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E2. Special Alcohol Permit for the Flathead Valley Hockey Association Craft Brewers Festival and Hockey TournamentCity of Kalispell Post Office Box 1997 - Kalispell, Montana 59903 Telephone: (406) 758-7701 Fax: (406) 758-7758 REPORT TO: Doug Russell, City Manager FROM: Aimee Brunckhorst, CMC, City Clerk & Communications Manager SUBJECT: Alcohol Special Event Permit Request — Craft Brewers Festival Hockey Tournament MEETING DATE: January 5, 2015 BACKGROUND: The Flathead Valley Hockey Association has submitted an application for the sale and consumption of alcohol at a Craft Brewers Festival and Hockey Tournament. The tournament will be held at the Woodland Ice Center on January 24, 2014 from noon to 8 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 Flathead Valley Hockey Association to allow for the sale and consumption of alcohol at the Craft Brewers Cup Hockey Tournament. Respectively Submitted, Aimee Brunckhorst, CMC City Clerk & Communications Manager Attachments: Special Event Permit Application Insurance Date Issued: CITY OF KALISPELL PARADE/SPECIAL 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. ,µ 1. Name of Event. 2. Event Date(s): ii. 24/' 4 'o Start Time: 12 e, _7 End Time: 3. Group Name Sponsoring Event: 4. Organization Officer/Authorized Representative: 5. Daytime Phone #: 6'7 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: cw 7. Proposed Route (including starting and termination points):a 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: 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 September 2014 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 deaths resulting from or while participating in the parade/event. Signat re,,of A plicant Date Print Name: DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Fire: N11— Parks: Police'' Public Works: City Attorney: _ Date Permit Issued: Reason for Denial: Signature: ** PLEASE CHECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [ ] Date Paid: Circle One A eny Approve_/ beny pros/ Deny Approve%"'Deny Ae"/Deny Date Permit Denied: Barricade Fee [ ] Estimated Amount: Date Paid: Solid Waste FVT Estimated Amount: A Del Date Paid: Revised September 2014 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: 'a2 /I- /' , Y 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:.4 t Val -s C C Pt heck that you hav, provid proof of liquor liability i4urance coverage for the event: Check that you hay"rovided proof of compliance with Department of Revenue requirements for the event: Revised September 2014 ➢ 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. Si ynaturo`of Applicant F Print Name Approved by the City Council this day of Date m Revised September 2014 A&-R.Entana VDEepartment NUEof MONTANA SpecPerm Rev 05 14 Montana Application for Special Permit to Sell Beer and Table Wine A copy of your IRS tax-exempt certificate must be attached or on file with the department. Please send your complete application and the appropriate fee to us at least three (3) days before your event. Section 1 — General Information Note: If the applicant is an individual, list the individual's name below. If the applicant is a partnership, limited liability partnership (LLP), corporation, or limited liability company (LLC) list the business' name below. Name of Applicant(s) Flathead Valley Hockey Association Contact Person Kimberly Morisaki Telephone 406-261-8831 Fax FEIN/SSN 14-1985774 Location of Principal Place of Business PO Box 2205, Kalispell, MT 59903/ Woodland Ice Rink, Kalis (Street Address, City, State and Zip Code) Name of Event Craft Brewers Cup Hockey Tournament and Beer Fest Location of Event Woodland Ice Center, 2nd St. East and Woodland Park Drive, Kalispell, MT 59901 (Street Address, City, State and Zip Code) Date(s) for which Special Permit is Requested January 24, 2015 Section 2 — Type of Organization and Fees Type of Organization 501(c)3 $10 per day — 501(c) (3) Organization (limit 3 per year) $10 per day — 501(c) (3) Intercollegiate athletic fund-raising organization (limit 12 per year) $10 per day — 501(c) (4) Civic League or Organization (limit 12 per year) $10 per day — 501(c) (6) Chamber of Commerce or business league (limit 12 per year) $10 per day —Accredited Montana post secondary school (limit 3 per year) $10 per day — Organization operated to raise funds for a needy person (limit 3 per year) $10 per day — Veterans or fraternal organizations that hold a liquor license (limit 3 per year) $1,000 per season — Professional Sports Organization (seasonal) $1,000 per season — Junior Hockey Team (seasonal) * Chamber of Commerce or business league need to provide proof of liquor liability insurance. Total Amount Enclosed $10.00 1, k, M Mmew."Tono a Me Please have your local law enforcement official complete this section prior to sending in your application. I , , hereby 0 Approve 0 Disapprove of the premises where the event is to be held. Signature Title Date We understand beer and table wine can only be sold and consumed within the enclosure where the event is held and only on the above date(s). We state that the location of the event is not within 600 feet and on the same street as a school or church. We will follow all the laws, rules and ordinances relating to the sale of beer and table wine. We understand that a violation of any law or rule relating to the sale of beer or table wine will be reason to revoke the permit. Any authorized employee of the department, its representative or any peace officer will have the right to examine the location of the event at any time. This application needs to be signed by all individuals, partners or members. In the case of a corporate applicant, it may be signed by one shareholder or officer with authority to sign. IANe declare under penalty of false swearing that the information provided on this application and its attachments are true, correct and complete. 12/16/2014 Kimberly Morisaki atu re Date Printed Name Mail completed application as well as all necessary documents to: Montana Department of Revenue Liquor Control Division PO Box 1712 Helena, MT 59624-1712 FVHA Board Member Title Questions? Please call us toll free at (866) 859-2254 (in Helena, 444-6900). Application for Special Permit to Sell Beer and Table Wine Page 2 FLATVAL-08 WMCGILL CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/3112014 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 Bigfork Office Paynewest Insurance, ftle. P.O. Box 160 CONTACT Wendy McGill PHONE— p406 837-7600FAx 406-837-7616 IA(C No,EE __ ) _ I (ArJ_No}v(, ) A'DMDRESS, wrncglll@paynewest.corn Bigfork, MT 59911 _____. INS URER(S) AFFORDING COVERAGE _ NAIC It A:K&K Insurance Agency Inc. _ INSURED _— _INSURER INSURER R : USLI INSURER C :_— Flathead Valley Hockey Association INSURER D : PO Box 2205 Kalispell, MT 59903 __._ INSURERE -- ENSURER F : ---- -----------_ _Ip.�_._ _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBED: 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 LTR j TYPE OF INSURANCE I ADDL [�Ri T POLICY NUMBER a POLICY EFF MMIDDIYYYY ( POLICY EX ! MPJ,rDDIYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY —�! CLAIMS -MADE OCCUR I I X KKO-00000050064-00 12/19/2014 'I2/19/2015 EACH OCCURRENCE S 1,000,004 D r5AMAA6rTR 111J I PREMISES( Aoccurrence) -' --- S 300,4fl4 �0 MED EXP (Any one person) S I & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I PRO- J JECT LOC OTHER: _PERSONAL GENERAL AGGREGATE S 2,000,000 PRODUGTS- COMP/OPAGG _-- S 2,400,004 AUTOMOBILE LIABILITY _ _ ANY AUTO AI_L OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS I"- AUTOS I II COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S BODILYINJURY (Per accident) S PROPERTY DAMAGE S 5 I I` ! UMBRELLA LIAR I 4._ EXCESS LIAR OCCUR I —. _ CL� 1 AIMS -MADE OF.O I I RETENTION 5-�__ I I ` EACIi OCCURRENCE S —U----� � AGGREGATE c—.------ u WORKERS COMPENSATtOh! AND EMPLOYERS' LIABILITY Y r N .A14Y PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? �� (rvlmxtatory In NH) If ycs, describe under DESCRIPTION OF OPERATIONS below Ni A STATUTE 14- Et2____ E.L. EACH ACCIDENT $ ---`--- -- E.L. DISEASE - EA EMPLOYEEI '-"---'------` S E.L. DISEASE - POLICY LIMIT I S B B Liquor Liability LlgLlor Liability X X CL1683649 CL1683649 01123/2016 01/23/2015 01/26/2015 01/26/2015 (Occurrence 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS! VEVIICLES (ACORD 101, Additional Remarks Schedule, may be attachod it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kalispell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 1997 Kalispell, MT 59903 AUTHORIZED REPRESENTATIVE I �is✓�K-�� � r��C7.t�" ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD