The URL can be used to link to this page

5. Alcohol Special Events Permit Request - Taste of KalispellCity of Kalispell Post Office Box 1997 - Kalispell, Montana 59903 Telephone: (406) 758-7701 Fax: (406) 758-7758 REPORT TO: Doug Russell, City Manager FROM: Theresa White, City Clerk SUBJECT: Alcohol Special Event Permit Request — Taste of Kalispell MEETING DATE: July 1, 2013 BACKGROUND: The Kalispell Downtown Association has submitted an application for the sale and consumption of alcohol for the Taste of Kalispell event to be held on the grounds of the Central School Museum on August 10. 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: City council approve the Special Event Permit to allow for the sale and consumption of alcohol for the Taste of Kalispell event to be held on the grounds of the Central School Museum on August 10. Respectively Submitted, Theresa White City Clerk Attachments: Special Event Permit Application Insurance (City of Kalispell) Alcohol Addendum MT Liquor Control Division Special Permit Insurance (MT Department of Revenue) Date Issued: CITY OF KALISPELL PARADE/SPECIAL EVENT PERMIT APPLICATION Parade Permit Fee: $100.00 a Barricade Fee: $50.00 Application must be filled in completely. Requests for a Parade/Special Event erm' i must received at least 45 days prior to the requested activity. 1. Name of Event: �+ % �; -- K A iL_ is Ipc L L_.,,. 2. Event Date(s): 3j 10 � � Start Time: ', 0 � End Time: 3. Group Name Sponsoring Event: ;�C t l , t� � ., ) / ,� j , 0 4. Organization Officer/Authorized Representative: foz of l 'J, 5. Da time Phone #: y Email: � ��t ®+v�ib�'1,4,j��r� 6. 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 animal , etc). Please attach map and any other documentation that may be helpful: �sS'cFi --/-- i L dA --em s t oOLt— -� 7. Proposed Route ("including starting�pg and termination points): / LA �j A--r 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: (2 .Q 9. Street Closures/Parking Restrictions requested, if any: <: a Lire G r- t r^ 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): 0_ 3 -;I Poe h 11 11. Please specify what arrangements have been made for clean-up after the parade/special event: Revised July 12, 2011. INSURANCE A Certificate of Liability Insurance in the minimum amount of $750,000 for each claim and $1.5 million for each occurrence 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 an additional insured on the policy. For insurance questions please contact the city attorney's office at (406) 758-7977. 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 dcathsiesulting from or while participating in the parade/event. (;� Date: ii nature of Appli9ftAt Print Name: E4DOn C! L Public Works Fire City Parade Fee [ DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) S� Signature e One DatA// e - 1� I-,- e--�\ � 0 ^� �`�,`f A / Deny &�ovel Deny 6 A 11:3 pprov / Deny �-3 Cppr,ove-- eny 6 y ] Date Paid: Barricade Fee [L]15ate Paid: �'�' Date Permit Issued: Reason for Denial: Signature: Date Permit Denied: Revised July 12, 2011 Client#: 146818 r.._ 1*tk ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 05/09/2013 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 CONTACT NAME: Hub Intl. Mountain States Ltd PHONE 406-756-4134 FAX 406-756-8$97 A/C, Na, Ext : (A/C, No 100 Financial Drive, #110 a oaEss: marsha.hattel@hubinternational.com Kalispell, 599D1 406 752-8693 INSURER(S) AFFORDING COVERAGE NAIC # INSURER AI Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and INSURER 6 Kalispell Business Improvement District INSURERC: P O Box 1997 INSURER D : INSURERE: Kalispell, MT 59903 INSURER F : COVERAGES CERTIFICATE NUMBER: REVIRIOIU Nt1MRER- 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. . LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM/DDYIYEFF Y MMIDD�Y LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR x PHPK1003675 4/22/2013 04/22/2014 EACH OCCURRENCE $1,000000 DAMAGE O RENTED PREMISE Ea occurrence $1 DD DDO 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 PROT El LOC JEC PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A I WC STATU- OTH- T E.L. EACH ACCIDENT - $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional 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 59903-1997 ACORD 25 (2010105) 1 of 1 #S3810971M381095 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZEDREPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRH 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 the licensed C-owing: Provide proof of liquor liability insurance coverage for the event: k7- i c Y aZO Provide proof of compliance with Department of Revenue requirements for the event: li6�6 Provide estimate of the number and concentration of participants at the event: C? 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: CA- t—c--c2 t rA i r 1%✓ �y - e.. % � ` 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 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 ha e read and understand all of the policies and regulations contained in the permit. [ Printed Name e- L., C r i1aorta Date: Revised May 2013 Special Permit: 200J STATE OF MONTANA LIQUOR CONTROL DIVISION SPECIAL PERMIT FOR THE PERIOD BELOW Fee: $10.00 THIS IS TO CERTIFY that KALISPELL DOWNTOWN ASSOCIATION of KALISPELL, MONTANA is hereby granted a special permit to sell Beer and Table Wine to the patrons of the A Taste of Kalispell at 124 2nd Ave. East, the location described on the application. This permit starts on August 10, 2013 and ends August 11, 2013. All permit holders are required to follow the laws and rules of the Montana Alcoholic Beverage Code (MABC) regarding the sale of Beer and Table Wine. DATED at Helena, Montana this 16th day of May, 2013. DEPARTMENT OF REVENUE LIQUOR CONTROL DIVISION Brandon Hoang,/Authori ed Signature (06) 444-4015 Please Note: Legal hours for sale of Beer and Table Wine are between 8:00 a.m. and 2:00 a.m. except when further restricted by city ordinance. Client#: 146818 26KALDOWN n., CERTIFICATE LIABILITY INSURANCE DATE (MMlDD/YYYY) 05/0912013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 CONTACT MarshaHattei PHONE -ANo, 406 AIC, No, E# 406 756-4134 x -756-8897 100 Financial Drive, #110 Kalispell, MT 59901 406 752-8693 EMAILADDRESS: marsha.hattel@hubinternational.com INSURER($) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and Kalispell Business Improvement District P O Box 1997 INSURER B • INSURER C: INSURER D : Kalispell, MT 59903 INSURERS: INSURER F COVERAGES CERTIFICATE NUMBER: 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 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR PHPK1003675 4/22/2013 0412212014 EACH OCCURRENCE $1 000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY M PRO-JECT 7 LOC PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STORYTATU- OTH- E.L_ EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Ia Montana Department of Revenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Registration and Licensing ACCORDANCE WITH THE POLICY PROVISIONS. P0Box 1712 Helena, MT 59604-1712 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S381100/M381095 MRH