HomeMy WebLinkAboutProcession - Stanley Clark School1316, COUNT Y-Crry BUILDINU
227 W. JEFFERSON BOULEVARD
Sourn BEND. INDIANA 46601-1830
CITY OF Sount BEND PETIT BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
June 12, 2018
David Story
Stanley Clark School
3123 Miami Street
South Bend, IN 46614
RE: Event: The Clark Run 5k
Date: October 20, 2018
Dear Mr. Story:
PHONE 574/ 235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on June 12, 2018, approved your request to
conduct the above referenced event on October 20, 2018, from 8:30 a.m. to 11:00 a.m., on the
designated route as submitted. Enclosed please find copy of your approved permit.
The Police Department asks that runners may use the road, and all walkers must use the
sidewalks. Further, the Police Department recommends that the walk start fifteen minutes
after the run so the two can be differentiated for security purposes. All participants should
obey all traffic laws. Police and volunteers will furnish an escort and traffic control,
If I can be of any further assistance to you in this matter, please call me at (574) 23 5-925 1.
Sincerely,
Linda M. Mai -tin, Clerk
Enclosure
c: Gene Eyster, Police Department
Ed Gleckler, Traffic & Lighting
GARY A. Gn,o'r SUZANNA A FRrrZ13ER(,, EiIZABETu A. MAR ADIK JAI' Es A. MUELLER THERE SEE J. DORAIJ
•orn: Thomas Story Fax: f866) 610-8379 To: Fax: f574) 235-9171 Page 2 of 4 05116;2018 9:24 AM
APPLICATION FOR USE OF:
PUBLIC RIGHT-OF-WAY FOR PROCESSIONS
The Board of Public Works must have FOUR (4) weeks prior notice of the
; O'er -. -
Sponsor: �6V ✓ G Submitted By: Gw
N
Address:
City: S10r44 17r-w,
State: Al Zip: Phot,e:
Etriail: 67rS6 att' 04-, Tyr. (�Sfo- / q. Lo-�
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
J CHANGE YOUR ROUTE FOR SAFETY PURPOSES
Event namCle:` a,,,, Ir?,,n
❑ 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
dThe event shall be held on 0"64. ?O�A', 20� and no other date
Registration tune for the event starts at
[✓ Starting time of the procession is 10 as dp.m.
Estimated completion time is a�.Ip.nn.
This event involves the use of the following roadways
Er This event involves closure of City residential streets
❑ This event involves County roads
❑ This event involves State highways
❑ This event involves use of a park (Must obtain permission from Park Board)
❑✓f 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)
This event involves the use of the sidewalk
[f Participants must -stay .on the sidewalk and .obey all traffic laws.
This event is a .oea regionallnational event (Please circle the appropriate event type)
[ This event will be coordinated with the property owner/business where staging will take place
Updated 08/2017 2
•om: Thomas Story Fax: (8(36) 610.8379 To: Fax: (574) 235-9171 Page 3 of 4 05116f2018 9:24 AM
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3_
M
PERMITIAGREEMEPNT
FOR A PROCESSION
Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed
necessary.
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.
Sponsor shall provide to the Board all additional Licenses, permits and documentation
required for the event.
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.
C. Sponsor agrees to abide by all terms and conditions of the Board's policy governing
walks, runts, 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
121s'TUWN FORM TO: 3
Board cifPublis works
1316 County -City Building
227 west Jefferson Boulevard
South Bend, CN 466Q.1
Phone: (574) 235-9251 a i<axi (574) 235-9171
,om: Thomas Story Fax: (866) 610-6379 To:
Fax: f574) 235-9171 Page 4 of 4 0511612018 9:24 AM
Printed Nati-ie 3-/-�7
Title
,(e - O RD OF P BLIC W RKS APPROVAL,
President Member Member
Member
Member
RETURN FORitr •ro:
Board of Public Works
1316 Counly-City Building
227 West Jefi'crson Botitevurd
South Bend, IN 46601
Plume: (574) 235-9251 s Fax: (574) 235-9171
4112, L,?0 t g
Date
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