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HomeMy WebLinkAboutLicense - Public Parking Facility Renewal - 401 E Colfax Ave & 430 E. LaSalle Ave1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS May 27, 2025 Ms. Heather Parker LAZ Parking Midwest, LLC 1 Financial Plaza, 141h Floor Hartford, CT 06103 compliancemailklazparking com RE: Approval of Public Parking Facility License Dear Ms. Parker: At its May 27, 2025 meeting, the Board of Public Works approved your request for the Public Parking Facility License at 401 E. Colfax Ave. and 430 E. LaSalle Ave. If you have any further questions, please call this office at (574) 235-9251. Sincerely, Is/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou INTEROFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE: 3/26/2025 TO: Jim Wood, Neighborhood Services and Enforcement Chris Dressel, Community Investment Derek Erquhart, Fire Department Kyle Ludlow, Engineering FROM: Theresa Heffner, Clerk SUBJECT: Annual License Application for Public Parking Facility LOCATIONS: LAZ Parking Midwest, LLC 401 E. Colfax Ave. 430 E. LaSalle Ave Public Parking Facilities are regulated by municipal code section 4-39. (Copy attached). Please review the attached public parking license application and provide your recommendations in the spaces below. NEIGHBORHOOD SERVICES AND ENFORCEMENT: Favorable COMMUNITY INVESTMENT: Favorable recommendation. FIRE: Section 4-39(k): Favorable Recommendation ENGINEERING: Section 4-39(b) Favorable recommendation Sec. 4-39. - Public parking facility. (a) Definition. Public parking facility shall mean any plot, piece or parcel of land or any building or structure used for the purpose of storing motor vehicles where the owners or persons storing such vehicles are charged a fee and which are open to the public. (b) Signs required: (1) Each licensee under this section shall maintain at each entrance to the licensed public parking facility a permanently affixed sign suitable to apprise persons using the public parking facility of the name of the licensee, the hours of the day or night during which such places are open for storing motor vehicles, the rates charged and the closing hours of such lot. (2) When more than one rate is charged for parking, the figures of each rate shall be of the same size and dimensions. The figures shall measure not less than eight (8) inches in height. The letters and figures indicating the closing hours shall not be less than four (4) inches in height. (3) The sign shall give the number of the City license under which the lot is operated. (4) Where the licensee operates a receiving lot in which cars are accepted with the understanding that such cars may be removed to another lot, the licensee shall post on such sign, in letters not less than four (4) inches in height, the following information: "Receiving Lot —Cars Parked Here May Be Moved To No. Street," (giving the address to which such cars are moved). (5) All signs shall be subject to the approval of the Building Commissioner of the City. (6) Where separate rates or charges are made for day parking and for night parking, notice shall be posted on the signs described in subsection (b)(1) of this section. (c) License required. No person shall maintain or conduct a public parking facility within the City without first having obtained the approval from the Board of Public Works and a license issued by the Controller. (d) Application: (1) Applications for licenses for public parking facilities shall be made by the person intending to operate a public parking facility. (2) The application shall set forth the following: a. The name under which and the place where the open parking lot is to be operated. b. Whether the applicant is an individual, partnership or corporation. If an individual, the name and business and residence address of the applicant shall be given; if a partnership, the name and business and residence address of each partner shall be given; if a corporation, the name, date and state under which such corporation was organized, and the name and business address, resident agent, and a certified copy of article of incorporation, if requested by the Board of Public Works, shall be furnished. c. Whether the premises are owned or leased by the applicant, and, if leased, the name and residence and business address of each owner, or part owner thereof. d. The number of motor vehicles which may, at any one time, be stored upon the premises. e. The hours during which motor vehicles may be stored. f. A complete schedule of the rates to be charged for storing motor vehicles and the hours at which changes in rate take place. g. Such other information as the Board of Public Works may deem advisable. (3) The application shall be signed and verified under oath by the applicant, if an individual, or by a duly authorized agent, if a partnership or corporation. (e) Public parking facility. A fee of eighty dollars ($80.00) shall be paid for each license issued under this section. (f) Bond or property liability insurance: (1) No license shall be issued pursuant to this section and public parking facility shall be operated until and unless the licensee under this section has deposited with the Board a bond or property liability insurance policy in the amount scheduled in this section. The bond or insurance policy shall be with one or more adequate sureties or a surety company acceptable to the Board and conditioned that the licensee will pay all final judgments rendered against him for damages arising during the period such bond or insurance policy is in force from the operation of the motor vehicle in such public parking facility, or from loss, damage, theft or conversion of any motor vehicle. (2) Any person who sustains damage by reason of the violation of any provision of such bond or insurance by a licensee may institute suit upon the same and recover any judgment that may be obtained by reason of such suit. (3) The bond or insurance policy shall meet the following requirements: a. It shall contain a provision that it shall continue in force until ten (10) days after written notice of cancellation has been delivered to the Board of Public Works or until the license of the applicant has been revoked. b. The obligation of the bond or insurance policy shall not exceed the principal amount of the bond. c. The bond or insurance policy shall be in the following amounts: 1. Where the licensee conducts one (1) lot, ten thousand dollars ($10,000.00). 2. Where the licensee conducts two (2) lots, fifteen thousand dollars ($15,000.00). Where the licensee conducts three (3) lots, the sum of twenty thousand dollars ($20,000.00). 4. Where the licensee conducts four (4) or more lots, the sum of twenty-five thousand dollars ($25,000.00). (g) Investigation of applicants; issuance of license: (1) If, after investigation, the Board of Public Works determines that the applicant for a license meets the requirements of the section, the Board shall report the same to the Controller. (2) The Controller shall issue to the applicant a license for a public parking facility upon payment of the proper fee. (h) Claimchecks or tags: (1) At the time of accepting a motor vehicle for storage or parking in any public parking facility the person conducting the lot, or his agent, servant or employee, shall furnish to the person parking his motor vehicle a distinctive check. (2) The check shall be numbered to correspond to a coupon placed upon such motor vehicle and contain the name and address of the place and the owner operating such public parking facility. Upon such check shall be written, printed, cut out or stamped the date, and, if parking is charged for on an hourly basis, the time of acceptance of such motor vehicle. (3) The above provision shall not be applied where cars are stored on a monthly fee basis. (i) Rate changes: (1) No licensee under this section shall make any charge for storing any motor vehicle in a public parking facility in excess of that set forth in his application for a license, unless he has: a. Notified the Board of Public Works in writing of the change. b. Posted signs showing such change in the same manner as set forth in subsection (b). 0) Claims against lot; reports; liability after hours: (1) Each licensee under this section shall immediately notify the Controller of any claim over twenty- five dollars ($25.00) made by reason of any loss, theft or conversion occurring upon his premises or of any claim for damages arising from the operation of his public parking facility. (2) The obligation of any person operating or conducting a public parking facility under the terms of this section to the owner of a motor vehicle parked therein shall not extend beyond the regular posted hours of attendance, as posted upon the open parking lot and printed upon the regular receipt check furnished to the motor vehicle owner. (k) Fire equipment required; cars to be accessible: (1) Public parking facilities shall be equipped with proper fire extinguishing apparatus subject to the approval of the Fire Department. (2) All motor vehicles shall be stored in such a manner that they may be reached readily in case of fire or other emergencies. (1) Temporary lots; restrictions: (1) Nothing contained in this section shall be deemed to require the licensing of temporary lots operated for the accommodation of motorists attending public functions, such as football games or circuses, even though a fee may be charged the patrons of such temporary lots. No such temporary lots, however, shall be operated more than two (2) days in any week. (2) At the entrances of the temporary lots there shall be placed a sign on which is printed the words, in letters of sufficient size to be legible to all patrons "Temporary Parking Lot —Not Licensed." (m) Exemptions. All governmental owned and operated public parking facilities shall be exempt from the licensing provisions of this chapter. (Ord. No. 6998-81, § 1; Ord. No. 7723-86, § 2; Ord. No. 9093-00, § XII) 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 7q(A , LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY MUNICIPAL CODE SECTION - 4-39 I. APPLICATION TYPE Check One: II. BUSINESS DATA New Renewal X A. Business Name: LAZ Parking Midwest, LLC B. Business Address: 401 E Colfax Ave City: South Bend State: IN Zip: 46617 C. Mailing Address (If different from above): 1 Financial Plaza, 14th FL City: Hartford State: CT Zip: 06103 D. Business Telephone Number: 860.522.7641 E. Business Fax Number: F. E-Mail Address: compliancemail@lazparking.com G. Maximum Number of Vehicles that can be parked at facility at onetime: 300 H. Total Number of Parking Spaces at facility: 300 I. Hours during which vehicles may be stored: 2417 H. Premises are (check one): Leased by ApplicantX Owned by Applicant If Leased: Owner's Name: Owner's Business Address: City: State: Zip: Owner's Residential Address: City: State: Zip: J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: For Office Use Only Application Filed [VIAk L !4 M F, Public Works Approval Application Fee Paid— MAR 7, 4 20L License Fee Paid I I N 2 4 2Q?.5 Sent to Dept. License Number F8 P- OQa'S:] 10 Not Approved Reason CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS ta�a Elizabeth A. Maradik, President Gary A. Gilot, Member �PT Joseph R. Molnar, Vice President Brian Micou, Member Aff­- Tl or TA TTofF.,o. PI.A, Date: May 27, 2025 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 III. PERSONAL DATA A. Applicant's Legal Name: Heather Parker B. Residential Address: 1 Financial Plaza, 14th FL city: Hartford State: CT zip: 06103 C. Residential Telephone Number: D. Residential Fax Number: E. Cellphone Number: F. Position with Business: Director of compliance IV. OWNERSHIP A. Type of ownership (check one): Sole Proprietorship (If sole proprietorship, proceed to 1). Partnership (If partnership, proceed to 2). X Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name: Residential Address: City: Telephone Number: 2. Partnership (List at least two (2) partners) Name #1: Residential Address: City: Telephone Number: Name #2: Residential Address: City: Telephone Number: State: Zip: State: 3. Corporation Legal name of corporation: Laz Parking, LLC Date and state of incorporation: CT 2 Zip: Zip: 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 IV. OWNERSHIP (Continued) A. Type of ownership (continued): 3. Corporation (continued) Resident Agent: Name:Alan Lazowski Title: CEO Business Address: 1 Financial Plaza, 14 City: Hartford Sta Officers: Name #1: CT Zip; 06103 Title: Business Address: City: State: Zip: Residential Address: City: State: Zip: Name #2: Title: Business Address: City: Residential Address: City: Name #3 Title: Business Address: City: Residential Address: City: 3 State: Zip: State: Zip: Zip: State: Zip: 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 A CURRENT INSURANCE POLICY OR BOND VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION VIII. 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 regulations of the Public Parking Facility license found in the City of South Bend Municipal Code, Section 4-39. Signature 4 02/27/2025 Date CE BY LENGTH OF STAY FROM TO U 1 8---- L4 PERIOD SUN MON TUE WED THU FRI SAT Hre v $1 $15 I $15 ��.1 $+5 1 $11 $�5 = Hre v $110 —� silo I S110 , s110 $110— .1 S�10 1 $r10---� Hrs v $�15 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/27/2025 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(ies) must have ADDITIONAL INSURED provisions or 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 McGriff Insurance Services LLC 150 S. Warner Road, Suite 460 King Of Prussia PA 19406 INSURED LAZ Parking Midwest, LLC 500 S. Front St., Suite 210 Columbus OH 43215 151LAZKAR Guarino ALC PHONA Mti 610-233 4846 (FAtc. Nas: e- L DORESS, susan, uarino m rifF.com INSURER(S) AFFORDING COVERAGE NAIC# National Union Fire Ins Co of Pitt. PA AIU Insurance Company Allianz Global Risks US Insurance Co COVERAGES CERTIFICATE NUMBER:1566186036 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR I�ADDL SUBR POLICY EFF PpLICYExP LTR TYPE OF INSURANCE I POLICY NUMBER MArIDOIYYYY MMIDD1YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 3609369 7/31/2024 7/31/2025 EACH OCCURRENCE $1.000.000 CLAIMS -MADE � OCCUR PREMISES Eeoccurren $ 1,000,000 MED EXP (Any one person) $ 10.000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERALAGGREGATE $2.000,000 POLICY JECT .' " ! LOC uI PRODUCTS -COMP/OPAGG $2.000,000 OTHER: L$ A AUTOMOBILE LIABILITY Y Y 3135689 7/31/2024 7/31/2025 COMBINED SINGLE UMIT Ea accdent $5,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PRO1'ERTYORMA4E $ $ C X UMBRELLA LIAB X OCCUR Y Y SEE SCHEDULE 7/31/2024 7/31/2025 EACH OCCURRENCE $100,000,000 X AGGREGATE $ 100,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE 1] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A Y WC014111735 7/31/2024 7/31/2025 .X TATU7 ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEEI s 1,o00,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A B Garagekeepers Liability Stop Gap Liability Y Y 3135689 WC014111735 7/31/2024 1 7/31/2025 1,000,000 7/31/2024 7/31/2025 Limits 1 M/1 M/1 M I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If agreed upon in a written contract