HomeMy WebLinkAboutSpecial Event - Angel of Hope Ride - August 17APPLICATION FOR USE OF �(
PUBLIC RIGHT-OF-WAY FOR EVENT,`=
The following special event has been approved by the Special Events Committee.
Submitted by: Denise Miller
Event name: Angel of Hope Ride
Event Date: August 17 2024
Street Closure: Pinhook Park on Riverside to Cleveland (brief interruption)
Closure Times: 9:00 am to 12:00 pm
Sidewalk Closure: ❑ Yes ❑■ No
Comments: Annual memorial ride by The Pack of Michiana to benefit the
Angel of Hope Memorial Garden.
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
,�2— 7Tt
Joseph R. Molnar, Vice President
Briana Micou, Member
Attest: Theresa M. Heffner, Clerk
Date: April 9, 2024
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City of South Bend Special Event Application
Motorcycle Ride
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$50 application fee if filed 60 days or greater (up to 360 days) in advance of event
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 - Applicant Information
Date of Application: _ s1.ec�—_L/ .Z 4-y Organization Name:_ % `1t ��Ck CoC D! -A u.4
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Applicant (Contact) Name:_//_qGG __ wA4>t0lSQ �_/
Applicant (Contact) Phone: ray �6_ Z V 9 % Contact Email: (� 19ZL i'�77-7y�G wfco„�
Address: q 84d4 S T __--_ 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:
ok r Section B - Event Information
Event Name: ! __—_------__ Event Type: Motorcycle
Event Classification: Non -Profit' ❑ For -Profit
❑ City (Civic) Sponsored Ur 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]: _ a - 2OZY __Time:
Begin Date of Event [mm/dd/yy]: �L7� 20 —Time: �
End Date of Event [mm/dd/yy]: -_ C) 2.0 Z V — Time: ------
Event Cleanup Completion [mm/dd/yy]: a�� /20 Time: —_._ ------
Total anticipated attendance:
The proposed event will require the closing of: ❑ Streets 11 Sidewalks
Is the event ticketed or include fees,?? Z11yes
�s. 6b Div ,`r/ , 6;"7
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❑ No If yes, list fees and fee groups below:
Does the event have any partnered sponsorships? ❑ Yes M No
If yes, list the number of sponsors at each level of partnered sponsorship:
Is this a returning special event or part of a series of special events? WYes ❑ No
If yes, provide the date, location, and attendance of past special events and/or future planned events in the
series:
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• 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. n
• /i7�/✓%.�e./' O-JO-
g�r2 Le�.t� �•� Y
• 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.
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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:
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.
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Section K - Indemnity & Hold Harmless Agreement
City of South Bend Special Events Committee
• Indemnity & Hold Harmless Agreement
Date: W/_Event Date:
Event Name:
Organization:
Applicant (Contact) Name: i��f—/��s
Applicant (Contact) Phone: Y9�—_-------- Alt. Phone: 57 V 30Q _667
Email: --
Address: _ �_�c 1. i S ___ City/State/ZIP:—/'�;�4,C4O. ,;'.,
Event Location (Please describe):
Length of Event (Dates/Times): ---
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: % ar �K DisrN� .oroce hn Aef—A
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: 14&24Z e-�Z%
Authorized Organizer Signature
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.
is2. 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.
ApplicantSignature:Signature:
Printed Name: [.l%�/ cr—Lr i�g� ------
SPECIAL EVENTS COMMITTEE APPROVAL
• Prey nt Member Member-
Member Member Date
SPECIAL EVENT SIGNATURE FORM
•
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Prior to the Commissioners ap roval of the ci ( � / /a (event) on
R7 , (day & date) yout request needs to be approved by the appropriate
epH artmbnts affectedby the a designated route.
* Emergency Management —125 S. Lafayette Blvd., South Bend, IN 46601
Ph. (574) 235-9378 Email. akirsits sicindiana.com
I have been contacted regarding this event and give my approval of the event as stated.
Al Kirsits, Director Date
* St Joseph County Sheriff— 4141 Lathrop St, South Bend, IN 46628
Ph. (574) 245-6540 Fax. (574) 245-6574
I have been contacted regarding this event and give my approval of the event as stated.
Bill Redman, County Sheriff Date
* St Joseph County Engineering — 227 W. Jefferson Blvd Rm. 732, South Bend, IN 46601
Ph. (574) 235-7800 Email. dkozlowski(a sicindiana com
I have been contacted regarding this event and give my approval of the event as stated.
Skv K. Medors P.E.. Countv Engineer Date
* South Bend Dept of Public Works — 227 W. Jefferson Blvd., South Bend, IN 46601
Ph. (574) 235-9251 Fax. (574) 235-9171
I have been contacted regarding this event and give my approval of the event as stated.
Kara M. Boyles, Ph.D., P.E., City Engineer Date
* Indiana Dept of Transportation — 315 East Boyd Boulevard
Ph. (219) 851-1426 Fax. (219) 325-7516
I have been contacted regarding this event and give my approval of the event as stated.
Mike Hurt, Plymouth District Date
* Mishawaka Engineering Dept — 600 E. 31 St., Mishawaka, IN 46544
Ph. (574) 258-1619 Fax. (574) 258-1776
I have been contacted regarding this event and give my approval of the event as stated.
Chris Jamrose, P.E., Mishawaka Engineer
Date
23th Annual Angel of Hope Memorial Garden
Benefit & Ride
Saturday, August 17, 2024
Pinhook Park - Angel of Hope Memorial Garden
2801 Riverside Dr - South Bend, In
Ride Registration from 9:00a.m.-11:00a.m.
Ceremony at 11:00a.m.
60 mile ride leaves at noon
$15.00 DRIVER
$15.00 RIDER
T-shirt & pin while supplies last
Benefit with food, entertainment, and more!
Cnaiirv-Lakes C/o il3@ivdti0il Ciuu
26230 Southport Drive
South Bend, In
Open to the public, all ages welcome. All groups and organizations are encouraged to
participate in this remembrance ride in support of all who have lost children.
(12 & under free)
Sponsored by
All proceeds go to The Angel of Hope Memorial Garden
The Angel of Hope Memorial Garden is a peaceful place of reflection and remembrance
for all who have lost a child of any age. Engraved memorial bricks make up the Path of
Lost Dreams leading up to the 4ft bronze winged Angel statue.
® www.angelofhopemichiana ora
r►,
For more information call:
Bill Carter 574-300-0673
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MEMORIAL GARDEN
Winter/Spring
On Saturday, August i The Pack of Indiana will be hosting the /�-`Annual
Angel of Hope Memorial Benefit and Ride. All proceeds from this benefit go directly to
the Angel ofHop e Memorial Garden located at Pinhook Park in South Bend, Indiana.
The Angel of Hope Garden serves as a peaceful site for local families to remember and
help heal after the loss of a child. It is a non profit organization that relies entirely on
donations from the community.
The motorcycle ride begins at Pinhook Park after a brief ceremony at the Angel of
Hope Garden and is police escorted. The ride is followed by a benefit with live
music and food and is held at Chain-0-Lakes Conservation Club.
We would be crateful to have your support for this benefit and ride in We are
offering a variety of sponsorships including T-shirt sponsorships. Please review the
enclosed Donation Sheet to choose your level of commitment. A self-addressed
envelope is also enclosed for your convenience.
Thank
ha you for partnering with us for the
Ridel
Compassionately,
Debbie n u
Angel
Angel of Hope Benefit and
President
The Pack ofIndiana
,< /- 3av -o &-7.3
ANGEL OF HOPE MEMORIAL EVENT AND RIDE
SATURDAY AUGUST 17TH,2024
• 23rd. Annual Event
THE PACK OF INDIANA. For several years have Organized this event to Raise Funds In Support of The
Angel Of Hope Garden Located in Pinhook Park SOUTHBEND IN.
We as a group have worked in direct contact with all local Law Enforcement.
SOUTHBEND, ST. JOSEPH COUNTY
We have a Safety Action in place During the course of this event. Radio communication Before, During
The Ride as well as 3 members throughout the Ride carrying first -aid bag in case a emergency may
occur. And the end of the Ride to insure that all Event Riders have made it back safely and as well we
have a recovery Vehicle with a trailer in case anyone breaks down and isn't left stranded. This is set in
place to insure A Safe Event.
•
•
Departure from Pinhook Park at 12:00 PM EST.
Day/Date Of Event Saturday August 17th, 2024
•
PINHOOK PARK STAGING AREA:
Pinhook Park turn left on to Riverside Dr. North to Cleveland Rd.
Turn left on to Cleveland Rd. WEST on to Cleveland Rd.
To Bendix Dr. turn Left (South)
on to Bendix Dr. South on to Nimitz PKWY. turn Right (West)
West on Nimitz PKWY. to Olive Rd. turn Left (South)
South on Olive Rd. To Lincolnway / US 20 turn Left (East)
East on Lincolinway /US 20 merging on to US.31 Southbound
US.31 to SR.23 exiting right (SouthWest) to Crumstown Hwy
Turn Right (West) onto Crumstown Hwy
(West) on Crumstown Hwy / Grant Rd. to Mayflower Rd. Turn left on Mayflower Rd.
(North) on Mayflower Rd. To SR 2 turn left on to SR 2. (West)
S.R.2 West to Timothy Rd. Turn right
(North) on Timothy Rd. To US 20 turn right (East)
East on US 20 to Quince Rd turn Right (South)
(th) on Quince Rd. to JouLllIpor L Dr. hurl, Left (East)
Eastbound on Southport Dr. to Chain-O-Lakes.
Any Ride Question contact:
Name: Wally Anderson Erine Nemith
574-208-2488 269-303-0629
Ride Coordinator Road Captain
Bill Carter
574-300-0673
Chapter President
We also understand that if Weather or Traffic conditions accrue that The Police Departments escorting
this event may change The Route for Safety Reasons the day of Event.
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CITY OF SB SPECIAL EVE
731 S LAFAYETTE BLVD
SOUTH BEND, IN 46601
03111i2024 1422:46
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