Street/Parking Lot Rental Request

*Please review most recent Fiscal Year Fee Schedule for updated rates*

Use this form to request use of City streets or parking areas.

Request Overview
**All requests must be made at least 60 days in advance of event.

**All events require a Certificate of Liability Insurance and a recycling plan for group sizes over 200 people.
SECTION 1: General Information
Event Name*
Anticipated Attendance*
Name*
First Last
Organization
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
SECTION 2: Event Information
Event Date*
MM slash DD slash YYYY
Event Start Time*

: Hours

Minutes

AM/PM
Event End Time*

: Hours

Minutes

AM/PM
Event Type*
- Private - Small Event (up to 20 people)
- Private - Large Event (over 20)
- Public - Small Event (up to 500)
- Public - Large Event (over 500)
Event Description*
Please describe your event.
Additional Event Info
Please list any additional information we need to know about your event
SECTION 3: Event Logistics
Event Map*
Upload map of the event. Clearly mark streets and parking areas that will be impacted.
Max. file size: 256 MB.
Traffic Control Plan*
Upload your event traffic control plan. Please include any proposed detours and closures.
Max. file size: 256 MB.
Event Supplies Request*
Please check all supplies being requested. All equipment will be delivered to a designated location. All set up must be completed by Event Staff unless requested below and approved by the City.
- None
- Street Barricades ($10/unit)
- Barrier Fence ($1/ft)
- Trash Cans - ($5/unit)
- Recycling Can - ($5/unit)
- Other* ($TBD)
Event Supply Quantities
List supply quantities here for items selected above.
Event Labor Request*
Please check all event staff support being requested. *All flagging operations require Law Enforcement or an approved Flagger Service vendor.
- None
- Maintenance Labor ($15/hr)
- Site Supervisor/ Site Coordinator ($15/hr)
- Traffic Control/ Law Enforcement ($55/hr)*
Event Labor Detail
List labor duties for staffing selected above.
Special Conditions
Will you be charging an admission fee?*
- Yes
- No
- Unknown at this time
Will you be using ground stakes (for tents, bounce houses, etc.)*
- Yes
- No
- Unknown
Subject to approval from the City of Salisbury
Do you plan to use inflatable structures? (bounce houses, slides, etc.)*
- Yes
- No
- Unknown
Subject to approval by City of Salisbury
Do you/your attendees intend to serve and/or consume alcoholic beverages*
- Yes
- No
- Unknown at this time
Pursuant to authority granted to me by Section 9.08.105 of the Salisbury City Code, any organization intending to consume alcoholic beverages on City owned property must apply for a Permit to Consume Alcohol
Do you intend to serve food?*
- Yes
- No
- Unknown at this time
SECTION 4: Rental Terms and Conditions
Use of Space
The approved rental area shall be used only for the purposes specified in this agreement. The licensee agrees to use the area in such a manner so as to comply with all state, county, and municipal orders and regulations; and not to use the area or permit the same to be used for any disorderly or unlawful purposes. Failure to use the approved rental area in conformity with the purposes specified in this agreement will be considered a violation of this agreement. The City may terminate this agreement and immediately re-take possession of the area for any agreement violation. Additionally:

• Under no circumstances should the licensee and/or group make any alterations, install equipment, or make attempts to maintain areas except for trash cleanup. All trash must be properly disposed of in receptacles provided for the purpose. The area should be returned to its normal condition except for normal wear.

• The City reserves the right to refuse or cancel this agreement for any reasonable cause. Every attempt will be given to provide the organization adequate notice of cancellation.

• Licensee shall not assign this license or any interest thereto to any other person or persons without the prior written consent of the City.

• Should the rental area be damage or equipment damaged or stolen, the licensee and/or group will be assessed a repair or replacement fee. This fee must be paid within thirty (30) days or the City will begin collection proceedings and the licensee/group will be precluded from future rentals within the City until the past due amount is resolved.

• The City reserves the right to restrict groups from providing alcoholic beverages on its premises. In all cases, when such requests are approved, it is the responsibility of the organization to adhere to the rules and regulations of the Wicomico County Liquor Board.
Insurance Requirements
INSURANCE REQUIREMENTS If required, an organization shall provide the City with Commercial liability insurance in an amount no less than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) aggregate liability. The certificate shall be provided to the City on an annual basis and must name the City as Additional Insured and include the appropriate Additional Insured Endorsement(s). Find out about the Local Government Insurance Trust's TULIP Insurance HERE
Payment Requirements
• Rental fees must be paid to secure a reservation.

• Additional charges may be incurred and the Licensee billed following the event if terms of the rental agreement change after initial payment is received by the City. A refund of event fees (minus non-refundable deposit) will be issued for any cancellation by the Licensee, provided notice of such cancellation is given not less than two weeks prior to the scheduled date of event. Overpayments will be refunded to the Licensee within 30 days of request.

• Payment does not guarantee a reservation has been approved.

• Cancellation Policy - Refunds in case of cancellation will be granted (minus non-refundable deposit), if requested 14 days prior to the desired date. All refunds are subject to a 10% service charge. Refunds may not be granted when a rental is cancelled due to inclement weather. In this case, another date may be scheduled based on availability.

• Deposit - If the total due exceeds $100, a non-refundable deposit of $100 is required to secure the reservation. The remaining balance is due 14 days prior to the event.
SECTION 5: Waiver and Signature
WAIVER: The licensee and/or group agrees to defend, indemnify, and hold harmless the City, its officers, agents, and employees from and against any and all claims, demands, causes of action, and liability of any kind for, and by reason of any act or omission of said licensee and/or group. Additionally, the licensee further accepts the rental area “AS IS” and releases, discharges and waives the City from any and all rights of action, either legal or equitable, which he has or ever may have against the City by reason of use of the said rental area, excepting only any such injury or damage resulting from the willful acts of the City. I am familiar with and agree to all policies which regulate the use of the rental area and have made the participating members of our group familiar with the same. I accept responsibility on behalf of the group for the activity described in this agreement.
Electronic Signature*
Fill in your name here
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
- I AGREE

Request Overview

SECTION 1: General Information

SECTION 2: Event Information

SECTION 3: Event Logistics

Special Conditions

SECTION 4: Rental Terms and Conditions

Use of Space

Insurance Requirements

Payment Requirements

SECTION 5: Waiver and Signature