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HomeMy WebLinkAboutProcession - St Joseph Catholic Church - Saint Nick 6- -� - -�- - v i INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT. 11/6/2017 TO: Ed Gleckler, Traffic & Lighting Federico Rodriguez, Fire Department Matt Longfellow, Engineering �! Kara Wood, Park Department Lt. Gene Eyster, Police Department pL Jill Sciccitano, Downtown South Bend Marcia Qualls, Streets Legal Department FROM: Linda M. Martin, Clerk . SUBJECT: PROCESSION RECOMMENDATION- St. Nick 6 SPONSOR: St. Joseph Catholic Church DATE OF EVENT: December 2.2017 DATE DUE: November 7. 2017 FAX OR E-MAIL TO: 235-9171 1 Imartinoi southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date 11/03/2017 FRI 17:17 FAX 14003/016 APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS The Board of Public Works must have FOUR (4) weeks prior notice of the C4•S Sponsor! i("kcam �ubmitted By;�4ov t, Address; —7I l 606sk Co City: ;SudA d _ State; Z // _ zip: Gt,1'1 Phone: J 7 N Email; tale , off.. C141i Sponsor may use the public right-of-way deecribed as (deseribe route and attach map) tr. v- -t3 v cAo W .00 t-e-. A'AkacAk-e-A vv,a 6' PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: 4 - 0 C 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 Wants h ve been provided with this application The event shall be, held on c CW 20and no other date Registration time for the event starts at -21a-Myp.m, Starting time of the procession is -P p.m. Estimated completion time is ' &/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 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) a`r"% This event involves the use of the sidewalk afparticipants must stay on the sidewalk and obey all traffic laws, �tThis event is ca egional/national event (Please circle the appropriate event type) This event will be coordinated with the property ownedbusiness where staging will take place Updated 08/2017 2 11/03/2017 FRr 17- 17 FAX 1000a/016 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 Hoard 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. (. 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 RETURN R O: 3 Hoard of P a W Nee 1316 County -City Euilding 227 'West 3effmon BuuIlww-d South send, IN 46601 phone: (574) 235-9251 o Fax: (574) 235-9171 11/03/2017 FRI 17:19 FAX 00 12/016 ENDORSEMENT (70 BE ATTACH90 TO CERTIFICATE) Effective Date of Endorsement: 12/2/2017 Cancellation Date of Endorsement: 121312f117 .. Certificate Holder: The Diocese of fort Wayne -South Bend, Inc, Chancery Office P 4 Box 390 Fort Wayne,lN 46801 Location. ST JOSEPH CHURCH 216 N HILL ST SOUTH BEND, IN 46617-0000 Certificate No. 8679 of The Catholic Mutual Rellef Society of America Is amended as follows; SECTION 11- ADDITIONAL PROTECTED PBRSON(S) It Is understood and agreed that Section It - Liability (only with respect to Coverage D < General Usbillty), Is amended to Include as an Additional Protected Person(s) members of the organizations ®hown In the schedule, but only with respect to their liability for the Protected Person(*) activtides or sotivities they perform on behalf of the Protected Person($). It Is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under this endorsement to the Additional Protected Parsons) will not precede the effective date of thle certificate of coverage endorsement or extend beyond -the cancellation date. Schedule - ADDITIONAL PROTECTED PERSON(S) City of South Bend,1N, 227 W Jefferson Blvd, South Band, IN 46601; South Bend Venues Arts & narks, 321 E Walter St, South Bend, IN 46614; Board of Park Cornteiesioncrs, 321 E Walter St, South Bend, IN 46614 Remarks (the following language supereedea any other language In this endorsement or the Certiticste In conflict with this language): The City of South Bend and its respective elected offloials, officers, employees, agents and repreaentatives; Board of Park Commissioners, and South Bend Venua>i Parks & Arts are named additional protected permoti(s) but only :for claims arising out of St. Joseph ChureWs St. Nick Six Race in the City of South Bend on Decembo:r 2, 2017. Authoriz Representative ' ptcs-�zs{t a•� t ) 11/03/2017 FRI 17a19 FAX i2011/016 Certificate of Coverage beta, 10/2512017 Certificate Holder This Certilleate is Issued as a matter of information only and The Diocese of Fort Wayne -South Band, Inc. confers no rights upon the holder of this certificate. This certificate Chancery Office does not amend, extend or alter the coverage afforded below. P O Box 390 Fort Wayne, IN 46801 Company Affording Coverage THE CATHOLIC MUTUAL RELIEF SOCIETY OF AMERICA 10843 OLD MILL RD Covered Location ST JOSEPH CHMCH OMAHA, NE 68154 216 N HILL ST SOUTH BEND, IN 46617-0000 This is to certify that the coverages listed below have been Issued to the certificate holder named above fvr the ear tilicate 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 coverage afforded described herein is subject to all the terms, exclusions and conditions of such coverage. Limits shown may have been reduced by paid claims. 'typo of Coverage CertlRcale Number Coverage Ellective Dato Coverage Expiration Date mmHg Property Real & Parronal Property D. General Mabtlity EiLch aecilrreace 500 000 General Aggregate ®✓ Occurrence © Claims Made I0/1/2017 10/1/2018 ftoductd-Comp10P An8679 pcisonA&AdvInjury Fire Damage (Any one tire) r ed lixy (7fly one Parton) Ercers Liability 8679 10/1/2017 10/1/2018 Moab 0ccurrence 500000 Annual Aggregrate Other aeli Weurrenco Claims Made Annual Aggregrale LSmltlCoversge DosCripgon of plsarattonell oaatlaaMfVehlclaelsipuatal llelna (the loltowing language tnpereedel any other language In this andoraemont or the Certllteate in aonliict with this toq"a&) The City of South Bend and its rospcetive elected officials, officers, employees, agents and representatives; Board of Park Commissioners, and South Bend Venues Parks & Arts are named additional protected person(&) but only for claim& arising out of St. Joseph Churcifs St. Nick Six Race in the City of South Bend on December 2, 2017. Holder of Cerdficato ConjOletton Additional Protected Person(s) Should any of the above described coverages be cancelled before the expiration date thereof, the issuing company will endeavor to mull 30 days written notice to the holder of City of South Bend,IN, 227 W Jefferson Blvd, South Hand, IN oertflcate named to the left, but failure to mall such notice shall 46601., South Bend Venues Arta & Parks, 321 E Walter St, South Bend, IN 46614; Board of Park Commissioners, 321 E Walter St, South Bend, IN 46614 0067003298 impose no obligation or liability of any kind upon the company, its agents or representatives. Authorized Repreeen metve