01. Alcohol Special Event Permit - Mountain Madness Air ShowPost Office Box 1997 - Kalispell, Montana 59903
Telephone: (406) 758-7701 Fax: (406) 758-7758
n,,—
REPORT TO: Doug Russell, City ManageiAA
FROM: Theresa White, City Clerk
SUBJECT: Alcohol Special Event Permit Request — Air Show Performer Party
MEETING DATE: August 18, 2014
BACKGROUND: The Kalispell Chamber of Commerce and the Convention and Visitor
Bureau have submitted an application for the sale and consumption of alcohol at a Performer
Party as part of the upcoming Mountain Madness Air Show. The party will be held at Depot Park
on August 29, 2014, from 3:00 p.m. to 9:00 p.m.
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 Chamber of Commerce and the Convention and Visitor Bureau to allow
for the sale and consumption of alcohol at the Mountain Madness Air Show Performer Party
scheduled at Depot Park on August 29, 2014.
Respectively Submitted,
Theresa White
City Clerk
Attachments: Special Event Permit Application
Alcohol Addendum
Insurance (City of Kalispell)
Insurance and Permit (State Liquor Control Division)
Bate ;'issued:
CITY OF KALISPELL
PARADE/SPECIAL EVENT i 'M_ PJ 1' U
Application must be filled iir completely. Requests for a Parade/Special Event Permit must be received at
least 30 days prior to the quested activity. / 4
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2. Event TDate(s)' 4, , ;; ryf _ _ S art Time: 1, nd Time: VF �
3. Group Name Sponsoring went: � l ,�.� �/ � iF _L.
4. Organization Officer/Authorized Representative
5. Daytime Phone #:'� €'�j f ' t :^
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 locution of any event areas, and the type of event including
any activit s planned rfloats, ammals,,etc)
Please attach any
offier ;ocuirientatron that niav/, be
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8. Describe any recording equipment, sound amplification equipment, bannplp." signs, or Aher attention
getting devices to be used in connection with the parade/special event:
q, Street Closures/Parking Rests actions requested, if any:
10. Please specify what (if any) city equipment/assistance is requestedr(road barr�cades trash containers,
traffic assistance, crowd control, etc): et r >= , , � � t �, l f� � �
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11. Please specify what arrangenlclits have been made for clean -tip after the parade/special event:
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Revised July 2013
INSUIZANCE
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 attorneys 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 Ialispell
and the State of Montana will be held harmless and will not be responsible for injuries, damages, or
deaths Ifesultin YF n,1 or while participating in the parade/event. f' r
ture ofP(pplicant
Name: GI C
Fire:
Part0
Polio
Puhli
City
Date Permit Issued:
Reason for Denial:
Date
DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY)
Si4�nature:
**PLEASE PL,Et-1.5`E CREC:K APPLICABLE FEES
Parade Fee [ J Date Paid:
Deposit [
Ban-icade Fee [
Solid Waste [ ]
Date Paid:
Estimated Amount:
Estimated Amount:
Circie One
liprove Denv
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QA
pprot Deny
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Approve i Deny
I Appi-oN�j Deny
Date Permit Denied:
Date Paid:
Date Paid:
Date
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Revised July 2013
LIKKIIII'Velff—MV31r A-1101
CITY OF KALISPELL
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,
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
Name and contact information of licensed Caterer if applicable:
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:
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Check that you have provided proof of liquor liability insurance coverage for the event:
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Check that you havo provided proofofcompliance, with Departipent WRevenue requirementsfor the event:
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Revised July 2013
The holder of this special event perinit 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.
-7Z
Date
Print 1V ame
Approved by the City Council this day of , 20
Revised July 2013
KALIARE-01 NSTEINBORN
CERTIFICATE LIABILITYI
DATE11YYYY}
2112120/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DUES 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
Kalispell Office
PayneWest Insurance, Inc.
a3 Village Loo
Kalispell, MT 59901
f AME: Nicole 5teinborn
PHONE {a06) 758-42!?0 AirX No : (4t16 755-1189
c No Ex
ADDRESS: SS; nsteinborn a�P Y newest.com
INSURER($) AFFORDING COVERAGE
NAIC #
IN5URERA;Arnerlcan Economy Insurance Co
INSURED
Kalispell Area Chamber of Commerce
15 Depot LOOP
Kalispell, MT 59901
INSURER B -.State Compensation Isis Fund of MT
INSURER C :
INSURER D ;
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 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.
ILFR
TYPE OF INSURANCE
ADDL
SUHR
POLICY NUMBER
POLICY EFF
IY
MM/DDYYY'
POLICY EXP
MM/DDIYYYY
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ED OCCUR
x
02BP6E91957
1/3112014
1131/2015
EACH OCCURRENCE
$ 2,000,00
DAMAGE TOR
PREMISES fraoc ure ce
$
MEO EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ Include
GENERAL AGGREGATE
$ 41000,00.
G£N'LAGGRE.GATELIMIT APPLIES PER;
POLICY PRO-
F('T LOC
PRODUCTS -COMPIOPAGG
$ Included
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALLOWNED SCHEDULEO
AUTOS AUTOS
HIREDAUTOS NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
(Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident
UMBRELLA LIAR
EXCESS LIAR HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
_$
AGGREGATE�W_�._.......
_
DED RETENTIONS
13
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIFTOR1PARTNERfEXECUTIVE
OFFICERIMEMBER EXCLuDED'i ❑
(Mandatory in NH)
44 yyes, describe under
DESCRIPTION OF OPERATIONS below
NIA
030575674
1/112014
11112015
WRYTATU• 1 OrR
`""
E.LEACH ACCIDENT
S 1,000,00
--
E.L. DISEASE - EA EMPLOYE
- -
$ T 1,000,00
E.L. DISEASE - POLICY LIMIT
I $ 1,000,000
i
DESCRIPTION OF OPERATIONS f LOCATIONSI VEHICLES (Attach ACORD 161, Additional Remarks Schedule, if more space is required)
RE: Saint Patrick's Day Parade, 4th of July Parade, Fair Parade, and Christmas Parade
City of Kalispell
PO Box 1997
Kalispell, MT 59903
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
O 1988-2010 ACORD CORPORATION. Ail rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
POLICY NO.: NAF4033005 ATTACHED TOCERTIFICATE #_%l
THIS MSTQCERTIFY TO:
City ofKalispell
301 First Avenue East
Ka|iapaU, MT 59901
THAT THE FOLLOWING POLICY QFINSURANCE HAS BEEN ISSUED TO:
Kalispell Chamber ofCommerce dba:Mountain Madness 2014
15Depot Park
Kalispell, MT 59901
POLICY NUMBER: NAF4033095
POLICY PERIOD: From August 1S.2U14ToSeptember 4.2O14
INSURANCE COMPANY: Catlin Insurance Company. Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
iaincorporated aoapart hereof.
Aarespects the above certificate holder:
SECTION 11 - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
Subject hoDate Change Recognition Endorsement.
Data included inthis Certificate valid an of August 18. 2014.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policy listed herein. Notwithstanding any requirement, term or conditi
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies. I
Should the described policy becancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) notice to the certificate holder named herein.
However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the
Company, its representatives or agents.
By:
W. Brown & Associates Insurance Services
Date ofIssue: July 2i.2O14
Certificate No.: 12
Certificote#12- Page iof2
POLICY NO.: NAF4033095 ATTACHED TO CERTIFICATE # 12
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
15 Depot Park, Kalispell, MT, 59901
Glacier Park International Airport, 4170 HWY 2 East, Kalispell, MT
Including those premises necessary and incidental to the Aviation Events of the Named Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
Products -Completed Operations Aggregate Limit
Products/Completed Operations Occurrence Limit
Personal Injury & Advertising Injury Aggregate Limit
Personal Injury & Advertising Injury Occurrence Limit
Each Occurrence Limit
Medical Expense Limit (Any One Person)
Each Occurrence
Liquor Legal Liability
Not Applicable
$1,000,000
$1,000,000
$1,000,000
$1,000,000
$10,000,000
$5, 000
$30,000
$2,000,000
Certificate # 12 Page 2 of 2
Special Permit: 342K
'A." ILI 111
I [011ie] M0103 III I I tkffl ME all I z
0010411121 MCI 2 200161 all
Fee: $10.00
THIS IS TO CERTIFY that KALISPELL CHAMBER OF COMMERCE of KALISPELL,
MONTANA is hereby granted a special permit to sell Beer and Table Wine to the
patrons of the Air Show Performance Party at Depot Park, the location described on the
application.
This permit starts on August 29, 2014 and ends August 30, 2014, 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 28th day of July, 2014.
DEPARTMENT OF REVENUE
LIQUOR CONTROL DIVISION
A -
Brandon Ho'a,, Auth rued Signature
(406) 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.
POLICY NO.: NAF4033085 ATTACHED TO CERT|F|CATE#'7
THIS tSTOCERTIFY TO:
Montana Department ofRevenue
K8itohoU Building
125 N. RVberts/ P.O. Box 5805
He|ena, MT 58604-5885
THAT THE FOLLOWING POLICY OFINSURANCE HAS BEEN ISSUED TO:
Kalispell Chamber ofCommerce dba:Mountain Madness 2O14
1bDepot Park
Kalispell, MT 59901
POLICY NUMBER: NAF4833095
POLICY PERIOD: From August 1G.2014ToSeptember 4.2O14
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OFCOVERAGES AND LIMITS OF LIABILITY: Please refer toattached schedule which
isincorporated eoapart hereof.
Aarespects the above certificate holder:
SECTION 11 - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
Subject tnDate Change Recognition Endorsement.
Data included inthis Certificate valid auofAugust 18, 2014.
This certificate of insurance is not an insurance policy and does not amend, extend or after the
coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) notice to the certificate holder named herein.
However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the
Company, its representatives or agents. -
W. Brown & Associates Insurance Services
Date ofIssue: July 18.2014
Certificate No.: '7
Certificate #7Page 1of2
POLICY NO.: NAF4033095 ATTACHED TOCERT|F|CATE#'7
SCHEDULE u�� LOCATIONS
����mm������u~^���n Location of Aviation premises owned, rented to or occupied by the Named Insured:
15Depot Park, Kalispell, MT, 58OU1
Glacier Park International Airport, 4170 HVVY2 East, Kalispell, MT
Including those premises necessary and incidental to the Aviation Events of the Named Insured
Type of a:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Prod uots-Cnmp|eted
Operations and Hangerkeeoens')
Products -Completed Operations Aggregate Limit
Prod uuta/Comp|etndOperations Occurrence Limit
Personal Injury @ Advertising Injury Aggregate Limit
Personal Injury &Advadieing Injury Occurrence Limit
Each Occurrence Limit
Medical Expense Limit (Any One Person)
Each Occurrence
Liquor Legal Liability
Certificate #7Page 2of2