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Home My WebLink AboutLicense - Renewals for Public Parking Facilities - LAZ Parking Midwest, LLC.For all municipal business license questions, contact: City of South Bend • Department of Community Investment 227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 • 574,235,5912 + F: 574,235.9021 2510 LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY MUNICIPAL CODE SECTION - 4-39 I. APPLICATION TYPE Check One: New Renewal x IL BUSINESS DATA A. Business Name: LAZ Parking Midwest, LLC B. Business Address: 1228 N. Eddy Street City: South Bend State: Indiana Zip: 46617 C, Mailing Address (If different from above): c/o Heather Mortimer 15 Lewis Street City: Hartford State: CT Zip: 06103 D. Business Telephone Number: 860.522 7641 x7793 E. Business Fax Number: 860.524.8249 F. E-Mail Address: hm rtimer@_la parkin ,com G. Maximum Number of Vehicles that can be parked at facility at one time: 1200 H. Total Number of Parking Spaces at facility: 12000 I. Hours during which vehicles may be stored: 24 Hours H. Premises are (check one): Leased by Applicant x Owned by Applicant If Leased: Owner's Name: Kite Realty Eddy Street Garage Owner's Business Address: 1234 N. Eddy Street, Suite 115 City:: South Bend _ State Indiana Zip: 46617 Owner's Residential Address: City: State:, Zip: J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: Broker: Amity Insurance Agency/ Lexington Insurance Company For Office Use Only JAN 2 12020 Application Filed Public Works Approval Application Fee Paid License Fee Paid +iN;a p 'Sent to Dept T i License NumberA „•7038 Not Approved Reason 1 �. ��, , N, . ,—P, l '.- .... -- _, For all murildipa I business I cense questions, contact: City of South Bend °Department of Corn m"nity/n vestment U[INSEAPPUCATONFOR-PUBLIC PARKING FACILITY MUNICIPAL CODE SECTION -4-39 Ill. PERSONAL DATA A.Applicant's Legal Name Heather P.NuUmz 8.Residential Address: 15Lewis Street City: Hartford State: CT Zip. 06103 [. Residential Telephone Number: 800.522.7641 x7793 D.Residential Fax Number: E.CeUphuneNumber: F. Position with Business: Corporate Compliance Officer IV. OWNERSHIP A.Type ofownership (check nne): Sole Proprietorship (If sole proprietorship, proceed to1). Comoanv Partnership (If partnership, proceed to2). Corporation (if corporation, proceed tn3L 1. Sole Proprietor Name: Residential Address: City: State: Zip Z.Partnership (List atleast two (J)partners) Nome#1: Residential Address: Cky� State: Zip: Namp#2: Residential Address: 3.Corpomdon Legal name mfcorporation: LAZ Parking Midwest,LLC Date and state ofincorporation: Connecticut ' Dec OD 2008 2 0 For all man c1pa Iuusmess I Ice nsrquest! an s, contact: City a fSouth Rend -Department ofcommunity /nvewmem UCENSEAPpLI[ATONFOR-PUBLIC PARKING FACILITY MUNICIPAL CODE SECTION -4-39 IV. OWNERSHIP ([ondnued) A - Type ofownership (condnued): lCorporation (oonUnued) Resident Agent: Name: Corporation Service Company Title: Business Address: 251 East Ohio Street Quite5OO City: Indianapolis state: IN Zip: 46204 Officers: Name #1:Alan Lozowoki Title: CEO Business Address: 15Lewis Street City: Hartford State:OT Zip:UO103 Residential Address: 17OScarborough Gtrao City: Hartford State: CT Zip: 06103 Name#3: Michael J.Kuziok Title: �uu Business Address: 1SLewis Street City, Hartford State: CT ZiA: 00103 Residential Addres � 12OBoohanRoad City: East Haddam State: CT Zip: 06423 Name#3: Jeffrey N. Karp Title: President &Secretary Business Address: City: Boston State: MA Zip: 02116 Residential Address: 3G�|m itHiUR d city: Wayland State: MA Zip, 01778 For all municipal business license questions, contact: City of South Bend • Department of Community Investment 227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 • 574,235.5912 • F: 574,235,9021 LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY MUNICIPAL CODE SECTION - 4-39 V. INCLUDE COMPLETE RATE AND HOUR SCHEDULE WITH APPLICATION VI. INCLUDE COPY OF CURRENT INSURANCE POLICY OR BOND WITH APPLICATION VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION Vill. AFFIRMATION I, hereby, certify and affirm that all of the information I have given in this application is true and accurate to the best of my knowledge. I further certify that I have in no way attempted to mislead the City in this application by omitting facts known to me. I have read and understand the regulatiiotas' 'the Pub 'clarking Facility license found in the City of South Bend Municipal Code, Sec n 1 39. re Date `0 "<>"' CERTIFICATE OF LIABILITY INSURANCE °ATE(MMIDDmYY) wa. 7/26/2019 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(les) 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 lieu of such endorsement(s). PRODUCER ��Frank Griffin PHONE. (617)rAnxAmitY insurance Agency, Inc. 471-1220 la, 500 Victory Rd. L f riffingamit inB.com A1Ni14ES3. g Y _ Marina Say w_W.._ F") .FF .m ...V __.._. ., ._ � INSURE 9 AFFORDING COVERAGE NAIL Y I y 2171 INSURERA Liberty Mutual Fire Insurance 23035 North Quincy mm..... �.... ._......... �,..._...�,. .w_....w, m .__.Y.m.�. .W INSURED INSURER 8: Liberty_ Insurance Corporation 42404 LAZ Parking Midwest, LLC INSURER C:Berkle Insurance Comma 1 32603 33 West Monroe Street INSURERD:Markel AmericanaInsurnce Com an 28932 Suite 2010 WSURERE Federal Insurance Company 20281 Chicago IL 60603 INSURER F: Everest National Insurance Com an 10120 COVERAGES CERTIFICATE NUMBER:19-20 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. -i ..._._—__ ... .......... ..n ... ,.� ....... _ _ _.w,.� . .. 1— ....w....... TYPE OF INSURANCE .,_. POI IOY YY LIMIT � - MTSR AODL U�:kR. POLICY NUMBER POLIi,Y EIF.♦," S y..•.. IGiFAxSCTsHa9.aGtGsG.UJR��otIiiTI�IuUFC;ofiC-C p Y 9U.. -1, 000, 000 SPK9AL ENEtA4 11000,000GENERALLIABILITY 7 A m, CANIv S4AU V,w f'Ji.XUR r.B2611260451039 /31/2019 '1/31/2020 .,..k.......... . 11fi D uX@ (Any_!,, er.arnp E EXCLUDED uI U'tS;I at._ Alavl Jl.lwty 1, 000, 0001 t ouET�aI�Aq(',![ d TE h 2,000,000 N C, Af: Iar�Ar L..itt is Aal llrs PER: PR0I1)UCfS-c0lWl10I AGr,� h �2,000,000 .._ _....... m r oticw 2 X', I.E . AUTOMOBILE LIABILITY COMPRED 7NOf-1-LIMIT % ANY AUTO BODILY _...... .,• 1. 1t ?.0 0001�?,.IJQ E3,�.0 INJURY (Par Pr^rsr nt 1 p+ ........__-.. _- ..... ALL OWNED SCHEAUTOUJUI.I�:.u'S I 32611260451019 L19 � /31/2020 U.3or11[.'Y INJU RY U air ercdnnt AUTOS Ai1TC1G I� 7 ._..._ NON-OWNEDVR—OK-R P•.:3.6.°muSi)AMAGE ww.�•ww_......»,,.,. R HIRED AUTOS AUTOS TYD� $ EE ATTACSEDLIST OF X UMBRELLA LIAR X C3CQ R EACH OCCURRENCE S 100, 000, 000 ][ EXCESS LIABrGAIAEKEEPERS t,l „ 1?OLICIEB 7/31/2019 '1/31/2020 ,A 'CRG iwATE'.. ..� ... ..� RE'rENUON � 7; B S COMPENSATION ISTATU- -j OTH-. LOYERS` LIABILITY Y. N X wI �LI _ ER..... �......... ,„,..„,,............._ RIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $ 1, QQQ QpQ M EMBER EXCLUDED? NIA .KL EA., .„, y in NH} PA761D260951029 /31/2019 /31/2020 G I... DU„hAul AEI 0I Q C E 1, 000, 000 cribe under--°^°^ -----°° --- ---- DESCRIP PION OF OPERATIONS below F.U., DI.0..A f I' PU„ICY 4.IMIT $ 1 000,000 -- ...._� ..,..... ,..............._ ...�... .......m.........._ __.....___._ �,.�.�........... A KEEPERS LIABILITY 32611260451019 /31/2019 7/31/2020 S1,000,000LII`fir C CRIME/EMPLOYEE DISHONESTY OCCR4500289221 /31/2019 a/31/2020 51,auul,all¢rIIwily DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IAftech ACORD 101, Additional Remarks Schedule, If more space is required) If agreed upon in a written contract or agreement, City of South Bend is included as an additional insured for general liability, but only with respect to the operations of the named insured. Re: 220903 - Eddy Street Commons at Notre Dame CERTIFICATE HOLDER CANCELLATION 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. Attn: Michelle Adams 227 W. Jefferson Boulevard AUTHORIZED REPRESENTATIVE South Bend, IN 46601 1 �Frank Griffin/FG I� A CIRD 25 (201OMS) 0 1988-2010 ACORD CORPORATION. All rights Poser I S25 (201005).01 The ACORD name and logo are registered marks of ACORD INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT: TO: L,,fom Anderson, Code Enforcement dd Sk +arcan„ Fire Department att Longfellow, Engineering Chris Dressel Community Investment � iA FROM: Linda M. Martin, Clerk SUBJECT: License Application for Public Parking Facility .....mm.m..............N........ LAZ Parking.... ....wm. .�.�.... .....�ww �m._...�� LOCATION: Midwest, LLC 1228 N. Eddy Street ... ......_........ w_. .................... ��..�. _ ........wm DATE DUE: February 18, 2020 .................... .._............... FAX OR E-MAIL TO: 235-9171 / Imart!n@southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date 1 /29/2020 Linda Martin From: Tom Anderson Sent: Tuesday, February 4, 2020 10:09 AM To: Todd Skwarcan Cc: Nateesha Jacobs; Matt Longfellow; Chris Dressel; Linda Martin; Jim Wood Subject: Re: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Nateesha The rate sheet is incorrect on our paperwork that was submitted to the City. Does the BPW need to know or Approve new rates? Or need the new RATE sheet sent to the City? Towing signage was good. No other recommendations. See attached. Sent from my Wad On Jan 31, 2020, at 10:16 AM, Todd Skwarcan <tskwarca@southbendin.gov> wrote: No comments from SBFD From: Nateesha Jacobs <njacobs@southbendin.gov> Sent: Thursday, January 30, 2020 2:29 PM To: Tom Anderson <tlanders@southbendin.gov>; Todd Skwarcan <tskwarca@south bendin.gov>; Matt Longfellow <mlongfel@south bendin.gov>; Chris Dressel <cdresseI@south bendin.gov> Subject: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Hello all, Please provide your recommendations. Thank you, Nateesha Jacobs Suellen Firtl From: Matt Longfellow Sent: Tuesday, February 4, 2020 9:16 AM To: Nateesha Jacobs; Laura Hensley; Suellen Firtl Cc: Toy Villa; Kara Boyles Subject: FW: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Attachments: 1599_001.pdf Engineering has no objections to this Public Parking License. Regards, V FACE 1865 Matt Longfellow Permit Inspector Public Works Engineering Office: (574) 235-5929 Mobile: (574) 286-9589 mI.ngfel@s�th endin. y City of South Bend 227 W. Jefferson Blvd., Ste. 1316 South Bend, IN 46601 http:L/www.southbendin,,gqy From: Nateesha Jacobs <njacobs@southbendin.gov> Sent: Thursday, January 30, 2020 2:29 PM To: Tom Anderson <tlanders@southbendin.gov>; Todd Skwarcan <tskwarca@south bendin.gov>; Matt Longfellow <mlongfel@southbendin.gov>; Chris Dressel <cdressel@south bend in.gov> Subject: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Hello all, Please provide your recommendations. Thank you, Nateesha Jacobs Nateesha Jacobs From: Chris Dressel Sent: Saturday, February 1, 2020 4:37 PM To: Nateesha Jacobs Subject: RE: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Recommended for approval. ' Christopher D Dressel, AICP ° Senior Planner Bicycle Coordinator Brownfields Coordinator Census Coordinator Department of Community Investment 674 6 a47 M cda.,,ss :��aa�16Crhb' BNdGB"tl.goy City of South Bend 227 W. Jefferson Blvd., Suite 1400S South Bend, IN 46601 e deflviar soirvices ihawnpower evei,yonir,, W flh ii,llve^. "c'ell"mce I AccounUdblloy � lnimvWl out ll 111f,;1g1sk)II � 1In1ponr eri'r'u,pW From: Nateesha Jacobs Sent: Thursday, January 30, 2020 2:29 PM To: Tom Anderson <tlanders@southbendin.gov>; Todd Skwarcan <tskwarca@south bend in.gov>; Matt Longfellow <mlongfel@southbendin.gov>; Chris Dressel <cdressel@south bendin.gov> Subject: License Application for Public Parking - 1228 N. Eddy St. - LAZ Parking Midwest, LLC Hello all, Please provide your recommendations. Thank you, Nateesha Jacobs