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E1. Boulder Project Block Party Alcohol RequestCity of Kalispell Clerk's Office (406) 759-7756 cityclerk@kalispell.com 201 First Ave. East, Box 1997, Kalispell, MT 59922 REPORT TO: Doug Russell, City Manager --' FROM: Aimee Brunckhorst, City Clerk & Communications Manager SUBJECT: Alcohol Addendum for a Special Event Permit Request — Kalispell Boulder Project Block Party MEETING DATE: September 8, 2015 BACKGROUND: The Kalispell Downtown Association and the Flathead Community Foundation have submitted an application for the sale and consumption of alcohol at an upcoming fundraising event to take place on 41h Street West from Main Street to I" Avenue West on September 19, 2015, from 4:00 to 8:00 p.m. This event will benefit the Kalispell Boulder Project, and will include food vendors, a kid's zone, beer and wine garden, and music. 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 Alcohol Addendum to allow for the sale and consumption of alcohol at the Kalispell Boulder Project Block Party to be held on 41h Street West between Main Street and 15` Avenue West. ATTACHMENTS: Special Event Permit Application and Alcohol Addendum Liability Insurance (City of Kalispell) Insurance and Permit (State Liquor Control Division) 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 3 weeks prior to the requested activity. 1. Name of Event: Kalispell Boulder Project Block Party 2. Event Date(s): September 19 Start Time: 4' 00 End Time: e 3. Group Name Sponsoring Event: Flathead Community Foundation and Kalispell Downtown Association 4. Organization Officer/Authorized Representative: 5. Daytime Phone #: 406-253-6923 Pam Carbonari, Lucy Jones and Jandy Cox Email: pamadowntownkalispell.com 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: Closure of 4th St. W. from Main Street to 1st Ave. W. This fundraiser will have food vendors, a kids zone, beer anb wine garden and music from 4 - 8. 7. Proposed Route (including starting and termination points): 4th St. W. from Main Street to 1st Ave. W. 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: Event signage, orange fencing to close of the entire block, sound equipment for announcements and the band. 9. Street Closures/Parking Restrictions requested, if any: Street closure 4th St. W. from Main St. to 1st Ave. W. 10. Please specify what (if any) city equipment/ass�st nce{. is requested (road barricades, tr h containe�rrs,, traffic assistance, crowd control, etc):�� `r'?w� `� t ►' No assistance requested. Thursdaffest road closure signs, garbage can will be utilized. BID garbage can in the alley behind Kalispell Brewing Company will be''"` " 11. Please specify what arrangements have been made for clean-up after the parade/special event: Volunteers will be utilized for clean up. 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. Revised February, 2015 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-rulting from or while participating in the parade/event. August 14, 2015 Signature of Appli t Date � Print Name: Pamela J. Carbonari DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Fire: Park Polic Publ City Date Permit Issued: Reason for Denial: Signature: xx PLEASE CHECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [` ] Date Paid: Barricade Fee Estimated Amount: Solid Waste ✓✓[]�� Estimated Amount: -,Amp 1� �t1� l ob 12 ilk . 0i�/ Circle One Approv Deny pprove Deny Approve /_Deny pprove / eny Approve / eny Date Permit Denied: Date Paid: Date Paid: Date Revised February, 2015 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: Flathead Community Foundation and Kalispell Downtown Association Name and contact information of licensed Caterer if applicable: No caterer Provide estimate of the number and concentration of participants at the event: 200 - 300 people 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: The entire event will be fenced with exits monitored to ensure alcohol does not leave the area. All adult participants will be carded and 21 and over arm bands required for those with beer and wine. Like Thursdaffest there will be someone trained at the point of sale and service. Check that you have provided proof of liquor liability insurance coverage for the event: 0 Check that you have provided proof of compliance with Department of Revenue requirements for the event: ✓❑ Revised February, 2015 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 -he read and understand all of the policies and regulations contained in the permit. h August 14 2015 Signature of Applicant Date Pamela J. Carbonari Print Name Approved by the City Council this day of , 20 Revised February, 2015 Client#: 146818 26KALDOWN ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY) 4/20/2015 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 endomement(s). PRODUCER Hub Intl. Mountain States Ltd Financial Drive, #110 Kalispell, Kaiispell, MT 59901 Marsha Hattel PHONE 756-4134134 AFAXte Are No Eat ; 406-, No ; 406-756-8697 ADDRESS: mamha.hattel@hubintemational.com 406 752.8693 INSURERS) AFFORDING COVERAGE NAIC 9 INSURER A: Philadelphia indemnity lnsuranc 18058 INSURED Kalispell Downtown Association and INSURERS: INSURERC: Kalispell Business Improvement District INSURER D : P O Box 1997 INSURERE: Kalispell, MT 59903 INSURER F : 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. LTR TYPE OF INSURANCE ADDL INSR UBR WVD POLICY NUMBER MWDDY EFF MMIDDY IYP LIMITS A GENERAL LIABILITY X PHPK1309665 04/22/2015 04/2212016 EACH OCCURRENCE $1 000 000 i7CLAIMS-MADE PREMISES Ea occurren S100 000 MERCIAL GENERAL LIABILITY )7 OCCUR MED EXP (Arty one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE S2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO JECT LOC PRODUCTS -COMPIOPAGG S2,000,000 S AUTOMOBILE LIABILITY COMBINED SINGLE OMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED BODILY INJURY (Per accident) S H PROPERTY accttlentDAMAGE Per $ S UMBRELLALWB EXCESS L(AB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED F1 RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECLMVEYlN OFFICER/MEMBER EXCLUDED? N I A WC STATU- 0TH- E.L EACH ACCIDENT S E. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS belmv DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additionaf Remarks Schedule, If more space is required) Certificate holder is listed as additional Insured With respect to general liability per attached form CG 2026 (07 04) attached City of Kalispell P O Box 1997 Kalispell, MT 59903-1997 ACORD 25 (2010105) 1 of 1 #S761611/M756798 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 ByCe� c01988 2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRH POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURE® - DESIGNATE® PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Rage I of 1 AAL qW Mike Kadas Director Montana Department of Revenue FLATHEAD COMMUNITY FOUNDATION 345 1 STAVE E KALISPELL MT 59901-4935 Letter Date: August 13, 2015 Letter ID: L1747171968 Account ID: 5095267-004-SPP Account Type: Liquor Special Permit License License Type: Special Permit License Number: 1578 Subject: Special Permit for Flathead Community Foundation Dear Flathead Community Foundation: We have approved your request for a special permit to sell Beer and Table Wine for the Kalispell Boulder Project (KBP) Block Party, at 4th Street between Main Street & 1st Avenue West, Kalispell Montana. Your permit will begin on September 19, 2015 and end on September 20, 2015. Please display the enclosed permit and an age placard at the event. I will be happy to assist you if you have any questions. Please contact me at the address or phone number below. incerely, essica Barnes dministrative Support Liquor Licensing PO Box 1712 Helena, MT 59624-1712 Phone: (000) 000-0000 Enci: Special Permit revenue.mt.gov A Toil free 1-866-859-2254 (in Helena, 444-6900) ® TDD (406) 444-2830 R Special Permit; 1578 Fee: $10.00 THIS IS TO CERTIFY that FLATHEAD COMMUNITY FOUNDATION of KALISPELL, MONTANA is hereby granted a special permit to sell Beer and Table Wine to the patrons of the Kalispell Boulder Project (KBP) Block Party at 4th Street between Main Street & 1st Avenue West, Kalispell Montana, the location described on the application. This permit starts on September 19, 2015 and ends September 20, 2015. 