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Home My WebLink AboutProcession - South Bend Heritage Foundation - 30th Annual Red Ribbon March Against Drugs and Violence1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD Sol ifvI NzND, INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS September 25, 2018 Gladys Muhammad South Bend Heritage Foundation 803 Lincolnway West South Bend, IN 46616 RE: Event: 30"' Annual Red Ribbon March Against Drugs and Violence Dear Ms, Muhammad: NIONu, 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on September 25, 2018, approved your request to conduct the above referenced event on October 19,2018, from 9:30 am, to 11: 15 a.m. on the designated route as submitted. Enclosed please find copy of your approved permit. Please note that participants must stay on the sidewalks and obey all traffic laws. If I can be of any further assistance to you in this matter, please call me at (574) 235-9251. Sincerely, Linda M, Martin, Clerk Enclosure GARY A. Giioi' SUZANNA M. FRITZBERG Ei.,iZABE'Hi A. MARADIK JAMEs A. MUE'LLER Tf iF',RF81-, J. DAZAIJ 09-14-'18 12-24 FROM- South Bend Heritage 574-289-4650 T-482 P0003/0006 F-653 - ". — - I � a" .- —. I'll .. - . APPLICATION FOR VS)E OF PUBLIC RIGHT-(.D0-WAY FOR PROCESSIONS , The Board of Public Works must have FOUR (4) weeks prior notice of the Sponsor; A Lb land Na� d"Submitted By: C!5�� Address: City; )� nu state: zo A i ow) Zip- 4ULL Phone:62d -d& -�bqz r3mail. — (0 6bh 6L�ae, L�a, Spoiigor may use 1he public xight-of-way described as (descr& route andattach map) PLEASE NOTE. THE SOUTH BEND POLICE: DEPARTMENT RESERVES THE)UGHT TO CHANGE YOUR ROUTE FOP, SAFETY PURPOSES tk� N Event name: & t-- an n -( I'Mj- U, 1A W C4 The Board of Public Works must have FOUR (4) weeks prior notice*fbie, event ocoutg All oertiffiates of fiwaance, pre -paid costs, maps, and any other applicable information requested or reqWred by the Board of Public Works have b pr�o-vidcd with this application The event shall be held on 20 17 a -ad no anther date Registration time for the event starts at OL. �Q C'antar L] Stvft time ofthe procession is p ip.M. Lf-y)661r1UJ0q (A-) 6-6 El Estimated completion time ish al G/p.tn. Dis event involves the use of the following roadways F1 Thisevent involves closure of City residential streels E] This Vent involves County roads n This event involves State highways This event involves use of a park (Must obtain pennission.turn Park Board) I understand that I mwt amoge a meeting with all affected governmental agencies to organize the above event (Call Marcia Quaflsy Customer Service Manager, 235-5939 to organize weeting) This event involves The use of the sidewalk ID/ / Participants must stay on the sidewalk a.nd obey all traffic laws. Lg This event is a local/reglonal/national event (Please circle the appropriate event type) This event will be coordinated with the property ow na/busbaess where staging Will take place UDdate:d 00017 2 09-14-'18 12:24 FROM- South Bead Heritage 574-289-4550 T-482 P0004/0006 F-653 PERM T/AGIZEMENT FOR ,A PROCESSION Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed Necessary. 2. 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 Wsured for this event. 3_ Sponsor shall provide to the Board all additional licenses, permits and documentation required for the event. 4. V this event results in closure of a zesideDfial 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 aU affected neighbors and included with the application. 5, If this event results in closure of a residwial street, the applicant is responsible, prior to the event, for dmrmining 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- 6. Sponsor agrees to abide by all terms and conditions of the Board's policy governing walks, runs, parades or other similar' event adopted by the Board on March 3,1985. 