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Special Events Liability Insurance

INSURANCE REQUIREMENTS

REQUIRED: Insurance for your event will be required before final permit approval.

Multi-line address

For final permit approval, you will need $2,000,000 commercial general liability insurance that names “the City of Chamberlain, its officers, employees and agents” as an additional insured.  Insurance coverage must be maintained for the duration of the event.  For insurance related questions, please contact the Finance Office at (605) 234-4401 – Fax # (605) 234-4403.

The City must be named as an “additional insured.” Please obtain the required insurance and mail an original insurance certificate to:

City of Chamberlain, Finance Office, 715 North Main Street, Chamberlain, SD  57325.

LIQUOR LIABILITY INSURANCE

AFFIDAVIT OF APPLICANT

ADVANCE CANCELLATION NOTICE REQUIRED: If this event is cancelled, notify the Chamberlain City Offices.  Otherwise, City personnel and equipment may be needlessly dispatched.

I certify that the information in the foregoing application is true and correct to the best of my knowledge and belief and that I have read, understand and agree to abide by the rules and regulations governing the proposed Special Event and I understand that this application is made subject to the rules and regulations established by the City Commission of Chamberlain. I agree to abide by these rules and further certify that I, on behalf of the organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any cost and fees that may be incurred by or on behalf of the event to the City of Chamberlain.

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