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Home My WebLink AboutProcession - Red Ribbon Committee:� r _ "'.. - ., INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT: 9/1112017 TO: Ed Gleckler, Traffic & Lighting ederico Rodriguez, Fire Department Aatt Longfellow, Engineering Kafa Wood, Park Department t. Gene Eyster, Police Department Sciccitano, Downtown South Bend arcia Qualls, Streets Legal Department FROM: Linda M. Martin, Clerk` SUBJECT: PROCESSION RECOMMENDATION-29th Annual Red Ribbon March Against Drugs & Violence. SPONSOR: Red Ribbon Committee DATE OF EVENT: October 20. 2017 9:30am- 11:00am DATE DUE: Seat 19, 2017 FAX OR E-MAIL TO: 235-9171 1 Imartin(a)-southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date 08/18/2017 19.33 1574234e338 MARTIN PACE 01 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: Submitted By: _ t d" �� "t r►� �ichv�c�l�: ti�xti1 .Address: City: 50�,-rh $=nL\ State, Zip: bra 1 f, Phone: �5_ .1'A " — . - o � '�act.. Email: ca.�_L�; Lc �(lftc i�C` `� l ran ., ::tom ._.., ny.{ Sponsor may use the public right-of-way described as (describe route and attach map lc�cc-h ��.:�� r� �.��...c�1?n u.�cx.t.� ��,y�;�;,-�--�•�.�.t°�� ,.�G:.�V';""C- tiri�c� . PLEA NOTE. THE SOUT11 BEND POLICE EPART T RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES 1 EVe4t The Hoard of Public Works have 4UR�a� weeks notice � �l �� v� �� ❑" () Tp • ce before event oceu .kl 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 OC_IUAg�: O , 20 t�� and no other date Registration time for the event starts at Starting time of the procession is 6', ` D./p.m. Estimated completion time is R P� 'M./p.m. This event involves the use of the following roadways ❑ This event involves closure of City residential streets ❑ This event involves County roads ❑ This event involves State highways ❑ This event involves use of a park (Must obtain permission from Parr Board) ❑ 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 sidewalk and obey all traffic laws. 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 08/2017 2 08/18/2017 18:33 15742340338 MARTIN PAGE 02 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, If this event results in closure of a residential street, all residents within the affected area must be notified of this event. The APPLICANT must make a reasonable attempt to notify all residents that reside on the block. A copy of a brochure or letter describing the event purpose, date, and time must be distributed) to all affected neighbors and included with the application. 5. If this event results in closure of a residential street, the applicant is responsible, prior to the event, for determining if there are any residents affected that could potentially need assistance in accessing their residence. The applicant is responsible for providing said resident access or transportation to their property. 6. 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. 7. 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. 8. Sponsor acknowledges that the Police Department reserves the right to change this route for safety purposes. 9. 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, flee 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, 10, Notification of approval/denial of this request will be issued by return of this form, upon signed authorization by the Board of Public Works 1, understand the above rules and regulations and that this application may be denied based on any ;False or incomplete info"ion. Sponsor Signature TURN FORM r0: 3 oa d of Public Works 166 County -City Building 227 West Jefferson Bouloyard South Send, IN 46601 Phona: (574) 235-9251 9 Tax: (574) 235.9171 08/18/2017 19:33 15742340338 MARTIN PAGE 03 Printed Name Tine O OF PU LIC WOR S APPROVAL President 4ember N�enrtber j/. Member \ Me ber Date RE°1 FIN FORM TO: Board of Public Works 1316 County -City Huddips 227 West Jef1'erxon Boulevard South Bend, IN 4664E Kom; (574) 235-9251 • Fax: (574) �35-9171 08/18/2017 19:33 15742340338 MARTIN PAGE 04 8/30/2017 417-499 Lincoln Way W, South Bend, IN 46601 to Ray & Joan Kroc Corps Community Center, South Bend, 900 W Western Ave, South Bend, I... Directions from 417-499 Lincoln Way W to Ray & Joan Go! -gle Kroc Corps Community Center, South Bend M FD' W NEARyr�S oreCr HowardS1 rb ro 3NORTHWEST R/ Cort�yBlvd Linden Ave Orange St W Washinglon St c o m µ Ford St 79 � M 2 yy Marion St z 16 min 417-499 Way l,inco�n im 0.8 mils i West I~ i a$alle Ave 0 NW W Colfax Ave • W Colfax Ave0 kW 20 CJ i.l t 1"1 1 P t-lNti,FWashington St 1� mlr>i.-..-_._.._....... 17 min O.B mile 0.8 mile i Ray.& Joan Kroc W Western Ave Corps Community... cn E Monroe St o 5E South 5t ro A W Dui7'o Dunham St y Cn w W Sample St W Sample St W Sample St iufl Use caution - may involve errors or sections not suited for walking 417-499 Lincoln Way W South Bend, IN 46601 t Head northwest on Lincoln Way W toward N Taylor St 492 ft 'I Turn left onto Charles Martin Sr. Dr 0.3 r1Mt t Continue unto Chapin St 0.3 ml Ir` Turn right toward W Western Ave 12B ft r' Turn right onto W Western Ave Destination will be on the left 151 ft 2 E Sample St Corby Carnpea� z 0. 50 McKinley f_ I,asall, 6,) F Jtffer M a. 1W S"ncYmE r South Beim'. M k'60W https,IA~.google-comlmapsldirl41.6802361,-86.2676469IRay+%26+Joan+Kroc+Corps+Community+Canter.+Souch+Bond!@41-B761905rB8.26993.., 112 08/18/2017 19:33 15742340338 MARTIN PACE 05 CERTIFICATE OF LIA THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEM0 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON$rn REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: U Ilse aerdflcate holder is an ADDITIONAL INSURED, the the berms and CorrdMons of the po)loy, certain pollefin may "uhs an I carffftste huklor In Ilsu of such endorseme a . PROOMR GLID90n tnsnreurros AUSD03f, Ina, 130 B wain St, Ste 400 FO Box 11177 South Hand i!t 46601--0177 INSURID South Bead Heritaga $0undati0n, Inc. 903 Linculnway want South Bond IN 4661 .BILITY INSURANCE DAIM(MWOD/YYYY) $/9/2017 Y AND CONFERS NO FIGHTS UPON THE CERTIFICATE HOLDER. THIS , EXTEND OR ALTER THIS COVERAGE AFFORDED BY THE POLICIES TE A CONTRACT BETWEEN THE ISSUING INSURER(ft AUTHORIZED pollay(les) must be endorsed. H SUSVO AMN IS WAIVED, subject to ndorssment. A statement On this cortft ate does not confer rlehbe to the �h:rsss Burns FROM EI., (800) 814-2122 F (soo)a9e-?i2Y tburn aegribsonine , Cow INWMNSJ AFFORDINOCOVERAm6 kAlt:/ NBUFULRA i fr3r4at:i Zn Co 1 If77 IkeURIiR B :CinoinnatA Xad Co 23280 INeUNiR C ffi3UllEIt C r -- INSURER fa . COVERAGES CERTIFICATE NUIILRER:3-2-17/18 Liability REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, -EXCLUSIONS AND CONDITIONS OF SUCH POLICIFS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, A X 00U NIMCIAL ORNIIPAL LI AIMUTY CIA€M&M OF � OCCUR -- ta1GH4ETQRRENTE b 1rOno 000 s s4D,0oo X XCO —_-- YPv0232616 3/2/2017 3/2/201e M� El(a (A one ) -- 3 � 5,000 X COntravtual Lis"ZL&X P1R40NAL&ADVtNJtIRY i 11000,000 GHN1ai2AL AL30REQ4"YS, ; Y�2.00 D , 000 0214 L AOOREOATE UMrr APPLIES PER: POLICY 1"1JEGT I�(ILOC PRODUCTS -COMPIOPAGO s 2,000,000 OTHFA: ammyee Bares i 1,000,000 A AURIMMILF-LIADI'IM ANT AUTO ALL OWNAUTOG ED AUUTOAgSCHEDULFD aPpD232Blfi 3/2/2017 3/2/201$ INGLE UFATTs 1,000,000 00DILY INJURY (par parson) i BODILY INJURY (AwsocdeM) i �— -- NO X HIREDAUY03 X AUTOSWNED eOPERTY "" i S,000 i S 044 000 A UMMUAUA11 OCCUR X OM M LLAB CLAIM&MADE IXPP0232819 Madl € malxiw EACH OCCURRRNOF A_GGREGA_It i 5.000.000 0 WOMER3 COMP L42ATION ANOlYHLpY1LR¢' LJAifrlrrY YIN AN`(PROPMETORrPARTNERIFXECiITiS 0fl9CV"9M49R EXCLUDED? � jlf nd►ewy In HH) — Y T R i 1$ MIA s1aCO2N7x9303 3!2/2017 9/2/2017 3/2/2010 3/2l2019 _ELEACH ACGIDEINf b _ A00'90a E,L, DISEASE - EA EMPLOYPE s 106 - Ann DUMP Mm or DPERAroNs! 1n0ATma I V!I}ICLas (AWRO 101, Addt"MI Rem**& Rdbodtft may IM aliadhed If man pan Ia MWIFadl Certifioatek holder le addiUonft], iraalnred with respeat to ganaral liability a0vrragan rvg*rd11tq work performed by the 1noureld. publicwkb@aouthbondin.gov City of South 94nd Sodrd of Public Works 227 V Jefferson 2316 County City Bldg South Bond, IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 9XPIRATION IDATE THEREOF, NOnCE WiL4. BE DELIVERF-D IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RIrRL'r WAM9 Ina Agency/TRESA Ig IVOO-Y074 AGUKP GORPOKA17ON. All 110hb reSAIVBd. ACORD 26 (2014I01) The ACORD OOMO and logo are Mglatored marks of ACORD IN11025,zn+eai% 08/18/2017 19:33 15742340338 MARTIN PAGE 06 20:50 15742340338 MARTIN T! F• �w.i' .Id �,' ��'F�µ �µV'4�,. L»F �,� �.��1� i j ..:Annual eac er s record ay, no sc oo ) PAGE 01 Gather at 9:30 a.m. . March begins at 10:30 a.m. Meet at Colfax Cultural Center ' 914 Lincolnway West South Bend *Free food and t-shirts to first 300 participants Program of entertainment, education and committment at The Salvation Army Kroc Center following the March In case of rain meet at the ' Everyone is invited! Kroc Center at 1 1:00 a.m. ' Contact 574-280-7092 for more info. • • PRESENTED BY: South Bend Heritage