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F4. Arts in the Park Special Event RequestCity of Kalispell Clerk's Office (406) 758-7756 cityclerk@kalispell.com 201 First Ave. East, Box 1997, Kalispell, MT 59922 REPORT TO: Doug Russell, City Manager -Dp(-- FROM: Aimee Brunckhorst, City Clerk & Communications Manager SUBJECT: Alcohol Special Event Permit Request — Arts in the Park fundraiser for the Hockaday Museum of Art MEETING DATE: July 6, 2015 BACKGROUND: The Hockaday Museum of Art has submitted an application for the sale and consumption of alcohol at the annual Arts in the Park Fundraiser July 16-19 to be held at Depot Park. 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: Council approves 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 16-19. Attachments: Special Event Permit Application Alcohol Addendum Certificate of Liability Insurance State Liquor License for Caterer Date Issued: 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. Name of Event: Q- , C__ %', 2. Event Date(s): �_j �.-( 1 (O _ 1 -t '� Start Time: End Time: 3. Group Name Sponsoring Event: AA0y�aAti u X`� `_.� 4. Organization Officer/Authorized Representative: 5. Daytime Phone A G(O `1 6 a(P) Email: �y ►•t (� PaOCSLADAt(M �`'� ,off(, 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 an other documentation that may, bg helpful: 1\0_- r-" +� A L- - i c-- -po -r--1 7. Proposed Route (including starting and termination points): 8. Describe any recording equipment, sound amplification equipment, banners, signs, or other attention - getting devices to bAAe Iused in connection with the parade/special event: C� `"lam ,fit— hN30SrT7A0D 9. Sheet Closures/Parking�Restrictions requested, if any: 10. Please specify what (if any) city equipment/ass* tale is tequeste (road barricades, trash containers, traffic assistance, crowd control, etc): ( `) M f—i�- C� 11. Please specify what arrangements have been made for clean-up after the parade/special event: h 1-0-4NS CA rAe11- 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 fiarther 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 Meu ' r while p .cipating in the parade/event. Date Print Name.��\�-�{ 1� DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Signature Parks: Police:) Public Works:! City Attorney: Date Permit Issued: Circle One Date qtp,,., Deny l Deny / rov Deny l Approve eny prove eny ! Date Permit Denied: Reason for Denial: Signature: ** PLEASE CBECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [ ] Date Paid: Barricade Fee [ Estimated Amount: I, V Date Paid: Solid Waste Estimated Amount: �'� f 114 " Date Paid: � Approved with notice to Sponsoring Event Representative, the City cannot guarantee road closure on Center for the event dates July 16-19th, as there may be chip sealing/road work scheduled "t) 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 from event:��L�� N Name and contact information of licensed Caterer if applicable: ' 0 Provide estimate of the number and concentration of participants at the event: B ci aj 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 pa icipants during the event: i�7-_,tjt-cf e-j -c­ZS Fr-�C&b J— C� �E_ Check that you have provided proof of liquor liability insurance coverage for the event: [ ] LJ 1 Z_'," Check that you have provided proof of compliance with Department of Revenue requirements for the event: [ ] y,-) Q r,-t «as Revised September 2014 ACKNOWLEDGMENT OF 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 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. l :;2'k5 Signature of wis _ Date Print Name Approved by the City Council this day of 720 Revised September 2014 Client#: 34817 26HOCMUSE ACORD,. CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) 03/12/2015 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 Int'I. Mountain States Ltd 100 Financial Drive, #110 Kalispell, 59901 406 752-8693 CONTA T NAME: Tami Johnson A/C No,El:406-752-8693 AAA No, 406-756-8897 E-MAIL DDREss: tami.Johnson@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Hartford Insurance Group 00914 INSURED Hockaday Museum of Art 302 2nd Avenue East INSURER B : INSURER C : Kalispell, MT 69901 INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION N11111IREIR 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. L7SRR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM/DDYIYYYY MM/DDY� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR 41SBAIK9005 5/09/2016 05/09/2016 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES Ea occurrence s300,000 MED EXP (Any one person) $10,000 PERSONAL BADVINJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC JECT PRODUCTS - COMPIOP AGG s 2,000,000 $ A AUTOMOBILE JX LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS 41 UECN06239 6/09/2015 05/09/201 COMBINED SINGLE LIMIT Eaaccident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMEER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- R L MI E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Arts In The Park City of Kalispell Kalispell Parks 8r Recreation Department PO Box 1997 Kalispell, MT 59903 IILGJi I 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) 1 of 1 #S740888/M740881 The ACORD name and logo are registered marks of ACORD TAJ State of Montana Department of Revenue Liquor Control Division 2015-2016 License License No. 97-999-W941-260 $ 200.00 GLACIER SUN 3250 US HIGHWAY 2 E KALISPELL MT 59901-6641 OWNED BY: GOING TO THE SUN WINERY, INC. 10% OR MORE SHAREHOLDERS: DANA E. CORDELL,DAVID W. CORDELL LEGAL DESCRIPTION OF LICENSED PREMISES: 3250 US HIGHWAY 2 E - KALISPELL MANAGER(S): DOUG WAGNER The licensee is granted permission to manufacture, sell, and deliver wine. The licensee may provide consumers samples of wine for consumption on the licensed premises. All activity must be conducted in accordance with the laws of Montana and the rules of the Department of Revenue. Failure to do so subjects the licensee to administrative action. This license is a privilege personal to the licensee and specific to the licensed premises; no transfer as to ownership or location is valid until approved by the Department of Revenue. Montana Department of Revenue Helena, Montana License Must be prominently displayed in licensed premises. Valid through June 30, 2016 Administrator, Liquor Control Division