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F03. Taste of Kalispell Special Event Permit Request
City of Kalispell Clerk's Office _ (406) 758-7756 cityclerk@kalispell.com RIONT.11Vr 201 First Ave. East, Box 1997, Kalispell, MT 59922 REPORT TO: Doug Russell, City Manager`DR- FROM: Aimee Brunckhorst, City Clerk & Communications Manager SUBJECT: Alcohol Special Event Permit Request — The Taste of Kalispell MEETING DATE: August 17, 2015 BACKGROUND: The Kalispell Downtown Association has submitted an application for the sale and consumption of alcohol at the annual Taste of Kalispell event on the lawn at the Museum at Central School on September 3, 2015. This is an annual fundraiser for the museum located at 124 Second Avenue East. The Special Event Permit and Alcohol Addendum have been reviewed by the appropriate city departments and all supporting documentation has been deemed to be in order. RECOMMENDATION: It is recommended the City Council approve the Special Event Permit for the Kalispell Downtown Association to allow for the sale and consumption of alcohol at the Taste of Kalispell to be held on the lawn at the Museum at Central School September 3, 2015. Attachments: Special Event Permit Application Insurance (City of Kalispell) Alcohol Addendum Insurance and Permit (State Liquor Control Division) Date Issued: CITY OF KALISPELL PARADE/SPECIAL EVENT PERMIT APPLICATION Application must be filled in completely. Requests for a Parade/Special Event Permit must be received at least 3 weeks prior to the requested activity. 1. Name of EventtTa$te of Kalispell 2. Event Date(s) Start Time: 5' 00 End Time: 9 : 00 PM 3. Group Name Sponsoring Event: Kalispell Downtown Association 4. Organization Officer/Authorized Representative: 5. Daytime Phone #: Pam Carbonari 406-253-6923 Email: pam@downtownkalispell.com Description of Parade/Special Event. Please include whether the parade/event will occupy all or only a portion of the width of the streets, the location of any event areas, and the type of event including any activities planned (floats, animals, etc). Please attach any other documentation that may be helpful: On the lawn at the Museum at Central School and on 2nd Ave. E. between 1st St. E. and 2nd St. E. 7. Proposed Route (including starting and termination points): N/A 8. Describe any recording equipment, sound amplification equipment, banners, signs, or other attention - getting devices to be used in connection with the parade/special event: Music will be playing and announcements from a sound system. Event flag banners will be placed at the entrance. 2 sandwich board signs will be placed on the corner of Main Street and 2nd Streets 9. Street Closures/Parking Restrictions requested, if any: Parking restriction and road cloasure on 2nd Ave. East between 1st St. E. and 2nd St. E. after 2:30 on the day of the event. 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): No road barricades - We have them on our Thursdaffest trailer. Please leave the trash container for Thursdaffest thru September 4. 11. Please specify what arrangements have been made for clean-up after the parade/special event: Volunteers and paid staff INSURANCE A Certificate of Liability Insurance in the amount of at least $750,000 per occurrence and $1.5 million aggregate must be submitted to the Kalispell City Attorney's office prior to any permit being issued. The Certificate of Insurance must name The City of Kalispell as additionally named insured on the policy. For insurance questions please contact the city attorney's office at (406) 758-7977. Revised February, 2015 PARADES NO CANDY OR OBJECTS MAY BE THROWN TO SPECTATORS. The applicant will ensure that participants do not ride on floats with their legs hanging over the side. The applicant will brief participants to maintain a safe and constant interval during the parade. This will help prevent the "accordion effect' which results in gaps in the parade procession. TERMS AND CONDITIONS As an agent and acting on behalf of the requesting agency or organization, I hereby certify that the information above is complete and correct. I further understand that it is my responsibility to ensure that participants for the parade/event as requested fully understand that the City of Kalispell and the State of Montana does not endorse, encourage, condone, or protest the said parade/event. It is further my understanding that each participant will be advised by the parade/event sponsor that the City of Kalispell and the State of Montana will be held harmless and will not be responsible for injuries, damages, or (7 suiting from or while participating in the parade/event. 8/4/2015 Signature of Applic Date Print Name: Pamela Carbonari DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Fire: Park,, Polic Publi City . Date Permit Issued: Reason for Denial: Circle One prove / eny pprov • / Deny pprov Deny Approve Approve / Date Permit Denied: Signature: ** PLEASE CHECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [ ] Date Paid: Barricade Fee 1 1 Estimated Amount: Date Paid: Solid Waste \j Estimated Amount: O Date Paid Date Revised February, 2015 ALCOHOL ADDENDUM CITY OF KALISPELL PARADE/SPECIAL EVENT PERMIT APPLICATION If it is the request of the applicant to sell, serve, consume or possess beer and/or wine at a special event held on City owned or maintained property the following information and documentation must be provided: Name and contact information of requesting Organization and Non -Profit group benefitting: a ispe own own ssocia ion Name and contact information of licensed Caterer if applicable: None Provide estimate of the number and concentration of participants at the event: 500 - 600 Provide a plan that ensures that underage persons will not obtain alcoholic beverages served at the event, and the precautions proposed, such as fencing barriers to create separation, use of ID bracelets, and manned security to adequately secure and supervise the area and the participants during the event: ID's will be checked and wrist bands placed on any participant drinking alcohol. The entire area will be fenced with 3 exits that will be staffed to ensure no alcohol leaves the premises. Check that you have provided proof of liquor liability insurance coverage for the event: Check that you have provided proof of compliance with Department of Revenue requirements for the event: W] Revised February, 2015 ACKNOWLEDGMENT OF LEGAL RESPONSIBILITIES ➢ The holder of this special event permit is solely responsible for all actions of his/her group, and for the welfare of the public at the event, for all property belonging to the group and to the City, and for adhering to the Kalispell Municipal Code and the Laws of the State of Montana. ➢ I understand that a trained volunteer or employee in one of the preapproved MDOR training courses must be present at all points of sale and service. ➢ I understand that I must pay all fees and deposits as required. ➢ I understand that my permit can be revoked at any time for just cause, that my deposit may not be returned, and I may not be able to obtain a new permit in the future for violations of the law such as providing alcohol to a minor (MCA 16-6-305), providing alcohol to an intoxicated person (MCA 16-36-304), drinking if not of legal drinking age (MCA 45-5-624), or driving while intoxicated (MCA 61-8-401). ➢ I have read and understand all of the policies and regulations contained in the permit. 8/4/2 015 afore of Applicant Date Pamela Carbonari Print Name Approved by the City Council this day of 20. Revised February, 2015 Special Permit: 1351 STATE OF MONTANA LIQUOR CONTROL DIVISION SPECIAL PERMIT FOR THE PERIOD BELOW Fee: $10.00 THIS IS TO CERTIFY that KALISPELL DOWNTOWN ASSOCIATION of KALISPELL, MONTANA is hereby granted a special permit to sell Beer and Table Wine to the patrons of the Taste of Kalispell at 124 2nd Avenue East, Kalispell Montana, the location described on the application. This permit starts on September 3, 2015 and ends September 4, 2015. All permit holders are required to follow the laws and rules of the Montana Alcoholic Beverage Code (MABC) regarding the sale of Beer and Table Wine. DATED at Helena, Montana this 8th day of May, 2015. DEPARTMENT OF REVENUE LIQUOR CONTROL DIVISION icy Newma I, Akh®rized Signature ��fJ (000) 000-0000 Please Note: Legal hours for sale of Beer and Table Wine are between 8:00 a.m. and 2:00 a.m. except when further restricted by city ordinance. Client#: 146818 26KALDOWN .CORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/20/2015 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 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 Hub Intl. Mountain States Ltd 100 Financial Drive, #110 Kalispell, Kalispell, MT 59901 CONTACT Marsha Hattel PHONE FAX aC No Ext : 406-756-4134 A/C, N.: 406-756-8897 E-MAIL SS: marsha.hattel a@ ubintemational.com 406 752-8693 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A. Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and INSURER B INSURERC: Kalispell Business Improvement District INSURER D : P O Box 1997 INSURERE: Kalispell, MT 69903 INSURER F : IiV YCRliIlCJ l.Lft IIFII=Y IF IYIIMRFIi• 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADD IN SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD I LIMITS A GENERAL LIABILITY X PHPK1309665 0412212016 0412212016 EACH OCCURRENCE $1 000000 x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR PREMISES Ea RENTED $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIEI"OR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A WC STATU- OTH- RY T R E.L. EACH ACCIDENT $ EL DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AdcHonal Remarks Schedule, if more space is required) Certificate holder is listed as additional Insured With respect to general liability per attached form CG 2026 (07 04) attached City of Kalispell P O Box 1997 Kalispell, MT 69903-1997 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 .6-jz" (0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S76161 I IM756798 MRH POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc_, 2004 Page 1 of 1 13