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HomeMy WebLinkAboutProcession - Kernan's Heroes RideE _ __ �!, _ �� �� ..._. - ,-tea, a'�- -. ...-_. -.. �: M1 i �t �. � :. .Y n a lL S6 - 3F S� 377'�.�IWL2 0 71 a a .0 PERMIT/AGREEMENT 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 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. 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 he/she is authorized to bind the above mentioned sponsor to the terms hereof. 8. Notification of approval/denial of this request jvill 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 Printed Name} Title n 1gE,2C C4 - - OARD OF P BLIC WORKS APPROVAL President Member Member G//'?/,?, 6,r Member 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 • E-Mail: publicwks@southbendin.gov Driving Directions from 5414 W Sample St, South Bend, Indiana 46619 to 5414 W Samp... Page 4 of 4 R1 L)E J L, rl NeZCEs 17 KEPWAN Total Travel Estimate: 65.16 miles - about 1 hour 34 minutes W i 7=a• .�CYa�a i :'�.� �.` BSI, 02014 MapQuest, Inc. Use of directions and maps Is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road conditions or route usability. You assume all risk of use. View Terms of Use http://www.mapquest.com/print?a=app.core.fcb75b017b3i343382c5540c 3/28/2014 SPECIAL EVENT SIGNATURE FORM KKR N 6N S E4-ROSS R ! pC event on Prior to the Commissioners approval of the ( } 5q- $f' Z d 1 , (day &date) your request needs to be approved by the appropriate departments affected by the designated route. .Emer enc Management -- 1222 S. Michi an St. 46601- S74 235-9378 email — elainesjcema®gmail.com I have tbetot-etetdgMardihis event and give my approval of the event as stated. I have John Antonucci, Director Date St. Joseph Counij Sheriff - 401 W. Sam le 46601 - 574 245-6540Fax 574 245- 6574 I have been contacted regarding this event and give my approval of the event as stated. Michael Grzegorek, C S eriff Date St. Joseph Coun Engineering- 227 W. Jefferson Rm. 732 46601 - 574 235-9626 Fax- 235-5057 I have been contacted regarding this event and give my approval of the event as stated. Jessica J. Clark, P.E., County Engineer Date South Bend Dept. of Public Works - 227 W. Jefferson Rm. 13E 6 - 574 235-9251 Fax - 235-9171 1 have been contacted regarding this event and give my approval of the Karl M. Ao 1e ,PIf.D„P.E., City Engineer Indiana De : ei Trans ortation - 12209 N 1200 W Fax - (219) 325-7516 I have been contacted regarding the event as stated. Date even and give my approval of Mike Hurt, Plymouth District Date Mishawaka Endueerina Department -- 600 E. V St., Mishawaka, 46544 - (574)258- 1619 Fax-258-1776 I have been contracted regarding this eventand give my approval of the event as stated. Chris Jamrose, P.E., Mishawaka Engineer Date Ir-- - -q -fi . 9 POLICY NUMBER: A284494 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) City of South Bend/St Joseph and its Members and Employees 227 W Jefferson Blvd 1316 County -City Building South Bend, IN 46601-1830 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organk zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ ADDITIONAL INTEREST NAME EXTENSION An Additional Interest that requires additional space to display the complete name is shown in the schedule of this endorsement. SCHEDULE Form Applicable to Additional Interest: CG2026 Add'I Insured -Designated Person Additional Interest Name: City of South Bend/St Joseph and its Members and Employees WB 2583 GL 04 14 West Bend Mutual Insurance Company Page 1 of 1 West Bend, Wisconsin 53095 Driving Directions from 5414 W Sample St, South Bend, Indiana 46619 to 5414 W Samp... Page 1 of 4 Notes maplque t^ Trip to: 5414 W Sample St South Bend, 1N 46619-2253 65.15 miles 11 hour 34 minutes 5414 W Sample St, South Bend, IN 46619-2253 download Free App 1. Start out going west on Grant Rd toward Hollywood Blvd. Map 0.9 Mi 0.9 Mf Total 2. Stay straight to go onto Crumstown Hwy. Mag 4.7 MI 5.7 Mi Total 3. Turn right onto Holler St. MpR 0.08 Mf Holler St is just past North St 5.7 Mi Total If you reach Railroad St you've gone a little too far 4. Take the 1st right onto Crums St. Map 0.01 Mi !f you are on Sycamore Rd and reach North St you've gone about 0.1 miles too far 5.8 Mi Total ■ 5. Welcome to CRUMSTOWN, IN. Man If you reach North St you've gone, a little too far A to B Travel Estimate: 5.75 mi - about 8 minutes Crulmstown, IN 1. Start out going south on Crums St toward Holler St. Mao 0.01 Mi 5.6 Mi Total ` 2. Take the Ist left onto Holler St. Map U8 Mi 1 If you reach Railroad St youve gone a little too far 5.8 Ml Total 3. Turn right onto Crumstown Hwy. Map 2.6 Mi 8.4 Mi Total 23 4. Turn right onto State Road 23 f IN-23. Continue to follow iN-23. Map 4.1 Mi IN-23 is 0.4 miles past Kline Td 12.5 Mi Total !f you are on Layton Rd and reach Redwood Rd you've gone about 1.4 miles too far 1 a 5. Turn left onto E Center St I IN-4. Continue to follow IN-4. Map 7.0 Mi I IN-4 is just past E Harrison St 19.5 Mi Total Police Department is on the left If you are on S Main St and reach Rupel Ave you've gone about 0.1 miles too far ■ 6.21904 PIERCE RD, Map Your destination is 0.5 miles past Millet Rd If you are on IN--4 and reach Breezewood Dr you've gone about 0.5 miles too far B to C Travel Estimate: 13.77 mi - about 17 minutes h"-//Www.manniae.qt_cem/nrint?a=ateti.core.feb75b017b3f3433826540c 3/28/2014 Priving Directions from 5414 W Sample St, South Bend, Indiana 46619 to 5414 W Samp... Page 2 of 4 n 21904 Pierce Rd, Lakeville, IN 4653641.528391,-86.290233 (Address is approximate) 1. Start out going east on State Road 41 IN-4 toward Breezewood Dr. Continue to 1.1 Mi follow. IN-4. Map 20.6 Mi Total 2. IN-4 becomes Pierce Rd. Map 3.3 Mi 23.8 Mi Total ® 3. PIERCE RD & MIAMI RD. Mao Your destination is 0.8 miles past lvy Rd If you reach Miami Rd you`ve gone a little too far C to D Travel Estimate: 4.32 mi - about 7 minutes Pierce Rd & Miami Rd, Union, IN 46506 1. Start outgoing northwest on Miami Rd toward Osborne Rd. Map 2.3 Mi 26.1 Mr Total i 2. Turn right onto New Rd. Map 8.7 Mi If you reach Miller Rd you've gone about 0.8 miles too far 34.8 Mi Total 3. Now Rd becomes County Road 36. May 3.0 Mi 349 Mi Total 4. Turn right onto State Road 191 IN-19. Map 0•9 Mi 19 38.8 Ml Total . 5. [64901 - 649991 STATE ROAD 19. MaP. Your destination is 0.9 miles past County Road 36 If you reach County Road 38 you've gone a little too far D to E Travel Estimate: 14.97 mi - about 21 minutes [64901 - 64999] State Road 19, Wakarusa, IN 46573-9741 1. Start out going south on State Road 191 IN-19 toward County Road 38. Map 1.1 Mi 39.9 Mi Total 2. Turn right onto E Waterford St. Map 1.5 Mi E Waterford St is 0.1 miles past Komar St 41.4 Mi Total Bell -Mart Waky is on the comer If you reach Miller Dr you've gone about 0.1 miles too far 3. E Waterford St becomes County Road 40. Map 1.5 Mi 42.9 Mi Total 4. County Road 40 becomes Pierce Rd. Maya 5.7 Mi 48.6 Mi Total 5. Turn right onto Bremen Hwy 1 IN-331. Continue to follow Bremen Hwy. Map 6.2 Mi Bremen Hwy is 0.6 miles past Fir Rd 54.8 Mi Total if you are on Pierce Rd and reach Gumwood Rd you've gone about 0.3 miles too far r-nm/nrint9a=ann rnrfAeh7.Sh017h3f343382c5540C 3/28/2014 Driving Directions from 5414 W Sample St, South Bend, Indiana 46619 to 5414 W Samp... Page 3 of 4 6. Merge onto US 20 W I Saint Joseph Valley Fkwy via the ramp on the left toward South Bend I Michigan City. Map 3.6 Mi If you reach MeijerOryou've gone about 0.1 miles too far 58.3 Mi Total EXIT 7. Take the �mA yr i- b w61q t= Xt r rvt 1, y� 9 Turn left onto W Sample St 1 5414 W SAMPLE ST. Man Your destination is a 1 mites past mayflower cir If you are on Grant Rd and reach Hollywood Blvd you've gone about 0.1 miles too far E to F Travel Estimate: 26.35 mi - about 39 minutes 5414 W Sample St, South Bend, IN 46619-2253 http://www.mapquest.com/print?a=app.core.feb75bO l7b3f3433 82c5540c 3/28/2014