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I4. Big Shindig Alcohol Permit(406) 758-7756 Ltjjs ell„ .con-i P.O. Box 1997, 201 First Avenue East Kalispell, Montana, 59903 www.kalispell.com REPORT TO: Doug Russell, City Manager NEI BACKGROUND: Flathead Beverage and the Desoto Grill have submitted an application f] the sale and consumption of alcohol at a block party from 10:00 a.m. to 9:00 p.m. on lst Stre West between 2nd Avenue West and 3rd Avenue West on June 25, 2016. The Special Event Permit and Alcohol Addendum have been reviewed by the appropriate cl departments and all supporting documentation has been deemed to be in order. I RECOMMENDATION: It is recommended that City Council approve the alcohol addendu that accompanied a Special Event Permit from Flathead Beverage and the Desoto Grill that won allow for the sale and consumption of alcohol on June 25, 2016 at a block party on Ist Stre West. I ATTACHMENTS: Special Event Permit Application Insurance Department of Revenue Liquor License 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. YOU MUST ATTACH A DETAILED MAP OF THE EVENT. 1. Name of Event: W1 Bate(s 2. Event 5" Start Time: A24?,�-,, End Time: (1, 1 3. Group Name Sponsoring Event: rl 4. Organization Officer/Authorized Representative: 5. Daytime Phone 4: 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: 5 < Proposed Route (including iyian rmination points): 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: 7" OU; (71 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): :-7 V 11. Pleases pecify what arrangements have been made for clean-up after the parade/special event: 41i vy 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 attorneys office at (406) 758-7977. Revised December, 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 resuliing frorA,or wr participating in the parade/event. Print Name: Jt-4, J�,J 6(—, Fire: ParkE Polic Publi City, Reason for Denial: Signature: ** PLEASE CHECK APPLICABLE FEES Parade Fee I I Deposit Barricade Fee Solid Waste Date Paid: Date Paid: Estimated Amount: 15°1 Estimated Amount: Date irc C�p Deny pr Approye`/ Deny (Ap prove eny Approve Deny Approve / ],Deny '"Date Permit Denied: Date Paid: Date Paid: Date Revised December, 2015 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 con act . -ifoAnation of requesting Organization and Non -Profit group benefitting: Name and contact information of licensed Caterer if applicable: Ll Z' is�. Provide estimate of the number and concentration of participants at the event: e, 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: Check tha ou have provided proof of liquor a liability jnRirz�n coverage for the event: / - - /I t"zv 14 Check that you have provided proof of compliance with Department of Revenue requirements for the event: Revised December, 2015 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 oft policies and regulations contained in the permit. S!��Rafdr-'e�ol tAPPIMUIR Date Print Name Approved by the City Council this day of 20 Revised December, 2015 THEDESO-01 BMILLER DATE (MM/DDIYYYY) CERTIFICATE F LIABILITY INSURANCE 4/12/2016 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 NAMEcT Beth Miller Kalispell Office PHONE - - FAx Paynewest Insurance, Inc. (A/c, No Ext�: (406) 758-4200 _(A/C, No), (406) 755-1189 33 Villaga Loop E-MAIL s: KaliS e(I, MT 59901 INSURER(S) AFFORDING COVERAGE p _ NAIL # The Desoto Grill, LLC 325 5th Ave West Kalispell, MT 59901 INSURER A :Ohio INSURER B : USLI INSURER C : INSURER D : INSURER E INSURER F : 110101flA Lt : • l - 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-. TYPE OF INSURANCE ..-.. ADDLSUBRr _._. __ .... LTR INSR WVD POLICY NUMBER POLICYEFF 1 POLICYEXPj LIMITS MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR iBKS56821283 DAMAGE TO RENTED 09/03/2015 09/03/2016 ( PREMISESrre $ PREMISES {Ea occurre 1,000,000 MED (Any $ 16,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 ' PRO - POLICY JECT LOC III PRODUCTS - COMP/OP AGO $ 2,000,000 OTHER: _ $ 1 _.. ' AUTOMOBILE LIABILITY j , 1 COMBINED SINGLE LIMIT $ _ (Ea accident) i ANY AUTO ! I _ BODILY INJURY (Per person) $ ALL OWNED I SCHEDULED BODILY INJURY (Per accident) f $ ! i AUTOS , AUTOS ! NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS : AUTOS {Per accident) _$ _. UMBRELLA LIAB OCCUR EACH OCCURRENCE . $ _.. _. ,_.. EXCESS LIAB - ,... " CLAIMS -MADE _...... AGGREGATE !$ DED '': RETENTION$..._ �.,..$ WORKERS COMPENSATIONI fPER OTH- " AND EMPLOYERS' LIABILITY YIN' ' '." : STATUTE I. ER _. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. . EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH)-- : E L DISEASE - EA EMPLOYEE! $ If yes describe under ! - - ---- - -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B !Special Event Liab X iCL1741499 06/25/2016 06/25/2016 General & Liquor 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ur=rc r rrn.r. r c 1.F41Vl.CLLfi I IUPd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kalispell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of PO Box 19ACCORDANCE WITH THE POLICY PROVISIONS, Kalispell, MT 59903 AUTHORIZED REPRESENTATIVE �, u�1J( p 1988-2014 ACORD CORPORATION.l CO 1 1 ,. ,. ,, O R l name and logo are registered marks of ACORD