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Home My WebLink AboutProcession - American Legion Riders - Fallen Heroes Family Ride1316 COUNTY-Crj'y BuiLDING 227 W. JEFFERSON BOULEVARD Sot. rii BEND. INDIANA 46601 -1830 CITY OF SOUTH BEND PETEBurriGIEG, MAYOR BOARD OF PUBLIC WORKS April 24, 2018 Marvin Walters American Legion Riders 606 S, Logan Street Mishawaka, IN 46544 RE: Event Name: Fallen Heroes Family Ride Date: May 20, 2018 Dear Mr. Walters: PHOM," 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on April 24, 2018, approved your request to conduct your motorcycle procession on May 20, 2018, beginning at 8:00 a.m. and ending at approximately 1:00 p.m, on the designated route as submitted. E'nelosed please find copy of your approved permit. Participants must obey all traffic laws. Please coordinate your event with Lieutenant Eugene Eyster of the Police Department. 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 Ed Gleckler,'fraffic & Lighting GARY A. GILOT SUZANNA M. FRITZBERo ELIZABETi-i A. MARADIK JAWS A. MUELLER TI IP RE SE-, J. DORAU APPLICATION FOR USE OF PUBLIC RIGHT-OF-WAY FOR PROCESSIONS The Board of Public Works must have FOUR (4) weeks prior notice of the Sponsor: 4McK_j'cAjj 1,L-ej0j4 LZI`at&j Submitted By: Address: 4L,24 g 6T City: , 1_vW44_jA.V_4 State: Zip: 06 6'Y Y Phone: .,5-Y 7 - /r -7,f— Email:► 4 t1w, C 0 Sponsor may use the public right-of-way described as (describe route and attach map) PLEASE NOTE: THE SOUTH BEND POLICE DEPARTMENT RESERVES THE RIGHT TO CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: r,-A. 1-t -OcLi' F,4 , V Z. i"a e- F-1 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 Works have been provided with this application The event shall be held on � X0 20j,!i( and no other date Registration time for the event starts at T 00 ct�")/P.m. Starting time of the procession is F] Estimated completion time is _CU? a.m./(.m This event involves the use of the following roadways ❑ This event involves closure of City residential streets M This event involves County roads This event involves State highways This event involves use of a park (must obtain permission from Park Board) F-1 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) El This event involves the use of the sidewalk F] Participants must stay on the sidewalk and obey all traffic laws. � This event is a local/regional/national event (Please circle the appropriate event type) �1011 111 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®,_'_ 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 Printed Name 04 Z� A. Title BOARD OF PUALIC WORKS APPROVAL President 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 * Fax: (574) 235-9171 Member Ll R. Date 04/09/2018 MON 12:24 FAX 574 258 9177 Synergy Insurance Group, 0002/002 AMER104 OP ID: CP CERTIFICATE OF LINSURANCE DATE (MMIDDIYYYY)ABILITY 04/09/2018 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 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 Synergy Insurance Group 13800 Jackson Road NA Carol S Perri 574-258.5655 IC No: 574-25$-9177 perri s ner Insurancegroup.com Mishawaka, IN 46544.9195 Nathan D Spite INSURE S AFFORDING COVERAGE NAIL # INSURERA:West Bend Mutual Ins. Co. 15350 INSURED American Legion Riders Post 308 Marvin Walters INSURERB; INSURERC; 122 Lincolnway West, PO Box 36 INSURERD: INSURERE: Osceola, IN 46661-0036 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE ADDL INSD a POLICY NUMBERRM—M LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y 419807 00 05l20l2018 0512112018 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrenceUAMAUL $ 100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER'. POLICY ❑ JECT ❑LOC OTHER: GENERALAGOREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL O NED SCHEDULED HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT aaccfda [ $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ er accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ DED ftI TENTION $ $ WORKERS COMPENSATION AND EMPLOYERTUTABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEPJMEMSEREXCLUDED? (Mandatory In NH) lips describeunder DESCRIPTION OF OPERATIONS below NIA TH- S ATUTE FOR E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE1 $ E.L. DISEASE- POLICY LIMIT I $ DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be adached If more space is required) City of South Bend Is named as additional insured with regard to General Liability. FALL HEROS RIDE 5-20-18-5-21-18 CERTIFICATE HOLDPR CANCELLATION CITYSOB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of South Bend Fax 574 235 9171 AUTHORIZED REPRESENTATAM 227 W Jefferson South Bend, IN 46601 L „ ACORD 25 (2014101) 01988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WALMART ON PORTAGE ROAD TO PORTAGE ROAD PORTAGE ROAD TO BENDIX DRIVE BENDIX DRIVE TO NIMITZ PARKWAY NIMITZ PARKWAY TO US31 BY PASS US31 BYPASS TO STATE ROAD 23 STATE ROAD 23 TO STATE ROAD 4 STATE ROAD 4 TO US 31 US 31 TONEW ROAD NEW ROAD TO BEACH ROAD BEACH ROAD TO LINCOLNWAY LINCOLNWAY TO LEGION POST 308 American Legion Riders FA' L. Nek-` 11"I"' "Y"" _F, E May 20, 201.8 Support the families of Northern Indiana Military who have GIVEN THEIRLIVES For our FREEDOW Sign up from 8:00 AM - 10:45 AM in the Wal-Mart parking lot on Portage Ave in South Bend Kickstands up at 11:00 AM for a 60 mile ride ending at American Legion Post 308 in Osceola Cost: $15 per bike Admission for non -riders: $5/person $ 10 for 2nd Up $15/person with t-shirt (while supplies last) Join us after the ride for GREAT FOOD and EN'I'ERTAINMENT Live Music by Kold Swet 2018 Rockers sold at Post Contact: Marvin Walters 574-339-1575 or rnwalters0@yahoo.com Henry Widelski 574-855-0444 or henry idelski(c—twahoo.coni Find us on Facebook at American Legion Riders Post 308 *If there are no qualifying families proceeds will be donated to charities that benefit, help, or memorialize veterans I Fnu.Eu+ +uMoss The Randy Gwynn Chapter of the American Legion Riders Osceola #308 is requesting your help to put on a benefit for the families of Northern Indiana Fallen Heroes, who have paid the ultimate price for our freedom and safety.* This ride is scheduled for May 20, 2018. All proceeds from the ride will be divided equally and given to the families of Northern Indiana's Fallen Heroes.* Participating riders will receive a t-shirt illustrating the ride on the front and ride sponsors on the back. T-shirts given out while supplies last. The ride starts at Wal-Mart on Portage Ave, South Bend and ends at American Legion Post 308 in Osceola, IN. There will be food, refreshments, and entertainment for all. Your support with a donation of $100.00 will get your name or business name on the back of this year's t-shirt. We are also looking for monetary donations, services, or merchandise to be used as prizes. Sponsors will receive t-shirts if there are any available after the ride. I would like to express in advance our gratitude to you for your generosity. The cutoff date is May 1, 2018 so the shirts can be printed and on hand for the ride. There is only room for 40 sponsors, so the first 40 received will be on the shirts. Please include your name or company name the way you want it to appear on the Shirt. Thank you, Marvin Walters Make Checks Payable to: Fallen Heroes Ride Contact: Marvin (574) 339-1575 PO Box 452 Hank (574) 855-0444 Osceola, IN 46561 *If there are no qualifying families proceeds will be donated to charities that benefit, help, or memorialize veterans