The URL can be used to link to this page

Home My WebLink AboutSpecial Event - Studebaker Car Cruise-In-Sept 28 2025.: ,ti ypU 7'N BF APPLICATION FOR USE OF w ry > PUBLIC RIGHT-OF-WAY FOR EVENT The following special event has been approved by the Special Events Committee. Submitted by: Denise Miller Event name: Studebaker Car Cruise -In Event Date: September 28 2025 Street Closure: St Louis from Jefferson to alley Closure Times: 12:00 prn to 5:00 pm Sidewalk Closure: ❑ Yes ❑■ No Comments: Studebaker Drivers Club partnered with Barnaby's to sponsor a car show. Annual event for the past 5 years. CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member ,�-77Z Joseph R. Molnar, Vice President Briana Micou, Member Attest: Hillary Horvath, Acting Clerk Date: 6/24/25 City of South Bend Special Event Application Q City and Regional Event • ` PEACL $50 application fee if filed 60 days or greater (up to 360 days) in advance of event 1&�4 $100 expedited application fee if filed 30-59 days in advance of event Please Brin¢ 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. Date of Application: MA /9r gabs -Organization Name: RA-2AI4 Vr S Applicant (Contact) Name: J06W 6?A.0,-rf1o5 Applicant (Contact) Phone: ($74) 7.57 -boB r Contact Email: bpinnAT d�22ABa t/. con Address: '713 E-.TFFCsaN ,Fid4- City/State/ZIP: Sooty _& .Vo 4 .-<,✓ le or7 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:DAloE& CW& Contact Name: HIRK PMZGLMOSO� Contact Phone: (S7y) 8 72.'fo Contact Email: KdP325Q SBG6tbbalt.. RJBY • Address: A3 A 0 A"T047Al T 4ir-- City/State/ZIP: M154Au1,A-K�1 0 �d Lkt�� Section B - Event Information Event Name: sKjebak w Car CtIAKe-14 Event Type: (Festival, Race, Parade, Other): com s4ouJ Event Classification: 2Non-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.) T h e S4* Web a1<e4„ Dri ✓er'5 C"b haS paatneoed wtitt, Barnabys -to Tpontor, a Car Show on -Me Iasi Cundaq 011 Sepf. {»n -Me past 5 yeai^S. Dr #40f w, L L 6e.91,1 se-/ v/r at /2 :Oo N00A/ AA16 uvl4..- ecor� Dowx df S:oo P&41 Date of Event Setup[mm/dd/yy]: y/2e/:o2r Time: 12.:c0 MooN Begin Date of Event(mm/dd/yy]: 17474 /aoas— Time: l:00 - S 00 GNP End Date of Event [mm/dd/yy]: 9128 J "&I- Time: S oo 0) r" • Event Cleanup Completion [mm/dd/yy]: 91J-81so2_i-_ Time: S: DD /o rh Total anticipated attendance: / 0 J _ The proposed event will require the closing of: GrStreets Lh Sidewalks S. S7 )-old#S PvLJ0 Is the event ticketed or include fees? ❑ Yes [ENo If yes, list fees and fee groups below: CJ Does the event have any partnered sponsorships? LJ Yes ❑ No If yes, list the number of sponsors at each level of partnered sponsorship: /3f}RNRr3�JJ ST�/Ae8.4K Z)2ldE1P3 Is this a returning special event or part of a series of special events? Q Yes ❑ No If yes, provide the date, location, and attendance of past special events and/or future planned events in the series: Foy T� P9S7 5 y£'�S 73�a73 - �A-3yr d� .sd�rt- 7�Bt1d �t PA-AT//E7ZZ:0 w -ff- 71fr 2,S CLOG -rO 50oNS09 of Cp412 S4foUl. TFfG Z-AS7 SLIA44Y OF Sir=�B6110— • i7145) r Dii fe or er/E.dr Gr9ut- y►/z • F/2rE'✓A S/ N�rG EFr3a,2s RrVn PdS5€A_ JgY.1 ff,*V6 r•rf-Oa2 tldGHc.y &V oMY d 7N/3 creptrr R>Jo —He .DA(AEKS j_o✓E -7-r11iS 019-Y .+s r7 I1 A- LAS-7 4A-V pF Ft 7-6 Y&KA- 70 '5HL oFt= rht-C—Y4— CA. rK5r c_ c.n25' • If your event is a parade, race, or other processional -type event, please complete Section C. Otherwise, continue to Section D. Section C - Parades. Races. and other Processional Events What is the estimated number of parade/race spectators on the proposed route? Describe any sound equipment that will be used in the parade/race: 40 Does the event have participant categories? For example, a run that has different race divisions or a parade with separate walking/marching groups. • 0 • ❑ Yes EYNo If yes, list categories and anticipated participants per category. If your event is a parade, what is the approximate number and type(s) of animals, vehicles, and floats participating in the parade? (Note: If using animals in a parade, event organizers are responsible for cleaning up animal waste left on the parade route.) Describe parade participants below: Section D - Eauioment. Set -um and Lo¢istics Are you hiring a company to provide entertainment, games or inflatables? ❑ Yes No o If yes, you must submit proof of insurance for all stage and entertainment companies three (3) weeks before the event. Describe any hired entertainment: Will you be staking any tents, inflatables, portable restrooms or any other anchorings? ❑ Yes No o If yes, you must provide proof of locates (locate number) two (2) weeks prior to your event. Locates can be found by calling 811. Does your event include the use of fireworks, rockets, lasers, or other pyrotechnics? ❑ Yes No o Depending on the potential fire risk, applicants may need to receive approval of the South Bend Fire Department (process facilitated by event coordinator). o Describe the event's proposed fire -related entertainment: Will there be any musical entertainment features at the event? ❑ Yes No r 1 U • o If yes, describe the type of music, schedule of sound check/performances, and the names of any artists performing: For stage inspections, contact the Department of Homeland Security at 317-232-2222. If your route crosses over a state road or a bridge please contact the following for permission: State, IN DOT: County bridges: Michael Hurt Andy Hayes 219-235-7528, Mhurt1@indot.in.gov 574-235-9626, ahayes@cost-joseph.in.us Section E - Food Are you having food at your event (food vendors, caterers, food trucks, etc.)? ❑ Yes a No o If yes, the event coordinator must apply for and receive a St Joseph County Health Department Temporary Event Permit. o Vendor(s) 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. o All applications and guidelines can be found at the St. Joseph County Health Department Food Service website: sic hd org/food-service. Please select food sales types: ❑ Food Vendor ❑ Caterer ❑ Food Truck ❑ Other: If a Food Truck, please list company name: Describe how food will be cooked and served: M14 Al/,", Section F - Alcohol Will alcohol be served or sold? ❑ Yes No If no, please continue to Section G - Contingency and Strategic Planning If yes: o The applicant must apply for and receive a temporary liquor license from the Alcohol & Tobacco Commission. Indiana ATC forms are located at in.gov/atc/2409.htm. (Temporary Permits are near the bottom of the form list.) Forms must be filed with the district ATC office five (5) days prior to the requested event date. 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. Deposit will be returned upon inspection of event area by the Board of Public Works. o Events with 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) Company Name: Contact Name: • Contact Phone: Address: (b) Name: Qualifications: Name: Qualifications: Name: Qualifications: Email: City/State/ZIP: Contact Phone: Contact Phone: Contact Section G - Contineencv and Strateeic Plannine • 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. 5.O.0 W a 1%r-fable P. A' Sys ih ''Ae evewf d f lndewe.n4 weafiAe.^ 0/' 0Yher Shy rSs e-j • Proposed Cleanup Plan - This plan should include, but is not limited to: o Measures in place to collect and remove trash, litter and recyclables. �AR�✓/1�fS b�ii3OLOy/c�t .rtnlA STci0cr3.4�cc'�e (lc�LcJNT�—c • (,!//GL. T3E /?E SPOsU S i /b c.c >�2 CLEf?n� !l /� fT7 S : Uc� f�✓N ' • 40 0 • 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. .rN 7-,-fE EVOYU�r O F iN c.,4 E rn sU-r wE ^-rHd;iLi "7f/5 L-✓ENT cdic1- RNc�cc4 • Proposed Lost and Found Plan - This plan should include, but is not limited to: o A description of the use of signage, announcements on public address systems or pre -event handouts. 8"AJ"11� #AS /T A-OS-s F' R✓N.o BoX ,AI fF PV4-o/✓ A6SE-4 fF AERS041. Xr&W. WE "'Wc5c 1Vf)-7 #_AO 6*y iSSJ S i41 7HC— ARS`r For parades, races and other processional events: Are you selecting one of South Bend Police Department's (SBPD) pre -approved race routes? ❑ Yes ❑ No You must select from SBPD's pre -approved race routes (see links on application site) or provide sufficient evidence of event participation if the applicant is proposing a different route through South Bend. If your event will not be using a pre -approved race route, the proposed event map should include a route plan clearly identifying the timing and locations of proposed street closures, and the direction of parade movement. If your event will not be using a pre -approved race route, please explain: 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. • Location of fencing, barriers, and/or barricades. Indicate any removable fencing and exit locations for emergency purposes. • Location of all stages, platforms, bleachers, grandstands, tents, booths, cooking areas, vehicles, trailers, and other temporary structures. Applicants should also clearly mark locations of food and alcohol serving or sales, if applicable. • • The location(s) and number of all portable toilets and wash stations. • The location(s) and number of all trash and recycling containers, including dumpsters. • The location of generators or any source of electricity. • Traffic plan and map, including proposed loading/drop off areas, barricades, secured areas, vehicle and bicycle parking areas, and considerations for TRANSPO bus route changes. If you are using and/or closing public sidewalks or streets, you are required to notify area business owners and residents. You must: c 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. 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. 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. • U Applicant Printed Name: JO:fN Ai. S7/60 j Member SPECIAL EVENTS COMMITTEE APPROVAL Member�� Member Date Firefox abou • n u BBC f(II(II n-MA514 BiN BAR NAbY5 TRA K a+e�-� 7i3 E.. �'EfFERSav Q�J4. r �low�.2o PARK WE YJQJLn LIKE TO gI.00C OFG ST. L.Ol.��S gLUD �M1 x}'ETF�SGY.( I O � Ti-{E aLLby s Ci-A66iC C*A5 wtL� 8a pftkE-0 oN WEST SiOE J k or 90'-AM A*qs Lo-r O N 3T,Lat1I S S L- ✓� ArdJ A NO rN T4*7 ZiKE* LOT 6ARNABYS 1163 713 E JEFFERSON BLVD. 71-918 Z712 SOUTH BEND, IN 46617 e BCHECK �r G?4.� Dollars Awk everwise CREDIT UNION merwi�om 1: 2712918261: 50489166-4m11s11163 /'se"'ll BARNTUD-01 A�RO CERTIFICATE OF LIABILITY INSURANCE DA5/20/2025 YI 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 rahts to the certificate holder in lieu of such endorsement(s). PRODUCER tat Source Insurance, Inc. 6909 Grape Road Mishawaka, IN 46545 INSURED Tudor Inns, Inc. dba/Barnaby's 713 E Jefferson Blvd South Bend, IN 46617 COVFRAnFR CFRTIFICATE NUMBER: REVISION NUMBER: 271-5240 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 TYPE OF INSURANCE ADDL INSO SUBR VIVIDA POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LABILITY CIAIME-MADE OCCUR BOP1009649 i EACH OCCURRENCE 111f2025 1j112026 _PRMAEMSES( RENTaoccu MEO EXP (Any am arson PERSONAL S AM INJURY GENERAL AGGREGATE PRODUCTS -COMPIOPAGG S 1'000'000 E S 5,000 S 1,000,000 GENL AGGREGATE pLRIM�IT APPLIES PER: POLICY JECT LOC OTHER: 2000000 21000,000 AUTOMOBILE LIABILITY _ ANY AUTO OVMED SGHEDULEO _ AUINE ONLY AUUpTOSH1�EDWW EEpp ALTOS ONLY AUTOU ONNLV COMBINED EDSINGLE LIMIT BODILY INJURY Per anon BODILY INJURY Per acodem _CPO,PROIR�I MAGE S E E $ A X UMBRELLA UAB X OCCUR EXCESS LIAR CLAIMS -NUDE CUP1005717 1/112025 DED X I RETENTIONS 5,000 EACH OCCURRENCE 111/2026 AGGREGATE 1,000,000 S 1,000,000 S Is 1,000,000 PE A MWERSCOMNSATION AND EMPLOYERS' LIABILITY W CP 1010392 1 /112025 1M/2026 I ANY PROPRIIETgOERIPARTNEIVEXECUTIVE YIN IrnanSEW In NHI EXCLUDED? NIA If yyes, tescnbe antler DESCRIPTION OF OPERATIONS below PER TUTE OTH- E.L. EACH ACCIDENT b 500,000 E.L. DISEASE -EA EMPLOYE E 500,000 E.L. DISEASE -POLICY LI IT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, A4011mmil Remarks Schedule, may be attached If more space is required) Indiana Alcohol 8 Tobacco Commission 302 W Washington St. Room E-114 Indianapolis, IN 46204 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TTROOPE ACORO CERTIFICATE OF PROPERTY INSURANCE DATE (MMIOO YYYY) osnonozs 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. PRODUCER I at Source Insurance, Inc. 3909 Grape Road Mishawaka. IN 46545 INSURED Tudor Inns, Inc. dba/Barnaby's 713 E Jefferson Blvd South Bend, IN 46617 271-5200 PnVW0An=Q PFRTILIPATF NI IMRFR• RFVISInN NIIMRFR- LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (AMch ACORD 101, AEEitbnal Remarks Schedule, d more space le ,".ired) 1 1 713 E. Jefferson Blvd, South Bend, IN, 46617 2 1 116 S. St. Louis St., South Bend, IN, 46617 2 2 116 S. St. Louis St., South Bend, IN, 46617 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 TYPE OF INSURANCE LTR POLICY NUMaER POLICY EFFECTIVE POLICY EXPIRATION DATE IMWOD/YYYY) DATE(MMRIOIYYYY) COVERED PROPERTY LIMITS A X ' PROPERTY CAUSES OF LOSS BASIC BROAD X SPECIAL EARTHQUAKE WIND FLOOD DEDUCTIBLES BOP1009649 01/01/2025 01/01/2026 X X BUILDING S 1,440.SS2 PERSONAL PROPERTY $ 421.300 BUSINESS INCOME S EXTRA EXPENSE $ RENTAL VALUE $ BLANKET BUILDI NG $ BLANKET PERS PROP $ BLANKET BLOG S PP $ Equipment Breakdown S 50,000 $ BUILDING 1,000 CONTENTS 1,000 X INLAND MARINE CAUSES OF LOSS NAMED PERILS TYPE OF POLICY POLICY NUMBER $ 'S S 5 CRIME TYPE OF POLICY S $ S BOILER S MACHINERY / — EQUIPMENT BREAKDOWN $ S $ SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be a0achad N more space is required) City of South Bend 1250 S Lafayette Blvd South Bend, IN 46601 ACORD 24 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD E (I S BarnabY 's Pizza ,,,$ /h Annual Classic Car Cruise -in Sponsored by the South Bend Chapter of the Studebakers Drivers Club Sunday September 21C 202A- Noon to Sam BOMahY's South Bend will mw at 2P 0