The URL can be used to link to this page

Home My WebLink AboutNon Res Block Party - DTSB, Inc. - Art Beat 20181.316 C OUNTY-C'rrw BUILDING 227 W, JEFFERSON BOULEVARD Sour t BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETF BUTTrIGIFc, MAYOR BOARD OF PUBLIC WORKS July 24, 2018 Kylie Carter Downtown. South Bend, Inc. 217 S. Michigan St. South Bend, IN 46601 RE: Event Name: Art Beat 2018 PHONE, 574/ 235-9251 FAX 574/235-9171 Street Closures: (1) Michigan St. from Colfax Ave. to Wayne St. (2) Washington St. from Teachers Credit Union Lot to Martin Luther King Jr. Blvd. (3) Jefferson Blvd. from. Leighton Garage to DeRue Ct. (4) Mal -tin Luther King Jr. Blvd. from. Washington St. to Jefferson Blvd. (5) Michigan Street in Front of Jon Hunt Plaza Dear Ms. Carter: The Board of Public Works, at its meeting held on July 24, 2018, approved your request to close the above referenced street for your event scheduled for August 18, 2018 from 6:00 a.m. to 9:00 p.m. Engineering stated parts of this area may still be under construction so the closure is subject to the roads being open. The Police Department stated Jefferson Blvd. will have to be closed at Niles Ave. as there would be no open roadway going wrest, For your information, the South Bend Police Department will monitor this event. Enclosed please find a copy of your approved permit.. You will be responsible for the placement and removal of the cones for the closing of the 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 cane as a result of any missing or damaged comes. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Linda M. Martin, Cleric Enclosure GARY A. Gii,o'r .SUZANNA M. FRt'rzI3ERo ELIZA13ETH A. dy'IARADIK .1AMFs A. M11LLLER TI-EFRESE, J. DORAU 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 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. f/* _) R'Fee Paid 'f Applicant Name: Downtown South Bend, Inc. Address: 217 S. Michigan St. City: South Bend— State: IN Zip: 46601 Phone: 574-282-1110 Email: kca rterad owntownsouth bend. com 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 Art Beat 2018 Location Michigan Street, MLK, and side streets (Describe Area/Route) Street Closure Name of Street Michigan St. from Colfax to Wayne; Washington from TCU lot to MLK; From Jefferson from Leighton Garage to DeRue Court; MLK from Washington to Jefferson To Date of Event August 18 20 18 Time: Registration/Setup 8/17; 6 19 a.m. 1 N a. in, j Pm. Start F-1 p.m. End If El a.m. P.m, Approximate Number of Attendees 13,000 Answer the following appropriately: 1. This event will have music (live or other). Yesf No a. I understand the Noise Ordinance described in the Agreement/Permit N 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 FRI Yes E] No 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 d. Maps,, drawings and setup plan of the area M Yes Ej No e, A copy of a flyer or door hanger that has been distributed to all RX Yes FI No affected property owners. 3. a. This event involves City streets EZ Yes El No b. This event involves County roads 0 Yes FX_1 No c. This event involves State highways 0 Yes [XI No Updated 8/2017 1 d. This event involves the use of the sidewalk 0 yes ❑ No e. This event is a local/regional/national event (Tease circle the ❑X 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 ALA '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 Gall Marcia Yes ❑ No Qualls, Customer Service Manager, ,35-5939 to organize meeting). IF ALCOHOL IS TO ICE 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 Hoard 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:. E' • Fencing around serving area • Trash receptacles. o Ample trash receptacles must be provided to ensure proper disposal of refuse. Temporary liquor license. El • 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 a Board of Public Works _T - MIA 1, �i I III 'I i � 1 1 � K.U65 _W HAI _11IM9130 ,,,a OF-11 ta N I N V 11 41 LIN C1 10 iff"Aff.-A Wt l'i � � � � � 1 � � 1 � � I i 1 1 ' 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 ill 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 pm. and TOO 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 14 day of June 20 APPLICANT Signature X Printed Name Kyiie Carter E_ ABOARD OF PUBLIC WORKS APPROVAL President Mem er 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 1 0 A�!�o CERTIFICATE OF LIABILITY INSURANCE DATE tM MIDDIYYYYI 02I07I2D18 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 have ADDITIONAL INSURED provisions or 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 Ifeu of such endorsement(s). PRODUCER Gibson Insurance Agency, Inc. 130 S Main St, Ste 400 PO BOX 11177 South Bend IN 40601-0177 CONTACT Stephen Swihaft NAME: PHONE (800) 814-2122 FAIL, No : (800) 836-2122 WC No Ezt EMAIL Sswihart@glbsonins.COm ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL p INSURERA: Cincinnati Ins Co 10677 INSURED Downtown South Bend, Inc. 217 S Michigan St PO BOX 930 South Bend IN 46624-0930 INSURER B : Cincinnati Ind CO 23280 INSURER C : INSURER D : INSURER E: INSURER F : r:r1Vr-RAr'.FS CERTIFICATE NUMBER: 17118 Liab 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY EFF MMlDD1YYYY POLICY EXP MMIODIYYYY LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 5,000 A EPP0031054 08/02/2017 08/02/2018 PERSONAL&ADV INJURY g 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG g 2,000,000 POLICY ❑ JEC7 LOC Employee Benefits s 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) S ANYAUTO A OWNED SCHEDULED AUTOSONLY AUTOS HIRED �/ NON-OWNEO !� AUTOS ONLY /� AUTOS ONLY EPP0031054 08/02/2017 08/02/2018 BODILY INJURY (Per accident) S DAMAGE Pe�laccden S Uninsured motorist $ 1,000,000 X UMBRELLA LIAB OCCUR „'E'N'_ •••" EACH OCCURRENCE 4,000,000 $ _ HCLAIMS-MADE AGGREGATE $ 4,000,000 A EXCESS LIAB EPP0031054 08/02/2017 06102/2018 DED I X1 RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? iMandatory in NH) N fA EWCO25777403 08102l2017 OB10212018 �/ PER OTH- /� STATUTE ER E.L.E.ACHACCIDENT $ lOD,000 E.L. DISEASE - FA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT 500,000 $ If yes, describe under DESCRIPTION OF OPERAT#ONS below DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space Is required) The City of South Bend is additional insured with regard to Art Beat on August 18. r r_0r€Cir`ATC unt nFR r`ANr:FII I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. 227 W Jefferson Blvd AUTHORIZED REPRESENTATIVE South Bend IN 46601 @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD