HomeMy WebLinkAboutNon Res Block Party - La Casa de Amistad - West Side Wednesday Festival1316 COUNTY-Crry BUILDING
227 W. JEFFERSON Bouil,,'VARD
Souris BEND. INDIANA 46601-1830
CITY OF SOUTit BEND PETE BurTIGIEG, MAY
BOARD OF PUBLIC WORKS I
March 13, 2018
Sam Centellas
1.a Casa de Amistad
746 S Meade
South Bend, IN 46619
RE: Event Name: West Side Wednesday Festival
Street Closures: Western Ave. from Kaley St.
Liberty St. fi-om Western Ave.
Western Ave. from Bendix Dr
Dear Mr. Centellas:
PHONE 574/235-9251
FAX 574/ 235-9171
to Dundee St.
to Jefferson Blvd.
to Camden St. (close on street parking)
'Fhe Board of Public Works, at its, meeting held on March 13, 2018, approved your request to close
the above referenced street for your event scheduled for May 30, 2018 from 1 -00 p.m. until 9:00 pi-n,,
subject to providing the names of three (3) security guards who will be present at your event and
information as to how underage parties will be restricted ftorn the alcohol serving area, and receipt of
a Certificate of Insurance naming the City of South Bend as additional insured. 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 Lighting 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 missing or damaged cones.
If you have any further questions regarding this matter, please call this office at (574) 235-925 1.
Sincerely,
Linda M. Martin, Clerk
Enclosure
c Gene Eyster, Police Department
Federico Rodriguez, Fire Department
Ed Gleckler, Traffic & Lighting
GARY A. GILOT SUZANNA M. FRITZBER(i ELIZABETij A. MARADIK JAMEs A. MUELLER TI IFRESE J. DOR AU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 1/912018
TO: Xd Gleckler, Traffic & Lighting
Gene Eyster, Police Department
Matt Longfellow, Engineering
Chris Dressel, Community Investment
>,F-pderico Rodriguez, Fire Department
Pmarcia Qualls, Engineering
KKara Wood, Park Department
Jill Sciccitano, Downtown South Bend
FROM: Linda M. Martin, Clerk
SUBJECT: Non- Residential Block Party-Westside Wednesday ( Best
Wednesday Ever
Street Closure: Western Ave from Kaley to Dundee St
Liberty St from Western Ave to Jefferson Blvd
LOCATION: On Street Parking on Western from Bendix to Camden
DATE AND TIME:
SPONSOR:
DATE DUE:
FAX OR E-MAIL TO:
Wednesday, May 30,_2018
Sam Centellas, La Casa de Amistad
January 16 2018
235-9171 1 Imartin@southbendin., oc�v
RECOMMENDATIONS AND COMMENTS:
By Date
APPLICATION
FOR USE OF, AND BLOCIONG_OF_ACCESS TO, 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 OI'' $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: Sam Centellas, on behalf of La Casa de Amistad
Address: 746 S Meade City: South Bend State: IN Zip: 46619
Office (574) 233-2120
Phone: Cell (616) 610-0042
This applicationn 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 West Side Wednesday Festival Best. Wednesday, Ever.
Location 2900 Block of W. Western Avenue
(Describe Area/Route)
Street Closure Name of street Western Ave (3PM --- IOPM Libel St (6AM — I OP Close on -street parkhig
From Kaley Westeni Ave on Western from Bendix
To Dundee Jeffersolz to Camden for vendors
Date of Event Wednesday, May 30 20 18
❑ kin. ❑ a -ma ❑ a.m.
Time: Registration/Setup 1:00 ❑ pan. Start 4.00 ❑ p.m, End 9:00 ❑ p.m.
Approximate Number of Attendees 2,000
Answer the following appropriately;
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 Cheek 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
x Yes
❑
No
additionally filed with the Office of the City Clerk, 4th 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
❑
No
c. This event involves State highways
❑ Yes
❑
No
d, This event involves the use of the sidewalk
x Yes
[
No
Updated 4/2015
1
e. This event is a local/regional/national event (Please circle the
Y❑
appropriate event type) x es
f. Affected property/business owners have been notified of this event. x Yes ❑
g. I understand that I must arrange a meeting with all affected
governmental agencies to organize the above event (Call Marcia x Yes 0
Qualls, Customer Service Manager, 235-5939 to organize meeting).
IF ALCOHOL IS TO ICE SERVED OR SOLI)
Alcoholic beverages will be served C7x Alcoholic beverages will be sold ❑
Certified Check or Money Order for $400.00 must be submitted with application.
® 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 THREE 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;
a Fencing around serving area
No
No
No
x
x
x
Trash receptacles.
o Ample trash receptacles must be provided to ensure proper disposal of refuse.
Temporary liquor license. x
« Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information.
r Application cannot be processed without a copy of this license. South Bend Breve Werks
City of South Bend, Indiana a Board of Public Works
PERMIT AND AGREEMENT FOR THE' USE OF
THE RIGHT-OF-WAY FOR NON-RE'SIDEN IAL BLOCK PARTIES
The Non-residential Block Party will be permitted to take place under the following terms and
conditions:
L Pursuant to Local Ordinance No. 10224-13, there is a $125.00 non-refundable fee for non-
residential Block Parties. Nonprofit organizations meeting Section 501(c)(3) of the Internal
Revenue Code are exempt fiom 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. The APPLICANT shall reimburse the Board for the actual cost to the City for the event, if
deemed necessary.
4. APPLICANNT shall include a flyer or letter describing the details of the event.
5. Notification of approval/denial of this request will be issued by return of this form, upon signed
authorization by the Board of Public Works.
6. 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.
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.
S. 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 SOLID 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, daunages 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 14th day of November 20
APPLICANT SignMI&Ire
Printed Name Sam Centellas
18
BOARD OF PUBLIC WORKS APPROVAL
ta!
President Memlie'r ember
Member
Date
RE TURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 a Fax: (574) 235-9171 a E-Mail: publiewlcs@southbendin.gov