Block Party/Special Event Permit General Terms and Conditions
  1. Application must be completed and returned to the City of Cupertino Public Works Department Traffic Engineering Division, 10300 Torre Avenue, Cupertino, CA 95014, at least 30 days prior to the special event.

  2. An approved Special Event Permit/Letter is required and must be in the possession of the permittee at the special event.

  3. The permittee may provide, at his/her expense, the following additional services as determined necessary by the City of Cupertino. The needs will be determined following the review of the application.

    1. Additional sheriff protection and/or traffic control personnel.
    2. First aid, including ambulance, doctors and nurses.
    3. Fire protection service.
    4. Sanitary facilities over and above those available by the City.
    5. Other, such as parking, garbage, private security, etc.

  4. The right to revoke permission for a special event at any time is retained by the City of Cupertino, and no rebates or refunds of fees will be made because of such termination.

  5. Groups shall leave special event location, assembly area, route, and termination area in a clean and orderly condition.

  6. No advertising or promotional materials shall be posted on telephone, power, street light poles, electrical cabinets (i.e. meter, traffic signal), traffic signal poles or other City features on public right-of-way.

  7. If alcoholic beverages are sold, permittee must have permit from State Alcoholic Beverages Control Department.

  8. If food is sold, permittee must have a permit from County Environmental Health Department.

  9. No jump houses or animals within City public right-of-way.

  10. The permittee must have available, minimum fifty(50) foot garden hose connected and ready to use and a portable fire extinguisher.

IN CONSIDERATION FOR THE ACCEPTANCE OF MY APPLICATION TO CONDUCT A SPECIAL EVENT, I HEREBY WAIVE, RELEASE AND DISCHARGE THE CITY OF CUPERTINO AND ALL RELATED CITY-ENTITIES, AND THE COUNTY OF SANTA CLARA, THEIR AGENTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS FOR ANYDAMAGES, PERSONAL INJURY, INCLUDING DEATH, OR PROPERTY DAMAGE THAT MAY ARISE OUT OF, OR BE IN ANY WAY CONNECTED WITH THE AFOREMENTIONED EVENT, EVEN THOUGH THAT DAMAGE MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THE PERSONS OR ENTITIES MENTIONED ABOVE OR HEREIN RELEASED. FURTHERMORE, I UNDERSTAND THAT ACCIDENTS OR INJURIES CAN ARISE OUT OF THE EVENT BUT NEVERTHELESS, I HEREBY AGREE TO ASSUME THOSE RISKS AND TO RELEASE AND HOLD HARMLESS ALL THE PERSONS AND ENTITIES MENTIONED ABOVE WHO MIGHT OTHERWISE BE LIABLE TO ME, MY HEIRS OR ASSIGNS, FOR DAMAGES. I ASSUME ALL RESPONSIBILITY AND AGREE TO INDEMNIFY THE CITY OF CUPERTINO FOR ANY LOSS, DAMAGE OR INJURY TO MYSELF OR MY PROPERTY WHICH MAY BE CAUSED BY NEGLIGENCE OR ANY ACT OF ANY PERSON CONNECTED IN ANY WAY WITH THE AFOREMENTIONED EVENT. I UNDERSTAND THAT THIS WAIVER, RELEASE AND ASSUMPTION IS TO BE BINDING ON ME, MY HEIRS AND ASSIGNS. I DO NOT RELEASE THE ABOVE MENTIONED PERSONS OR ENTITIES FROM ANY FRAUDULENT OR INTENTIONAL ACTS OR FOR THEIR NEGLIGENT VIOLATIONS OF STATUTORY LAW.

I HEARBY CERTIFY THE INFORMATION PROVIDED TO BE TRUE AND CORRECT, AND AGREE TO INDEMNIFY AND HOLD HARMLESS THE CITY OF CUPERTINO, ITS CITY COUNCIL, OFFICERS, AGENTS, AND EMPLOYESS FROM AND AGAINST ANY AND ALL LOSS, DAMAGES, LIABILITY, CLAIMS, SUITS, COSTS AND EXPENSES, WHATSOEVER, INCLUDING ATTORNEY'S FEES, REGARDLESS OF THE MERIT OR OUTCOME OF ANY SUCH CLAIM OR SUIT ARISING FROM OR IN ANY MANNER CONNECTED TO THE REQUESTED SPECIAL EVENT.

I ALSO AGREE, IF APPROVED, TO COMPLY WITH ALL SPECIAL PERMIT TERMS OR CONDITIONS, AND UNDERSTAND THAT FAILURE TO COMPLY WITH ANY TERM AND CONDITION, OR ANY VIOLATION OF LAW MAY RESULT IN THE IMMEDIATE CANCELLATION OF THE SPECIAL EVENT, DENIAL OF FUTURE SPECIAL EVENTS AND/OR CRIMINAL PROSECUTION.

I/WE AGREE TO ALLOW USE OF MY/OUR PHOTOGRAPH FOR PROGRAM PUBLICITY.

I HAVE READ THE ABOVE, UNDERSTAND ITS MEANING AND VOLUNTARILY SIGN IT.