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B.2 Pond Hockey Alcohol Special Event PermitCity of Ka Post office Box 1997 - Kalispell, Montana 59903 Telephone: (406) 758-7755 .UONTANA city_clerk@kalispell.com www.kalispell.com REPORT TO: Doug Russell, City Manager 35 Z FROM: Aimee Brunckhorst, CMC, City Clerk & Communications Manager SUBJECT: Alcohol Special Event Permit Application from the Chamber of Commerce Montana Pond Hockey Classic as an Alternative Location at the Woodland Park Ice Center MEETING DATE: February 17, 2015 BACKGROUND: The Kalispell Chamber of Commerce Convention and Visitor Bureau has submitted an application for the sale and consumption of alcohol February 20 - 22, for the Montana Pond Hockey Classic at an alternative venue location — Woodland Park Ice Center. The event is scheduled to be held at Foys Lake, however Woodland Park will be utilized if the ice conditions at Foys Labe do not stabilize prior to the event. The Special Event Permit and the Alcohol Addendum have been reviewed by the appropriate city departments. The Chamber has made arrangements to provide parking for the event at the Conrad Complex, with a shuttle bus running between the two locations. RECOMMENDATION: It is recommended the City Council approve the Special Event Permit for the Kalispell Chamber of Commerce and Convention and Visitor Bureau to allow for the sale and consumption of alcohol at the Montana Pond Hockey Classic if it is to be held at the Woodland Park Ice Center. Respectively Submitted, Aimee Brunckhorst, CMC City Clerk & Communications Manager ATTACHMENTS: Special Event Permit Application Alcohol Addendum Certificate of Liability Insurance Date Issued: CITY of IALISPELL 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. Name of Event. 2. Event e() � 1 Start Time: S� End Time: I to c 3. Group Name Sponsoring Event: . t� , r-_' jv r ' p g 4. Organization Officer/Authorised Representative: g P 5. Daytime Phone #: �1 S Email: Jua-VIL, C-) Ll L_�' w 0 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: YAj 0 w 7. Proposed Route (including starting and termination points): . ; r- � •z r1c, rxn_'.V 614 (,'gV-V'V 'x 0�04 etc .mn__ _S�l I 8. Describe any recording equipme t, sound amplification equipment, banners, signs, or other )tU�_ tention'F getting devices to be used in connection with the parade/special event: G-AjA 1AU" L_ 9. Street Closures/Parkin Restrictions requested, if any., q y � f ��t�.� LLD� �� C� C� -_, �� Ig .V T Fjr � i�.i L r �.r 'l t J V, L 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash co tamers, traffic assistance, crowd control}�, etc): - sty _'�� �k) (� 1. t3 1r C �)- ' -' t-� Q _ "3 4 1 CD 0-'�' J'�_ V--vC Lx- i L �Itl_\ ex)e 1 i `kA ^ 1 1.-\0 I n i.'vl 1'll 1 tl ! i1 Iti n 11. Please specify hat arrangements have been madelor cl an -up u aPtei theOrade/special event, g p a _,-r) uro-)� Tz 3C1 <� _'. t- '�_ VIV VV ONJ 0__ L J Revised September 2014 L try i I I'LNN al I"M10ril-to 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 any 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 deb s resulting from or while participating in the parade/event. Signature of Applicant Date Print Name: DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Fire: r Pa Police: Public Works: City Attorney: Date Permit Issued: Reason for Denial: Signature: * * PLEASE CHECK APPLICABLE FEES Parade Fee [ Date Paid: Deposit [ ] Date Paid: Barricade Fee [ ] Estimated Amount: Circle One ro 1 Deny ro 1 Deny 7pprovI Deny 1' eny eny Date Permit Denied: Date Paid: Solid waste Estimated Amount: Date Paid: Date Revised September 2014 ALCOHOL ADDENDUM CITY of K4LISPELL PARADE/SPECIAL EVENT PERNTIT APPEICATtON If it is the requcst o f the iappl icant to sell, serve, consume Or posSCs-s hecr and/or wine at a. special event held on City owned or maintained property the following information and documentation must be provided; Nance and c:onTac;t information of req uest.hi g Organization and Ikon -Profit group beneti tting fi'0111 event: F E \I;Sitars 1�vrGa�� Narnc� and contact information of licensed Waterer if applicable. - Provide esdaaya to of the number and concentration of participants at the event: LSnt/— Provide a plan that ensures that widerage persons will not obtain alcoholic beverages sented at the event, and the precautions proposed, such as fencin o barriers to create separation, use of ID braceletsr and marmed security to adegtjatoly sccure and supervise the area and the particip,ants duriri y the event: NY ape� C) ve-Y' `1"v- � C'hcck tli:ii you have provided proof of liquor liability insurance coverage for the event: [� Check that you haN c: prov'dcid prop I'() I'compliance e with Dcpartment of Revenue requirements for the event: rvf Revised September 2014 ACKNOWLEDGMENT NT F LEGAL RESPONSIBILITIES The holder- of this special event permit is solely responsible for all actions of his/her group, and for the wee fare o I'die publ is at the cvcn.t, for al I property be long i ma to the croup and to die City, a%id for adhering to the Kalispell Municipal Code and the Laws of the State of Montana. r I understand that a. trained volunteer or employee in one of the preapprovcd MDOR train'1110 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 czw be revoked at any brie For just cause, that mv deposit 11-uly not he 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 m1nor (FICA 16�-6-'05). pro��idinv a�[�����oi to an 41toxicated person (MCA I6-3)6-3)04), drinking if not of legal drin�in.cT age (MCA 45-5-624)} or driving while- intoxicated (MCA 61 R8-401). I �a reo and undelld all of the.poileies and re.ulations contained in the pertTiit. Sip-natUre of iicarlt Date I Print_ Islame } Approved by the City, Counci 1 this ... day of } . Revised Sept ernber 21014 C-) D =r < CD. ..� =r h [D CD =r CD Fn 0 CD CD CD ��., (DCD Cl 0 0 ram, ti Cif CD .0 0 �] 5 ty 0 0) 0 "`, - �CL 3 CD , 0- - l) (D CD � 0 --s (D W U Cif CD CO 0 (D CD i � _ L:I a) � `< 0 a.�T L.� ,� . � r.f =rco � CD '0) cn (D CD 0 0 6 •' o ,...� ..,.. . a. 0 c3 -n C:) 0 n C) < M CD ID 3 0 [D CD 'n 3 a% � CD CD ` �`.,, CD d*l CD cza can o CD �.. 0 � L c--D 0 CD (nv ` -CD ��- 0 0w � -2 � T r-- CD (D m T)- �. CL �- 3 m CD CD 00 0, m 0 Z: m t-) Cu CL a 0 --i U) > > 11 0 ZY % (D CD z z X> G) 0 (n =r CD 0 �j .0< 0 z POpow -do � a0-4� =$ . 0 i 0 (D Q-0 1"109a -0 ` 1 + y, F)' -% "'� (D ■JrF/r.T G.:.. m CD ! � coD CD 0- m ...� 0 X 9 0 M m m W rr i X F CL D CD of 00 C�XX m M ��>>' v s Mr,M rw [ C: 3 co00 �Crn itoo �0 rn> 0 M r r L QC-) m 0 z m 0 N 0 z 0 Z 00 > m 0 ;a M m m m z co State of Montana Department of Re�',enue% Liquor Control DiVI sion 2014=2015 License License No. 07-999-24-1,83-002 S 650.00 TAMARACK ALA HOUSE AND GRILL, LLC 05 BL.ACKTAIL RD S T E 1 h LAKESIDE MT 599 2-9628 OWNED BY: TAMARACK ALEHOUSE & GRILL, LL 1 o0a OR MORE MEMBERS.- JO HUA R. TOWNSLEY,ANDRA E. TOW N SLEY r f LEGAL DESCRIPTION OF LICENSED PREMISES: 105 BLAKTAIL RIB Ste 1 LAES1 � s=E Permission is hereby granted to the above named kcensee to SO "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 persoriai to the lioensee and is subject to suspension or revocation for eau . No transfer hereof as to either person or location is valid until approved and endorsed upon the face h reof by said Department. Montana Department of Revenue Helena, Montana License Must be prominently displayed in licensed premises. Valid through June '00: 2015 Administrator, Liquor Control Division KALIARE-01 NSTEINBORN CERTIFICATE OF LIABILITY INSURANCE -1 DATE (MMIDDIYYYY) 211212015 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 Kalispell O1=FICe Pa newest Insurance, Inc.INC,No 33 Village Loop Kalispell, MT 59901 CONTACT NAME: Nicole Steinborn PHONE (406) 758-4200 FAX Ext ; i(AIC,No): (406) 7rJ5a�l 1 89 E-MAIL ADDRESS: nsfeinhorn paynewes.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Surplus & Excess INSURED INSURER B : Kalispell Area Chamber of Commerce Kalispell Convention & Visitors Bureau 15 Depot Loop INSURER C : INSURER D INSURER E : Kalispell, MT 59901 INSURER E : 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. INSR LTR TYPE OF INSURANCE DDL IN SUBR WVD I POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIA131LITY CLAIMS -MADE OCCUR X BINDERNS 02/18/2015 02124/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED PREMISES Ea occurrence) $ 100, 00 MED EXP (Any one person) $ 1100 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER- JECT LOC POLICY [:] PRO- E:] GENERAL AGGREGATE $ 21000,000 GEN'L PRODUCTS - COMPIOP AGG $ ,000:000 LIQUOR $ 11000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEL] I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N 1 A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS below A Liquor Liability BINDERNS 02/18/2015 02/24/2015 110001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2015 Pond Hockey Classic Event CERTIFICATE HOLDER CANCELLATION City of Kalispell 201 First Avenue East Kalispell, MT 59901 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 L , 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD