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6 <br />For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br /> <br />LICENSE APPLICATION FOR – TATTOO & BODY PIERCING ESTABLISHMENT <br />MUNICIPAL CODE SECTIONS – 13-125 – 13-152 <br /> <br />V. INCLUDE WITH APPLICATION (Continued): <br />10. Insurance <br />11. Circulatory and nervous systems <br />12. Draping and positioning <br />13. Professional ethics and business <br />14. Needles <br />15. Tattoo machines <br />16. Safety, sanitization and sterilization <br />17. Skin diseases, disorders and conditions <br />18. Client handling <br />19. Body piercing techniques <br />20. CPR <br />21. Piercing and bedside manner <br />Note: Minimum of 600 hours training and education required for Tattoo Establishment <br />license. <br />F. List of all current memberships, lengths of membership, and membership numbers in <br />associations and organizations addressing services regulated by §§13-125 – 13-152 <br />including, but not limited to such organizations as The Association of Professional <br />Piercers (APP), The Alliance of Professional Tattooists (APT), and the Society of <br />Permanent Cosmetic Professionals (SPCP). <br />G. Documentation of successful completion of Indiana Occupational Safety and Health <br />Administration blood borne pathogen standards training program. <br />H. List of all persons to provide services at proposed establishment, including name, <br />address, telephone number and Practioner’s License number for each. In addition, <br />verify each person: <br />1. Has met the minimal training requirements in order to be considered for a <br />Tattoo Establishment License, with the lack thereof to be considered an <br />inability. <br />2. Has not been convicted of a felony. <br />3. Is not a known drug user or alcohol abuser. <br />4. Has not been determined by a licensed physician to be mentally incompetent. <br />I. Diagram of proposed establishment depicting, among other things, locations of all work <br />stations, restroom facilities, points of ingress/egress, operatory areas, infectious waste <br />storage areas, and waiting areas. <br />J. Proposed hours of operation. <br />K. Proposed schedule of fees, which shall be posted prominently in the establishment. <br />L. Certificate of Insurance verifying: <br />1. $500,000 minimum liability insurance coverage for injury as a result of any one <br />occurrence. <br />2. $1,000,000 minimum public liability insurance coverage for accidental bodily <br />injury, including death, to any member of the public as a result of any one <br />occurrence.