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 13th day of August, 2015. DEPARTMENT OF REVENUE LIQUOR CONTROL DIVISION prized Signature (000) 000-0000 Please Note: Legal hours for safe 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 26KALDOWN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMOOYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OJ 4120/2015 NLY 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: IT the eertiiicate holder is an ADdiTlONAL INSURED, the l li) Kies) must Ise endorsed. If SUBROGA3I51M IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate holder in lieu of such endorsement(s). certificate does not confer rights to the PRODUCER CO Wuta int'l. Mountain States Ltd I"ME: ° Marsha Flattel 100 Financial Drive, #110 PHONE A C, No, EM : 406-756-4134 etc, No : 406-756$897 Kalispell, MY 59901 E-MAIL Marsha hattel@hubinternationaLcom ADDRESS: 406 762-8693 INSURED INSURERA: Philadelphia Indemnity I11Suranc 1 Kalispell Downtown Association and INSURERS: Kalispell Business Improvement District INSURERC: P O BOX 1997 INSURER D : Kalispell, MT 59903 INSURERE: THIS IS TO CERTIFY THAT THE POLICIES ED OF INSURANCE LISTBELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE NUMBER THE POLICYPERIOD ONDITION OF INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CANY 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. TR TYPE OF INSURANC ADDL SUBR E INSR WVD POLICYNUMBER POLICYEFF POLICYEXP A GENERAL LIABILITY 111 0 MMlDD PHPK1309666 04/2212015 04/22/201 )C COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE CLAIMS )C $ �/I T PREMISES ocoiurrence -MADE OCCUR Ea $ MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S T- LOC POLICY SCO PRODUCTS PRODUC- COMP/OP AGG S AUTOMOBILE LIABIUTY S ANY AUTO COMBINED SINGLE LIMIT Ea accident ALL OWNED F7 SCHEDULED AUTOS S BODILY INJURY (Per person) S AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peracddent S UMBRELLA UAB OCCUR S EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE S DED RETENTIONS AGGREGATE S WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y/NOFFICER/MEMBEREXCLUDED? WC STATU-ANYPROPRIETOR/PARTNERlEXECUTIVE QSY LIMITS ❑ NIp (Mandatory In NH) E.L EACH ACCIDEl OUMT er ESCRIPTION OF OE.L DESCRIPTION OF OPERATIONS belowE.DISEASE DISEASE -EA -PO DESCRIPTION OF OPERATIONS! LOCATIONS I 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 Registration and Licensing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O Bon 1712 ACCORDANCE WITH THE POLICY PROVISIONS. Helena, MT 59604-1712 AUTHORIZED REPRESENTATIVE ACORD 25 (2010106) 1 of 1 The ACORD name and logo are registered ma88-2010 ACORD CORPORATION, All rights reserved. �761617/M756798 riss Ogp OR MRH Client#: 146818 26KALDOWN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYM 05/09/2013 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, MT 59901 NTACT NAME: Marsha Hattel PHONE aC, No : 406-756-8897 A/c, No, Ext : 406-756�134 E-MAIL marsha.hattel@hubinternational.com INSURERS) AFFORDING COVERAGE NAIC # 406 752-8693 INSURER A: Philadelphia Indemnity Insuranc 18058 INSURED Kalispell Downtown Association and INSURERB: INSURERC: Kalispell Business Improvement District INSURER D : P O BOX 1997 INSURER E : Kalispell, MT 59903 INSURER F : -- ----'-""'--"' RGV 101WIM Im Ulvior-m: 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. LTRR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR PHPK1003675 04/22/2013 04/22/201 EACH OCCURRENCE $1 000,000 X PREMISES Ea RENTED ence $100,000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY JE� LOC PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED LI SINGLE MIT Ea accident S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N 1 A EACH OCCURRENCE $ AGGREGATE S DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? El Mandatory In i f yes, describe under nd DESCRIPTION OF OPERATIONS below WC STATU- OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S A Liquor Liability PHPK1003675 04/22/2013 04/22/201 $1,0 00,000 Aggregate $1,000,000 Occurrence DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) State of Montana Liquor Control Division P O Box 1712 Helena, MT 59624-1712 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 ACORD 25 (2010/05) 1 of 1 #S381094/M381092 v -"Ilia-zu-lu AUUKU GUKPVRATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRH l< 2-0% N 3NL?> - > 7� P f �4 iU .01 m