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HomeMy WebLinkAboutProcession - Erskine Boulevard Candlelight Walke , a rl P, 1. 14 -1 F' I Tli-d OPUL �;Iktj C APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS The Board of Public Works must have FOUR (4) weeks prior notice of the el Sponsor: Submitted By: 1-1i1o� Address: Z 3 i Z City: State: _:i::7-J Zip:Phone:7� r z Zz(4 Email: _ /t° l5 �':��z.'/, 'f'� Sponsor may use the public right-of-way described as (describe route and attach map) PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: &yhl; l f E,vf�r�.r;I� C �� �� 411�lr�. ❑ 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 Public Works have been provided with this application ❑ The event shall be held on .5iSr t_Le, 20 17 and no other date 104V J / %� ' C ❑ Registration time for the event starts at a.m./p.m. C, ❑ Starting time of the procession is _(� a.m�.m� '"� _1e_115251?'� ❑ Estimated completion time is I a.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 Park 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 :Oca •egionai/national event (Please circle the appropriate event type) ❑ This event will be coordinated with the property owner/business where staging will take place fry %j I [/ el- j �?rx1 /[ l �J %� fCr,C z!C� "'-le Updated 08/2017 �cw �,�/�: (lf/�r ��/�; 7 L • `� 2 PERMIT/AGREEMENT 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 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, 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. 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 I understand the above rules and regulations and that this application may be denied based on any false or incomplete information. Sponsor Signature' JRN FORM TO: B rd of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 • Fax: (574) 235-9171 F 9 1-5 �W-- Mike Jeffirs 2312 Erskine Boulevard South Bend, Indiana 46614 9 November 2017 Board of Public Works 227 West Jefferson 1316 County City Building South Bend, Indiana 46601 Dear Board Members, I am submitting our street's application to have the Erskine Boulevard Candlelight Walk on Saturday, December 9, 2017 from 6pm to 9pm. This will be the 31t" year for our walk. Residents place luminary bags along the sidewalks of Erskine Boulevard from Ewing Street south to Donmoyer Ave. No activities are scheduled to take place in the street, but we do ask to have no parking enforcement the night of the walk. We also ask to have additional markers placed to slow the traffic on the street that night. We have a rain date scheduled for Sunday, December 10, 2017. Our Certificate of Insurance will again be provided by Gordon Insurance Associates of Mishawaka Indiana. Once our policy is paid for they will fax it to your office. If further information is needed, please contact me at 574-276-2240. Thank youl ;I;- �Z�Ie-�' Mike Jeff irs Uoogle Maps https://www.google.com/maps/dir/// a 41.6471272,-86.2393532,16z/d,. Go -. le Maps Erskine Blvd Candlelight Walk Route: Entire length of Erskine Blvd between Ewing Ave and Donmoyer Ave. ._ lo'b, 4:I.ct:R Branch PLAft L16tary® Fy Ave EF5 n57 L.vc EEx, np Fse EFn:59 A5 L L,�nq T.z Ehnl7Ave } n114r1d 6t r l,Il«Id r I^ flt5 16 Sr - S7 Aig Id,+S kllye ISt f1lOcd St 7 a klor3 SI Vlc +1051 EVicI0da 51 f%!�eas3 t• .kVidura Sl .� .' - !7 iF. Efuin cVftir a r? LIa c A r•,� o, '. F Inlr}IcvA:v ti F. 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