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HomeMy WebLinkAboutStreet Closure - Eddy St Commons Coffee & Cars1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 12, 2016 Ms. Carissa McNeil KRG Eddy St. Commons 30 S. Meridian St. Site 1100 Indianapolis, IN 46204 RE: Event Name: Coffee and Cars Street Closure: Eddy St. from Napoleon to Angela Dear Ms. McNeil: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on July 12, 2016, approved your request to close the above referenced street for your event scheduled for July 23, 2016 from 6:00 a.m. until 1:00 p.m. For your information, the South Bend Police Department will monitor this event. Enclosed please find a copy of your approved permit. The Bureau of Traffic and Lighting will deliver barricades necessary to close the street to the applicant's address. You will be responsible for their placement and removal at the conclusion of the closing of various streets. Please note that a ten foot (10') clear and unobstructed lane must be maintained at either curb or down the center of the street for emergency purposes and that no fires are allowed in the street. The Applicant will be liable for the replacement cost of $50.00 per cone as a result of any missing or damaged cones. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, ^ Linda M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Federico Rodriguez, Fire Department Marcia Qualls, Streets Ed Gleckler, Traffic & Lighting Adam Burke, Downtown South Bend GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 6/23/2016 TO: Gleckler, Traffic & Lighting d Xene Eyster, Police Department Corbitt Kerr, Engineering )Chris Dressel, Community Investment ederico Rodriguez, Fire Department arcia Qualls, Engineering Paula Garis, Park Department Adam Burck, Downtown South Bend (aburck@downtownsouthbend.com) FROM: Linda M. Martin, Clerky SUBJECT: Non- Residential Block�Party LOCATION: Eddy St. from Napoleon to Angela DATE AND TIME: July 23, 2016 SPONSOR: Eddy St. Commons — Coffee and Cars DATE DUE: July 5, 2016 FAX OR E-MAIL TO: 235-9171 / Imartin(&southbend in.gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION FOR USE OF, AND BLOCKING OF ACCESS TO, THE PUBLIC RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Board of Public Works must have FOUR (4) weeks prior notice of the event. A NON-REFUNDABLE APPLICATION FEE OF $125.00, IN THE FORM OF A CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE �^ INCLUDED WITH APPLICATION. J Fee Paid Applicant Name: Carissa McNeil 30 S Meridian St Address: Suite 1100, City: Indianapolis State: IN 46204 Phone: This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of the specified public right-of-way by Applicant for the holding of the hereinafter described event: Event Name Coffee and Cars Location Eddy Street Commons (1234 Eddy Street) (Describe Area/Route) Street Closure Name of Street Eddy Street From Napoleon To Angela Date of Event 7/23 20 16 a.mad .m. Time: Registration/Setup 6 p.m. Start 9 ❑ p.m. m. End 1 �p.m. Approximate Number of Attendees 500 Answer the following appropriately: 1. This event will have music (live or other). ❑ Yes No a. I understand the Noise Ordinance described in the Agreement/Permit JCR/ V Yes ❑ No 2. Required Information to Accompany Application a. Certified Check or Money Order in the Amount of $125.00, or: b. For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are included with this application, and Yes ❑ No additionally filed with the Office of the City Clerk, 4`h Floor, County - City Building, 227 W. Jefferson Blvd., South Bend, Indiana. c. Certificate of Insurance d. Maps, drawings of the area and setup plan Yes ❑ No a. This event involves City streets Yes ❑ No b. This event involves County roads ❑ Yes No c. This event involves State highways ❑ Yes No d. This event involves the use of the sidewalk Yes ❑ No Updated 4/2015 e. This event is a local/regional/national event (Please circle the yes ❑ No appropriate event type) f. Affected property/business owners have been notified of this event. Yes ❑ No g. I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia yes ❑ No Qualls, Customer Service Manager, 235-5939 to organize meeting). IF ALCOHOL IS TO BE SERVED OR SOLD Alcoholic beverages will be served ❑ Alcoholic beverages will be sold ❑ Certified Check or Money Order for $400.00 must be submitted with application. ❑ • Application cannot be processed without deposit. • Deposit will be returned upon inspection of event area by the Board of Public Works. Names and phone numbers of THREE security guards ❑ • To monitor underage drinking. • Qualifications must be listed (e.g. Off -duty police officer, professional security guard, or event APPLICANT). A drawing must be submitted showing: ❑ • Fencing around serving area • Trash receptacles. o Ample trash receptacles must be provided to ensure proper disposal of refuse. Temporary liquor license. ❑ • Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information. • Application cannot be processed without a copy of this license. City of South Bend, Indiana • Board of Public Works PERMIT AND AGREEMENT FOR THE USE OF THE RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Non-residential Block Party will be permitted to take place under the following terms and conditions: 1. Pursuant to Local Ordinance No. 10224-13, there is a $125.00 non-refundable fee for non- residential Block Parties. Non-profit organizations meeting Section 501(c)(3) of the Internal Revenue Code are exempt from the fee provided copies of the 501(c)(3) Internal Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are filed with this application and with the Office of the City Clerk, 4th Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. 2. The APPLICANT must comply with all terms and conditions of this Permit and Agreement. 3. The APPLICANT shall reimburse the Board for the actual cost to the City for the event, if deemed necessary. 4. APPLICANT shall include a flyer or letter describing the details of the event. 5. Notification of approval/denial of this request will be issued by return of this form, upon signed authorization by the Board of Public Works. 6. The APPLICANT shall provide to the Board a Certificate of Insurance showing a liability policy in full force and effect with limits of $300,000.00 per occurrence and $5,000,000.00 aggregate and the City of South Bend 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. 11. IF ALCOHOL IS TO BE SERVED OR SOLD a Certified Check or Money Order for $400.00 must be submitted with application. The application cannot be processed without a deposit. The deposit will be returned by the Board of Public Works upon inspection of the event area after the event, and provided there is no damage to the area. Names, phone numbers, and qualifications (e.g. Off -duty police officer, professional security guard, or event APPLICANT) of THREE security guards to monitor underage drinking, must be submitted with the application. A drawing must be submitted showing fencing around serving area, and trash receptacles. For a temporary liquor license call the Alcohol and Tobacco Commission at (317) 234-4315 for more information. Application cannot be processed without a copy of this license. 12. 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 by any person, including a participant in the activity, arising out of the approval of this request by the Board of Public Works to close a portion of the public right-of-way for the event described above. I have read the Application and Permit and the Agreement for the "Use of Right -of -Way for Special Events" and I understand and agree to the above rules and regulations. I also understand that this application may be denied based on any false or incomplete information. Dated this 23 day June 20 APPLICANT Signature AA/ % Printed Name )VAL Member I�/a Date RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 9 Fax: (574) 235-9171 9 E-Mail: publicwks@southbendin.gov %) _ iSaw 310178 ACCORD® CERTIFICATE OF LIABILITY INSURANCE DAens/20 6 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 pollcy(ies) must 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 Commercial Lines - (404) 923-3700 Wells Fargo Insurance Services USA, Inc. 3475 Piedmont Road NE, Suite 800 Atlanta, GA 30305-2886 CONTACT Kimberlee Kolli PHONE FAX Alq a .404-923-3532 A/q Rol, 877-362-9069 ADDRESS: Kimberlee.m.kolli@wellsfargo.com INSURER S AFFORDING COVERAGE NAIC Y INSURER A: LM Insurance Corporation 33600 INSURED Kite Realty Group Trust 30 S. Meridian St., Ste. 1100 INSURER e: Allied World Assurance CO US 19469 INSURER C INSURER O: INSURER E : Indianapolis IN 46204 INSURER F: COVERAGES CERTIFICATE NUMBER: 10580924 REVISION NUMBER: See below 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. ILTR I TYPE OF INSURANCE Jm B POLICY NUMBER MMIOD,Y y MMIDIDIYYYY LIMITS A X COMMERCUILGENERALLIIIBILITY CLAIMS -MADE � OCCUR TB5Z91453740076 No Deductible/Retention Applies to GL 3/01/2016 3/01/2017 � EACH OCCURRENCE $ 1,000,000 A O RENTED PREMISES Ea omurrence $ 300.000 MED EXP(Any one person) $ Excluded PERSONAL A ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY JECT X LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY MANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS % HIRED AUTOS X NON-Ol AUTOS AS5Z91453740066 No deductible On AUTO Liability Y 03/01/2016 3/01/2017 j OMBINEDi SINGLE LIMIT fee% $ 1,000,000 BODILY INJURY (Per person) $ BODILVINJURY(Peraccidelt ) $ PROPERTY DAMAGE Per amident $ B X UMBRELLA LUIB EXOESSLIAB % OCCUR CLAIM_MADE 0308-8008 3/01/2016 j 3/01/2017 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DIED % RETENTION$ 5,000 $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN OFFICER/MEMBERMY /EXCUDED RTNECUTIVE (Mandatory in NH) If yea, describe under DESCRIPTION OF OPERATIONS bebw NIA WC5Z91453740086 3/01/2016 3/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD ID1,Addltiond Remarks Schedule, maybe aeaered it more space is required) Board Of Public Works SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1316 County -City Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 227 West Jefferson Boulevard South Bend, IN 46601 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1888-2014 ACORD CORPORATION. All rlahts reserved ACORD 25 (2014/01) (rxs amm�u revia�• ssnmrasa mmarze iss�eecn s,aoral