HomeMy WebLinkAboutSpecial Event - Stars and Stripes Forever Ride - June 19APPLICATION FOR USE OF u
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PUBLIC RIGHT-OF-WAY FOR EVENTS
The following special events have been approved by the Special Events Committee.r.._i�"
Submitted by: Denise Miller
Event name: Stars and Stripes Forever Ride
Event Date: 6/19/21
Street Closure: None
Closure Times:
Sidewalk Closure: ❑ Yes ❑ X No
Comments: American Lep-ion Riders 357 Annual Ride.
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Joseph R. Molnar, Member
Jordan V. Gathers, Member
Murray L. Miller, Member
Attest: Anne Fuchs, Clerk
1
,T»Hf City of South Bend Special Event Application
d; Motorcycle Ride
PEV $50 application fee if filed 60 days or greater (up to 360 days) in advance of event
,aer,
Review the Instructions on the Special Events page before completing the application. City and Regional
Motorcycle Event applications must be submitted more than 60 days in advance of the event date or the
application will not be accepted.
Section A - Aoolicant Information
Date of Application: __L'yl_ _Amer_i_c—a_n__Leg_i_on___Rider_s_
_____20______ Organization Name:
Applicant (Contact) Name:Joseph Eshman__—_---_—_
---------- --------------------
(574)315-5621 _ Contact Email: eagle12749@aol.com
Applicant (Contact) Phone:
----------
19369 Kern Rd. South Bend, In., 46614
Address: ___ City/State/ZIP:__—
List any professional event organizer, event service provider or commercial fundraiser that is authorized to work
on your behalf to plan, produce and/or manage your event.
Organization Name:
Contact Phone:
Address:
Contact Name:
Contact Email:
City/State/ZIP:
Section B - Event Information
Stars and Stripes Forever Ride
Event Name: Event Type: Motorcycle
Event Classification: ® Non -Profit' ❑ For -Profit
❑ City (Civic) Sponsored ❑ Other (If Other, please describe): --- —__— ----- —_— -------- —___.
'The Special Events Committee may request proof of non-profit status.
Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this
application. The description should be a summary overview.)
Date of Event Setup [mm/dd/yy]: 06/19/21 Time:8:00 AM
--------------
06/19/21 11:00 AM
Begin Date of Event [mm/dd/yy]: ___—__----_—_________ Time: — —
End Date of Event [mm/dd/yy]Time:1230 PM
: 06/19/21 -- 06/19/21 2:00 PM
Event Cleanup Completion [mm/dd/yy]: ________—__—________Time: unknown _____________
Total anticipated attendance: __________—__________—
The proposed event will require the closing of: ❑ Streets ❑ Sidewalks
Is the event ticketed or include fees? ® Yes ❑ No If yes, list fees and fee groups below:
Cost per rider: $15
Cost per Passenger: $10
Does the event have any partnered sponsorships? ® Yes ❑ No
If yes, list the number of sponsors at each level of partnered sponsorship:
It is unknow at this time how many sponsors we will have for sure. In the past it has been
over 40 at the $100 level, and at least 10 at the $250+ level.
Is this a returning special event or part of a series of special events? ® Yes ❑ No
If yes, provide the date, location, and attendance of past special events and/or future planned events in the
series:
This will be the 8th annual Stars and Stripes Ride, as last year's was cancelled do to
COVCID concerns.
Section G - Contingency and Strategic Planning
For each of the following, please provide detailed descriptions. If you run out of space, attach a response to this
application submission.
• Emergency Safety Plan - This plan should include, but is not limited to:
o The number of Indiana Law Enforcement Academy certified officers, fire, and emergency
medical personnel, and the need to use any of the City's public safety or emergency response
services.
o If hiring a security service, provide contact information and the number of hired event personnel.
o Proposed internal communications systems and public address systems.
• Proposed Cleanup Plan - This plan should include, but is not limited to:
o Measures in place to collect and remove trash, litter and recyclables.
Legion Riders and usually their families do all clean up
Inclement Weather Plan - This plan should include, but is not limited to:
o Safety measures that will be taken in the event of a tornado warning, tornado watch,
thunderstorm, and extreme temperatures.
Ride is rain or shine
Section H - Site Plan / Route Map
Site Plan / Route Map - For All Events:
Provide an attached map with the geographic locations of all event items listed below.
• Outline of entire event venue including the names of all affected streets and areas.
• Clear markings for street closures and a schedule for each.
Section I - Mitigation of Impact
If you are using and/or closing public sidewalks or streets, you are required to notify area business owners and
residents. You must:
o Present your event concept to the surrounding stakeholders (residents, businesses, and neighborhood
groups) that represent the venue area.
