HomeMy WebLinkAboutNon Res Block Party - The LGBTQ Center, Inc.1316 COUNTY-0-ty BUILDING
227 W. JEFFERSON BOULEVARD
SOU'rii BEND. I NDIANA 46601-1830
CITY OF SOUTri BEND PETE BuTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
May 22, 201.8
Jason Wilkinson
The LGBTQ, Center, Inc.
1522 E Mishawaka Ave.
South Bend, IN 46615
RE: Event Name: Pride Block Party
Street Closure: South Michigan St. froin Washington St. to Wayne St.
Date: June 16, 2018
Dear Mr. Wilkinson:
PHONE 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on May 22, 2018, approved your request to close the
above referenced street for your event scheduled for June 16, 2018 from 10:00 a.m. until 6:00 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) 235-925 1.
Sincerely,
Linda M. Martin, Clerk
Enclosure
c: Gene Eyster, Police Department
Ed (heckler, Traffic & Lighting
GARY A. GIL0'r SUZANNA M. FRITZBERG ELIZABETH A. MARAD�IK JAMr-,,s A. MUELLER THERESE J. DORAU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 5/2/2018
TO: Ed leckler, Traffic & Lighting
ne Eyster, Police Department
4att Longfellow, Engineering
V-hris Dressel, Community Investment
Federico Rodriguez, Fire Department
Marcia Qualls, Engineering
Mackie Appleman, Park Department
.Jill Sciccitano, Downtowq South Bend
FROM: Linda M. Martin, Clerl
SUBJECT: Non- Residential Block Party -Pride Block Party
LOCATION:
DATE AND TIME:
SPONSOR:
DATE DUE:
FAX OR E-MAIL TO:
S. Michigan St from E. Washington St to E. Wayne St
Saturday June 16, 2018 10:00 a.m.to 6:00 p.m.
The LGBTQ Center, Inc.
May 15, 2018
235-9171 1 Imartin(a)-southbend in.gov
RECOMMENDATIONS AND COMMENTS:
By Date
APPLICATION
FOR USE OF, AND BLOCKING 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 NUN -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.
F ar
ee Paid 45
Applicant Name
The LGBTQ Center, Inc.,
Address: 1522 E Mishawaka Ave— City: South Bend — State: MI Zip: 46615
Phone: 574-234-1411 — Email: _jason(a-_)thelclbtqceriter.ora
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 hereinaft-er described event:
Event Name
Location South Michigan Ave from Washington Street to Wayne Street including Jeffereson Blvd intersection
(Describe Area/Route)
Street Closure Name of Street S Michigan St
From E Washington Street
'ro E avne Street
Date of Event Saturday June 16th 20 18
19 a.m. ❑ a.m. a.m.
Time: Registration/Setup 10:00 [:] p.m. Start 12:00 p.m, End 6:00 P'm
Approximate Number of Attendees 500
Answer the following appropriately:
1. This event will have music (live or other).
FX-1
Yes
No
a. I understand the Noise Ordinance described in the Agreement/Permit
FX
Yes
No
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
Yes
❑
No
additionally filed with the Office of the City Clerk, 4 th Floor, County -
City Building, 227 W. Jefferson Blvd., South Bend, Indiana.
c. Certificate of Insurance
d. Maps, drawings and setup plan of the area
Yes
Ej
No
e. A copy of a flyer or door hanger that has been distributed to all
Yes
No
affected property owners.
3.
a. This event involves City streets
Yes
❑
No
b. This event involves County roads
El
Yes
No
c. This event involves State highways
F1
Yes
M
No
Updated 8/2017
1
d. This event involves the use of the sidewalk
❑
Yes
®
No
e. This event is a [oval egional/national event (Please circle the
®
Yes
❑
No
appropriate event type)
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
Alcoholic beverages will be served ❑ 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: ❑
• Fencing around serving area
• Trash receptacles.
o Ample trash receptacles must be provided to ensure proper disposal of refuse.
Temporary liquor Iicense. ❑
• Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information.
• Application cannot be processed without a copy of this license.
w
City of South Bend, Indiana • Board of Public Works
PERMIT ANTI► AGREEMENT FOR THE USE OF
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. 1.0224-13, 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 Bled 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.
1.0. Barricades wi11 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 1.1:00 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 ofthe 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 day of 20
APPLICANT Signature
Printed Name
% BOARD OF PUBLIC WORKS APPROVAL
Val w1c
President Member Member
Member Member Date
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251
PRIDE South Bend 2018
Saturday, June 16th from 12 p.m. to 5 p.m.
The LGBTQ Center will be hosting a block party in downtown South Bend to
celebrate PRIDE month. Starting early that morning— S. Michigan Street
between E. Washington and E. Wayne Street will be shut down. Roads will
remain blocked until 6 p.m.
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