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HomeMy WebLinkAboutNon Res Block Party - City of South Bend VPA - 18th Annual Kids TriathlonFROM: SUBJECT: INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 3/30/2018 BEd Gleckler, Traffic & Lighting Gene Eyster, Police Department oKMatt Longfellow, Engineering Chris Dressel, Community Investment ),,Federico Rodriguez, Fire Department Marcia Qualls, Engineering ,Kara Wood, Park Department #Jill Sciccitano, Downtown South Bend Linda M. Martin, Clerk . Non- Residential Block Party-18th Annual Kids Triathlon Street Closure: Wall St from Greenlawn to Irr�" QWo Street Closure: Greenlawn from Wall St to Belmont Ave Street Closure: Southwood Ave from Belmont/Twyckenham LOCATION: to Greenlawn Ave. DATE AND TIME: July 14.2018 from 5:30 a.m. to 11:00 a.m. ,t SPONSOR: Kara Wood DATE DUE: April 3, 2018 FAX OR E-MAIL TO: 235-9171 1 lmartin(a7southbendin-gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION rgja, L S ] I jS& = �tk V _TVF P 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 CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION. [] Fee Paid Applicant Name: Kara Wood Address: 301 S St Louis Blvd City: South Bend State: IN Zip: 46617 Phone: 574-235-5799 Email: kwood@southbendin.gov 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 18th Annual Kids Triathlon Location Potawatomi Park & Pool (Describe Area/Route) Street Closure Name of Street Wall St Greenlawn Southwood Ave From Greenlawn Wall St Belmont/Twyckenham TO Ironwood Belmont Ave Greenlawn Date of Event July 14 ------ 20 18 X am. Time: Registration/Setup 5:30 p.m. Start Approximate Number of Attendees W� a.m. W a.m. 8:00 F-I p.m. End 11:00 El P.m. Answer the following appropriately: 1. 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 1h Floor, County - City Building, 227 W. Jefferson Blvd., South Bend, Indiana. c., Certificate of Insurance d. Maps, drawings and setup plan of the area c. 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 8/2017 Yes No Yes No Yes No Yes No Yes No Yes R No E I Yes It No Yes No I d. This event involves the use of the sidewalk 1 91 Yes No e. This event i<a��'loal)regionalhiational event (Please circle the appropriate event type) Yes No f. Affected property/business owners have been notified of this event. N Yes El No g. There is/are resident(s) affected by the event that may need ADA EJ 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 F] No Qualls, Customer Service Manager, 235-5939 to organize meeting). IF ALCOHOL IS TO BE SERVED OR SOLD *" Alcoholic beverages will be served R Alcoholic beverages will be sold ❑ Certified Check or Money Order for $4{10.00 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: • 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 Bend, Indiana e, Board of Public Worlis 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 3 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 afterthe 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, Ioss, 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 t �-� 20 APPLICANT Signature Printed Name BOARD OF PUBLIC WORKS APPROVAL President MVhber 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 molmmmnml T To 321 C Walter St PETE BUTTIGIEG CITY OF SOUTH BEND *ooth Semi. IN 46614 f'��I.+ynr %VENUES 0:574.299A76 PARKS DARTS F: 5 /4.299.4 /63 AARON PERRI six'p .csrE E. c�F ivr Dire; #r..r June 27, 2018 Dear Neighbors: On Saturday, July 14th, 2018 from 5:30 a.m. until approximately 11:00 a.m., the streets that lead to and from Potawatomi Park Pool, Potawatomi zoo, and Kids Kingdom will be closed temporarily due to the 181 Annual Kids Triathlon, sponsored by United Federal Credit Union and programmed by City of South Bend Venues Parks & Arts. I apologize for any inconvenience this may cause you, but wanted you to be aware so that you may plan accordingly. We are lucky to have a beautiful neighborhood that attracts fun events, such as the Kids Tri. invite you to either attend the event or volunteer your time for a few hours that morning. It is a great sporting event for kids ages 5-14 where "Every Kid is a Winner". Street Closures/No Parking Zones include the following areas: Greenlawn — Railroad tracks to Wall Street Southwood/Twyckenham to Greenlawn Avenue Belmont/Twyckenham to Greenlawn Avenue Wall Street/Greenlawn Avenue to Ironwood Kids Kingdom alley and Wall Street if you should have any questions concerning the triathlon or the streets that will be affected on the morning of Saturday, July 14th, please feel free to contact me directly at 574-235-5799 or via email at kwood@southbendin.gov. Thank you for your understanding and I hope you are having a wonderful Summer! Kind Regards, Kara Wood Director of Events South Bend Venues Parks & Arts EXCELLENCE I ACCOUNTABILITY I INNOVATION ( INCLUSION J EMPOWERMENT