7. In order to easum public safety during the event, the Board agrees to furnish traffic planning, materials, equipment and personnel as deemed necessary by the Police Department Ty-aftc 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 fo)r the purposes set out above, the undersigned agrees and umdcrtakes to hold the Civil City of South Bead, 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 1316 Cmmty-City Baildiag 227 west Jef Boon Boulevard South B md,1N 46601 Phone_ (574) 235-9251 a Vwc (574) 235 9171 3 09-14-118 12:24 FROM- South Bend Heritage 674-289-4550 T-482 P0005/001016 F-653 Ile. I VH LV, L. .- —, I Yj 1 1, 11 1 Printed Name hosident M 't '0M ON mm VAL Mm ex 11.2 ko RATUM FOMA TO: Board of Public Works 1316 County -City Buildiag 227 West 1cfforson BoWtvard South, Bend, IN 46601 Mono, (574) 235.9251 e Fax: (574) 235-9171 kor- Corps mull'ity.- al 15. Ford St E South V, > 3 am St "Ouigiam St 9 ZL Y-, en :W, tPle, at ... ..... S4MpIq St''X ESample"Stw" 09-14-'18 12:25 FROM- South Bend Heritage 574-289-4550 T-482 P0006/0006 F-653 CL NEAR Howard 7, N OR IT-H WE�T, IW7,. 1, > Py SIM rix to' . 6'i E It to'lfa pulto z W Mari6n St 10 Unden Ave 16 min i "Lasalle' Oran 0.8 mile W Colfax Ave . ME E WpshingW St 117 Mtn: f Lie son UIVU cn E 09-14—' 18 12:24 FROM— South Bernd Heritage 674-289-4550 T-482 P0002/0006 F-653 = South Bend Heritage 803 Lincoln Way Wsst South 8 d, IN 466t6 Phone: 574-28g-i066 Fax: 574-289-4550 www.sbheritage.or8 Tuesday, September 11, 2018 To: Board of Public From: Gladys R3-0-1,06"1 16 Iti , We will leave from Colfax Cultural Center marching on the sidewalk east on Lincolnway West turning right on Charles Martin Drive keeping straight, crossing on Western Avenue at the traffic light going to the Kroc Center on Friday, October 19, 2018 starting at 10:30 a.m. I can be contacted 574-280-7092. NeIghh0eW rks® CHART€R€D MEMBER }"►=Q� CERTIFICATE OF LIABILITY INSURANCE - - DATE(MMIDDIYYYY) 0212812018 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 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 ail endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s). PRODUCER CONTM57 Theresa Burns NAME: Gibson Insurance Agency, Inc. PHONE 800 814-2122 Fax A!C No Eat : { } (A/C, No): (800)836-2122 130 S Main St, Ste 400 L-MAILtburns@gibsonins.com ADDRESS: Qg PO Box 11177 INSURER(S) AFFORDING COVERAGE NAIC # South Bend IN 46601-0177 INSURER A: Cincinnati Ins Co 10677 INSURED INSURER 8: Cincinnati Ind Co 23280 South Bend Heritage Foundation, Inc. INSURER C : 803 Lincolnway West INSURER D INSURER E South Bend IN 46616 INSURERF: f+VVCKAtWrz. LLKI IFIL:AIt NHM6ER• 3-L-1011ZJ LIE10111TV oClNQrn1i Kim orao— 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. IN LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD lYYYY Y MMlDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FXI OCCUR PREMIS ES ETO a pence $ 500,600 X MED EXP (Any one person) $ 5,000 XCU X Contractual Liability PERSONAL a ADv INJURY $ 1,000,000 A EPP0232816 03/02/2018 03/02/2019 GEN'L AGGREGATE LIMIT APPUES PER; GENERAL AGGREGATE $ 2,000,000 POLICY � PRO - LOC PRODUCTS-CpMP1OPAGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aWdent $ 1 000 000 X ANY AUTO BODILY INJURY(Perperson) $ A OWNED SCHEDULED AUTOS ONLY AUTOS EPP0232816 03/0212018 03/02/2019 BODILYINJURY Per accident ( ) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per acddenl $ Medical payments $ 5,000 UMBRELLA LtAB X OCCUR EACH OCCURRENCE $ 5,000,000 X $ 5,000,000 A EXCESS LIAB CLAIMS -MADE EPP0232816 03/0212018 113/112/21119 DED I I RETENTION $ 0 [AGGREGATE $ WORKERS COMPENSATION _ AND EMPLOYERS' LIABILITY YIN X I STATUTE EORH E.L. EACH ACCIDENT $ 100,000 B ANY PROPRIETORIPARTNERIEXECUTNE ❑ OFFICEPJMEM13ER EXCLUDED? N NIA EWCO24723304 03l0212018 03/0212019 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY OMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is additional insured with respect to general liability coverages regarding work performed by the insured. s i'•.l1 City of South Bend 227 W Jefferson 1316 County City Bldg South Bend IN 46601 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD