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Home My WebLink AboutNon Res Block Party - City of South Bend VPA - Best Fireworks EverINTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 1/2912018 TO: d Gleckler, Traffic & Lighting ( ", "Gene Eyster, Police Department Matt Longfellow, Engineering Chris Dressel, Community Investment Federico Rodriguez, Fire Department V-Marcia Qualls, Engineering Kara Wood, Park Department V Jill Sciccitano, Downtown South Bend FROM: Linda M. Martin, Clerk SUBJECT: Non- Residential Bloc Party -Best Fireworks Ever Street Closure: E. Jefferson Blvd from Martin Luther King Jr. Blvd to Hill St Street Closure: E. Colfax Ave from Martin Luther King Jr Blvd to N. Niles Ave Street Closure: N. Niles Ave from E. Jefferson Blvd to Washington Street Closure: W. Washinaton_St from N. Michigan St to LOCATION: Martin Luther King Jr. Blvd DATE AND TIME: June, 16t 2018 from 12:00 p.m. 10:00 p.m. SPONSOR: Kara Woods, Venues, Parks & Arts DATE DUE: February 6 2018 FAX OR E-MAIL TO: 235-9171 1 lmartin(a-).southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF, AND BLOCK NG OF ACCESS TO, THE PUBLIC RIGIiT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Board of Public Works must have FOUR (4) weeks prior notice of the event. A NONREFUNDABLE APPLICATION FEE OF $125.00, IN THE FORM OF A CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION. ❑ Fee Paid Applicant Name: Kara Wood, Venues Parks & Arts Address: ae)j oO, j , IOU 1.S City. South Bend State: IN Zip: I - Phone: 574-235-5799 This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of the specified public right-of-way by Applicant for the holding of the hereinafter described event: Event Name Best. Fireworks. Even., First Fridays KNO (in conjunction with Best.Week Ever.) Location Fireworks will be off the Jefferson Street Bridge, with areas for staging, viewing, vendor/entertainment set-up and other misc First Fridays/music festival street usage. Riverlights Music Festival will be happening Friday, Saturday and Sunday that week and they will separately apply for any additional street closures for Saturday/Sunday, as well as anything they need for alcohol permitting, etc. (Describe Area/Route) Street Closure-PNatne of Street' E: JeffeisonBlyd (needs to be closed ftobi noon-1 1pm) From Martin Luther Ding, Jr Blvd To Hill St 4, 4-r doory-5 `Name of Street E. Colfax Ave needs to be closed from 8:34pm-11 m From Martin Luther Ding, Jr Blvd &' -[ ire]AJOCk-S - ja/.j__o j To N. Niles Ave Name of Street N. Niles Ave (needs to be closed from noon-1 l pm)_ From E. Jefferson Blvd V, vUlr tK To Washington .A Name of Street W. Washington St (needs to be closed froth. 4pm-1 1pm) From N. Michigan St To Martin Luther Date of Erventy� Friday, June 1st 20 18 f 1. I� V ❑ a.m. Time: Regtstratio Setup 141-n ❑ p.m. Approximate Number of Attendees 10,000 Jr Blvd ❑ a.m. Start 9:45pm ❑ p.m. cis v ❑ a.in. End 10pm ❑ p.m. Answer the following appropriately: Updated 4/2015 1, This event will have music (live or other), x❑ Yes ❑ No a. I understand the Noise Ordinance described in the Agreement/Permit x❑ Yes ❑ No 2. Required Information to Accompany Application a, Certified Check or Money Order in the Amount of $125.00, or: b. For Certified Nonprofit Organizations; Copies of the 501(c)(3) Internal Revenue Exemption Status Docuinent and a current copy of Form 990 of Form 990-EZ are included with this application, and x Yes ❑ No additionally filed with the Office of the City Clerk, 4'1' Floor, County - City Building, 227 W. Jefferson Blvd., South Bend, Indiana. c. Certificate of Insurance d. Maps, drawings of the area and setup plan x❑ Yes ❑ No 3. a. This event involves City streets x❑ Yes ❑ No b. This event involves County roads ❑ Yes ❑x No c. This event involves State highways ❑ Yes ❑x No d. This event involves the use of the sidewalk x❑ Yes ❑ No e. This event is a loctegr;Inational event (Please circle the x❑ Yes ElNo appropriate event £ Affected property/business owners have been notified of this event, x❑ Yes ❑ No g.' I und6starid that I must arrange a meetirig with all affected governmental agencies to organize the above event (Call Marcia x Yes ❑ No Qualls, Customer Service Manager, 235-5939 to organize meeting). 11I+ ALCOHOL IS TO BE SERVED OR SOLD 'Alcoholic beverages will be served ❑ Alcoholic beverages will be sold Certified Check or Money Order for $400.00 must be submitted with application, RY& ` * Application cannot be processed without deposit. At sft Fe , xq w Deposit will be returned upon inspection of event area by the Board of Public Works, &4 [ A Vi i Names and phone ntunbers of THREE security guards ptt)J1 To monitor underage drinking. ® Qualifications must be listed (e.g. Off -duty police officer, professional security gu�yr& APPLICANT). A drawing must be submitted showing. Fencing around serving area Trash receptacles. o Ample trash receptacles intrst be provided to ensure proper disposal of refuse. Temporary liquor license. ❑ ® Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information. ® Application cannot be processed without a copy of this license. City of South Pend, Indiana @ Board of Public Works' PERMIT AND AGREEMENT FOR THE USE OF THE RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Non-residential Block Party will be permitted to take place under the following terms and conditions: 1. Pursuant to Local Ordinance No, 10224-13, there is a $125,00 non-refundable fee for non- residential Block Parties. Non-profit organizations meeting Section 501(c)(3) of the Internal Revenue Code are exempt froth the fee provided copies of the 501(c)(3) Internal Revenuc Exemption Status Document and a current copy ofForm 990 of Form 990-EZ are filed with this application and with the Office of the City Cleric, 4th Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. 2. The APPLICANT must comply with all terms and conditions of this Permit and Agreement. 3. The APPLICANT shall reimburse the Board for the actual cost to the City for the event, if deemed necessary. 4. APPLICANT shall include a flyer or letter describing the details of the event. 5. Notification ofapproval/denial of this request will be -issued by return of this form, upon signed authorization by the Board of Public Works, b, The APPLICANT shall provide to the Board a Certificate of Insurance showing a liability policy in Rill 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. 7. The APPLICANT assumes full responsibility for providing ample disposal containers for refuse/recycling and assures the area will be cleaned up -upon the conclusion of -the event. - 8. Barricades will be delivered and picked up at the event location. The APPLICANT is responsible for seeing that all cones are maintained and returned undamaged. 9. The APPLICANT will follow the City of South Bend Noise Ordinance, which is in effect at all hours. Between the hours of 11:00 p.m. and 7:00 a.m. certain noises are particularly prohibited. These include operating radio receiving sets, musical instruments, phonographs and other sound reproduction devices if audible fifty (50) feet away, as well as shouting, yelling, hooting, whistling, or singing in the streets in a manner to disturb the peace (Municipal Code 13-57). 10. The APPLICANT assures the City that the area will be closed during the times indicated on the application only, Event end times are pursuant to the recommendations of the South Bend Police Department. 11. IF ALCOHOL IS TO BE SERVED OR SOLD a Certified Check or Money Order for $400,00 must be submitted with application. The application cannot be processed without a deposit. The deposit will be returned by the Board of Public Works upon inspection of the event area after the event, and provided there is no damage to the area. Names, phone numbers, and qualifications (e.g. Off -duty police officer, professional security guard, or event APPLICANT) of THREE security guards to monitor underage drinking, must be submitted with the application. A drawing must be submitted showing fencing around serving area, and trash receptacles. For a temporary liquor license call the Alcohol and Tobacco Commission at (317) 234-4315 for more information. Application cannot be processed without a copy of this license. 12. APPLICANT agrees to indemnify, defend and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, 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 the activity, arising out of the approval of this request by the Board of Public Works to close a portion of the public right-of-way for the event described above. I have read the Application and Permit and the Agreement far the "Use of Right -of -Way for Special Events" and I understand and agree to the above rules and regulations. I also understand that this application may be denied based on any false or incomplete information. Dated this 25"' day of January 20 18 APPLICANT Signature klw Printed Name Kara Wood BOARD OF PUBLIC WORKS APPROVAL Member Member Member Date RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 e Fax: (574) 235-9171 e E-Mail: publicwks@southbendin.gov California , Monroe samplo Sample