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Kittitas County, Washington <br />BOARD OF COUNTY COMMISSIONERS <br />Garbage/Reeding <br />Do you have a plan for garbage and recycling? es No <br />A written plan for garbage and recycling must be attached to your application <br />materials. For questions or assistance contact the Kittitas County Solid Waste <br />Department at 509-962-7542. - /� Q C a ague-, a v &j a k.0 e1 Vur- A � <br />/')'t Cv�:�d oo lie {rt�9� tG�-� �+ t I wr b 41*6 0 p 0( <br />�m Q <br />il Insurance r <br />Y41a I <br />Have you obtained a Certificate of Insurance and endorsements, specifically <br />naming "Kittitas County" as an insured? es � No <br />c ficta >n�yr'+ Ri ji cerci <br />A copy of the Certificate of Vance And endorsements must be included with your <br />application materials. Kittitas County must be named as an additional insured in the <br />amount of $1,000,000.00 per occurrence and $2,000,000.00 aggregate coverage. This <br />insurance must apply first and on a primary non-contributing basis in relation to any <br />other insurance or self-insurance available to Kittitas County. <br />Penal Bond - Bond of Indemnity <br />A $5,000.00 Penal Bond - Bond of Indemnity is required to be deposited with the <br />County Treasurer to save and protect the streets, pavements, bridges, etc. from <br />damage. The deposit or its balance will be returned once the event has been held and <br />the Board of County Commissioners has certified no damage has been done and that <br />the County has not incurred additional expenses <br />Are you submitting a $5,000.00 Pe Bond -Bond of Indemnity with your Event <br />Application? Yes No <br />If no, you must request a letter in writing to the Board of County Commissioners <br />requesting; a waiver to the Penal Bond - Bond of Indemnity and outline the specific <br />reasons why it should not be required of your event. <br />-716, P aek-"(, A o a d - ��.t �,,, ca AI c/ c>1 �P`` aA 1 <br />Countv Filines and Reeistration <br />Is there a cost to attend the event? de::� _�No X-e'u-0--3 <br />How much are you charging to attend our event? <br />�la:o !/J Ldiyt'AGS {jc11�i - ��/} �i/ [L7"✓� R Gi GyQ� Gi` <br />O � <br />KITTITAS COUNTY COUR' NOL .: • 205 WEST S" , surm48 • - .LF.i ,,U,G, WA 989 <br />(509) 962-7508 • FAX (509) 962-7679 <br />www co.kittitas.wa.us <br />