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By-Law No. 2007-19
April 4, 2016
Page 1 of 23
*2016 OFFICE CONSOLIDATION*
THE CORPORATION OF THE TOWNSHIP OF RIDEAU LAKES
By-Law 2007-19
A By-Law to regulate the holding of public events, festivals and parades within
The Corporation of the Township of Rideau Lakes
Passed: March 5, 2007
As Amended by By-Law No:
By-Law
Date Passed
Amendment No.
Subject Matter
2016-23
April 4, 2016
1
Annual Class of Licence
Add: 2.1, 2.1.1
By-Law 1998-47 repealed by By-Law 2007-19 on March 5, 2007.
BEING a By-Law to regulate the holding of public events, festivals and parades within the
Corporation of the Township of Rideau Lakes.
WHEREAS pursuant to Section 126 of the Municipal Act S.O. 2001, c.25, Council may pass
By-Laws to regulate cultural and recreational events, including public fairs;
AND WHEREAS pursuant to Section 28 (1) of the Municipal Act S.O. 2001, c.25, Council may
pass By-Laws regulating sales on a highway or vacant lands adjacent thereto and regulating
traffic and preventing blocking of highways;
AND WHEREAS pursuant to Section 127, of the Municipal Act S.O. 2001, c.25, Council may
pass By-Laws prohibiting littering on public or private property;
AND WHEREAS pursuant to Section 150 (6) of the Municipal Act S.O. 2001, c.25, Council
may pass By-Laws for the regulating and licensing of Exhibitions held for hire or gain;
AND WHEREAS pursuant to Section 42 of the Municipal Act S.O. 2001, c.25, Council may
pass By-Laws regulating traffic and parades;
AND WHEREAS the Council of the Corporation of the Township of Rideau Lakes deems it
expedient to license and regulate the holding of public events, parades and festivals within the
limits of the Township;
NOW THEREFORE the Council of The Corporation of the Township of Rideau Lakes enacts
as follows:
1)
DEFINITIONS: in this By-Law
a)
"Corporation" means The Corporation of the Township of Rideau Lakes.
By-Law No. 2007-19
April 4, 2016
Page 2 of 23
b)
"Applicant" includes an individual, any form of association of individuals,
and a corporation who "shall" be wholly responsible for the event.
c) "Applicant/Sponsor" means conduct, arrange, be in charge of, or be
significantly involved in, the presentation of an event.
d) "Event" shall include but not be limited to a festival, concert, parade,
entertainment or production held out-of-doors and to which the general
Public is invited or admitted.
Notwithstanding the generality of the foregoing the following shall not be
included:
i)
Any festival concert, parade, entertainment or production held on the property
of and being sponsored directly by any religious organization as defined by
the Religious Organization Land Act (Religious Organization - any
association of persons that is charitable according to the Law of Ontario), or
any recognized service clubs or any Registered Canadian Charities.
AND
ii) Any festival concert, parade, entertainment or production, which may
be reasonably expected to attract fewer than 200 participants present
at the event at any given time.
AND
iii) Any festival, concert, parade, entertainment or production held on
property other than the property of any Religious Organization or any
Service Clubs or any Registered Canadian Charities shall refer to
Section D "ii"
e) "Site Plan" means a drawing or sketch of the subject area indicating the details of the
event that shall include but not limited to booths, emergency entrances/exits and any
other structures that is to be accompanied by a map displaying the size and location of
the event.
f) "Structure" as defined by Ontario Building Code Act.
g) "Life Safety Plan" means a written plan to mitigate any emergencies or risks, which
may occur on scene and outlines the procedures or safeguards to react to those
situations, along with a plan to advise and train anyone who is assisting with the event
in those procedures.
By-Law No. 2007-19
April 4, 2016
Page 3 of 23
2.
No person shall sponsor an event within the geographical limits of the Corporation
without a licence (Schedule "A") issued by the Corporation pursuant to this By-Law.
