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'V City of South Bend Special Event Application <br />City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Section A - Applicant Information <br />Date of Application: ---- Organization Name: <br />January 17, 2023 Beacon Health System/Sunbufst Races <br />Pp---------------------------------- <br />--------------'-- <br />Applicant (Contact) Name _Courtney Kipker <br />---------------- ---------------------- <br />- -------------------------- <br />Applicant (Contact) Phone: cell 574.514.4176 _ Contact Email: ckipker@beaconhealthsystem.org <br />Address-. <br />111 W. Jefferson Blvd, Suite 300 ctny/statemP: South Bend, 46601 <br />_________________________------ -- -- <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: -----___ . Contact Name: <br />Contact Phone: - Contact Email: <br />Address: -- ...... —........................ -- City/State/ZIP: ________ <br />ction t$ - Event Information <br />Event Name :Sunburst Races------------ Event Type: (Festival, Race, Parade. Other): race — <br />Event Classification: 0 Non -Profit' ❑ For -Profit <br />❑ City (Civic) Sponsored ❑ Other (If Other, please describe): _---...... <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Race day is &&23, startuy and fmishirg at the Century Center. Hall Marathon & 5K Run C 7. Warn. /0K Run 6 7 45am. 5K Walk @ 9.cloam <br />Sunburst staff wdmeet al the Century Center by 3: Wam for race day preparations and will begin setup of course cones and signage by <br />5:00am. Hard traffic dosures to begin by 6 30am. Finish line closes M 17 00am wah post -race parties to follow and then dean -up <br />-Would like to request the closure of Jefferson Bridge on 612123 for assembly and placement of sun and 6ntsh line structures. <br />Date of Event Setup [mm/dd/yy]: 6/3/23 — — __Time: by 5:OOam- <br />---- ----------------- <br />Begin Date of Event [mm/dd/yy): 6/3/23 — -- - ------ Time: 7_00am half marathon & 5K Run <br />End Date of Event (mm/dd/yyl: _ 613/23--------- Time, 11:00am finish line closes <br />Event CleanupCompletion mm/dd/ 6/3/23 Time: 4:00pm <br />P [ cal: ------- - ---- -- <br />Total anticipated attendance: 5,000 <br />The proposed event will require the closing of: E Streets ❑ Sidewalks <br />