HomeMy WebLinkAboutProcession - Martin Luther King Jr Foundation1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
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CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 13, 2016
Gladys Muhammad
Martin Luther King Jr. Foundation
914 Lincolnway West
South Bend, IN 46616
RE: Event: 3151 Annual Martin Luther King Jr. March
Date: January 16, 2017
Dear Ms. Muhammad:
PHONE 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on December 13, 2016, approved your request
to conduct the above referenced event on January 16, 2017, from 12:00 p.m. to 1:45 p.m. on the
designated route as submitted subject to receiving your certificate of insurance listing the City
of South Bend as insured. 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
Federico Rodriguez, Fire Department
Marcia Qualls, Engineering
VARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
APPLICATION FOR USE OF
PUBLIC RIGHT -OF -WAX FOR PROCESSIONS
The Board of Public Works must have FOUR (4) weeks prior notice of the
Sponsor: Martin Luther Kin Jr. Foundation South
Submitted By: ouBen Heritage
Address: 914 Lincoln Kay West
City: South Bend
State: IN Zip: 46616 Phone: 574-280-7092
Sponsor may use the public right-of-way described as (describe route and attach map)
1 st Annuat Martin Luther King Jr. March
NO POLICE DEPARTWNT RESERVES THE RIGHT TO
CHANGE YOUR ROUTE FOR SAFETX PURPOSES
Event name:
❑ The Board of Public Works must have b OUR (4) weeks prior notice before event occurs
❑ 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
❑ The event shall be held on January 16 _, 2017 and no other date
❑ Registration time for the event starts at 12noon a.m./p.m.
❑ Starting time of the procession is MS SS a.m./p.m.
❑ Estimated completion time is 1:45 a.m./n.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)
❑ I understand that I must arrange a meeting with all affected governmental agencies to
organize the above event (Call Marc& Qualls, Customer Service Manager, 235-5939
to organize meeting)
❑ Phis event involves the use of the sidewalk
x Participants must stay on the sidewalk and obey all traffic laws.
x This event is a local/regional/national event (Please circle the appropriate event type)
❑ This event will be coordinated with the property owner/business where staging will take place
Updated 4/06/16
PERMITIAG 2EEMENT
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
fWI force and effect with limits of $300,000.00 per occurrence and $5,000,000.00
aggregate and the City of South Bend listed as an additional named insured for this event.
3. Sponsor shall provide to the Board all additional licenses, permits and documentation
required for the event.
4. Sponsor agrees to abide by all terms and conditions of the Board's policy governing
walks, runs, Parades or other similar event adopted by the Board on March 3, 1985.
5. In order to ensure Public safety during the event, the Board agrees to fiunish traffic
Planning, materials, equipment and personnel as deemed necessary by the Police
Department Traffic Bureau, the Bureau of Traffic and Lighting, and, where applicable,
the Board of Park Commissioners.
6. Sponsor acknowledges that the Police Department reserves the right to change this route
for safety purposes.
7. In consideration for approval by the Board and the use of the sidewalks for the purposes
set out above, the undersigned agrees and undertakes to hold the Civil Cito y f South
Bend, Indiana, free and harmless from any liability losss, costs, damages or
, cost
expenses, including attorney fees, which the Civil City of South Bend may suffer or
incur, as a result of any claims or actions which may be made by any person, including a
Participant in said activity, arising out of the approval of the request to use the sidewalks
indicated in the City Of South Bend. The undersigned certifies that he/she is authorized to
bind the above mentioned sponsor to the terms hereof.
8. Notification of approval/denial of this request will be issued by return of this form, uon
signed authorization by the Board of Public Works p
I understand the above rules and regulations and that this application maybe denied based on
any false or incomplete informati n.
Sponsor Signature
Printed ]Name Glad s Muhamm
Title MLK Chair
17 B)- Ok' PCT$LIC WORKS APPROVAL
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/President _.- _ �-c--' I-',,
Member Member
Member �� .2��3 (�
M ber Date
RETURN FORM To: 2
Board ofFublic works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Mow; (574) 235-9251 • Fax: (574) 235-9171 a B-Mail: publiewks@southbcnft gov
Uounry-UTY b1cig, 227 W Jefferson Blvd to Century Center, 120 S St Joseph St - Google .., Page 1 of 1
via W Jefferson Blvd
via W Jefferson Blvd and S Michigan St
via S Main St and W Washington St
6 min
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7 min
0.3 mile
7 min
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