The URL can be used to link to this page

Home My WebLink AboutProcession - St. Margarets House1316 CouNTY-CITv BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 Kathryn Schneider St. Margaret's House 117 N Lafayette Blvd. South Bend, IN 46601 SoU Tp 8�.. O� �v U W ee�ce u � w e 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS January 10, 2017 RE: Event: St. Margaret's House Winter Walk 2017 Date: February 19, 2017 Dear Ms. Schneider: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on January 10, 2017, approved your request to conduct the above referenced event on February 19, 2017, from 1:00 p.m. to 4:30 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 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: 12/9/2016 TO: d Gleckler, Traffic &Lighting ederico Rodriguez, Fire Department Matt Longfellow, Engineering Paula Garis, Park Department Lt. Gene Eyster, Police Department \/Jill Sciccitano, Downtown South Bend (aburck@downtownsouthbend.com) JMarcia Qualls, Engineering Legal Department FROM: Linda M. Martin, Clerk SUBJECT: PROCESSION RECOM ENDATION SPONSOR: St. Margaret's House DATE OF EVENT: February 19, 2017 DATE DUE: December 20, 2016 FAX OR E-MAIL TO: 235-9171 / Imartin &-southbendin gov RECOMMENDATIONS AND COMMENTS: By Date 12/08/2016 16:36 5742333125 XRC BILLING PAGE 02/07 APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS The Board of Public Works must have FOUR (4) weeks prior notice of the Sponsor; St. Margaret's House Submitted By: 1C n A Schneider Address: 117 N Lafayette Blvd Contact person Judy l�olber 574-440-1483 City: South Bend Please approve at January 2017 meeting State: JN zip: 46601 Phone: 574-234-7795 Sponsor may use the public right-of-way described as (describe route and attach map) THE SOUTII Bl CHANGE Y( Event name; St Mar aret's house Wi X The Board of Public Works must ROUTE FOR SAFETY PURPOSk Walk 2017 FOUR (4) weeks ri t' THE RIGHT TO p or no Ice before event occurs X All certificates of insurance, pre -paid costs, reaps, 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 Febnrary 19 � 2017 and no other date X Registration time for the event starts at 1.00 p.m, X Starting time of the procession is 2:30 p.m. X Estimated completion time is 4:30 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 a (local) event (Please circle the appropriate event type) X This event will be coordinated with the property owner/business where staging will take place Updated 4106116 12/08/2016 16:36 5742333125 XRC BILLING PAGE 03/07 1 • Sponsor shall reimburse the Board necessary. 2. Sponsor shall provide to the Board f411 force and effect with limits aggregate and the City of South Be 3. Sponsor shall provide to the Boar required for the event. A, PROCESSION the actual cost to the City for the event, if deemed t Certificate of Insurance showing a liability policy in of $300,000.00 per occurrence and $5,000,000.00 d listed as an additional named insured for this event. all additional licenses, permits and documentation 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, 1995. 5. In order to ensure public safety firing 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 the Board of Park CormnissioneTs. applicable, 6. Sponsor acknowledges that the PoliL Department reserves the right to chang this route for safety purposes. �( 7. In consideration for approval by th, set out above, the undersigned ag1 Bend, Indiana, free and harmless expenses, including attorney fees, incur, as a result of any claims or a< Participant in said activity, arising c I ndicated in the City of South Bend. bind the above mentioned sponsor tc 