HomeMy WebLinkAboutSpecial Event - Angel of Hope Memorial Ride-August 16 2025APPLICATION FOR USE OF
PUBLIC RIGHT-OF-WAY FOR EVENTS h�-
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The following special event has been approved by the Special Events Committee. INS.
Submitted by: Denise Miller
Event name: Angel of Hope Memorial Ride
Event Date: Au ust 16 2025
Street Closure: NIA
Closure Times: NIA
Sidewalk Closure:
❑ Yes ❑Q No
Comments: Annual motorcycle ride, all proceeds go to the Angel of Hope
Memorial Garden.
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
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Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Breana Micou, Member
Attest: Theresa M. Heffner, Clerk
Date: May 13, 2025
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City of South Bend Special Event Application
Motorcycle Ride
$50 application fee if filed 60 days or greater (up to 360 days) in advance of event
\,>5 $100 expedited application fee if filed 30-59 days in advance of event
Please Bring Completed Application and Payment to:
Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN
Review the Instructions on the Special Events page before completing the application. City and Regional Special Event
applications must be submitted more than 30 days in advance of the event date or the application will not be
accepted.
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 Itm
application will not be accepted.
,,���� Section A— Applicant Information
Date of Application: /�"w .�S 2�� S Organization Name: / /�
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Applicant(Contact)Name: ��\'\4CE L')'Zk(4 A"oefScJl•
Applicant (Contact) Phone: ? c/ °2y9y Contact Email: L. kk!j 7 7 Y C4� C01-1
Address: A09 /.� �" � City/State/ZIP: lyll/ "JAKA, . IjDo-f"A, `/as
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 Name:
Contact Phone: Contact Email:
Address: City/State/ZIP: .
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Section B — Event Information
Event Name : Aej 6( f% /!%`i�orraC ��c�r Event Type: Motorcycle Ride
Event Classification: ONon-Profit* ❑ For -Profit
❑ City (Civic) Sponsored Z 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]: �/i6 �'ZS T i m e : 9
Date of Event [mm/del/yy]: � Begin Time:
End Date of Event [mm/dd/yy]: S End Time:
T'
Event Cleanup Completion [mm/dd/yy]: Time: !'X— 3� P,—'
Rain/Altemative Date: If yes, please provide the date: _
Total anticipated attendance: / SD
The proposed event will require the closing of: Streets Sidewalks
Is the event ticketed or includes fees? [ff Yes ❑ No
IF YES:
• List fees and fee groups below: `a ' U �� e
Does the event have any partnered sponsorships?
IF YES:
• List the sponsors:
❑ Yes [2f` No
• Is this a returning special event?
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Section C - 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 police 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.
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Proposed Cleanup Plan -This plan should include, but is not limited to:
o Measures in place to collect and remove trash, litter and recyclables.
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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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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.
• Complete route map, including any stops and the length of time associated with such stops. Please note
if special security or safety measures will be needed for any stop.
• Please note that the route must exist entirely within St. Joseph County, Indiana if police escort is involved
at any point of your ride.
It shall be the South Bend Police Department's sole determination whether a police escort is provided to
your event. �
,A TR�IiED i s CON op /tA"
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IF YOU ARE USING AND/OR CLOSING PUBLIC SIDEWALKS OR STREETS:
You are required to notify area business owners and residents in writing 15 days prior to the event.
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 F - 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
City of South Bend special Events Committee
Indemnity & Hold Harmless Agreement
Date: /,O AWcl. Event Date: ,u s+
Event Name:
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Organization: T h e f /1C K O-F :m D(Prr1A_
Applicant (Contact) Name:
Applicant (Contact) Phone: 5-7 Y - ZO - I Y 9 9 Alt. Phone:
Email: UWk \yC-,.,Oe('s40? 5� "� /,�+my,.7
Address: 2.0 L,-) gM' S( City/State/ZIP: /•��S ���`^ A� �iV. tl6�y
Event Location (Please describe):
Length of Event(Dates/Times):
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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.
Ornani7atinn Name- / 11 ?A C-K 6 P �J--iV �/ /-�Y\�C1 anrPPc to inriPmnifv. r1PfPnd
•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: '�_
Authorized Organizer Signature:�-
Printed Name and Trtle:
• Section H - Permit & Aareement
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 shall reimburse the City for the actual cost of the event, if the City incurs
unexpected, undisclosed expenses related to the event.
4. Notification of approval/denial of this request will be issued in writing by the City's Board of
Public Works or Special Event Committee.
5. The APPLICANT shall provide the City 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.
6. 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.
7. Barricades will be delivered and picked up at the event location upon request. The APPLICANT is
responsible for seeing that all cones are maintained and returned undamaged.
8. 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, 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.
9. 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 Board of Publics, South Bend Police
Department or the Special Events Committee.
•
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: �f4P e-Al 2 S . Z,o Z S
Applicant Signature:
Printed Name: ��/�/icenersw�
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SPECIAL EVENTS COMMITTEE APPROVAL
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PSPECIAL EVENT SIGNATURE FORM
Prior to the Commissioners approval of the 14AI011E1— Of 4OP6- (event) on
Or"7- ZgC(&U_''ST- 16-* —20 2-5 (day & date) your request needs to be approved by the appropriate
departments affected by the designated route.
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* Emergency Managcmeal —125 S. Lafayelle 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.
AI Kirsits, Director Date
* SG Joseph Couch 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 Count), Engineering — 217 W. Jefferson Blvd. Rnt. 732, South Bend, IN 46601
Ph. (574) 235-7800 Email. dkozlowski@sjcindiana.com
1 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
1 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
1 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. 3n1 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 Jam rose, P.E., Mishawaka Engineer
24th Annual Angel of Hope Memorial Garden
Benefit & Ride
Saturday, August 16, 2025
Pin -hook 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!
Chain-O-Lakes Conservation Club
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.angelofhor)emichiana.org
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For more information call:
Brett Struble 574-215-1886
DONATION SHEET
On Saturday, August 16, 2025, The Pack will be hosting the 24th Annual Angel of Hope
Memorial Benefit and Ride.
All proceeds from the benefit go directly to the Memorial Garden.
Respectfully, The Pack of Indiana
Bill Carter, Pack President. (574) 300-0673
Please make all checks 1ayable to The Pack Of Indiana
T-Shirt Sponsor (Business Card ad) - $150.00 Size for Sponsor
® Monetary Donation
• _ Door Prize Donation
Door Prize Donation
Other Donation
Please respond for T-Shirt sponsorships by July 1, 2024. Each T-shirt sponsor will receive
one shirt. Additional shirts for sponsors are $10 each.
Company Name:
Company Contact & Phone:
Company Address:
Name of Pack Member Contact:
www.angelofhopemichiana.orq thepackofindiana@yahoo.com
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ANGEL OF HOPE MEMORIAL EVENT AND RIDE
SATURDAY AUGUST 16th 2025
• 24th. 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.
5OUTHBEND, ST. JOSEPH COUNTY
✓de 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
Dccur. And the end of the Ride to insure that all Event Riders have made it back safely and as well we
lave a recovery Vehicle with a trailer in case anyone breaks down and isn't left stranded. This is set in
dace to insure A Safe Event.
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Departure from Pinhook Park at 12:00 PM EST.
Day/Date Of Event Saturday August 16th,2025
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:IINHOOK PARK STAGING AREA:
Dnhook Park turn left on to Riverside Dr. North to Cleveland Rd.
Turn left on to Cleveland Rd. WEST on to Cleveland Rd.
fo Bendix Dr. turn Left (South)
m to Bendix Dr. South on to Nimitz PKWY. turn Right (West)
Nest on Nimitz PKWY. to Olive Rd. turn Left (South)
iouth on Olive Rd. To Lincolnway / US 20 turn Left (East)
:ast on Lincolinway /US 20 merging on to US.31 Southbound
JS.31 to SR.23 exiting right (SouthWest) to Crumstown Hwy
-urn 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)
).R.2 West to Timothy Rd. Turn right
North) on Timothy Rd. To US 20 turn right (East)
Ea t on US 20 to Quince Rd turn Right (South)
Ah) on Quince Rd. to Southport Dr. turn Left (East)
:astbound on Southport Dr. to Chain-O-Lakes.
kny Ride Question contact:
Jame: Wally Anderson
574-208-2488
Ride Coordinator
Erine Nemith
269-303-0629
Road Captain
Bill Carter
574-300-0673
Chapter President
Ve also understand that if Weather or Traffic conditions accrue that The Police Departments escorting
his event may change The Route for Safety Reasons the day of Event.
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THE PACK
29425 Robert JR. DR.
Elkhart, IN 46516
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