HomeMy WebLinkAboutProcession - St Adalbert Catholic Church1316 COUNTY-CH'Y BUILDING
227 W Jj.,,t;nSRSON 13m.f..'NARD
Sou ni BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG,�MAAYC
Bw.RD OF PUBLIC WM
February 27, 2018
Rev. Ryan Pietrocarlo
St. Adalbert Catholic Church
2505 W. Grace Street
South Bend, IN 46619
RE: Event. Living Stations of the Cross
Date: March 25, 2018
Dear Rev. Pietrocarlo:
NIONu 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on February 27, 2018, approved your request
to conduct the above referenced procession on March 25, 2018, from 2:00 p.m. to 4:00 p.m. on
the revised route to be approved by Traffic & Lighting, not involving LaSalle Park, subject to
no horses being present. 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) 23 5-925 1.
Sincerely,
Linda M. Martin, Clerk
Enclosure
c: Gene Eyster, Police Department
Ed Gleckler, Traffic & Lighting
Marcia Qualls, Streets
Kara Wood, Parks Department
GARY A. Git.orr SUZAN'NA M. FRITZBEM EuZABETH A. MARADIK JAMEs A. MUELLER Ti IERESE J. DORAU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
/d Gleckler, Traffic DATE SENT: 211512018
TO: Traffic &Lighting /
-1�:ederico' Rodriguez, Fire Department r/
Longfellow, Engineering
$'att
ra Wood, Park Department
A't ene Eyster, Police Department
Jill Sciccitano, Downtown South Bend
Marcia Qualls, Streets
` Legal Department
FROM: Linda M. Martin, Clerk
SUBJECT: PROCESSION RECOMMENDATION -Living Stations of the
Cross
SPONSOR: St. Adalbert Catholic Ch
DATE OF EVENT: March 25, 2018 2:00 p.m. to 4:00 p.m.
DATE DUE: February 20, 2018
FAX OR E-MAIL TO: 235-9171 1 lmartin( southbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
�)li'a'id
�lS
APPLICATION FOR USE OF U?r
PUBLIC RIGHT-OF-WAY FOR PROCESSIONS
The Board of Public Works must have FOUR (4) weeks prior notice of the event." 1865
c ""C /
Sponsor s a?: a " It C.. Submitted. By: K)y . 1 ,tad f
Address:
City: ,Sri , J�y
State: "TA",
Email: Q) 0 h
Zip: ( 61 Phone: 5 _7-�/ — ,' — C - c)
, I w)4 9 O CA0111IJi
Sponsor may use the public right-of-way described as (describe route and attach map)
49;o on (h w e a - daik-: k4odl` //10K01 , [P'N 0 �, l tr'tah 5rqVAIE
PL 'ASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO
0CHANGE YOUR ROUTE FOR SAFETY PURPOSES
Event name: I/hq
Works must have P"CUf� 4 ^wee C/
I I-e The Board of Pu fic ' (} weeks prior notice before event occurs
pC4 r 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 n Q r'4 c� 5, 20 and no other date
Registration time for the event starts at (:q a.m p,
Starting time of the procession is , 3 o a,rn.
Estimated completion time is a.m.f .1i
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 oaea 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
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.
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 terns 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 L,
RETUItN 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
Printed Name
Title
BQARD OF PUBILIC WO S APPR
- Atr" - IQAI-1� DA fe__
President Member
Member
Member
OVAL
Mem er
'A1z-7x4--
Date
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bond, IN 46601
Phone: (574) 235-9251 • Fax: (574) 235-9171
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Certificate of Coverage Date:2/7/2018
Certificate Holder
This Certificate is issued as a matter of information only and
The Diocese of Fort Wayne -South Bend, 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
Company Affording Coverage
Fart Wayne, 1N 46801
THE CATHOLIC MUTUAL RELIBF
SOCIETY OF AMERICA
Covered Location
10843 OLD MILL RD
ST ADALBERT CHURCH
OMAHA, NE 68154
2420 W HURON ST
SOUTH BEND, IN 46619-0000
Coverages
This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate
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.
Type of Coverage
YI g
Certificate Number
Coverage Effective
Date
Coverage Expiration
Date
Limits
Property
Real & Personal Property
D. General Liability
Each Occurrence
300,000
General Aggregate
3,000,000
Occurrence
Products-Comp/OP Agg
8679
10/1/2017
10/1/2018
Personal & Adv Injury
® Claims Made
Fire Damage (Any one fire)
Med Exp (Any one person)
Excess Liability
Each Occurrence
8679
10/1/2017
10/1/2018
Annual Aggregrate
000 000
2,000,000
Other
Each Occurrence
Claims Made
Annual Aggregrate
Limit/Coverage
Description of Operations/LocationsNehieles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in
conflict with this language)
Coverage only extends for claims arising out of St Adalbert Church's Living Way of the Cross - Via Crucis procession in the City of
South Bend March 25, 2018.
Holder of Certificate
Cancellation
Additional Protected Person(s)
Should any of the above described coverages be cancelled
before the expiration date thereof, the issuing company will
endeavor to mail 30days written notice to the holder of
City of South Bend
certificate named to the left, but failure to mail such notice shall
227 West Jefferson
impose no obligation or liability of any kind upon the company,
1316 County -City Building
its agents or representatives.
South Bend, IN 46601
Authorized Representative
0067003329
q4
ENDORSEMENT
(TO BE ATTACHED TO CERTIFICATE)
Effective Date of Endorsement: 3/25/2018
Cancellation Date of Endorsement: 3/26/2018
Certificate Holder: The Diocese of Fort Wayne -South Bend, Inc.
Chancery Office
P.O. Box 390
Fort Wayne, IN 46801
Location: ST ADALBERT CHURCH
2420 W HURON ST
SOUTH BEND, IN 46619-0000
Certificate No. 8679 of The Catholic Mutual Relief Society of America is amended as follows:
SECTION II -ADDITIONAL PROTECTED PERSON(S)
It is understood and agreed that Section II - Liability (only with respect to Coverage D - General
Liability), is amended to include as an Additional Protected Person(s) members of the organizations shown
in the schedule, but only with respect to their liability for the Protected Person(s) activities or
activities they perform on behalf of the Protected Person(s).
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, finless otherwise agreed by contract or agreement, coverage extended under
this endorsement to the Additional Protected Person(s) will not precede the effective date of this
certificate of coverage endorsement or extend beyond the cancellation date.
Schedule - ADDITIONAL PROTECTED PERSON(S)
City of South Bend
227 West Jefferson
1316 County -City Building
South Bend, IN 46601
Remarks (the following language supersedes any other language in this endorsement or the Certificate in
conflict with this language):
Coverage only extends for claims arising out of St Adalbert Church's Living Way of the Cross - Via
Crucis procession in the City of South Bend March 25, 2018.
Authoriz Representative
PKS-122(10-11)