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Home My WebLink AboutProcession - St Margarets House - Winter Walk 20181316 COUNTY-Cuy BuILDING 227 W. hH.FFERSON Li( uu..,'VARD Souju BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUT'TIGIEG, MAYOR BOARD, OF PUBLIC WORKS January 9, 2018 Kathryn Schneider St. Margaret's House 117 N. Lafayette Blvd, South Bend, IN 46601 RE: Event: Winter Walk 2018 Date: February 18, 2018 Dear Ms. Schneider: PHOW,', 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on January 9, 2018, approved your request to conduct the above referenced event on February 18, 2018, from 1:00 p.m. to 4:30 p.m. on the designated route as submitted. Enclosed please find copy of your approved permit. Please note that participants must stay on the sidewalks and obey all traffic laws,. If I can be of any further assistance to you in this, matter, please call me at (574) 235-9251. Sincerely, Linda M. Martin, Clerk Enclosure C: Gene Eyster, Police Department Ed Gleckler, Traffic & Lighting Marcia Qualls, Engineering GARY A. Gu,oi, SUZANNAKFRITZBER(i Et.1ZABErf1A.MA1UD1K JAMEs A. MUELLER Tiu,'.Ri:sJ. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT: 12/19/2017 TO: Gleckler, Traffic & Lighting MFderico Rodriguez, Fire Department att Longfellow, Engineering Kara Wood, Park Department kLt. Gene Eyster, Police Department t,-JfllI oiccitano, Downtown South Bend arcia Qualls, Streets Legal Department FROM: Linda M. Martin, Clerk ;0- SUBJECT: PROCESSION RECOMMENDATION -Winter Walk 2018 SPONSOR: St. Margaret's House DATE OF EVENT: February 18, 2018 DATE DUE: December 19, 2017 FAX OR E-MAIL TO: 235-9171 1 Imartin southbendin. ov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS j cr, The Board of Public Works must have FOUR (4) weeks prior notice of the event. Sponsor: M&v-e%rkypJr: _C �60&e Submitted By: Address: 1169d City: Got c6e-y\ a State: Zip: tqPhone: 5 1 kA - V64 - -7'"? 9 45 Email: &V St"\6wela 'e-A-S IAOX)S�P_ - nf Q Q 01404%ke� Sponsor may use the ublic right-of-way described as (describe route and a-4ach map) 10,11\114 S COV" CAY V%)iUtft�- R OV\ 1,4A&IJA44 'kV "Wkt iV MA:%V% 'co AM w4%k�-tyy\ - . C-- IVA&% Sk-01" PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT REftRVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: W�Akk-ql \AaXk� 20ki 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 orks have been provided with this application �400 1% The event shall be held on S%20 1 and no other date Registration time for the event starts at ---I— a,m,(p;� Starting time of the procession is Z' 30 a,rn p.m Estimated completion time is 4'.30 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 El 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) JK This event involves the use of the sidewalk [Z Participants must stay on the sidewalk and obey all traffic laws. This event is I ooca"/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 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, 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 paanz�e 'i IADJW— RE, TUM FORM TO - 3 Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 • Fax: (574) 235-9171 Printed Name Title �. '.1 -C Member MoAlber Member RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 * Fax: (574) 235-9171 Date I C'TMARrae_n9 I_-F3aRR ACOR�" CERTIFICATE OF LIABILITY INSURANCE DATE IMMr00fYYYYj11/1612017 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(ies) must have ADDITIONAL INSURED provisions or be 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 endorsements . PRODUCER The Healy Group, Inc. 17536 Generations Drive South Bend, IN 46635 C CT PHONE 574 271-6000 FAX, Ne : 674 243-3214 (arc, No, Ex11: { } { ) { } EMAIL INSURERS AFFORDING COVERAGE NAIC p INSURER A: Selective Insurance Grou Inc. 12672 INSURED INSURER B : INSURER C. St Margaret's House Inc INsuRERO: 117 N. LaFayette Blvd. South Bend, IN 46601 INSURER E INSURER F : r+nv=oenec !'.KATIFIt ATF hn IVIREP• 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 SY PAID CLAIMS, INSR LTRA TYPE OF INSURANCE AODINSDL SUBR NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR _WVDPOLICY S 2238806 08101/2017 08/0112018 EACH OCCURRENCE $ 1,000,000 DARPA SETO aEcNcTE a $ 1,000,000 MED EXP (Any oneperson) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ Tpef LOG il OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS -COMPIOPAGG $ 11000,000 $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS /�N p AUT S ONLY A� O Ot Y Ea eel de =SINGLE LIMIT $ t30DILYINJURY Far arson $ BODILY INJURY Per accident $ P�e�g ' AMAGE IS A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE X S 2238806 08/01/2017 08/01/2018 EACH OCCURRENCE $ 1,000,000 M AGGREGATE $ DED RETENTION$ 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRRROPREIIETggOEERRRIPARTNER/EXECUTIVE Y� M n E'rM nNH) EXCLUDED? if yes, describe under DESCRIPTION OF OPERATIONS below NIA PERT E OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may de attached If more space is required) City of South Bend Is listed as Additional insured City of South Bend SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) OO 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 120/2017 117 N Lafayette Blvd, South Bend, IN 46601 -1507 - MapQuest Search Resufts for so 117 N Lafayette BLvd, MCUX:P� South Bend, IN 46601-1.507" page 1 of I 1. 117 N Lafayette Blvd 117 N Lafayette Blvd, South Bend, IN 46601-1607 W Western AV(; ri Avc? 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