8. .Notification of approvatIdenial of thl signed authorization by the ,board of� I understand the above rules and regulations) any false or incomplete information. Sponsor Signature Printed Nacre Title Executive Member Board and the use of the sidewalks for ees and undertakes to hold the Civil C: from any liability loss, costs, costs, which the Civil City of South Bend m� tions which may be made by any person, It of the approval of the request to use th The undersigned certifies that he/she is a the terms hereof. s request will be issued by return of this ublic Works and that this application may be denied b AL L u ET: RN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard Sout}l Bend, IN 46601 Phone: (574) 235.9251 0 Fax: (574) 235-9171 0 B-Mail: publicwks@southbendin.gov purposes of South wages or suffer or icluding a sidewalks horized to rrm, upon :d on 12/08/2016 16:36 5742333125 XRC BILLING PAGE 04/07 I i CERTIFICATE THIS CERTIFICATE S ISSUED AS A MATTER OF INFORI CERTIFICATE DO SI NOT AFFIRMATIVELY OR NEGATIVE] BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE 1 IMPORTANT: If the certificate, holder Is Be ADDITIONAL INS If this cidlhH to doge nOfGATION ISVAIVEDConferr rights totthe certificate ho dto the terms ande i FRooucER INSURED St Margarefe House Inc 117 N, LaFayette Blvd. South Bend, IN 46601 Is COMMERCIAL GENERAL LIABILITY OIAIMS-MADE O OCCUR x cGA� UMITAPPLIESPER: POLICY PRO- ED 1.00 ANYAUTO OWNGO AUTOS ONLY SCTHEDULED ��--II�� AU�IOpSyyryE AU aONLY Ag 0.S pryl,e VMBRELLA LIAB X OCCUR City of South Send X STMARGA-01 I Lg LIABILITY INSURANCE DAr"waorr Y) 72108r20Is ONLY AND CONFERS AL NO RIGTHE COVERAGE VTHE CERTIFICATE HOLDER, THIS END, EXTEND OR ALTER W ETISU AFFORDED BY THE POLICIES 11TUTE A CONTRACT BETWEEN FIVE ISSUING INSURER(S), AUTHORIZED 2. ma8t have ADDITIONAL INSURED proVISlorls or be, ehtlorsed. certain PONCies may require an endorsemenR A statement on Imant(sI. FOR THE PERIOD 0 HERESPECT70LWHICH THIS SUBJECT TO ALL THE TERMS, 2233808 08/01/2016 � 09/01/2017 OB1D1 M010 108101f2017 Renq,Na SChWulq may se""I' d tr Msro apace Is MgRlmd) STHE HOULD ANY OF THE ABOVE DESCRIBEb POLICIES BE CANCELLED BEFORE ACCORDANCE EXPIRATIOW TH THE POLICY PRATE OVIS ONSCE WILL BE DELIVERED IN AUTNON2ED RePRESENTATNE , �1aw+a'�Javr The ACORD name and logo are registered ma1D 108&2016 ACORD CORPORATION. All rights reserved, rks Of ACORD 12/06/2016 16:36 5742333125 UREATA INSURANCE GROUP Specially Human Services Division XRC BILLING CAMA7 AlluiRnICAN iNEUnANCC CnCUr Specialty Human Services Division SPECIAL EVENT QUESTIONNAIRE PAGE 05/07 Name of organization: 3t. t�lArv�care<� S r' O,Se- FEIN: %. l ci i h, 5c $ Website address: www. S'4 rn r car shc� �8e . c7r If you do not have a website, attach brochure and detailed description of daily activities of organization 1. Total number of events: 1 2. Do you sponsor or co-sponsor any parades? If yesYES ❑ NOM , a. Numberof: floats horses participants b. Do you require certlflcates of insurance, with $11,000,000 liability limits from all participants? YES ❑ NO'9 3. Describe all mechanical or non -mechanical devices used at special events: 4• Are devices indicated provided and operated by a contractor? YES ❑ NO If yes, do you obtain or require a certificate of insurance from the contractor YES ❑ NO 5. Complete chart below for each event. If additional space is required, provide Information on an attachment. Event Event Event3 Name of event: W�n4tcr t30J Date, time and location of event: s 'r ."_%t Fe6 6101t7, SoukhBenc�,ilt" ou�C Activities at event (use all applicable activity codes from list below): Total estimated attendshoe: 10� Annual event? YES NO YES❑ NO❑ YES NO Has any claim or incident aver arisen cut of this event? YE❑ NO YES NO YES❑ NO Gross sales from admissions: $ N 7 A, $ $S Gross sales from food or non-alcoholic bevera a sales: $ 0 $ Gross sales from alcohol sales: $ N / A $ $ Other rose sales: $ iy / k $ $ $ Eme en medical personnel present? YES NOQ YES NO❑ YES NO Security ersonnei resent? Golf carts or it at event? YES NO YES❑ NO❑ YES NO YES NO YE:SfI NOfI I Yesl-1 ntnfl Activity Codes - for use above: A. Golf outing B. Wine tasting C. Dinner, gala or picnic D. Auction E. House tour F. Fashion or Art Show G. Bingo H. Aircraft (motorized or not) I. Animals J. Athletic participation K. Fireworks sates or show L. Haunted house or trail M. Mechanical rides N. Non-mechanfcal entertainment devices (e.g. bounce houses) O. Parade (only entry of float into a parade) P. Parade - participation in a parade (no -floats) 0. Parade -sponsorship of a parade R. Use of any motorized vehicle(s) Concert - describe type of music T. Other - describe S. If alcohol sales are indicated above, provide the following information; tKNA a. Is any employee or volunteer of your organization responsible for serving alcohol? YES ❑ NO b. What alcohol dispensing controls are In place; c. Type of license for alcohol sales: Permit for event only ❑ Annual liquor license Compfeted by: M cIli 4 Date Completed: I Z. / 2- ( 1 to F.36136f 1 N1 CamprchsM��a 4_e:-OB 12/08/2016 16:36 5742333125 XRC BILLING PAGE 06/07 Directions to St Margaret's House 117 North Lafayette Boulevard, South Bend, IN 1.2 mi — about 23 mine --------------- ----------- •----------------- Walking directions are in beta. , I Use caution — This route may be missing sidewalks or pedestrian paths. y, ----- ----- -- 'uV I�tario+i 5C w (lariat $t zts I Wirinn st { fr�4, ,y r PACUanald'a3 tt: °*„ 'r e a The Iornle oft �nseph 'r S,4i 1 �sa;alf�,4vw City lb I, CC City Ifat1 Gt CiryNall a t ' hlarri5�erPorisling c 0 u "_, Arts Gentev >'a D? f.Ix A,ve t illoJ'``s�` 17a;,nle,e� ay Flit{tan y� Hotel 505ulh C$en i tN wa*11inglc,rr'St TippecanoePlece it == Grwmy' Denter . .1 'arseri Mvd iN Jeffs rem. Blvd W 44P M a' W W'8}rl1M1, st rune A9,iclvana Square �y Ave V1 Wl?,,itPrr1 Ave M1 r } s 1 ,i n it 1� we.stgira s%Je " /'a�;3iC4' 12/08/2016 16:36 5742333125 XRC BILLING South Bend Building Department to St Margaret's House - Google Maps PAGE 07/07 Page 1 of I GOOSle Directions to St Margaret's House 117 North Lafayette Boulevard, South Bend, IN 46601 - (574) 234-7795 1.2 ml - about 23 mine -- ----- ---- -- ---•--- ----- - - - - --..---------....-------..-------------- ------ Walking directions are In beta. Use caution - This route may be missing sidewalks or pedestrian paths. South Bend Building Department 125 South Lafayette Boulevard Suite 100, South Bend, IN 46601 - 1. Head north on S Lafayette Blvd toward W Washington St About 5 mins P2. Turn right onto W Lasalle Ave About mine 3. Turn right onto N Main St About 9 mins 4. Turn right onto W Western Ave About 2 mine 5. Turn right onto S Lafayette Blvd ! Destination will be on the left About mins St Margaret's House 117 North Lafayette Boulevard, South Bend, IN 46601 - 234-7795 235-9554 go 0.2 ml total 0,2 mi go 433 ft total 0.3 mi go 0.5 mi -total 0,5 mi go 436 it total 0.9 mi go 0.3 mi total 1.2 mi 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. Map data c02016 Google Directions weren't ri ht7 Please find your route on ma s. oo le.com and click "Report aproblem" at the bottom left. hMnc•//mnnc onnaie.enm/malls?f--d&source=s d&saddr✓County+City+BuildinQ+South+Bend.+Ind... 2/3/2015