Attach a copy of the brochure or door hanger distributed to all affected residents/businesses/neighborhood
groups describing the event purpose, date and time.
Section J - Insurance
A Certificate of Insurance (copy) confirming the existence of a liability policy (General Liability and Automobile
Liability) of not less than $700,000 per occurrence and $1,000,000 aggregate, which specifically names the City
of South Bend, IN as an additionally insured for the event must be submitted. Copy of Certificate of Insurance
must be submitted two (2) weeks prior to the date of the event.
Section K - Indemnity & Hold Harmless Agreement
City of South Bend Special Events Committee
Indemnity & Hold Harmless Agreement
Date: D y L 2/ 2O2 _ Event Date: 06/19/21
Event Name: Stars and Stripes Forever Ride
Organization: American Legion Riders, Post #357
Applicant (Contact) Name: Joseph Eshman _
Applicant (Contact) Phone: (574)315-5621_
Email: eagle12749@aol.com
Address: 19369 Kern Rd.
Alt. Phone: (574)231-9149
City/State/ZIP:
South Bend, In., 46614
Event Location (Please describe):
Staging at WALMART parking lot on Ireland Rd. starting at 8:00 AM. Riders will ave and sign in. The ride
leaves at 11:00 AM. It goes for approximately 60 miles and ends at the American Legion Post #357 at 5414
West Sample St.
Length of Event (Dates/Times):
06/19/21, 11:00 AM till approximately 12:30 PM
_—_
Insurance Amount: This event is insured for no less than $700,000 per occurrence and $1,000,000 in aggregate,
and the certificate of insurance includes a rider naming City of South Bend, Special Events Committee, and Board
of Public Works as additionally insured for the event.
Organization Name: American Legion Riders Post #357 _ 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, Indiana, may suffer or incur as a result of any claims
or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a
participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana,
through the Board of Public Works, to close a portion of the public right-of-way for the event described above,
or for any harm or damage alleged to have occurred because of the holding of the special event. The
undersigned certifies that he/she is authorized to bind the APPLICANT to these terms.
Signed on this Date: _0 1 ✓ 2.;,17- 0,4
Authorized Organizer Signature
Joseph Eshman
Printed Name and Title
Section L - Permit & Agreement
1. Pursuant to Local Ordinance No. 10628-18, there is a $50.00 non-refundable fee for motorcycle rides
applications filed 60 or greater days in advance of the event.
2. The APPLICANT must comply with all terms and conditions of this Permit and Agreement.
3. The APPLICANT must obtain signatures from and/or make 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, time and contact information must be included with the attachments
to this application. The applicant is responsible for providing affected residents and business owners
with transportation to their property.
4. The APPLICANT shall reimburse the Board for the actual cost to the City for the event, if deemed
necessary.
5. Notification of approval/denial of this request will be issued by return of this form, upon signed
authorization by the Special Events Committee.
6. The APPLICANT shall provide to the Board a Certificate of Insurance showing a liability policy in full force
and effect with limits of $700,000.00 per occurrence and $1,000,000.00 aggregate and the City of South
Bend, Special Events Committee, and Board of Public Works listed as an additional named insured for this
event.
7. 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.
8. 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.
9. The APPLICANT will follow the City of South Bend Noise Ordinance, which is in effect at all hours.
Between the hours of 11:00 p.m. and 7:00 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).
10. 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.
I have read the Application and the Permit and Agreement for this Special Event and I affirm the truth of
the information provided by me to the best of my knowledge. I understand and agree to the above rules
and regulations, and any applicable state and federal laws. I also understand that this application may be
denied based on any false or incomplete information.
Date: _ �%�2a a Z1
Applicant Signature:
Printed Name: Joseph Eshmafl
SPECIAL EVENTS COMMITTEE APPROVAL
red Member Mem r
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Member Member Date
AMERICAN LEGION POST 357
•�` AMERICAN LEGION RIDERS POST 357
EMERGENCY RESPONSE PLAN
FOR THE LISTED MOTORCYCLE RIDES
STARS AND STRIPES FOREVER RIDE
About the rides ---The Stars and Stripes Motorcycle ride is our Post's signature ride. It is our
primary event and financial source that allows our Legion Riders group to provide assistance to
our veteran related services. The Kernan's Heroes Ride is one we host that helps the Life
Trearment Center. The rides are typicallly about 60 miles long, are Police escorted, and the
average speed is about 35 mph.
I. ESCORTINGIROAD GUARD: South Bend Police department and St. Joseph County Police
department will provide a motorcycle escort. They control motorcycle traveling speeds which
are also dependent upon traffic and road conditions. The Police provide secure Road Guardinc
at all intersections and warn and control incoming and approaching vehicles. The Riders also
have trained Road Guards. They will be wearing yellow safety vests and will be on standby
should the Police request their help. Legion Riders "ride the route" to check for hazards like
potholes or loose dirt previous to the ride.
2. DEFIBULATORS: The Police will have Defibulators that can be made available.
3. FIRST AID: Every Legion Rider carries an emergency First Aid Kit. However, every
experienced rider carries a first aid kit. Our rider group also has a rider that is a registered
nurse.
.4. ACCOUNTABILITY: The Pre -ride information given to the riders on the day of the ride
addresses all safety issues and concerns that riders may have before the ride begins. The
Police and the American Legion Riders offer watchful vigilance of all motorcycle riders during
the ride. The Riders can provide assistance and trailering if necessary should there be a
breakdown. The Stars and Stripes Ride is a safe and very pleasurable ride. All this control
insureseach and every motorcyclist that begins the ride will return to the Post safely.
Wayne Zwierzynskl
Director American Legion Riders Post 357
Joseph Eshman
Assistant Director American Legion Riders Post 357
American Legion Post 357
5414 W, Sample St,
South Bend, IN 46619
Go ;eT aPs 1A Awo �SfRlpES �fil' � 811E Yage 1 of t
Gosogle Drive 57.2 mi,1 In 9 min
Directions from Walmart Supercenter to 5414 W Sample St
O Walmart Supercenter
700 W Ireland Rd, South Bend, IN 46614
1. Head west on W Ireland Rd toward S Burnett Dr
t 3.2 mi
3.2 mi/5min
O 23444 W Ireland Rd
South Bend, IN 46614
2. Head west on W Ireland Rd toward IN -23 S
t 18o ft
3. Turn left onto IN -23 S
41
9.8 mi
4. Slight right onto IN -23 S/S State St
fff 8 Continue to follow IN -23 S
5.8 mi
5. Turn left onto US -6 E/Grand Army of the Republic Hwy/Roosevelt Rd
h
8 Continue to follgw US -6 E/Grand Army of the Republic Hwy
1.2 mi
16.9 mi/22 min
O 31007 Grand Army of the Republic Hwy
Walkerton, IN 46574
6. Head southeast on US -6 E/Grand Army of the Republic Hwy toward W County Line Rd/Spruce Rd
t .. - 16.3 mi
7. Tum left toward IN -331 N/Bremen Hwy
�t
0.3 mi
8. Turn left onto IN -331 N/Bremen Hwy
'7 8 Continue to follow Bremen Hwy
6.3 mi
22.9 mi / 26 min
O 15868 Osborne Rd
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Bremen, IN 46506
9. Head north on IN -331 N/Bremen Hwy toward Nicer Rd
t Continue to follow Bremen Hwy
.... 5.2 mi
ID. Tum left to merge onto US -20 W toward S Bend/Michigan City
A 8.2 mi
11. Take exit 74 to merge onto Mayflower Rd
r 0.8 mi
12. Turn left onto Grant Rd/W Sample St
~ ® Destination will be on the left
89 ft
14.2 mi/16 min
O 5414 W Sample St
South Bend, IN 46619
These directions are for planning purposes only. You may find that construction
projects, traffic, weather, or other evems may cause conditions to differ from the
map results, and you should plan your route accordingly. You must obey all signs or
notices regarding your route.
Map data 02014 GOO&
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American Legion Riders 357
8TH ANNUAL
SIGN IN 8:00 AM TO 10:45 AM
at the Ireland Road, South Bend Walmart parking lot
Kick Stands Up at 11:00 for the Ride
After the Ride, enjoy Great Food
and Entertainment at the Post!
AMERICAN LEGION RIDERS POST 357
CONTACT:
Stars and Stripes Wayne Zwierzynski, Director — 574-229-6375
Ride Patches pollack36@hotmail.com
will be sold at the Post. Joe Eshman, Vice Director
Prior Year Rockers will be sold on the day of the ride 574-315-5621
CITY OF SB SPECIAL EVE
7315 LAFAYETTE BLVD
SOUTH BEND, IN 46601
K41021
15:30:03
MID: XXXXXXXXX%X 401 TIC: XXXXX800
DEBIT CARD
DEBIT SALE
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AID:
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ATC:
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ARQC:
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Approval Code:
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Mode:
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SA[E AMOUNT $100.(10
Sigratre Not Required
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