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Home My WebLink AboutProcession - Palais Royale - Nina Chaudhary1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS September 13, 2016 Ms. Nina Chaudhary 14684 Heatherton Dr Granger, IN 46530 RE: Event: Nina Chaudhary & Ryan McLaughlin Wedding Procession Date: October 1, 2016 Dear Ms. Chaudhary: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on September 13, 2016, approved your request to conduct the above referenced event on October 1, 2016, from 3:45 p.m. to 5:00 p.m. on the designated route as submitted. Enclosed please find copy of your approved permit. Please note that participants must stay on the sidewalks and obey all traffic laws. If I can be of any further assistance to you in this matter, please call me at (574) 235-9251. Sincerely, Linda M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Ed Gleckler, Traffic & Lighting Stephen Cox, Fire Department Federico Rodriguez, Fire Department Marcia Qualls, Engineering GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAM Es A. MUELLER THERESE J. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT: 8/16/2016 TO: Ed Gleckler, Traffic & Lighting J,Federico Rodriguez, Fire Department Corbitt Kerr, Engineering Paula Garis, Park Department v�Lt. Gene Eyster, Police Department v./Adam Burck, Downtown South Bend J(aburck@downtownsouthbend.com) Marcia Qualls, Engineering Legal Department FROM: Linda M. Martin, Clerk SUBJECT: PROCESSION RECOMMENDATION SPONSOR: Palais Royale/Nina Chaudhary DATE OF EVENT: October 1, 2016 DATE DUE: September 6. 2016 FAX OR E-MAIL TO: 235-9171 / Imartin(ftouthbendin.gov RECOMMENDATIONS AND COMMENTS: By Date Sponsor: Address: City: State: 045oUTH 8Eti d_ APPLICATION FOR USE OF F U =� 2 W PEACP.� y PUBLIC RIGHT-OF-WAY FOR PROCESSIONS m- `_ , The Board of Public Works must have FOUR (4) weeks prior notice of the event." 1865 BY: QC1 r f�a��+ �1- �Z� -174 Sponsor may use the public right-of-way desciibcd as (dweribe route and attach map) THE SOUTH BEND POLICE DEPARTMENT RESERV. CHANGE YOUR ROUTE FOR SAFETY PURPOSES RIGHT TO -I V v Event name: �� . � ��C �I�iG� �(, R! q L4k 1 1L�C�[,kQW(V1 V�( P'L iL4), �� ❑ The Board of Public Works must have FOUR (4) weeks priorjnotice before eve occurs Q ,,' ❑ All certificates of insurance, pre -paid costs, maps, and any other applicable information requestedR� or required by the Board of Public Works have been provided with this application - ❑ The event shall be held on _ L r 20_1_�Q_ and no other date ❑ Registration time for the event starts at U:q�- a. p.m: ❑ Starting time of the procession is 514�L a.m n.m. ❑ Estimated completion time is —67—Lb a.m p.m. This event involves the use of the following roadways M/ This event involves City streets ❑ This event involves County roads ❑ This event involves State highways ❑ This event involves use of a park (Must obtain permission from Park Board) I understand that I must arrange a. meeting with all affected governmental agencies to organize the above event (Call .Marcia Qualls, Customer Service Manager, 235-5939 to organize meeting) [� This ent involves the use of t,ae sidewalk [Participants. must stay an the sidewalk and obey all traffic laws. ❑ / This event is event (Please circle the appropriate event type) This event will be coordinated with the prcperty owner/business where staging will take place Updated 4/06/16 PERMIT/AGREEMENT FOR. A PROCESSION 1. Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed necessary. 2. Sponsor shall provide to the Boarrd a Certificate of Insurance showing a liability policy in full force and effect with limiis of $300,000.00 per occurrence and $5,000,000.00 aggregate and the City of South Bend listed as an additional named insured for this event. 3. Sponsor shall provide to the Board all additional licenses, permits and documentation required for the event. 4. Sponsor agrees to abide by ah tcnns aad conditior_s of the Board's policy governing walks, runs, parades or other similar event adopted by the Board on March 3, 1985. 5. In order to ensure public safety during the event, the Board agrees to furnish traffic planning, materials, equipment .and personnel as deemed necessary by the Police Department Traffic Bureau, the 3ureau of Traffic and Lighting, and, where applicable, the Board of Park Commissioners. 6. Sponsor acknowledges that the Police Department reserves the right to change this route for safety purposes. In consideration for approval) y th- Board and the use of the sidewalks for the purposes set out above, the undersigned agrees and undertakes to hold the Civil City of South Bend, Indiana, free and harmless from any liability loss, costs, costs, damages or expenses, including atto.tney fees, whi= h the Civil City of South Bend may suffer or incur, as a result of any ch;irrs uz scti.ons "41ich may be made by any person, including a participant in said activit.1 11TiS n(, o ;t of the apfroval of the request to use the sidewalks indicated in the City of South Bei,d. The undersigned certifies that he/she is authorized to bind the above mentioned sponsor to the terms hereof. 8. Notification of approval/denial of tb:i regaest wa! be issued by return of this form, upon signed authorization by the .board of Pvfflic Works I understand the above rules LIMI regulations and flat 'his application may be denied based on any false or incomplete Sponsor Signature Printed Name Title Member RD OT' P RLIC WORK` APPROVAL AAgz Dber Member 9 f a3/,;GI& Date RI TU RA Fii'RIi T0: 2 E'• of sd uF P❑E`_o �x'urks luild;ng 2.27 J, clff., .. i. bou;e"aid St u.a; Pcnd, N 4601 Phone: (574) 235-9251 o F: 1,57,1; 235-91"'i a -Mail: publicwks@southbendin.gov A`� Q® C `...� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDI 16 g/9/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Gibson Insurance Agency, Inc. 130 S Main St, Ste 400 PO BOX 11177 South Bend IN 46601-0177 CONTACT Lisa Dausman NAME: X. (800) 814-2122 AX Ne: (800)836-2122 nooalEs'Idausman@gibsonins.com INSURER(S) AFFORDING COVERAGE NAIC0 i:ySURERA :Cincinnati Ins Co 10677 INSURED Rajeev X. & Bimlesh R. Chaudhary 14684 Heatherton Dr Granger IN 46530 INSURER B : INSURERC: INSURER D: INSURER E : INSURER F: rnvco nr_cc CERTIFICATE NIIMRFR•CL168917286 REVISION NUMBER: V THIS, IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INISR ITR TYPE OF INSURANCE IN L R POLICY NUMBER MMILDD�Y MMIDDY/YYVY LIMITS R I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 1XI OCCUR DAMAGE TU-R—ENTED PREMISES (Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 X GL BINDER 10/1/2016 10/1/2016 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 5,000,000 %r POLICY ❑ PRO ❑ LOC JECT Employee Benefits $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED F SCHEDULED AUTOS AUTOS NON-0WNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION PSTER OTH- ATUTE ER AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑NIA (Mandatory In NH) E. L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schec:ule, may be attached if more space Is required) CITY OF SOUTH BEND IS LISTED AS ADDITIONAL NASD INSURED FOR COLFAX STREET CLOSURE 10/1/16 FOR WEDDING CEREMONY CITY OF SOUTH BEND 227 W JEFFERSON BLVD SOUTH BEND, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gibson Ins Agency/LI n 1988-2014 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025,,,,anal All rights 8/15/2016 118 East Washington Street, South Bend, IN 46601 to Palais Royale - Google Maps Go gle Maps 118 East Washington Street, South Bend, IN 46601 to Walk 0.1 mile, 3 min Palais Royale is &Breakhc. �' !I Ilppeconoe Pitee -- n emBer kMg .... W Lasalle Ave WLasalle Ave 1.+. eson Z Jtl CrrrPr/Ct.: M!, � pdals aoya1e1 = Pls Hari � rros • Midd011 Oy9lcl Be, •B `�5 3min )f 3mim - � aa:,ea • pl:nn= ' $ PNC Benk • � 11a Eas 6 Wa n910 a ree 6 % Ludes Grill N u w. S1 Joseph County -w. _ Courthouse E Healthworks s South Bend Building- R Kids'Museum 2Ckmry Cah rtm Depaentt _ r .,r, Google 118 East Washington Street South Bend, IN 46601 t 1. Head west on E Washington St toward N Michigan St Map data @2016 Google 200 It r mcly Invnlve errors or sections not sidled fc, :valking rift ro 2. Turn right onto N Michigan St 495ft 4, 3. Turn left onto W Colfax Ave 0 Destination will be on the right 128 ft Palais Royale 1�JtMesi Col fax Avenue, South Bend, IN 46601 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. https:llwww.google. com/maps/di rl4l .676382,-86.25004/Palais+Royale,+West+Colfax+Avenue,+South+Bend,+IN/@41.677168,-86.2528396,17zlam=tl... 1 /1