Certrlicate(s)of Insurance later during the review process. Yes city spa is ve orator Declined Comments and Files: Senyee.x:e�amen: ®n.5u aovw,senr Please provide proof of insurance for your event.You can find our requirements on page]of our spacal event gold..https://b.uid.,c.l.mdo gov/metlla/3742 download?mine= lc; k.anaro�n: �s,p,aox„aa,ma Hello,a COI Is needed asap showing the requirements listed above in order for this section of the permit to be approved. icnvm x:o�am;n: ®s.c�a,,osaa.xrM No insurence was provided. Acknowledgement/Signature Required Yes,I have read and agree to follow all conditions and items listed above. Yes First Name Leslle last Name Irvine Title Vice President,Board of Directors,Annie and Millie's Place Comments and Files: 3/4 Pennillntonnalion On—ie blebyappli— Comments and Files: Event Gategory No Internal Notes-Not Viewable By Applicant o 4/4