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02. Alcohol Special Event Permit - Taste of KalispellPost Office Box 1997 - Kalispell, Montana 59903 Telephone: (406) 758-7701 Fax: (406) 758-7758 REPORT TO: Doug Russell, City Manager '� -'v FROM: Theresa White, City Clerk SUBJECT: Alcohol Special Event Permit Request — The Taste of Kalispell MEETING DATE: August 18, 2014 BACKGROUND: The Kalispell Downtown Association has submitted an application for the sale and consumption of alcohol at the annual Taste of Kalispell at the Museum of Central School on September 6, 2014. This is an annual fundraiser for the museum located at 124 Second Avenue East. 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 Downtown Association to allow for the sale and consumption of alcohol at the Taste of Kalispell to be held on the lawn at the Museum of Central School September 6, 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) CITY OF KALISPELL PARADE/SPECIAL, EVENT PERMIT APPLICATION 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. Nalne of Event: O r-- 2. went Date(s): 926h 4 start Time: 60 PAEnd Time:toy 3. Group Name sponsoring Event: Li A S j?C:Lt-.— �� .� � �0ef 4. Organization Officer/Authorized Representative: P a ., % 1 5. Daytime Phone #: —'� Email:__: 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 may be helpful: Ei.0 a_A 110.... 1:5 Ar 7. Proposed Route (including starting and termination points): ( •' r 3 &. Describe any recording equipment, sound amplification equipment, banners, signs, or other attention- gettingdevices to be used in connection with the parade/special event: 5'rya �c' 4 a _ s 9. Street Closures/Parking Restrictions requested, if any: r,r 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): _' 11. Please specify what arrangements have been made for clean-up after the parade/special event: 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 Atoorney'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 nay 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 a State of Montana will be held harmless and will not be responsible for injuries, damages, or deaths esulting from or while participating in the parade/event. Signature of Appli a t Date LI, Print Name: P ,q -Fero C,- L A ' A- 40 wlyz 1 Signature Fire: Parks: Police: — Public Works: <_ " ._i ,t— City Attorney:` Date Permit Issued: Reason for Denial: Signature: -` PLEASE CHECK APPLICABLE FEES Parade Fee Deposit Barricade Fee Solid Waste [ ] Date Paid: I I Date Paid: [ ] Estimated Amount: Circle One Date K9W�oln I Deny r r7 / r� / Deny _ ppror /Deny Appro /.Deny Approve / eny r' Date Permit [:Denied: Date Paid: [] Estimated Amount: `' Date Paid: V U Revised July 2013 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 requesting Organization and Non -Profit group benefitting from7= Name and contact information of licensed Caterer if applicable- A/ 0 A-, �L 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 ".P bracelets, and manned security to adequately secure and supervise the area and the participants during the event: _4 71 le�-'U 0 Ee_5 Z L 0 7— A TT A—C _Y, I -f-- L,,2 A- L_ ,-r e "- Lj , 7— I Check that you have provided proof of liquor liability insurance coverage for the event: [ M Check that you have provided proof of compliance with Department of Revenue requirements for the event: ["� 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. .gnature of Ap i ant Date r Print Name Approved by the City Council this day of 120 Revised July 2013 Client#: 146818 26KALDOWN ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 04/26/2014 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 Inf1. Mountain States Ltd 100 Financial Drive, #110 Kalispell, MT 59901 406 752-8693 CONTACT Marsha Hattel NAME: PHONE FAX AIC, No, Ext : 406-756-4134 pIC, No : 406-756-8897 i ADORIess: marsha.hattel@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # Philadelphia Indemnity Insuranc I INSURER A : p tY 18058 INSURED Kalispell Downtown Association and Kalispell Business Improvement District P O Box 1997 Kalispell, MT 59903 INSURERB IN 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 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 TYPE OF INSURANCE INSRLJSUBR WVD POLICY NUMBER EFF MMIDDINYY MY MIDDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE n OCCUR x PHPK1160211 _ 4/22/2014 04122/2015 I EACH OCCURRENCE $1 000,000 DAMAGE T 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'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO 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 Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE I i — -1 —— -- EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIETOR/PARTNERIEXECUTIVE OFACER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 7 A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ I I f DESCRIPTION OF OPERATIONS I LOCATIONS I 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 CIS 2026 (07 04) attached I01.Jacr 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 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S563127/M563126 MRH Special Permit: 324K MWX. ' ! Ilk 0 2 ;; T, I !a, ,., MS] oil 0010!,. 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 Fundraiser at 2nd Street East, the location described on the application. This permit starts on September 6, 2014 and ends September 7, 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 16th day of July, 2014 DEPARTMENT OF REVENUE LIQUOR CONTROL DIVISION Brandon Hoang, A.u, fhoriz4d Signature (40.6) 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 W.W11111-1100TAT ACC ,, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 CONTACT Marsha Hattel NAME: PHONE 40g_?56-4134 't 406-756-8897 RIC, No, Ext : (AICF°, No 100 Financial Drive, #110 ADDRESS: marsha.hatteit§hubinternationai.Com Kalispell, MT 59901 406 752-8693 INSURERS) AFFORDING COVERAGE NAIC � INSURER A: Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and Kalispell Business Improvement District P ® Box 1997 INSURER B : INSURER C 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 ADDLiSUBR INSR WVD POLICY NUMBER POLICY EFE MMIDDIYYY POLICY EKP MMIDDIYYY LIMITS A GENERAL LIABILITY PHPKI160211 04/22/2014 0412212015 EACH OCCURRENCE $1,000,000 a� COMMERCIAL GENERAL LIABILITY DAMATO GE RENTED PREMISES Ea occurrence $100,000 CLAIMS -MADE ® OCCUR MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/O_PAGG $2,000,000. $ 17 POLICY E LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS i PROPERTY DAMAGE Per accident I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION i WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) _ A If yes, describe under DESCRIPTION OF OPERATIONS below Liquor PHPK1160211 4/22/2014 04/22/2015 E-L. DISEASE - POLICY LIMIT $ $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) IlC6A N State Of Montana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Liquor Control Division ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 1712 Helena, MT 59624-1712 AUTHORIZED REPRESENTATIVE ^�2^96.3?2?�8GP5L �GPSC�'S8u'FF5,18IItsjnl-tr�srrrs�tr'3, BDPSE!361)3121016* 2 pg2 111 f !BDPSE!obn f !boe!rphp!bsf !sf hjt Lf sfe!n bsi t !pcgBDPSE $T674233CN 674232 N S 1 Client#: 146818 26KALDOWN TM CERTIFICATELIABILITY DATE (MMIDD/YYYI� 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 poiicy(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 { CAONNTACT Marsha Hattel Hub Intl. Mountain States Ltd PHONE 406-756-4134 FAX 406-756-8897 Ext : AIC, No 100 Financial Drive, #110 MAILo ADDRESS: marsha-haftel@hubinternational.com Kalispell, MT 59901 406 752-8693 INSURERS} AFFORDING COVERAGE NAIC # wsURERA: 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 : I 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 MWDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY j CLAIMS -MADE J OCCUR ( PHPK1160211 04/22/2014104/2212015 EACH OCCURRENCE_ $1 000 000 PAEMISES (Ea occurrence) $100,00U 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 PRO LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED I AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS I I I COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEPJEXECUTIVE Y/ N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A j i WC STATU- OTH- T RY IMITS ER _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ I DESCRIPTION OF OPERATIONS I LOCATIONS 1 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. P O Box 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 #S563132/M563126 MRH