2.1
For the purpose of this section, the following definitions apply:
a) "event characteristics" includes the nature of the event and its specific operational
aspects, including, but not limited to, anticipated maximum attendance capacity, site
area and structure use, food and beverage vending/services, entertainment, traffic
management, life safety plan, security, utilities and services etc. as applicable.
b) "minor changes" shall mean changes which are not likely to be material to the safety
of the site or operation. This may include, but is not limited to, small changes to the
site layout, the addition of tents or groups of tents with an aggregate floor area up to
225m2, changes in food and beverage services, changes in parking areas etc. This
determination shall be at the sole discretion of the Corporation.
c) "major changes" shall mean changes which are likely to be material to the safety of
the site or operation. This may include, but is not limited to, proposed road closures,
the addition of alcohol sales and service, the addition of fireworks or pyrotechnics,
the addition of open air burning, the addition of TSSA regulated amusement devices,
the addition of tents or groups of tents containing bleachers, or having sidewalls, or
with an aggregate floor area over 225m2 etc. This determination shall be at the sole
discretion of the Corporation. (By-Law 2016-23, April 4)
2.1.1 A property owner, tenant, or authorized agent may obtain a license for a property which
is valid for the calendar year subject to the following provisions:
a) That this license shall be known as an "annual class" license.
b) An application shall be made 30 days before the first planned event of the calendar
year.
c) An application shall be made in accordance with Section 3 and any other applicable
sections of this by-law.
d) The application shall outline and seek approval for a standardized site plan and set of
event characteristics.
e) An application may include multiple distinct site plans and/or event characteristic
options for the property.
f) If an application is approved, an applicant shall provide the Corporation with 7 days'
notice that it plans to activate its license and hold an event in accordance with the
approved site plan and/or event characteristic option. If applicable, the notice shall
detail which site plan and/or event characteristic option is being activated if a license
includes multiple options.
g) If minor changes to the approved site plan and/or set of event characteristics are
required, 14 days' notice shall be provided, along with a full listing of the proposed
changes to the event characteristics and an amended site plan as applicable.
h) If major changes to the approved site plan and/or set of event characteristics are
required, 30 days' notice shall be provided, along with a full listing of the proposed
changes to the event characteristics and an amended site plan as applicable.
By-Law No. 2007-19
April 4, 2016
Page 4 of 23
i) If subsection g) or h) applies, the event shall not proceed unless and until written
approval is provided by the Clerk.
j) When a license is activated under sub sections f), g), or h), the event specific releases
from applicable third party approval authorities outlined in Section 3 e) shall be
obtained by the applicant and shall be forwarded to the Clerk a minimum of 3 days
before the event.
k) The event shall not proceed if the applicant fails to obtain the necessary third party
approvals and provide them to the Corporation in accordance with subsection i).
l) The insurance requirement of Section 3 c) can be addressed with a certificate valid for
the full calendar year, or on an event by event basis.
m) All notice shall be made in writing and provided to the Clerk of the Corporation. (By-
Law 2016-23, April 4)
3.
An Applicant for such licence must provide to the Clerk, a minimum of thirty (30) days
in advance, a completed application satisfying their requirement, which includes all
documentation and letters prior to said event as set out hereto:
a)
Contact the Medical Officer of Health, Fire Department, Police and Building
Department having jurisdiction in the area of the proposed event within fourteen
(14) days of submitting the Application, satisfying their requirements for licence
and comply therewith. Provide copies of written approvals.
(b)
Must provide the Corporation with a written proposal of the security to be
provided by the Applicant to ensure the safe and orderly conduct of the event.
(c)
Provide the Corporation with proof of general liability insurance for the duration
of the event in such amount as the Clerk of the Corporation deems required, and
which shall provide coverage of not less than Two Million Dollars
($2,000,000.00) per occurrence.
(d)
The applicant shall apply for and obtain building permits for any structure, as
defined by the Ontario Building Code Act, S.O. 1992 c.23, as amended, including
tent structures (under 3.14 of the Ontario Building Code), and shall provide all
required documentation for processing of said permits. Building permits
applications will be reviewed according to the submissions by suppliers of the
said structures certifications. The Municipal will be held harmless of such
temporary structures and the provider will submit a certification of Two Million
Dollars ($2,000,000.00) Liability Insurance, naming the Municipality.
(e)
The applicant shall supply copies of approvals from any/all agencies which would
have interest in the event, including, but not limited to the following within:
a) Ministry of the Environment (1-800-267-0974) for sewage disposal approvals
on daily Design flow rates exceeding 10,000 litres per day and written
confirmation from the provider of the disposal services.
By-Law No. 2007-19
April 4, 2016
Page 5 of 23
Where the Design flow rates do no exceed 10,000 litres, the applicant will
apply to the Township and provide the name of the supplier providing sewage
services and any related documents regarding designs.
b) Ministry of Health for food service, water supply, sanitary facilities and
wastewater disposal.
c) Electrical Safety Authority (ESA) for all electrical safety and construction
issues.
d) Liquor Licence Board of Ontario for any alcohol related or licenced events as
set out in Schedule "E" attached hereto.
e) The event shall respect the conditions of any related By-Law.
f) Must complete and submit to the Corporation the application form attached
hereto as Schedule "A", "B", "C", "D", "E" and together with such
application fee as set out in Schedule "F" attached hereto.
4.
An Applicant/Sponsor licensed pursuant to this By-Law shall:
a)
Conduct the Licensed Event in accordance with the terms of the licence
and application as set out in Schedule "E";
b)
Following conclusion of the Event, the Event Site must be restored to pre- Event
condition, all lands and buildings affected by the event on Municipal owned
property. Private property will fall under the Property Standards By-Law.
5.
Any Applicant/Sponsor of an Event that is held on Municipal owned property shall
deposit $1,000.00 to cover restoration or replacement of any borrowed/loaned materials
from the Township. At Council's discretion this fee may be waived.
6.
Every person who contravenes a provision of this By-Law is guilty of an offense and
upon conviction is liable to a fine of not less than One Thousand Dollars ($1,000.00) or
not more than Five Thousand Dollars ($5,000.00) exclusive of costs, each day the offense
is continuing is considered a New Offense under the provisions of the Provincial
Offences Act, R.S.O. 1990, c.P.33, or any successor thereof.
7.
WHEREAS pursuant to Section 150 (8) of the Municipal Act S.O. 2001, c.25, without
limiting subsection (1), the power to licence, regulate and govern a licence includes the
power to refuse to grant a licence or to revoke or suspend a licence.
This By-Law hereby repeals any Motions/Notice of Motions, Actions and Resolutions of
Council that are in contravention of this By-Law. -98-47-
By-Law No. 2007-19
April 4, 2016
Page 6 of 23
SCHEDULE "A"
TO
BY-LAW NUMBER 2007-19
Regulate the holding of Public Events
1)
DATE:__________________________________________________________
NAME OF APPLICANT: ___________________________________________
ADDRESS: ______________________________________________________
________________________________________________________________
________________________________________________________________
PHONE NUMBER: _______________________________________________
TYPE OF EVENT APPLIED FOR - LIST EVENTS:
______________________________________________________________
DATE OF EVENT: ___________________________
TIME / HOURS: __________________________________________________
2)
PROOF OF INSURANCE, ACCORDING TO SECTION 3 (d) OF BY-LAW NUMBER
2007-19 - SCHEDULE "C" ATTACHED HERETO.
GENERAL LIABILITY AND PROPERTY DAMAGE, ACCEPTABLE TO THE
MUNICIPALITY, BUT NOT LESS THAN TWO MILLION DOLLARS
($2,000,000.00).
NAME OF INSURANCE COMPANY, AGENT AND POLICY NUMBER - SEE
SCHEDULE "C" ATTACHED HERETO.
By-Law No. 2007-19
April 4, 2016
Page 7 of 23
Schedule "A" - page 2
3)
FOOD AND BEVERAGES TO BE SOLD: (please describe)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
4)
IS SECURITY CONFIRMED AS PROPOSED IN SECTION 3 (c)?
