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Home My WebLink AboutNon Res Block Party - Downtown South Bend, Inc. - St Patty's Tent Party and Pub Tour1316 C0LJM,Y'-0TY BUILDING 227 W, JEr'FERSON BouLEVA:RD Solr r,II BEND.1NDIANA 46601-1830 CITYOFSOUTHBEND BOARD OF PUBLIC WORKS February 27, 2018 Kylie Carter Downtown South Bend, Inc, 217 S. Michigan Street South Bend, IN 46601 RE: Event Name: St. Paddy's Tent Party and Pub Tour Street Closure: Michigan St. from 'Wayne St. to Western .Ave. Date: March 16, 2018 Dear Ms. Carter: PHONE 574/235-9251 FAX 574/ 235-91.71. The Board of Public Works, at its meeting held on February 27, 2018, approved your request to close the above referenced street for your event scheduled for March 16, 2018 from 12:00 p.m, until 11:00 p.m. For your information, the South Bend Police Department will monitor this event. Enclosed please find a copy of your approved permit. The Bureau of Traffic and bighting will deliver barricades necessary to close the street to the applicant's address. You will be responsible for their- placement and removal at the conclusion of the closing of various streets. Please note that a ten foot (10') clear and unobstructed lane must be maintained at either curb or down the center of the street for emergency purposes and that no fires are allowed in the street. The Applicant will be liable for the replacement cost of $50.00 per cone as a result of any "hissing or damaged cones. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Marcia Qualls, Streets Ed Gleckler, Traffic & :l.,ighting GARY A. Gii,o"r SUTANNA M. E°RITZBE;R(i ELIZABETH A. l!v"1ARADIK JAMEs A. MUELLE;R THERESE J. DC.?]iAU SUBJECT: LOCATION: INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 1/30/2018 j<F-d Gleckler, Traffic & Lighting >(Gene Eyster, Police Department Matt Longfellow, Engineering Chris Dressel, Community Investment [Federico Rodriguez, Fire Department Marcia Qualls, Engineering Kara Wood, Park Department P/jill Sciccitano, Downtown South Bend Linda M. Martin, Clerk Non- Residential Blo6k Party -St. Patty's Tent Party art '& Pub Y Y Tour Street Closure: Michigan St from Wayne St to Western Ave DATE AND TIME: March 16. 2018 12:00 a.m. to 11:00 p.m. SPONSOR: Downtown South Bend, Inc DATE DUE: February 6, 2018 FAX OR E-MAIL TO: 235-9171 1 Imartin(a-)_southbendin.goy RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF, AND BLOCKING OF ACCESS T(3, -THE PUBLIC RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Board of Public Works must have FOUR (4) weeks prior notice of the event. A NON-REFUNDABLE APPLICATION FEE OF $125.00, IN THE FORM OF A CEIn'IFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION. F] Fee Paid Applicant Name Downtown South Bend, Inc. Zip Address: 217 S. Michigan St. City: South Bend State: IN 466,01 Phone: 574-968-7293 Email: — kcarter@downtownsouthbend.com 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 St. Paddy's Tent Party & Pub Tour Location Baer"s Parking Lot; 350 S. Michigan St.; South Bend, IN 46601 (Describe Area/Route) Street Closure Name of Street _Michigan St. From Wavne St. TO Date of Event March 16 Western Ave. Time: Registration/Setup 12:00 Approximate Number of Attendees 20 18 F] Uri. U P.M, 4500 F-1 a.m, Start 4:00 [3j p.rn, End Answer the following appropriately: I . This event will have music (live or other). a. I understand the Noise Ordinance described in the Agreement/Permit 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 Document and a current copy of Form 990 of Form 990-EZ are included with this application, and additionally filed with the Office of the City Clerk, 4"' Floor, County - City Building, 227 W. Jefferson Blvd., South Bend, Indiana. c. Certificate of Insurance d. Maps, drawings and setup plan of the area e. A copy of a flyer or door hanger that has been distributed to all affected property owners. 3. a. This event involves City streets b. This event involves County roads c. This event involves State highways Updated 8/20 17 NO "M I 'IVA El a.m. 11 :00 [N p,rn. Yes F-1 No Yes F] No [A Yes No X1 Yes [-] No IN Yes E] No N Yes [j No El Yes FX-1 No Yes 01 No 1 d. This event involves the use of the sidewalk M Yes [j No e. This event is a local/regional/national event (Please circle the Yes ❑ No appropriate event type) f. Affected property/business owners have been notified of this event. Yes F-1 No g. There is/are resident(s) affected by the event that may need ADA Yes ❑ No transportation assistance to their residence. h. I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia Yes No Qualls, Customer Service Manager, 235-5939 to organize meeting). IF ALCOHOL IS TO BE SERVE' D OR SOLD Alcoholic beverages will be served M Alcoholic beverages will be sold El Certified Check or Money Order for $400.00 must be submitted with application. F-1 • Application cannot be processed without deposit. • Deposit will be returned upon inspection of event area by the Board of Public Works. Names and phone numbers of THIZEE security guards • To monitor underage drinking. • Qualifications must be listed (e.g. Off -duty police officer, professional security guard, or event APPLICANT). A drawing must be submitted showing: • Fencing around serving area • Trash receptacles. o Ample trash receptacles must 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 Rend, Indiana o Board of Public Works I I a R Eel: I Coal Tns rem 11 1, � I ZUTM HIM � M-3 1010MIN, 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 from the fee provided copies of the 501(c)(3) Internal Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are filed with this application and with the Office of the City Clerk, 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. All residents and businesses within the affected area must be notified of this event. The APPLICANT must obtain signatures from and/or has made an attempt to notify all residents that reside on the block. A copy of a brochure or door hanger distributed to all affected residents/businesses describing the event purpose, date, and time must be included with the application. 4. The applicant is responsible, prior to the event, for determining if there are any residents or business owners affected that could potentially need assistance in accessing their property. The applicant is responsible for providing said resident/business owner transportation to their property. 5. The APPLICANT shall reimburse the Board for the actual cost to the City for the event, if deemed necessary. 6. APPLICANT shall include a -flyer or letter describing the details of the event. 7. Notification of approval/denial of this request will be issued by return of this form, upon signed authorization by the Board of Public Works. 8. The APPLICANT 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. 9. 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, 10. 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. 11. 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). 12. 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. 13. 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. 14. 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 for 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 6 day of February 20 APPLICANT Signature Printed Name Kylie Carter Iff BOARD OF rIC WORKS APPROVAL n Member Member Member RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 Date O A�® CERTIFICATE OF LIABILITY INSURANCE ❑ATE(MM1DDlYYYY) 7/25/2a17 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(les) must 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 endorsement(s). PRODUCER Gibson Insurance Agency, Inc. 130 S Main St, Ste 400 PO Box 11177 South Bend IN 46601-0177 CONTACT Stephen Swihart NAME: HONE (800) 814-2122 FAX Nc: (sao)a36-212z P MAIL ADDRESS: sswihart:@gibsonins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Cincinnati Ins Co 10677 INSURED Downtown South Bend, Inc. 217 S Michigan St PO BOX 930 South Bend IN 46624-0930 INSURERB:Cincinnati Ind Co 23280 INSURERC: INSURERD: INSURERE: _ INSURERF: nnVFRnnFS CERTIFICATE NUMBER-17/18 Liab 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IOLICY LTRNSR LTR TYPE OF INSURANCE INSDADDL WVD SUER POLICY NUMBER MMIDDIYYYY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X❑ OCCUR D A ETORENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 5,000 SPP0031054 8/2/2017 8/2/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG $ 2,000,000 X POLICY JECT PRO- ❑ LOG Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS FAUTO NON -OWNED AUTOS EPP0031054 8/2/2017 8/2/2018 BODILY INJURY (Per accident) $ Per accidentDAMAGE $ — X UMBRELLA LIAO OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 $ EPP0031054 8/2/2017 8/2/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE — X PER OTH- STATUTE ER 11 E.L. EACH ACCIDENT $ 1.00, 000 E.L. DISEASE - EA EMPLOYFF $ 100,000 B OFFICERIMEMBER EXCLUDED? u (Mandatory in NH) NIA EWCO257774 B/2/2016 8/2/2017 E.L. DISEASE -POLICY LIMIT $ 500,000 It yes, describe under ❑ESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (ACORD 101, Additional Remarks Schedule, may Be attached If more space is required) City of South Bend is additional insured with respect to General Liability regarding events hosted by Downtown South Bend, Inc. rr-RTIFIr..ATF Nnl nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Bend THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 227 W. Jefferson ACCORDANCE WITH THE POLICY PROVISIONS. South Bend, TN 46601 AUTHORIZED REPRESENTATIVE Gibson Ins Agency/ST ACORD 25 (2014/01) INS025 (201401) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD