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6. Alcohol Special Event Permit - Thursday!FestREPORT TO: Doug Russell, City Manager -01 FROM: Theresa White, City Clerk SUBJECT: Alcohol Special Event Permit Request — Thursday!Fest MEETING DATE: June 2, 2014 BACKGROUND: The Kalispell Downtown Association has submitted an application for the sale and consumption of alcohol at Thursday!Fest scheduled to begin June 26 and run through August 28, 2014. Thursday!Fest will be held on 2nd Avenue East, between 1st and 2nd Streets East, including the lawn the Central School Museum. 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 move to approve the Special Event Permit to allow for the sale and consumption of alcohol at Thursday!Fest June 26 through August 28, 2014. Respectively Submitted, Theresa White City Clerk Attachments: Special Event Permit Application Alcohol Addendum Insurance MT Liquor Control Division Special Permit TIP Training Certificate Date Issued: PARADE/SPECIALCITY OF KALISPELL PERMIT Application must be filled in completely. Requests for a Parade/Special Event Permit must be received at least 30 days prior to the requested activity. 71 L Name of Event: V r�':::� x� �/ 2. Event Date(s). � -7�3_ � �e �q Start Time::3 . &0!.?end Time: P Ott 6pll l 3. Group Name Sponsoring Event: j1- � i 5 riz i_.i® 4. Organization Officer/Authorized Representative: '+ M �f as i ! m 5. Daytime Phone #: �' , . --5, e a —cl-A 5 Email: .C) e�_ Yc)" "x 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: ' F:�_> ; ul A L— W a7-/4 j 0 & r - � i�" �-' @ °�` �`ri �` Icy � t"��_j'���. l �° ter' �� J [,.✓f�"'�.I%� ""�` ��.r a i�-%� ��;'� L`)� n'�' 7. Proposed Route (including starting and termination points): e— d 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: m� 9. Street Closures/Parking Restrictions requested, if any:fii.V<=� G� Lj s�L i s1 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): ;� �� .(- 13,A (7 _ i t-�- LO L t) kj 7-1-- <__1 L11--5 t .< 4 Revised July 2013 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. 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 ea resulting from or while participating in the parade/event. r n"rature of ApplicbAt Date Print Name: r7 rn DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Fire Part Poli Pub City Date Permit Issued: Reason for Denial: Signature: ** PLEASE CHECK APPLICABLE FEES Parade Fee [ ,. / Date Paid: Circle One p r / Deny Approve Deny pro / Deny Appro / Deny Approve eny Date Permit Denied: Deposit [ ] Date Paid: Barricade Fee Estimated Amount: �/ Date Paid: Solid Waste [ ] Estimated Amount: Date Paid: Date 2 °7 Revised July 2013 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 from event: Name and contact information of licensed Caterer if applicable: f�'_ Provide estimate of the number and concentration of participants at the event: 6 � L — 10 c 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: v°ld ��_ +j a 1 �1- a— g� ° % <- ¢ raa Cheek 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: [ L - Revised July 2013 ➢ 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). F44i4ve read and understand all of the policies and regulations contained in the permit. "%&attire of Appl ant Date Print Name Approved by the City Council this day of , 20 Revised July 2013 Client#: 146818 UPrM 1 0 1 c ACORDT. CERTIFICATE LIABILITYI DATE/YYYY) 04/25/2014 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: Hattel Hub Infl. Mountain States Ltd PHONE 406-756-4134 FAX 4 A/C, No, Ext : (AIC, No): 06-756-8897 100 Financial Drive, #110 E-MAIL ss: marsha-haftel@hubinternational.com MT 59901 --- --- 406 752-8693 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and INSURER B : Kalispell Business Improvement District INSURER C: P O Box 1997 INSURER D : Kalispell, MT 59903 INSURER E 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/YYYY POLICY EXP MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXOCCUR x PHPK1160211 4/22/2014 04/2212015 EACH OCCURRENCE $1 000,000 DAMAGE 7O RENTED PREMISES Ea occurrence) $100,000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY E LOC PRODUCTS - COMP/Op AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per acciden DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- 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) Certificate holder is listed as additional Insured with respect to general liability per attached form CG 2026 (07 04) attached City of Kalispell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O Box 1997 ACCORDANCE WITH THE POLICY PROVISIONS. Kalispell, MT 59903-1997 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S563127/M563126 MRH Client#: 146818 26KALDOWN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MWODNYYY) 04/25/2014 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 CONTACT Marsha Hattel NAME: ac°NN 406-756-4134 ac, No): 406-756-8897 E-MAIL-ADDRESs: marsha.haitet@hubinternationaLcom Kalispell, MT 59901 406 752-8693 INSURER(S) 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 W/ MDD/YYY POLICY EXP MMIDDIYYY LIMITS A GENERAL LIABILITY PHPK1160211 0412212014 04122/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $100,000 CLAIMS -MADE I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL $ ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2,000,000 $ POLICY PEO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident A- BODILY INJURY (Per person) $ -ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N I A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L_ DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Liquor PHPK1160211 4/22/2014 04/22/2015 $1,000,000 occurrence Liability $1,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) State of Montana Liquor Control Division P O Box 1712 Helena, MT 59624-1712 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 BDPSE!36!)312106" 2 pg2 $T674233W 674232 ^�2^�9.3424:8GP3 L':GPSf�E''S8�Pt5,:8th>�rtt-tr:srrrsvre�c, Li f 1BDPSE!obn f !boe!lphp!bsf !sf hjt tf sf e!n bsl t !pdBDPSE NSI Client#:146818 26KALDOWN g9 DATE (MWOONYYY) ACORDrna LIABILITYCERTIFICATE OF 04125/2014 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 1NSURER(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: Marsha Hattel Hub Int'I. Mountain States Ltd PHONE 406-75fi-4134 FAx A/C, No, Ext : AlC, No : 406-756-8897 100 Financial Drive, #110 E-MAIL marsha.haftei@hubinternationai.com Kalispell, MT 59901 INSURER(S) AFFORDING COVERAGE NAIC # 406 752-8693 Philadelphia Indemnity Insuranc 18058 INSURERA: p ty INSURED INSURER B . Kalispell Downtown Association and INSURER C Kalispell Business Improvement District P O Box 1997 INSURER D INSURER E : Kalispell, MT 59903 _ 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 MWDD POLICY EXP MM/DD/Y LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAWS -MADE ®OCCUR PHPK1160211 4/2212014 04/22/2015 EACH OCCURRENCE $1 000,000 PREMISES ERa occa once $100 000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN.L AGGREGATE LIMIT APPLIES PER: POLICY JEE7 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 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFiCERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- TORY LIMITS ER_,. E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101„ Additional Remarks Schedule, if more space is required) 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 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S563132/M563126 MRH ! ') Q ez ® Miontana Department of Revenue - Liquor Control Division awards • this certificate of completion to • 61 A R ® Y 10/3/1951 • • 0 Date of birth: • • For successfully completing eResponsible Alcohol Sales and Service Training program ® 7/9/2013 • • on • ! • July 18, 2013 • Program Trainer Date • ® July 18, 2013 • Department of evenue Date • • ® Valid for 3 years from date of completion • • • • • ti-r • • • • • • • • • • • • • O • • o • • 0 O • A • • 0 • • • • • • • O • • A • • • •