or agreement, City of South Bend, Indiana is included as an additional insured for general liability, but only with respect to the operations of the named insured. L22102: Commerce Center Matthews 1 — 401 E Colfax Ave South Bend, IN 46617. Parking Spaces 300 CERTIFICATE HOLDER CANCELLATION City of South Bend, Indiana, Attn: Executive Director Venues 301 S. St. Louis Blvd South Bend IN 46617 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i2d-,C� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 151 LAZKARP LOC #: See COI (Acord 25) O ADDITIONAL REMARKS SCHEDULE Page 2 Of AGENCY NAMED INSURED McGriff Insurance Services, LLC See COI (Acord 25) POLICY NUMBER See COI (Acord 25) CARRIER NAIC CODE See COI (Acord 25) EFFECTIVE DATE: 7/31 /2024 _J ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: Acord 25 FORM TITLE: Certificate of Liability Insurance Additional Insurers Affording Coverage: Insurer letter C: Allianz Global Risk US Insurance Company (NAIC 35300) Insurer letter D: Federal Insurance Company (Chubb) (NAIC 20281) Insurer letter E: Everest National Insurance Company (NAIC 10120) Insurer letter F: Endurance Assurance Corporation (NAIC 11551) Insurer letter G: American Guarantee and Liability Insurance Company (Zurich) (NAIC 26247) Insurer letter H: Westfield Specialty Insurance Company (NAIC 16992) Insurer letter I: Great American Assurance Company (NAIC 26344) C: Excess General Liability USL03085024 D: Primary Umbrella Liability 79863543 E: Excess Liability XC5EX02069241 F: Excess Liability EXC30065353300 G: Excess Liability AEC011173110 H: Excess Liability XSL345214K01 1: Excess Liability EXC5772941 D: Excess Liability 78187246 7/31 /2024-7/31 /2025 7/31 /2024-7/31 /2025 7/31 /2024-7/31 /2025 7/31 /2024-7/31 /2025 7/31 /2024-7131 /2025 7/31 /2024-7/31 /2025 7/31 /2024-7/31 /2025 7/31 /2024-7/31 /2025 Aggregate $4,000,000 Aggregate $25,000,000 Aggregate $7,500,000 Aggregate $7,500,000 Aggregate $15,000,000 Aggregate $10,000,000 Aggregate $10,000,000 Aggregate $25,000,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 I. APPLICATION TYPE Check One: II. BUSINESS DATA A. Business Name: LAZ Parki New Renewal Midwest, LLC X B. Business Address: 430 E Lasalle Ave City:South Bend State; IN Zip: 46617 C. Mailing Address (If different from above): 1 Financial Plaza, 14th FL City. Hartford State: CT D. Business Telephone Number: 860.522.7641 E. Business Fax Number: zip: 06103 F. E-Mail Address: compliancemail@lazparking.com G. Maximum Number of Vehicles that can be parked at facility at onetime: 25 H. Total Number of Parking Spaces at facility: 25 I. Hours during which vehicles maybe stored: 24/7 H. Premises are (check one): Leased by Applicant% Owned by Applicant If Leased: Owner's Name: Owner's Business Address: City: State: Zip: Owner's Residential Address: City: State: Zip: J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: For Office Use Only Application Filed BAR 2 4 2025 Public Works Approval Application Fee Paid i1I K ?, 4 AYF License Fee Paid MAR 4 202S Sent to Dept. MAR 2 1' MIS License Number P6.PAQa5- Vj j Not Approved Reason 1 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 III. PERSONAL DATA A. Applicant's Legal Name: Heather Parker B. Residential Address: 1 Financial Plaza, 14th FL City: Hartford State: CT Zip: 06103 C. Residential Telephone Number: D. Residential Fax Number: E. Cellphone Number: F. Position with Business: Director of compliance IV. OWNERSHIP A. Type of ownership (check one): Sole Proprietorship (If sole proprietorship, proceed to 1). Partnership (If partnership, proceed to 2). X Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name: Residential Address: City: State: Telephone Number: 2. Partnership (List at least two (2) partners) Name #1: Residential Address: 1-3 City: State: Zip: Telephone Number: Name #2: Residential Address: City: State: Telephone Number: 3. Corporation Legal name of corporation: Laz Parking, LLC Date and state of incorporation: CT 2 Zip: 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 IV. OWNERSHIP (Continued) A. Type of ownership (continued): 3. Corporation (continued) Resident Agent: Narne:Alan Lazowski Title: CEO Business Address: 1 Financial Plaza, 14 City: Hartford Sta Officers: Name #1: Title: CT Zip: 06103 Business Address: City: State: Zip: Residential Address: City: State: Zip: Name #2: Title: Business Address: City: State: rip: Residential Address: City: State: Zip: Name #3: Title: Business Address: Citv: Residential Address: City: 3 State: Zip: State: Zip: 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 A CURRENT INSURANCE POLICY OR BOND VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION VIII. 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 regulations of the Public Parking Facility license found in the City of South Bend Municipal Code, Section 4-39. Signature 4 02/27/2025 Date LAZ CE BY LENGTH OF STAY FROM TO J4 l I-5 - PERIOD SUN MON TIDE WED THU FRI SAT Hrs v $ $:5 1 $1.5- -�l 05 s15__..1 sit I $15 Hrs v $110 1 $110- .....� I10...-- Hrs v 5 �, 5 — ..� $ L� _—� $ �,15 5 15 ---] $ j 15 l �a � 15