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HomeMy WebLinkAboutProcession - Bike Michiana Coalition1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS March 14, 2017 Peter Jank Bike Michiana Coalition PO Box 11699 South Bend, IN 46634 RE: Event Name: 2017 Mayor's Ride Date: May 7, 2017 Dear Mr. Jank: PHONE 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on March 14, 2017, approved your request to conduct your bicycle procession on May 7, 2017, beginning at 7:30 a.m. and ending at approximately 12:00 p.m. on the designated route as submitted. Enclosed please find copy of your approved permit. Participants must obey all traffic laws. Please coordinate your event with Lieutenant Eugene Eyster of the Police Department. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda Martin, Clerk Enclosure c: Gene Eyster, Police Department Ed Gleckler, Traffic & Lighting Federico Rodriguez, Fire Department Marcia Qualls, Streets Department GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU o, ,G APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS' ' 2 The Board of Public Works must have FOUR (4) weeks prior notice of the event " IR45 Sponsor: Bike Michiana Coalition Submitted By: Peter Address: PO Box I1699 City: State: South Bend 1N Zip: 46634 Phone: 574-276-8983 Sponsor may use the public right-of-way described as (describe route and attach map) Mayors' Ride route between St. Patrick's Park and Central Park in Mishawaka, using bike trails and paths as mach as possible, See attached map. PLEASE NOTE: THE SOUTH BEND POLICE (DEPARTMENT RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: 2017 Mayors' Ride ❑ The Board of Public Works must have FOUR (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 Pudic Works have been provided with this application ❑ The event shall be held on May 7 , 2017 and no other date ❑ Registration time for the event starts at 7:30 a.m. ❑ Starting time of the procession is 8:00 a.m. ❑ Estimated completion time is 12_00 p.m. This event involves the use of the following roadways X This event involves City streets X This event involves County roads No This event involves State highways X 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) ❑ This event involves the use of the sidewalk ❑ Participants must stay on the sidewallc and obey all traffic laws. X local This event is a local/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 PERMI'T/AGRICRMENT FOR A PROCESSION I . 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 attd $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 governuig 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. 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 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 lie/she is authorized to bind the above mentioned sponsor to the terns hereof, 8. Notificatiort of approval/decrial of this request will be issued by return of Phis forth, rrpott 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 infomzaf t . 1 Sponsor Signature /L Printed Name info? r Jank Title President— Bike Michiana Coalition B A OF PUB .IC WORI S APPROVAL ✓t ✓� President Member Member Member Member Date RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Mimic: (574) 235-9251 a 1'ax: (574) 235-9171 a P.-Man: publicwl<s(n�soutbbcndin.gov The second annual Mayors' Bike Ride from Sam to 12noon on Sunday, May 7, 2017. The family -friendly, recreational ride will begin at three locations: Red Barn, St. Patrick's County Park Howard Park, South Bend Central Park, Mishawaka The route, which mostly follows trails and bike paths along the St. Joseph River, is attached. The roads and streets used on the route will NOT BE CLOSED. Riders are expected to follow all traffic regulations and rules of the road, just as if they were riding by themselves without this event. The Mayors' Ride Is a great opportunity to get families back on their bikes and enjoy the outdoors. As our community's bike culture continues to grow, the Mayors' Ride is a chance to highlight what great communities we have to enjoy on a bike. The Mayors' Ride encourages bicyclists of all ages to enjoy South Bend's, Mishawaka's, and St. Joseph County's connected bikeways and bicycle -friendly Infrastructure. The Mayors' ride Is hosted by Bike Michiana Coalition (BMC), a non-profit bicycle -advocacy organization. Online registration will be at http://www.bikemichiana.org. The event is free of charge, though a $10 per person donation is suggested to help Bike Michiana Coalition with their many education, Infrastructure and advocacy initiatives. All riders must wear a helmet and also fill out a waiver. ® CERTIFICATE OF LIABILITY INSURANCE DATEt1/20YYY) 17 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(les) must he 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 McKay Insurance Agency, Inc. CONNAME: ACT Lacia Lambert PHONo E.O. (641)842 2135,_ ._lacJAM-M�ot6A1)mB zaL3 106 1':asL- Main Street nonnE-MAIL llambert@mckayinsagency.com 6ss P O Box 151 IIIS JFtl ELAFFORDING COVERAGE NAIC II _— INSURERn West Bend Mutual 15350 Knoxville IA 50138 INSURED INSURER 0: INSURER C: Bike Michiana Coalition, Inc INSURER D: PO BOX 11699 E: _INSURER __ INSURER F: South Bend IN 46634 COVERAGES CERTIFICATE NUMBER:CL1722149761 REVISION NUMBER: 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 OF ANY CONTRACT OR OTHER DOCUMENT WTI I 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. ffs—ILIR TYPE OF INSURANCE DnLS kn D POLICY NUMBER POLIC/YErr POLppY YXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE r—xl OCCUR X 1071306 6/17/2016 6/17/2017 EACH OCCURRENCE $ 1,000,000 o,�IliwA�i 5�'b-RETNT.D PREMISES IF. occurrence)_ $ 100,000 GENL X MED EXP (Any oneperson) S PERSONAL S ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY n PRO- I I JECT LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGO $ 2.000,000 Pwn.dy dam.q...igh, hred $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED _ HIRED AUTOS AUTOS COMBINED SINiTLE LIMIT Ea auldant S BODILY INJURY (Per person) S BODILY INJURY(Perwelenl) S PROPERTY DAMAGE Per eccNenq $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS MADE EACH OCCURRENCE S._ AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEMEXECUTIVE YIN OFFICEFUMEMBER EXCWDED7 IMandolory In NH) I t yes, desvibs under DESCRIPTION OF OPERATIONS below NIA SC i TE ER E.L. EA CH ACCIDENT $ - E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT S $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD fat, Addi tonal Remarks Schedule, remy be attached Irmero.Paco Ie raqulred) For the Mayor's One Day Bike Ride, May 7, 2017. Certificate holder has been added as an Additional Insured but only in regard to the liability arising out of the operations of the above named insured. 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. Hurst/KELLEN t �cz...- ). - .:: sJ- ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) INS025 po mot) The ACORD name and logo are registered (narks of ACORD -71 TH r• I �-, I• � r r ��'il 1! � 1 ri_ I I j .,,=-'' t i �f�. 1 11 ' �•� t' I i ii ii ( f.r.. i 1 c i �✓ �� �"�1 I I LI�I I�t � 1. 1. ! "I 11 11 ��� ..,aH1✓' t i 1 e } l _ 11 y,ti 11 I I i ll ,,, -(•� ( i I j-,-,- ' Ilt-e-Il 1 Prepared by City of South Bend Oeparimenl of Communlly Investment May 12, 2015 wvnv.SuulhBendlN.Bovibike