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Home My WebLink AboutProcession - St Joseph County Right to Life - March for Life and Rally1316 COUNTY -CITY BUILDING 227 W. JEFFERsoN BOULEVARD SOUTH BEND_ INDIANA 46601-1930 t 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAY BOARD OF PUBLIC WORKS I November 13, 2018 Melanie Garcia St. Joseph County Right to Life 2004 Ironwood Circle, Suite 130 South Bend, IN 46635 RE: Event: March for Life and Rally Date: January 18, 2019 Dear Ms. Garcia: PHONE 574/235-9251 FAx 574/ 235-9171 The Board of Public Works, at its meeting held on November 13, 2018, approved your request to conduct the above referenced event on January 18, 2019, from 11:30 a.m. to 12:15 p.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. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DoRAu APPLICATION FOR USE OFF ' PUBLIC RIGHT-OF-WAY FOR PROCESSIONS , > ,�� The Board of Public Works must have FOUR (4) weeks prior notice of the event:" , s Sponsor: s �', _.. JOeCsvo � Rtokf � L-- eSu'bmitted By: �.. a lt/tCv�G Address: .2 0q Iron k)ood UCd e-,, 54) ; to /3 o pr1uje-,x r M,::&Aa6 e-r City: ccoV bend �7 _............ State: Z ro Zip: LILe4 35 Phone: 7 Email: 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 CHANGE YOUR ROUTE FOR SAFETY PURPOSES Event name: MtrcA for L,fleand Axily w Soz)vj fiend 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 [� The event shall be held on V M _I $ _ , 20 � 9 and no other date E] Registration time for the event starts at /1 30%/p.m. Starting time of the procession is � a.m./ ❑ Estimated completion time is I f/ a.ni l . in This event involves the use of the following roadways ❑ 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) ❑ 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) L1, This event involves the use of the sidewalk 13C Participants must stay on the sidewalk and obey all traffic laws. This event is a ca regional/national 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 PERMIT/AGREEMENT 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 insured for this event. 3. Sponsor shall provide to the Board all additional licenses, permits and documentation required for the event. 4. 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. 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 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. 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. c Sponsor Signature RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 w Fax: (574) 235-9171 Printed Name rile I(%1+ e. &eci & Title PeaeweAw /' x fl x6er 13 RD OF Pl i LIC W(WKS APPROVAL ._... ....... 'President Member Member .......r 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 • Fax: (574) 235-9171 10/10/2018 553 E Washington St, South Bend, IN 46617 to 498 W Jefferson Blvd - Google Maps 553 E Washington St, South Bend, IN 46617 to 498 Walk 0.8 mile, 16 min W Jefferson Blvd W L avalle Ave f L-11. A, F! C"awl", A 01 P, h, Kizer 0tlE N M, 11, All, N "Y"Ie, I A Map data @2018 Google 500 ft t 1. Head west on E Washington St 135 fl: 2. Turn left toward E Jefferson Blvd 492 ft 3. Turn right onto E Jefferson Blvd 01 mi 1w 4. Slight right onto E Wayne St 299 ft ro. 5. Turn right toward E Jefferson Blvd 01 mi t 6. Continue onto E Jefferson Blvd 0.4 mi 498 W Jefferson l3lvd S ,-,out.l i Bend, IN 46601 These directions are for planning purposes only, You may find that construction projects, traffic, weather, or other events may cause conditions to diffor frnm tho man rpqi dtq anrl uni i Oini ilyd nlpn OP IDDH CERTIFICATE OF LIABILITY INSURANCE DATE 10/8/208/2IY018 - 108 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 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 I'ieu of such endorsements PRODUCER S 11er Insurance GroupPHONE.. B an K Nafrad Life 8_ 1 800g ackson Road caNxACT f1x.574-258 5555 Arc Ne 574 25 9177 Mishawaka, IN 46544-9195 1EM I s ner nsurance r�1u Com Bryan K. Nafrady, CLU, ChFC A,DDREss: bnafrady _..-_!. _ ,,,,....,. ..........PIa'Dl�urI� HT01 ,._ ......_. ...... _ ... .......... INSURED ..... :.:.. _,,,,. .. _........ Auto -Owners .--- ... --- NAIC.#,.. INS .� RED St Life Inc St CO Right t0 INSURER A: Insurance CO 18988 St Joseph Co Right I INSURER A: WnerS to Life Educational Fund �......, .... _..... , , ,., -- ..... _._.. „ -...F 2004 Ironwood Circle Ste 130 „NsIJRER c South Bend, IN 46635 i,NSURERD: ..,., ............. NNSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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. NNsit _., ---- ............ LTR TYPE OF INSURANCE PfSd tCY NUMBER Mr(3pdYMWYY ...MM OCO/YY1P LIMITS GENERAL LIABILITY EACH OCCN,Id RFNCE $ "a rau�`,ausoavre „ 1,00'50+,00. ' A OMCARAL LIABILITY Y 96-762-842-00 09/28/2018 09/28/2019 PCr (F$ 50.00( CLAIMS -MADE OCCUR __,MERILGENEMEX Agano peaern.-. ... .. ---------- ............ PERSONAL &ADV,INJURY ._,..., S _.....___.,.....1,000,00.:. GENERAL AGGREGATE 2,000,00' GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG„,.S 1,000,000 PR'O« X $ , POfl.IR:Y AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ,ident) ----- . ,. .-.,....�,.�..__.......... BODILY(Per person) $ ,. ALL OWNED AUTOS ., INJURY .__..... ... ........,.. ..... INJURY accident) $ SCHEDULED AUTOS BODILY - .. (Pc --.... ,. . ,..... .. PIOLROPERTY DAMAGE m...... HIRED AUTOS $ .. (PER ACCIDENT) NON -OWNED AUTOS $ .. ,..., :.. ......... m .w._...........__ :... UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ,... EXCESS LIAR ,... CLAIMS -MADE :.....---.... .----- ,m �., AGGREGATE $ DEDUCTIBLE _........... .... „„„ RETF.NTiON S WORKERS COMPENSATION WC STATpJ- 'OTFI, AND EMPLOYERS' LIABILITY YIN ... 10HY LIA'i11.' .... .. T ....:.. ,,,. __._......,.._. ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT $ 4; PFICCRAAEMBEIR EXCLUDED? ❑ N/A EL (rJlaun story In NH) E1. DIiSEASU FA EMPLOYEEI S NI�Yes, describeendot ..._..E , ,..-_.... :.... ... d'1.SCRIPrtON OF OPERATIONS below E L. DISEASE' - POLICY LtMBT' DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101,„ Additional HemaflKs Srhodula. If more space is ouquirod) ITY OF �ONTRAC'T AS I3,WgDCTSLE ENT Bff ITIONNAL INSURED WHERE REQUIRED BY WRITTEN HELD 'March for Life Rally' SOBDPUB 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. Public Works 227 W. Jefferson AUTHORIZED REPRESENTATIVE South Bend, IN 46601 v T`JtftS-ZUUa ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD