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6. Alcohol Special Events Permit Request - Arts in the ParkCity 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 — Arts in the Park MEETING DATE: July 1, 2013 BACKGROUND: The Hockaday Museum of Art has submitted an application for the sale and consumption of alcohol at its 45th Annual Arts in the Park festival at Depot Park from July 19th to the 21 st. 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 at the Arts in the Park festival to be held at Depot Park July 19-21. 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) MAC;-7'2013 04:52P FROM: TO:7587758 P.1/2 Date Issued: CITY OF KALISPELL PARADE/SPECIAL EVENT PERMIT APPLICATION Parade Permit Fee{ $100.00 Barricade Fee: $50.00 Application must be filled in completely. Requests for a Parade/Special Event Permit must be received at least 45 days prior to the requested activity. 1. Name of Event: �R. mm T-'� &- 'tP11-��'V� 2. Event Date(s): -, yay„�f A \ Start Time: I : U�"-k End Time: � Q 1--k 3. Group Name Sponsoring Event: DA'�c° Nt i•- �—T' 4. Organization Officer/Authorized Representative:-- S. Daytime Phone#: *-Xp -jSJ-5oibg Email:ci,us�°.t-�C��t.4�A4lN�t��Ll�+l•�iR.(n 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, animals, etc). Please attach map and any other documentation that may be helpful: T` - A4 ' a KkT. V F 1) a'04 . -M=W> WE, i 7. Protiosec 0.xa Q (including starting and termination points): 'yr. 4:69- 1F Zro-E_!L_ 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: 9. Street Closures/Parking :Restrictions requested, if any: i`4�r"� '�. S°nskrs.O Ph- 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): %A"r-S 11. Please specify what arrangements have been made for clean-up after the parade/special event: p _ t c� ..F Revised 3uly U, 20t t lit (B i MPR-7-2013 04:52P FROM: TO:7587758 P.2/2 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 atorney'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 deaths resulting from or while participating in the parade/event. Date: � - O 1b 1� o Applic Print Name- j.� -�-i DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Public Works - Fire Poli Cit} Parade Fee [ ] Date Paid: Date Permit Issued: Reason for Denial: Signature: Circle One Approve '.Deny Approve / ny pprov / Deny ppro .e rDeny Barricade 'ee [ e Paid: ,5p/,o Date Permit Denied: Date 3113// -3 z ,5-1 1 619G /3 Revised July 12, 2011 AXM CERTIFICATE OF LIABILITY INSURANCE R045 DATE 03-14J-201)3 THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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/PHS 451260 P• (866)467-8730 F• (877)905-0457 PO BOX 33015 CONTACT PHONE FAX E,CpNoExtl: (866)467-8730 (A/C,NoI: (877)905-0457 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # SAN ANTONI O TX 78265 INSURER A : Hartford Casualty Ins Co INSURED INSURER B : Sentinel Ins Co LTD INSURER C HOCKADAY MUSEUM OF ART INSURER D 302 2ND AVE E INSURER E: KALISPELL MT 59901 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 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. NSR TYPE OF INSURANCE 4DDL INSR(MM/DD/YYYYJ SUER WVD POLICY NUMBER POLICY EFF POLICY EXP_LT (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X General Liab 41 SEA IK9005 05/09/2013 05/09/2014 DAMAGE PREMISES O RENTED encel S 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000, 000 GENERAL AGGREGATE S 2,000, 000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PE�LFLOC PRODUCTS - COMP/OP AGG S 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS X HIRED AUTOS X NON -OWNED AUTOS 41 UEC N05239 05/09/2013 05/09/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S UMBRELLA LIAR EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION S g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N/A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it mom space is required) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Kalispell BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Kalispell Parks & Recreation Dept. DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1997 AUTHORIZED REPRESENTATIVE ` KALISPELL, MT 59903 I 1 488-2U10 ACOHD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CITE' 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 Caterer:#tea"Cca Provide proof of liquor liability insurance coverage for the events z -7S -'I � -d— Provide proof of compliance with Department of Revenue requirements for the eventk "A� Provide estimate of the number and concentration of participants at the event: . '- 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:_1t t.` c.. 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 have read and understand all of the policies and regulations contained in the permit. Signature: � `�rinted Name: iT - e S Date: �f) - R-aC)� Revised May 2013 LIQUORCONTROL bIV€SI.0 N Brandon Hoan , uth"' d Signature (4 6) 444-4015, F-lbase Note:. Lega/ hours for sale of Beer and Ta,bte Wine are between 8:00 a.m, and 2160; a;m. except when further re$tricted by,cityordinerice. Client#: 91405 SCOTTYSB ACORIDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/26/2013 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 WANED, 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: PayneWest Insurance, Inc. PHONE 1610 Whitefish Stage Rd Ext: AAIC,No E-MAIL Kalispell, MT 59901-0638 ADDRESS: 406 751-2360 INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Continental Western Insurance C INSURED INSURERB: Employers Compensation Insuranc Scotty's Bar &Steakhouse LLC, DBA: Scotty's Bar &The Winchester Steakhouse INSURER C PO BOX 184 INSURER D : Kalispell, MT 59903 INSURERE: 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 UBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fix OCCUR X. CWP600521621 1/01/2013 01/01/2014 EACH OCCURRENCE $1 MM000 DAMATO RENTED TED SES Ea REoccurrence $100,000 MED EXP (Any one person) $1 Q 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 s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CWP600521621 1101/2013 01/0112014 COMBINEDSINGLELIMIT Ea accident 1,OQO ,OOO X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB IV I OCCUR CLAIMS -MADE CU600668321 1101/2013 01/01/201 EACH OCCURRENCE $1,000,000 �( AGGREGATE $1 000 00_Q DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) ((yes, describe under DESCRIPTION OF OPERATIONS below NIA EIG129679502 0210112013 02101/2014 X 1,WoCR6yTLATmUis ORH- E.L. EACH ACCIDENT $100.000 E.L. DISEASE. E4 EMPLOYEE $100 000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: July 19th - 21 St 2013 - Hockaday Arts in the Park Montana Department of Revenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1-99 Depot Park ACCORDANCE WITH THE POLICY PROVISIONS. Kalispell, MT 59901 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 #S933055/M 880549 A01