HomeMy WebLinkAboutSpecial Event - Let’s Go to Church Celebration - September 12APPLICATION FOR USE OF
PUBLIC RIGHT-OF-WAY FOR EVENT
The following special event have been approved by the Special Events Committee.
Submitted by: Denise Miller
Event name: Let's Go to Church Celebration
Event Date: 9/12/21
Street Closure: Notre Dame Ave from South Bend Ave to Almond Ct
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Closure Times: 9:00 am to 3:00 pm
Sidewalk Closure: ❑ Yes ❑ X No
Comments: Olivet is celebrating its re -opening since 2020 with an outdoors event.
Outdoor speaking and music.
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
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Joseph R. Molnar, Member
Jordan V. Gathers, Member
Murray L. Miller, Member
Attest: Anne Fuchs, Clerk
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City of South Bend Special Event Application
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Neighborhood Event
$25 application fee if filed 30 days or greater (up to 180 days) in advance of event.
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Review the Instructions on the Special Events page before completing the application. Neighborhood Special
Event applications must be submitted more than 30 days in advance of the event date or the application will not
be accepted.
Section A - Applicant Information
Date of Application: 08/10/2021
Applicant (Contact) Name:Alma C. Powell
Organization Name: Olivet AME Church
Applicant (Contact) Phone: 574)229_7714 Contact Email: abpowe112@hotmail.com
Address: 52095 Carriage Hills Dr
City/State/ZIP:
South Bend, In 46635
----_
Secondary Contact Name:Rev. _ Eileen Thomas _--_-------_............
Contact Phone: —_ __--
(574)361-1492 --___ Contact Email: preacherthomas@msn.com
Address: 2608 Roys Ave. Elkhart IN 46517
------------- City/State/ZIP:---------�------------------
Section B - Event Information
Let's Go to Church Celebration 80
Event Name: ___--- Expected Attendance: —_
Requested Street Closure:719 N. - Notre Dame Ave—_------___--___ —
From (Cross Street): South Bend Ave-- ---------------------------------------------
To (Cross Street): Almond Ct.
Provide a brief description of the event:
Olivet is celebrating its reopening since 2020. However, with the resurgance of Covid 19
cases, we plan to hold the event outdoors. We will set up chairs and audio system for music
and speaking.
Date of Event Setup [mm/dd/yy]: 09/12/21
Begin Date of Event [mm/dd/yy]:
09/12/21
Time: 9:00a
Time: 10:45a
End Date of Event [mm/dd/yy]: 09/12/21 ---------- Time: 1:00p approX
Event Cleanup Completion [mm/dd/yy]:09/12/21—---- — Time: 3_00p _------ —
Have all residents on the affected block have been notified and invited? ® Yes ❑ No
Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment.
Number of households fronting the proposed street closure: 5 (2 unoccupied, others have rear access)
Number of households represented by signatures on attached sheet:
Will this event have music (live or other)? 0 Yes ❑ No
Section C - Alcohol
Will alcohol be served or sold? ❑ Yes ® No
If Yes:
o The applicant must apply for and receive a temporary liquor license from the Alcohol & Tobacco
Commission.
o Application cannot be processed without a copy of this license.
o A refundable $400.00 deposit paid by card or check (made to City of South Bend) must be submitted
with application.
o Application cannot be processed without deposit.
o Deposit will be returned upon inspection of event area by the Board of Public Works.
o The applicant must submit a map or drawing of:
o Fencing around serving area
o Trash receptacles
o Events that will have alcohol sales must provide security. If your event will be hiring a security company,
please provide its contact information in sub -section (a) below. Otherwise, please list the names, phone
numbers, and qualifications (e.g. Off-duty police officer, professional security guard, or event applicant)
of three (3) security guards in the fields provided in sub -section (b).
(a) Security Company Information
Company
Contact Phone:
Contact Name:
Email:
Address: -------- __---__ ___City/State/ZIP:
(b) Independent Security Information
Name:
Qualifications: ... . . .. . .
Name:
Qualifications:
Name:
Qualifications:
Contact Phone:
Contact Phone:
Contact Phone:
Section D - Food
Will your event have food sales (food vendors, caterers, food trucks, etc.)? ❑ Yes ® No
If yes, the event coordinator must apply for and receive a St Joseph County Health Department
Temporary Event Permit.
Vendors) must also apply for and receive a St. Joseph County Health permit. Health Permits must be
filed with the county 30 days prior to the proposed event. Each vendor must obtain necessary permits to
serve on-site and display these permits at the event.
All applications and guidelines can be found on the St. Joseph County Health Department Food Service
website at sichd.org/food-service.
Please select food types: ❑ Food Vendor ❑ Caterer ❑ Food Truck ❑ Other:
If a Food Truck, please list company name(s):
Please describe how food will be cooked and served:
Section E - Indemnity & Hold Harmless Agreement
City of South Bend Special Events Committee
Indemnity & Hold Harmless Agreement
Date: 08/10/21 --- — Event Date: 09/12/21
Event Name: Let's Go to Church Celebration
Organization: Olivet African Methodist Episcopal Church
--------------------------------------------------
Applicant (Contact) Name: Alma C. Powell
-------------------- Applicant (Contact) (Contact) Phone: (574) 229-7714 (574) 287-267_2_
------ ------Alt. Phone: -----------
Email: abpowe112@hotmaii.com
---------- - -------------------------
Address: 719-N_ Notre Dame Ave _— city/state/ZIP: South Bend, IN 46617
Event Location (Please describe):
Event will be held in front of church. Lecturn and music will be setup on stair landing. Chairs
will be setup in street in front of 719 N. Notre Dame Ave.
Length of Event (Dates/Times): 09/12/21 10:45-1:00
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 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: 08/10/21
Authorized Organizer Signature
Alma C. Powell- Chief Steward
Printed Name and Title
Section F - Permit & Agreement
1. Pursuant to Local Ordinance No. 10628-18, there is a $25.00 non-refundable fee for applications filed 30
days or greater in advance of the event date. Applications filed less than 30 days in advance of the event
date will not be accepted.
2. All residents within the affected area must be notified of this event. The APPLICANT must obtain
signatures from at least 10 residents that reside along the closed right-of-way and make an attempt to
notify all other affected residents. APPLICANTS must include a copy of a brochure or letter of invitation
distributed to all affected neighbors describing the event purpose, date, and time.
3. The APPLICANT is responsible, prior to the event, for determining if there are any affected residents that
need assistance accessing their residence. The APPLICANT is responsible for providing said resident(s)
access or transportation to their property.
4. The cones will be delivered to the APPLICANT's address. The APPLICANT assumes full responsibility for
clean-up and assures the City that all cones will be maintained and returned undamaged. The APPLICANT
will be liable for the replacement cost of $50.00 per cone as a result of any missing or damaged cones.
5. Block parties must end by 8:00 p.m.
6. A street will be blocked off from intersection to intersection only. No half -blocks or alleys can be blocked
off.
7. The Special Events Committee reserves the right to deny any block party application based on traffic and
speed limit records. No street may be closed with a speed limit over 30 MPH or considered to be a major
arterial.
8. The Special Events Committee reserves the right to deny any block party application based on information
gathered from the South Bend Police Department or other sources.
9. The APPLICANT agrees to allow residents that live on the above -referenced block access in and out of the
restricted area as needed.
10. The APPLICANT agrees to abide by all terms and conditions of the South Bend Municipal Code and Board
of Public Works' policy adopted in Resolution No. 10628-18 on December, 11, 2018.
11. Notification of approval/denial of this request will be issued by return of this form, upon signed
authorization by the Board of Public Works,
12. The City of South Bend Noise Ordinance 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 stereos, speakers, musical
instruments, 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).
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: 08/10/2021
Applicant Signature:
Printed Name: Alma C. Powell
' ;0' -- — — — — --
President
Meier
SPECIAL EVENTS MMITTEE APPROVAL
mber Member
Member
Date
Denise Miller
From:
Sent:
To:
Subject:
Attachments:
Greetings Denise,
Alma Powell <abpowe112@hotmail.com>
Tuesday, August 10, 2021 1:19 PM
Denise Miller
Olivet AME Church Event Application/Street Closure
NeighborhoodSE_Application COMPLETE.pdf
I spoke with Hillary, who thankfully, guided me in this process.
The letter to residents will be put on church letterhead.
I can bring the $25 application fee to your office unless there is a way to pay
online.
Thank you so much for processing this application. The resurgence of Covid
cases pushed us to revise our plans during our Steward Bd. meeting last
evening ... just in the "nick of time."
Blessings.
Alma C. Powell
August 10, 2021
Dear Neighbors,
Greetings from Olivet A.M. E. Church.
We are inviting you to our upcoming Let's Go to Church Celebration, on
September 12, 2021 from 10:45 until 12:30
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We are also sharing with you that on that date, Notre Dame Ave., will be
closed from South Bend Ave. south to Almond Court. Closure will begin at
9:00a set-up and conclude at approximately 3:00 for clean and take down. We
thank you in advance for any inconvenience ... being aware that you have rear
access.
God be with you and we hope to see you on that glorious day.
Blessings,
Rev. Eileen Thomas, Pastor
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719 N Notre Dame Ave - Google Maps
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