________________________________________________________________
5)
CHECKLIST OF THE RESOURCES YOUR GROUP IS GOING TO HAVE:
________________________________________________________________
6)
LETTER OF COMPLIANCE (to be filed with the application) AND ITEMS TO BE
INCLUDED AS FOLLOWS:
RIDEAU LAKES FIRE CHIEF SCHEDULE "B": ________________________
INSURANCE - SCHEDULE "C": _____________________________________
MEDICAL OFFICER OF HEALTH SCHEDULE "D" _____________________
ONTARIO PROVINCIAL POLICE: ___________________________________
WRITTEN APPROVAL OF (PRIVATE PROPERTY OWNER/MUNICIPAL)
_________________________________________________________________
PROVIDE A SITE PLAN WHICH WILL INCLUDE THE FOLLOWING:
a) LOCATION AND SIZE OF EVENT - PROVIDE A MAP _________
b) DRAWING OF SITE OF EVENT - SHOWING LOCATION OF EMERGENCY
ENTRANCES/EXITS, BOOTHS, ETC.
___________
NOTIFICATION IN WRITING OF ROAD AUTHORITY: _________________
7)
FEE: (cheque to be included with application) ____________________________
A Registered Charitable Organization may submit a written request to have the fee
waived.
By-Law No. 2007-19
April 4, 2016
Page 8 of 23
Schedule 'A' page 3
8)
SPONSORS OF THE EVENT: ________________________________________
9)
DISCLAIMER:
NO WORKER (at this Event) SHALL BE CONSIDERED AN EMPLOYEE OF THE
TOWNSHIP.
10)
DECLARATION
As the applicant as named herein, I hereby make this application and confirm that I have
read By-Law Number 2007-19 and agree to abide by and post same at event location.
DATED THIS ______ DAY OF __________________
____________________________________
THIS LICENCE IS HEREBY
APPLICANT/SPONSOR
GRANTED AND IS IN EFFECT
(1 copy to applicant, l copy municipality)
FOR THE PERIOD
______________________________
______________________________
CLERK/LICENCING OFFICER
By-Law No. 2007-19
April 4, 2016
Page 9 of 23
SCHEDULE "B"
TO
BY-LAW NUMBER 2007-19
FIRE CHIEF FESTIVAL and EVENT REQUIREMENTS
The following needs to be provided to Rideau Lakes Fire Chief fourteen days in advance of
submitting the completed Application to the Clerk in order for a letter of approval to be supplied
the Applicant.
FIRE
1) Site Plan for each location, showing
a. Activities
b. Parking
c. Access Routes
d. Emergency Access
e. Emergency Equipment Location
2) If in building you will need
a) Layout and occupancy load
b) Activities
c) Evacuation Plan
d) Emergency Access
e) Parking
3) Life Safety Plan for event
4) Names - contact information of individuals in charge
5) Expected Attendance
FIREWORKS
1) Specific Site Plan
a) Distances
b) Launch point
c) Spectator area
d) Surrounding topography
e) Safety equipment location
2) Safety Plan and Procedures
3) Copy of Fireworks Supervisor Card
4) Firing List
5) Names and contact information and ages of those assisting
By-Law No. 2007-19
April 4, 2016
Page 10 of 23
SCHEDULE "C"
TO
BY-LAW NUMBER 2007-19
CERTIFICATE OF INSURANCE
APPLICANT/SPONSOR
It is certified that insurance as described below has been arranged for the insured name herein on
whose behalf this certificate is executed, and we hereby certify that such insurances are in full
force and effect. If the said insurance is cancelled or changed during its term in such a manner as
to affect this Certificate, written notice of such change or cancellation will be given by letter.
INSURED NAME:
ADDRESS:
Postal Code
TYPE & INSURER
GENERAL LIABILITY
The Contractor shall maintain a Policy of General Liability
insurance having limits of not less than $2,000,000.00
inclusive per occurrence for bodily injury, death and
damage to property.
POLICY NO.
EFFECTIVE DATE:
EXPIRATION:
LIMITS OF LIABILITY:
SIGNATURE:
Of Insurance Company Officer (Broker or agents signature not acceptable)
NOTE: The following shall be added to THE GENERAL LIABILITY INSURANCE
CERTIFICATE
The Township of Rideau Lakes, is hereby named as an additional insured but only in respect of and for the duration
of the services to be performed under this agreement, and shall contain a cross liability clause endorsement.
By-Law No. 2007-19
April 4, 2016
Page 11 of 23
SCHEDULE "D"
TO
BY-LAW NUMBER 2007-19
COMMUNITY HEALTH PROTECTION DEPARTMENT
SPECIAL EVENTS GUIDELINES FOR EVENT ORGANIZERS
This document has been designed to assist Organizers in meeting the requirements of the Health
Protection and Promotion Act and the Ontario Food Premises Regulation at Special Events.
These operational guidelines are applicable to events where food is prepared, sold or distributed
to the public and occur for short periods of time. Examples include fall fairs, carnivals, music
festivals, food festivals, street festivals and plowing matches. The Leeds, Grenville and Lanark
District Health Unit is committed to working with you to ensure the event is a success and safe for
your guests.
Each food vendor at a special event must comply with the Health Protection and Promotion Act
and the Food Premises Regulation. This includes businesses providing samples to the public as
part of display. Under the Food Premises Regulation various types of food premises are outlined.
The following categories of food premises are permitted to operate provided they meet the
requirements set out in the legislation:
- Fixed premises (permanent buildings equipped with kitchen facilities)
- Catering vehicles
- Mobile Preparation Premises
- Street vending carts
Each of these types of food premises has specific requirements and restrictions associated with
them. Please view the Ontario Food Premises Regulation available online at the following link:
http://www.e-laws.gov.on.ca/html/regs/english/elaws_regs_900562_e.htm
The health unit may conduct site inspections to ensure compliance. Some vendors may be
exempt from the Food Premises Regulation (e.g. religious organizations, service clubs, fraternal
organizations and charities) provided certain conditions are met. Please refer to the
"Requirements for Groups Exempt from the Food Premises Regulation for Special Events"
document or contact the health unit if you wish to qualify for an exemption. Inspections of these
premises may still be conducted under the Health Protection and Promotion Act.
General Requirements
- The organizer of the event must notify the Medical Officer of Health of the Leeds, Grenville
and Lanark District Health Unit in writing. In order to process and respond to your
notifications and better serve your vendors, we request that notification is received by this
office at least 30 days prior to the event (Coordinator notification form).
By-Law No. 2007-19
April 4, 2016
Page 12 of 23
- If there is more than one vendor attending the event, the organizer of the event must
ensure that each vendor completes the Vendor Notification form and provide them to the
health unit.
- The site proposed for the event must be dry, well drained, and free of any health hazards.
Food Safety
It is the goal of the health unit to assist you in providing safe food to the patrons of your event. Some
foods require extra attention to ensure their safety. Hazardous foods are those foods that are
capable of supporting the growth of microorganisms that cause illness or the production of the toxins
of such organisms. These may include, but are not limited to, meat and meat products, poultry, fish
and shellfish, eggs, dairy and dairy products, grains and cereals such as rice and pasta, sauces,
gravy and unpasteurized juices.
The preparation and service of food, utilizing self-contained mobile food premises is recommended.
Premises without a valid exemption that do not comply with the minimum standards set out in the
Food Premises Regulation will not be permitted to open until such time as all requirements are met.
Approved Sources
- All meat must be inspected. Check meat and meat products for stamps and tags
- Use only Grade A and B eggs (never use ungraded, cracked, or Grade C eggs)
- All milk must be pasteurized
- Do not serve food to the public that has not been prepared in an inspected food premises (i.e.
do not prepare food at home)
Transportation of Food
- Refrigerated trucks, mechanical refrigeration units, and insulated coolers are all methods that
can be used for transporting hazardous food to the event provided the food can be maintained
at 4ºC or less. Thermometers must be placed in each cooler or refrigeration unit to monitor
the temperature of the food.
Food Temperatures
- Keep cold foods cold and hot foods hot! Hazardous foods must be held at 4ºC or lower
for cold foods or 60ºC or above for hot foods.
- Frozen food must be held at -18ºC or lower.
- Cold holding units must be equipped with thermometers.
- Cook/Reheat foods to the proper temperature.
- A probe thermometer is required to check internal temperatures of food.
Food Protection
- Food and food preparation surfaces must be protected from contamination by means of
shields, cabinets, containers. Condiment containers must have closable lids with separate
dispensing utensils or be in bulk dispensing units (ie. squeeze bottles or pump).
- Only single service items (e.g. disposable plates and cups) are allowed for serving food to
customers.
- Keep raw meat separate from ready-to-eat foods.
- All barbecue stations and food vending carts must have an umbrella or covering to
By-Law No. 2007-19
April 4, 2016
Page 13 of 23
protect food from contamination.
- Floors of food preparation areas must be of sound construction and readily cleanable.
Food Handlers
- Food handlers must follow good personal hygiene practices: wash hands frequently, refrain
from smoking or eating while handling food, wear clean clothing and hair coverings.
- Use utensils to handle food to minimize direct hand contact.
- Do not handle money and food without washing hands in between. It is recommended that
one person be in charge of food handling and another in charge of handling money.
- Gloves are not a substitute for handwashing. Each time gloves are changed, hands must be
washed. Change your gloves as often as you would wash your hands.
Sinks
- A separate handwash basin supplied with hot and cold running water must be conveniently
located for food handlers in the food preparation area, with a supply of liquid soap and paper
towels.
- A two compartment sink is required for cleaning and sanitizing utensils.
Water Supply
- Water used for drinking, food preparation, handwashing and dishwashing must be potable.
For water sources other than a municipal water treatment system, the health unit must be
notified in advance so that the water source can be assessed and tested (3 samples taken
over 3 weeks are required).
- Disinfect drinking water distribution systems (e.g. hoses) prior to the event. Hoses supplying
water to food premises must be made of food grade material (not garden hoses).
- If a water hauler is being used to supply the event, the company name and address must be
provided to the health unit in advance so the water source and vehicle can be inspected.
Sanitary Facilities and Waste Water Disposal
- Have washroom facilities and handwash stations available for vendors and patrons. Portable
facilities and handwash stations are acceptable.
- Keep facilities in a clean and sanitary condition.
- All sewage waste, including sink waste, must be disposed of in a clean and sanitary manner.
No wastewater can be dumped onto the ground. Holding tanks must be pumped out as often
as is necessary and the waste must be disposed of at an approved dump station.
Gender
Expected
Occupancy
Toilets
Washbasins
Male
1-1200
6 (50% may be urinals)
4
Female
1-1200
6
4
Male
Over 1,200
6 plus 1 additional sanitary
fixture per 300 persons
4 plus 1 additional
washbasin per 600
persons
Female
Over 1,200
6 plus 1 additional sanitary
fixture per 300 persons
4 plus 1 additional
washbasin per 600
persons
By-Law No. 2007-19
April 4, 2016
Page 14 of 23
Garbage Disposal
- Each food vendor must have appropriate garbage receptacles equipped with lids.
- An adequate number of garbage receptacles shall be provided for use by the public and
placed in locations convenient for use.
- Garbage receptacles must be emptied as necessary, but not less than once daily,
Animal Exhibits/Petting Zoos
- Post signs at each animal exhibit stating the following:
- Ensure manure is quickly and thoroughly cleaned up and appropriately discarded
- Do not allow the public to drink unpasteurized milk
- Ensure barriers are adequate to impede the touching of animals that should not be handled by
the public (e.g. newborns)
- Do not display animals that are ill or those known to be positive for E. coli 0157:H7 and other
infectious diseases
- Clean and disinfect rails and floors daily
- Do not set up animal exhibits in proximity to food premises.
- Provide hand wash stations in close proximity to these areas.
For further information on petting zoos, please contact the Community Health Protection Department
at our Brockville office at 613-345-5685 or at Smiths Falls office at 613-283-2740.
THE EVENT MUST BE OPERATED IN SUCH A MANNER, TO ENSURE NO HEALTH HAZARDS
EXIST ON THE SITE.
ADDITIONAL CONSIDERATIONS FOR YOUR SPECIAL EVENT
DO YOU HAVE AN EMERGENCY PLAN?
We all hope that each event we plan will go smoothly and not be interrupted by an emergency.
During special events, there usually are large numbers of people attending, some local people, but
many could be visitors to the area who are unfamiliar with your community. It is important to
contemplate the types of incidents that could occur such as medical emergencies or severe weather
events and have a plan in place to alert people of impending dangers and what action to take, as well
as a plan of evacuation for the site. It is advisable to work with fire officials, the police, the
emergency management coordinator and the health unit to ensure that should an emergency occur,
the casualties and/or deaths can be prevented or at least minimized.
NOTICE
Wash hands with soap and water after touching animals
Do not eat or drink while touching animals (a sample sign
is provided for your convenience)
By-Law No. 2007-19
April 4, 2016
Page 15 of 23
By-Law No. 2007-19
April 4, 2016
Page 16 of 23
COMMUNITY HEALTH PROTECTION DEPARTMENT
SPECIAL EVENT COORDINATOR NOTIFICATION FORM
COORDINATOR INFORMATION:
Owner/Operator Name: ____________________________________________
Corporation Number: _____________________________________________
Address: _______________________________________________________
Town/City: ____________________________ Postal Code: ______________
Telephone: ________________ Fax Number: __________________________
E-mail: ________________________________________________________
DESCRIPTION OF EVENT:
Name of Event: __________________________________________________
Location/Address of Event: _________________________________________
Public Park
Street
Fairground
Mall Property
Other: _
Start date of Event: __________ End Date of Event: ____________________
Daily Operating Hours: _______ Expected Number of Attendees: __________
DESCRIPTION OF SERVICES:
Sanitary Facilities (Indicate Number):
Portable toilets _________ Portable Handwash Basins ________ Permanent toilets ________
Permanent handwash basins _________
MAIN OFFICE:
458 Laurier Blvd.
Brockville, ON K6V 7A3
Tel: 613-345-5685
Fax: 613-345-7148
25 Johnston Street,
Smiths Falls, ON
K7A 0A4
Tel: 613-283-2740
Fax: 613-283-1679
By-Law No. 2007-19
April 4, 2016
Page 17 of 23
WATER SUPPLY:
ALL PREMISES PREPARING FOOD MUST HAVE A SUPPLY OF POTABLE HOT AND
COLD RUNNING WATER UNDER PRESSURE
Potable water supplied to vendors
Yes
No
How?
Water Truck
Well
Municipal,
Other _____________________________________________________
Water Sample taken (if non-municipal source):
Yes
No
Date: ________________ Result: Total Coliform ______ E. coli ______
HYDRO
Electricity available to vendors?
Yes
No
Refrigeration trucks available to vendors?
Yes
No
Backup power available?
Yes
No
GARBAGE
Garbage bins supplied to vendors?
Yes
No
Garbage must be disposed of at least daily.
VENDORS
Total number of food vendors: ______________________________________
Type of food supplied: ____________________________________________
_______________________________________________________________
Animal Exhibits:
Yes
No
Personal Services (i.e. tattooing):
Yes
No
By-Law No. 2007-19
April 4, 2016
Page 18 of 23
VENDOR REGISTRATION LIST: (If additional space is required, please use separate page)
Name of Vendor
Mailing Address
Telephone Number
FOR OFFICE USE ONLY
Approved
Not Approved
Comments: _____________________________________________________
_______________________________________________________________
_______________________________________________________________
NOTE:
Notification is for Health Unit requirements only. Other permits may be required. Please
contact the township office where you plan to hold the event.
__________________________ ___________________________________
Public Health Inspector Signature Operator Signature
__________________________ ___________________________________
Date Date
O: HPD 11/10 - 118
R: CHPD 02/12 - 118
By-Law No. 2007-19
April 4, 2016
Page 19 of 23
COMMUNITY HEALTH PROTECTION DEPARTMENT
SPECIAL EVENTS - FOOD VENDOR APPLICATION
Under Section 16(2) of the Health Protection and Promotion Act, every person who intends to commence to operate a food premises
shall give notice of the person's intention to the medical officer of health of the health unit in which the food Premises will be located.
Please submit a completed form to the Health Unit within 10 working days prior to the event to allow adequate time for processing.
Failure to be in compliance with the Food Premises Regulation may result in closure of your premises.
I have received and read the Special Events information package provided and I accept responsibility for ensuring that the
information that I have provided on this form is correct.
_____________________________________________ _______________________________________
________________ _
PRINT NAME
SIGNATURE
DATE
Name of Concession:
Name of Event:
Event Dates:
Location:
Contact Person:
Phone No.:
Contact Address: _________________________________________________________ City:
Postal Code:
Email:
Fax No.:
MENU ITEMS:
Food Suppliers:
Location of Food Preparation:
Type of Food Facility:
Fixed Premises Mobile Preparation Premises Street Food Vending Cart Catering Vehicle
Other: (Explain)
Potable Water Source: Municipal Well Water
Holding Tanks
Sinks Provided with hot and cold running water under pressure:
3 compartment
2 compartment Handwash basin
Waste Water Disposal: Septic System Holding tank Disposal site :
Cold Storage: Mechanical
Insulated containers with Ice Other
Garbage: Receptacles Provided: Yes Disposal Method:
HEALTH UNIT INTERNAL USE ONLY
EXEMPT UNDER REG. 562: Yes No
APPROVED FOR EVENT: Yes No
Signature of Inspector:
Date:
Inspector Comments:
By-Law No. 2007-19
April 4, 2016
Page 20 of 23
The information contained on this form is collected under the authority of the Health Protection and Promotion Act, R.S.O. 1990, Chapter H.7.,
for the purpose of enforcing the Act and its Regulations.
R: HPD 04/11 - 107
s:\hprot\hprot storage (final)\food safety\forms\special events food vendor & checklist app.docx
FOOD VENDOR'S CHECKLIST
Category of food premises fits one of the following:
Fixed Premises (permanent buildings equipped with kitchen facility)
Mobile Preparation Premises
Street Food Vending Cart
Catering Vehicle
Other (Describe)__________________________________________________________
Potable hot and cold running water under pressure is supplied for handwashing, food preparation and
equipment cleaning.
Approved grey water disposal available
A separate handwash sink with liquid soap and paper towel is provided.
A minimum of a 2-compartment sink is provided for dishwashing.
Meat, poultry, dairy and egg products from approved/inspected source
Probe thermometer available for checking internal food temperatures
Thermometers in each cooler, refrigeration unit, and freezer
Equipment for transportation capable of maintaining cold food at 4oC or lower and
hot food at 60oC or greater
Food is protected from contamination (containers with lids, plastic wrap, aluminum
foil, sneeze guards)
Food is stored 15 cm (6 inches) off the ground
Adequate supply of clean utensils (serving spoons, tongs, spatulas) are available
throughout the day
Single service utensils used for eating are provided and stored properly
Leak-proof containers/tanks are provided for storage of wastewater
Detergent and sanitizer(can be bleach)
Sanitizer test strips
Clean outer garments and aprons
Hairnets, caps or hair restraints
Garbage receptacles and bags
Wiping clothes for cleaning and sanitizing preparation areas and service areas
Premises is clean and in good repair
Back-up power (is recommended to ensure you are able to operate in the event that power is not
available at the site when your arrive).
O: 05/2009
R: 07/2013
By-Law No. 2007-19
April 4, 2016
Page 21 of 23
SCHEDULE "E"
TO
BY-LAW NUMBER 2007-19
By-Law No. 2007-19
April 4, 2016
Page 22 of 23
By-Law No. 2007-19
April 4, 2016
Page 23 of 23
SCHEDULE "F"
TO
BY-LAW NUMBER 2007-19
FEE FOR LICENSE TO OPERATE A PUBLIC EVENT, PARADE, FESTIVAL
SHALL BE: ___________$220.00_________________
A Registered Charitable Organization may submit a written request to have the fee waived.