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H02. Alcohol Special Event Permit - Taste of Kalispelljt crTsroF -N�� ` City of Kalispell Clerk's Office (406) 758-7756 cityclerk@kalispell.com 1110N7 ANA 201 First Ave. East, Box 1997, Kalispell, MT 59922 REPORT TO: Doug Russell, City Manager 1VL FROM: Aimee Brunckhorst, City Clerk & Communications Manager SUBJECT: Alcohol Addendum to a Special Event Permit Request for the Taste of Kalispell, a fundraiser for the Museum at Central School MEETING DATE: August 15, 2016 BACKGROUND: The Kalispell Downtown Association has submitted an application for the sale and consumption of alcohol at the annual Taste of Kalispell event on the lawn at the Museum at Central School on September 8, 2016. This is an annual fundraiser for the museum located at 124 Second Avenue East. The Special Event Permit and Alcohol Addendum have been reviewed by the appropriate city departments. The state liquor control special permit will be received from the state prior to the event. All other supporting documentation has been deemed to be in order. RECOMMENDATION: It is recommended that City Council move to approve the Alcohol Addendum from the Kalispell Downtown Association to allow for the sale and consumption of alcohol at the Taste of Kalispell event to be held on the lawn at the Museum at Central School on September 8, 2016. If a copy of the special liquor permit from the state for this event has not yet been acquired, staff would recommend the approval be contingent upon receipt of the state liquor permit. Attachments: Special Event Permit Application Alcohol Addendum with event map Certificate of Liability Insurance 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: ]� f I -., ci 7 r- 2. Event Date(s): .5�' Start Timer 0 Q End Time: : f� 3. Group Name Sponsoring Event: <A )_, 1 �r' L,k Do w.,t) ,o L -"t) (-_55nC 4. Organization Officer/Authorized Representative: P/',�- 01 42E 1-4 3 a 6,,9ZJ AY2 -/_ 5. Daytime Phone #: (j(- L� 3 - (,, �, Email: „„ , co e - u 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: 1—�Ls=' e is (,.: i 1. L_ % ,4 / % j , 0 j —i 1�%C, - y e- 1_4wPj lr4�% u a� .' i B ►c-% S i Y, `EST —4 . 7. Proposed Route (including starting and termination points): /1/(� �` / �;►,/� /icy �L 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: r_..) 15i jbi-i0 � L3_ "')lu 0 tj V. 0/u �= o cr N vim. �� ar,�� ;=�1 T l �v,v� �� 0a �J .;; ;, 9. Street Closures/Parking Restrictions requested, if any _ b T �� �N� 6 E - r S� %yam .. — %Y0 r K�zv L Y 10. Please specify what (if any) city equipment/assistance is requested (road barricades, trash containers, traffic assistance, crowd control, etc): A(() 0 i- -1U C)L-, P 4�T �i 1 oz_ 15 0.� � re= 11. Please specify what difahgements have been made for clean-up after the parade/special event: 12. Wi1I the proposed event include the sale or consumption of Alcohol? - If so, please see the Alcohol Addendum attached. INSURANCE Revised June 2013 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 a-R4 State of Montana will be held harmless and will not be responsible for injuries, damages, or deaths re ulting from or while participating in the parade/event. �r ,-, Date: Siedature of Annlicant Print Name: e4i23 aC L—A 77. DO NOT WRITE BELOW THIS SPACE (FOR CITY USE ONLY) Fire: Park Polio Publ City Attorney: Date Permit Issued: Reason for Denial: Signature: ' ** PLEASE CHECK APPLICABLE FEES Parade Fee [ ] Date Paid: Deposit [ ] Date Paid: Barricade Fee [ ] Estimated Amount: Solid Waste [ ] Estimated Amount: Circle One Appro Z eppro / Deny Appr�eny Approve / Deny Date Permit Denied: Date Paid: Date Paid: Date Revised June 2013 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 the licensed Caterer/Organization: L<< ► 1 C� �� f _1__ Provide proof of liquor liability insurance coverage for the event: Provide proof of compliance with Department of Revenue requirements for the event: Provide estimate of the number and concentration of participants at the event: & r-) Cl 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: L 7 '-5 F A. T1 ✓a, Q � rS ,��� , �1,� ��1 O /L-le t-vr 11 Iota ef r C"> I I �4 f>0l-T A 13 �%'e/� c c� 5eC L) t' ) "TX 1 Jj 1 t -,5L- UC— -I'kk ACKNOWLEDGMENT OF LEGAL RESPONSIBILITIES cX) 7-_5 ➢ 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 h e rea and understand all of the policies and regulations contained in the permit. Sign Name*1 -MI LA 4; Date: I �Z (� Revised June 2013 ITE MA P M&T &lV=T RAST .10 N- 1w, TQW 'A -A q t C-(4 o c- L) —Ipmv -, C Li-5 em KALIDOW-01 MHATfEI 'aCORo CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDNYYY) 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 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 License # `0978972 HUB International Mountain States Limited 100 Financial Drive, #110 Kalispell, MT 59901 NAME: V PHONE (406) 752-8693 ac, No : (406) 756-8897 A/c No Et): ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED Kalispell Downtown Association and Kalispell Business Improvement District P O Box 1997 Kalispell, MT 59903 INSURERS: INSURER C : INSURER D INSURER E : INSURER F 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 OF INSURANCE ADDLSUBRTYPE NSD I NSD WVD VD POLICY NUMBER MMlDDYlYYYY MM10D EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PHPK1478147 04/2212016 04122I2017 EACH OCCURRENCE $ 1,000,0( PREM SES EIa ocou ence $ 100,0( MED EXP (Any one person) $ 5,0( PERSONAL & ADV INJURY $ 1,000,0( GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY JECT PRO- ElLOC OTHER: GENERAL AGGREGATE $ 2,000,0( PRODUCTS - COMP/OP AGG 1 $ 2,000,0( $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident - $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROP RIETORJPARTN ER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A STAPERTOTH- UTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional Insured with respect to general liability when required by written contra ctlagreement per attached form CG 2026 041, CERTIFICATE HOLDER CANCELLATION City of Kalispell P O Box 199T Kalispell, MT 59903-1997 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 (2014101) 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section If — Who Is An Insured is amended to include as an additional insured the person(s) or organization(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 omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2_ In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © insurance Services Office, Inc., 2012 Page 1 of 1 KALIDOW-01 MHATTEL RC(7RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 111*./' 1 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 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). NTACT PRODUCER License #'0978972 NAME: HUB International Mountain States Limited PHONE /406 752$693c No; 406 756-8897 100 Financial Drive, #110 arc E-MAII Ext:l ) ) Kalispell, MT 59901 DRESS: INSURED Kalispell Downtown Association and Kalispell Business Improvement District P O Box 1997 Kalispell, MT 59903 COVERAGES CERTIFICATE NUMBER: INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : 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 ADDL INSD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR PHPK1478147 04/22/2016 04/2212017 EACH OCCURRENCE I $ 1,000,00( DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,00( MED EXP (Any one person) $ 5,00( PERSONAL & ADV INJURY $ 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,001 PRODUCTS - COMPIOP AGG $ 2,000,001 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS r COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT I $ A ILiquor Liability PHPK1309665 04122/2015 04122/2016 Liquor Liability 1,000,001 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) State of Montana Liquor Control Division P O Box 1712 Helena, MT 59624-1712 CANCELLATION 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD