HomeMy WebLinkAboutNon Res Block Party - Megan Kirwan and Matthew Teters0
1316 COUNTY -CITY BUILDNG U
227 W. JEFFERSON BOULEVARD PRACK
SOUI if BEND. INDIANA 46601-1830
CITY OF Soum BEND PETE BUTTLGIEG, MAYOR
May 8, 2018
Megan Kirwan and Matthew Peters
223 E Colfax Avenue
South Bend, IN 46617
RE: Event Name: Riverlights Music Festival
Street Closure: Niles Ave. from E. Washington St, to Jefferson Blvd,
Dear Ms, Kirwan and Mr. Teters:
PIK)Nii 574/235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on May 8, 2018, approved your request to close the
above referenced street for your event scheduled for June 2, 2018 from 6:00 a.m. to I 1:00 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 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) 23 5-925 1.
Sincerely,
Linda M. Martin, Clerk
Enclosure
c: Gene Eyster, Police Department
Federico Rodriguez, Fire Department
Ed Gleckler,Traffic & Lighting
GARY A. Ga,oi, SUZANNA M. Fla] I'ZBE'Igo E9,IZABF-ffl A. MARADIK JAMB A, MUFLUR THERESF, J. DORAU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 3/28/2018
TO: ` Ed Gleckler, Traffic & Lighting
Gene Eyster, Police Department
Jlatt Longfellow, Engineering
Chris Dressel, Community Investment
I'federico Rodriguez, Fire Department
Marcia Qualls, Engineering
Kara Wood, Park Department
Jill Sciccitano, Downtown South Bend
FROM: Linda M. Martin, Clerk .,�--
SUBJECT: Non- Residential Bloc Party-Riverlights Music Festival
Street Closure: Niles Ave from E. Washington St to Jefferson
Blvd.
LOCATION:
DATE AND TIME: June 2. 2018 6:00 a.m. to 11:00 p.m.
SPONSOR: Meghan Kirwan & Matthew Teters
DATE DUE: April 3, 2018
FAX OR E-MAIL TO: 235-9171 1 Imartin .southlbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO, THE PUBLIC
a -
The Board of Public Works must have FOUR td,)-weeks prior notice of the event.
A NON-REFUNDABLE APPLICATION FEE2'5.00 THE FORM OF A CERTIFIED
61 1"
CHECK OR MONEY ORDER PAYABLE TO T4 �TY OF SOUTH BEND, MUST BE
INCLUDED WITH APPLICATION.
EJ'Fee Paide-i'*
Applicant Name:
w T-0ors
Address: . " "Vlcity: State: Zip:
Phone: �5 L4 Email:
� _3 a
U
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 ,fiver h I
Location
Street Closure Name of Street
From
aile, ;r? &mt o i- River (zc, Iz)wn 7o,7uj
(Describe Area/Routc)1-hC CMPct-;iLm 16f,
t n
'-s h),(
To
C'
e���20
Date of Event - j1jj?,e_ �,?h4 20 a
ffa.rn. Ram. El am.
Time: Registration/Setup 0I P.M. Start p.m. End �rJnl
Approximate Number of Attendees
Answer the following appropriately:
I . This event will have music (live or other). Yes
a. I understand the Noise Ordinance described in the Agreement/Perinit Yes
2. Required Information to Accompany Application
a. Certified Check or Money Order in the Amount of $125.00, or:
b. For Certified Nonprofit Organizations: Copics, 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 Yes
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
3
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.
a. This event involves City streets
b. This event involves County roads
c. This event involves State highways
Updated,8/2017
N
10-1
X
No
No
No
Yes
No
Yes
No
E`-
Yes
El
No
El
Yes
0
No
Yes
J9
No
I
d.
This event involves the use of the sidewalk
�- Ofl � Yes
❑
No
�i,,r}•
e.
This event is Eal/regional ational event (Please circle the
0 yes
El
No
appropriate event type m 1 oc�
f.
Affected property/business owners have been notified of this event.
Yes
❑
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 SERVED OR SOLD
/091 VA7-E
Alcoholic beverages will be served, 5 Alcoholic beverages
will be sold DO
►� 1"- L n 7
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 ❑a'
• 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 Works
THE RIGHT -OF, -WAY FOR NON-RESIDENTIAL BLOCK PARTIES
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.
S. 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 $5,000,000.0�0 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 2'2RCO day of (CK 20
APPLICANT
Printed Name
BOARD OF PUBLIC WORKS APPROVAL
President Me ber Member
Ss I do C k'
Member Date
Member
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251
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BoulevardThe portion of Niles Avenue between Jefferson
and
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Washington
.� ,r, will b, closed starting 1'until
1:00prn June 2nd for the g Festival.
ig
great r sidewalk 3..o ; . as
strive
unobtrusiveas possibile. Wei apologize for any inconvenience this may
,Cause. Please email questions , . concerns ,
riverlightsmusiefestival@gmaii.com. i
big big thank youll
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GIBSON t (so'u) 814.2122
STRENG`l"I--i AGAINST RISK' ""0)836-2122
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ww%GihsonIns.cam
Meghan Kirwan & Matthew Teters
223 E Colfax Ave.
South Bend, IN 46617
'ustomer: City of South Bend
1229988 1 06/01/2018 1 Policy change
South Bend, IN
Flymauth, IN
Indianapolis, IN
Fort Wayne, IN
Elkhart, IN
Kalamazoo, MI
to PO Box 616 • Plymouth, IN 46563-0616
City of South Bend
3140
03/27/2018
Stephen Swihart
1 of 1
Policy #PHPK1774827 02/0212018-02102/2019
Philadelphia Ins Co 1 Philadelphia Ind Ins Co
Premium for Liability Insurance re: Riverlights Music Festival
611-612
you!
GIBSON Payment due by EFFECTIVE date or upon receipt. ; y
(800) 814_2122 Balances are subject to 12% APR late tee,
1 Echeck and credit card payments accepted at ww)ygi6sonins.com/pavo-ibson 03/27/2018
$ 500,00
Thank You
Retain Bottom Section
For Your Records!
Please Rettait to:
GIBSON
PO Box 610
Plymouth, IN 46563-06I0