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4. Alcohol Special Event Permit - Arts in the Park
Post Office Box 1997 - Kalispell, Montana 59903 Telephone: (406) 758-7701 Fax: (406) 758-7758 REPORT TO: Doug Russell, City Manager D " FROM: Theresa White, City Clerk SUBJECT: Alcohol Special Event Permit Request — Arts in the Park MEETING DATE: July 7, 2014 BACKGROUND: The Hockaday Museum of Art has submitted an application for the sale and consumption of alcohol at its 46th annual Arts in the Park festival in Depot Park from July 18 to July 20, 2014. 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 for the Hockaday Museum of Art to allow for the sale and consumption of alcohol at the Arts in the Park festival to be held in Depot Park July 18th through July 20th. Respectively Submitted, /Z, Theresa White City Clerk Attachments: Special Event Permit Application Insurance (City of Kalispell) Alcohol Addendum Caterer - Insurance, Liquor License, Catering License Date Issued: CITY OF KALISPELL PARADE/SPECIAL EVENT Pr ,: 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. (� 1. Dame of Event: 2. Event Dates):� t E.,.�g ( Start Time: �j`-01D End Time: (a'- 3. Group Name Sponsoring Event: C��f 4. Organization Officer/Authorized Representative:��� C 5. Daytiine Phone #: t �Q -75 7 c�L(0�R Enai1: E_\J —1 j,),0-i4ADP,q k U 9iti LLA4, 0 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, animals, etc). Please attach any other documentation that ay be helpful: -� - � C J Lie t,J ( i .� dui s � Pin, Proposed Route (including starting and termination points): t PIT-�- 8. Describe any recording equipment, sound amplification equipment, bam}Ars, signs, or other attention - getting devices to be used in connection with the parade/special event: Y° C kl-�D J 1 9. Street Closures/Parking Restrictions requested, if any: 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc):i "sue C_.` C_=� 11. Please specify what arrangements have been made for clean-up after the parade/special event: =- "� ;�Rj T- Div 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 Attorneys 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 frilly 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 lArill be held harmless and will not be responsible for injuries, damages, or death I ltin r while participating in the parade/event. �ignatt e of c Date Print Name: _ DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Fire Par Pol: Pub City Date Permit Issued: Reason for Denial: Signature: Circle One Approve / ny Approve Deny pprov71) Deny Approv / Deny Approve / Deny Date Permit Denied: — PLEASE CHECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [ ] Barricade Fee Date Paid: Estimated Amount: $ 50 Date Paid: Solid Waste [ l.� Estimated Amount: v Date Paid: Date _0 !2 J 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). ➢ I have read and understand all of the policies and regulations contained in the permit. Date Print Name (� -lq Approved by the City Council this day of 120 Revised July 2013 JUN-26-2014 10:21A FROM: TO:7587758 P.2/3 Client#: 34817 26HOCMUSE ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD(YYYY) 04/24/2014 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 cortificato holder is an ADDITIONAL INSURED, the pollcy((os) 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 ileu of such endomement(s). PRODUCER kWCT Annie Billman Hub Int'l. Mountain States Ltd 100 Financial Drive, #110 Kalispell, MT 59901 406 752-8693 N 75$-4722 Ne 40$-756-8897 ADDRESS: annie.blllman(dhubinternational.com INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: Hartford insurance Group 00914 INSURED Hockaday Museum of Art 302 2nd Avenue East INSURER B : INSURER C : Kalispell, MT 59901 INSURER D : INSURER F 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. TYPE OF INSURANCE DOM"L I POLICY NUMBER MMlDD MMY LIMITS A GENERALLIABILrrY MERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR It 41SBAIK9005 5/09/2014 05/09/201 OCCURRENCE $1.000 000 -EACH PREM Ea o aa�n , $3OO OOO MED EXP (An one person $1 O 000 PERSONAL 8ADV INJURY $1,000 000 GENERALAGGREGATE s2 000,000 GEN'LAGGREGATE LIMIT APPLIES PEIi POLICY PR LOC PRODUCTS.COWIOPAGG s2000,000 I$ A AUTOMOBILE LIABILIN ANY AUTO AOWNED X SCHEDULED AUTOSHIRED AUTO X AUTOS 41 UECN05239 5/09/2014 051091201 Ee G de°Q E MIT $1,000,000 BODILY INJURY (Par parson) S BODILY INJURY(Per acddent) $ $ X PereadenDAMAGE 5 UMBRELLA LUIa EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE y $ DED I RETENTION$ __ $ WORKERS COMPENSATION AND EMPLOYERRS' LIIARBTWTY ,FFICER@EMBER EXCLUDED7ECrV— (Mandatary In NH) ayes dasaibo under DESCRIPTION OF OPERATIONS below N f A WCSTATU- OTH- F9BY L16dLTS F E L EACH ACCIDENT $ _ E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONSI VEHICLES (Attach ACORD 101, Additional RamarksSchedulo, If more apacels raWlrad) Arts in The Park City of Kalispell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kalispell Parks & Recreation Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1997 Kalispell, MT 59903 AUTHORIZED REPRESENTATIVE THy 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #$561928/M561926 ABI JUN-26-2014 10:20A FROM: TO:7587758 P.1/3 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 Caterer: ,. Provide proof of liquor liability insurance coverage for the event:,"Ub � Provide proof of compliance with Department of Revenue requirements for the event: ,�f'�' Provide estimate of the number and concentration participants at the event: e9m T ►l.- 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 mapped security to adequately secure and supervise the area d the participants during the event: L PA S NOD `S Q4 S FSr-r- 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 anytime for just cause, that my deposit may not be returned, and f 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 ?en7. Sign re: rinted Name:- 1c�&Z-Bate:fp Revised May 2013 Jun.24.2014 12:04 JOHN LEYARD CONSTRUCTIO 4068623904 PAGE. 3/ ACC)IRlY DATE (hAMlDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/4/2014 THIS CEI2YWICATE 18 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($), AUTHORIMD REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT! it the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It 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 endorsements . PRODUCER =TrAQT AK Farm Ins Brokerage Co Inc P d """"""'""�"2Q8" 2"-`7914 ]_E-"08 2323608 A C tJa { i PO Sox 4848 1 "." Pocatello, ID 83205-4848 `y'Dmz --� °�-- INaUReAtel AFFORDING coveluoe NAIeY INSLPER A. M4= WrnOn lSr6 'insuiFance CoMpany INGURCO L7©hn' S Angel' S Catering, LLC IN_SURFR S dba Muley' s Bar & Grill INSLRER r..' 220 Twin Bridges Road INSURER D . Whitefish, MT 59937 IWURER 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 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. IR LTR LT Tr INWRAN YK OCC WoL I WVO SUPR M/YD POLICY NLWF3FR POLICY MMJDD/YYYY POLICY trP MWMIYYYY LIMITS COMMERCIAL OENERAL LABILITY EACH OCCURRENCE_ I CLAIMS -MADE CI OCCUR PREMISES0(Ea wurieme)� $ -"� — W.. D Exi (Any me perenn) PFRSONw d ADV IN,NdRy $ GEN% AGGREGATF LIMIT APPLIES PER CF.,NFRA(,"+ACCRECATE _ It Palcy 71 � TC 1-1 LOC PRODUCTS . COMP/OP ACC, $ $ OTHER' AUTOMOBILE LIABILITY r'a (XIVIdINF-Anaidnl $ COOLLY INJURY (Par persal) 4 JWY Ar1r0 _ ALL OWNED �lTpS 1p.FO AUT— HIRED AUTOS —' NON•OWNEr AUTOS BODILY INJURY (Per accident) $ •') M01'ERTY'DAMAQF (Paraceldtt $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ El RXCI 18I.IA0 CLAIMS -MADE GREGA7E $ DED RETENTION $ $ WORKERS COMPENSATION AND CMPLOYCRt LIADILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE - OFHr.•URJM,MUL•N EXCLUDELP ` MIA - STATUTE ER f:L EACH ACC�DEN'r iY --""'"'�"'•"�"' �"""�"'" E.L. DISEASE . EA EMPLOYEE $ (Mandatory In NHI If yes. describe Unper DESCRIPTION OF OPERATIONS hu1Cw E.L. DISEASE -POLICY LIMIT $ 11000,004 each cause A liquor liability CL2655527 2/18/142;/18/15 $2, 000, 000 aggregate DE5CRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached 11 more space Is regldred) CERTIFICATE HOLDER CANCELLATION $lacktail Mountain Ski Area LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 1098 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Lakeside, MT 59922 AIITNORI717t) RPPRr$(NTATIVF: Q 1988-2014 ACORD CORPORATION, All rights reserved. ACORD25(2014101) The ACORD name and logo are registered marks of ACORD Jun.27.2014 01:13 PM John"s Angels Catering, L 406 862 0729 PAGE. 2j 3 Mate of Montana Department of Revenue Liquor Control Division 2014-2015 License License No. 07-999-2582-002 $ 650.00 MULEYS PO BOX 1090 LAKESIDE MT 59922-1090 OWNED BY: UPPER, TERMINAL. INC. .10% OR MORE SHAREHOLDERS: STEPHEN J_SPENCER,THOMAS E SAN:b�$DENN.IS F GARVER;JEFFREYS,SORG'' LEGAL DESCRIPTION OF LICENSED PREMISES: 13990 BL..ACKTAIL RD - LAKESIDE Permission is hereby granted to the above named licensee to sell "All -Alcoholic Beverages with Catering Endorsement for On or Off Premises Consumption" at the Premises designated above in accordance with the Montana laws and rules of the Department of Revenue. This license is a privilege personal to the licensee and is subject to suspension or revocation for cause. No transfer hereof as to either person or location is valid until approved and endorsed upon the face hereof by said Department. Montana Department of Revenue Helena, Montana License Must be prominently displayed in licensed premises. Valid through June 30, a_g� 2015 Administrator, ov Liquor Control Division Jun.27.2014 01:13 PM John"s Angels Catering, L 406 862 0729 PAGE. 3/ 3 wo m = (D CD =r :tr 0 (Dm0 -4 :- 6 OD CD M CL M M X CD 0 < co 0 _q 5 CD = r=— =r 0-t- 0 0 CL r- CL rn, ID X CD m cr cwo pw 3 CD zq a M C=Dr 0 0 M > M — " —T = X cb j5 :1 .a). U, m W, 0 fl1 d0 N CD r 0 CD 0': (D W. 0) CD pr =r '0(D 0 a (A 2 M 6-CD CD z .0 0 0 ID 6 to C- Z o 0 CD m 43 a 5 a., ma -a V X 0 Z 0 N CD Cc - q 19 4 ;a o r a) 8 1.4 = (A c) - , , A�� E:. 9 — �-jj 0) . :7. m rmobo m 0) m 22 a CD 0 CD m 00 c z z 0 0 "q (D =r z m > xx > 0 0 z suQ a @ m "M cc r - -- z 0"00 m =. b ?Q m m Cfi to -4 z z z (A Q) (D Z 20 @ 0 , !1=0 m (D z 0 CD dL R. 8 CD (D 0 0 M 70 -41 n 0 m 0 N3 X (D cr 6: ty. 0 m = T 0 CD (4 CD m 5 z CL @ m m ai c S to m (D m