HomeMy WebLinkAboutProcession - St Joseph Catholic Church Saint Nick 6K1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
November 22, 2016
Matthew Blazejewski
St. Joseph Catholic Church
711 East Colfax
South Bend, IN 46617
RE: Event: Saint Nick 6K
Date: December 10, 2016
Dear Mr. Blazejewski:
PHONE 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on November 22, 2016, approved your request
to conduct the above referenced event on December 10, 2016, from 8:00 a.m. to 11:45 a.m.,
on the designated route as submitted. Enclosed please find copy of your approved permit.
The Police Department asks that runners may use the road, and all walkers must use the
sidewalks. Further, the Police Department recommends that the walk start fifteen minutes
after the run so the two can be differentiated for security purposes. All participants should
obey all traffic laws. Police and volunteers will furnish an escort and traffic control.
If I can be of any further assistance to you in this matter, please call me at (574) 235-9251.
Sincerely,
m a M. Martin, Clerk
Enclosure
c: Gene Eyster, Police Department
Ed Gleckler, Traffic & Lighting
Federico Rodriguez, Fire Department
Marcia Qualls, Engineering
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT: 11114/2016
TO:
Ed Gleckler, Traffic & Lighting
\/Federico Rodriguez, Fire Department
Matt Longfellow, Engineering
JPaula Garis, Park Department
Lt. Gene Eyster, Police Department
Adam Burck, Downtown South Bend
(aburck@downtownsouthbend.com)
fMarcia Qualls, Engineering
Legal Department
FROM:
Linda M. Martin, Clerkti
SUBJECT:
PROCESSION RECOMMENDATION
SPONSOR:
St. Joseph Catholic Church
DATE OF EVENT: December 10, 2016
DATE DUE: November 15, 2016
FAX OR E-MAIL TO: 235-9171 / Imartin(&southbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
APPLICATION FOR USE OF
PUBLIC RIGHT-OF-WAY FOR PROCESSIONS
The Board of Public Works must have FOUR (4) weeks prior notice of the event 1&6§
111.1-21
Sponsor: St. Joseph Catholic Church Submitted By: Matthew Blazejewski
Address: 711 East Colfax
City: South Bend
State: IN Zip: 46617 Phone: 574-234-3134
Sponsor may use the public right-of-way described as (describe route and attach map)
See attached map, A 6k run, 3k run, primarily along the East Race and East Bank Trail
PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO
CHANGE YOUR ROUTE FOR SAFETY PURPOSES
Event name: Saint Nick 6k
X The Board of Public Works must have FOUR (4) weeks prior notice before event occurs
X All certificates of insurance, pre -paid costs, maps, and any other applicable information requested
or required by the Board of Public Works have been provided with this application
X The event shall be held on December 10 2016 and no other date
X Registration time for the event starts at 8:0 a.i p.m.
X Starting time of the procession is 10:00 tq i r.m.
X Estimated completion time is 11:45 (0)p.m.
This event involves the use of the following roadways
X 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)
X 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)
X This event involves the use of the sidewalk
X Participants must stay on the sidewalk and obey all traffic laws.
X This event is oc. /regional/national event (Please circle the appropriate event type)
X This event will be coordinated with the property 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 Board a Certificate of Insurance showing a liability policy in
full force and effect with limits 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 all terms and conditions 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 Bureau 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 by the 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 attorney fees, which the Civil City of South Bend may suffer or
incur, as a result of any claims or actions which may be made by any person, including a
participant in said activity, arising out of the approval of the request to use the sidewalks
indicated in the City of South Bend. The undersigned certifies that he/she is authorized to
bind the above mentioned sponsor to the terms hereof.
8. Notification of approval/denial of this request will be issued by return of this form, upon
signed authorization by the Board of Public Works
I understand the above rules and regulations and that this application may be denied based on
any false or incomplete information.
Sponsor Signature ��� d6n�
Printed Name''* tt"' I' lg
Title
B ARD OF PUBLIC WORKS APPROVAL
President Member Member
Memb Member Date
RETURN FORM TO: 2
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 • Fax: (574) 235-9171 9 E-Mail: publicwks@southbendin.gov
Certificate of Coverage Date: 10/27/2016
Certificate bolder
cate is issued as a matter of information only and
The Diocese of Fort Wayne -South Bf:MI0843
ights upon the holder of this certificate. This certificate
Chancery Office
end, extend or alter the coverage afforded below.
P O Box 390
Fort Wayne, IN 46801
rding Coverage
CATHOLIC MUTUAL RELIEF
IETY OF AMERICA
Covered Location
43 OLD MILL RD
St. Joseph Parish
OMAHA, NE 68154
211 North St. Louis Blvd
South Bend, IN 46617
Coverages
This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate
indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this
certificate may be issued or may pertain, the coverage afforded described herein is subject to all the terms, exclusions and
conditions of such coverage. Limits shown may have been reduced by paid claims.
Type of Coverage
Certificate Number
Coverage Effective
Date
Coverage Expiration
Date
Limits
Property
rsonal Propeofire)
D. General Liability
rrence
ggregate
oFireDamage
Occurrence
omp/OP Ag
8679
]0/1/2016
10/]/2017
® Claims Made
Adv Injury
(Anyone
Med Exp (Any one person)
Excess Liability
8679
10/1/2016
10/1/2017
Each Occurrence
500 000
Annual Aggregrate
Other
EAggregrate
Description of Operations/LocationsNehicles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in
conflict with this language)
Coverage is verified for claims arising out of St. Joseph Parish's St. Nick Six Race in the City of South Bend on December 10, 2016.
Holder of Certificate Cancellation
Should any of the above described coverages be cancelled
before the expiration date thereof, the issuing company will
endeavor to mail 30 days written notice to the holder of
City of South Bend, Park & Rec Dept & Board of Park
certificate named to the left, but failure to mail such notice shall
Commissioners, 321 E Walter St, South Bend, IN 46614-2642
impose no obligation or liability of any kind upon the company,
City of South Bend, Holy Cross College, Holy Cross Village at
its agents or representatives.
Notre Dame, University of Notre Dame
Authorized Representative
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