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Home My WebLink About11-29JANUARY 25, 2011 11 -29 RESOLUTION (CARRIED 7 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / NORTH AMERICAN ICE FISHING CIRCUIT / UTILIZE MENOMINEE PARK FOR THEIR FISHING TOURNAMENT / JANUARY 29 -30, 2011 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to North American Ice Fishing Circuit to utilize Menominee Park, on Saturday, January 29, 2011, from 10:00 a.m. to 4:00 p.m. and Sunday, January 30, 2011, from 6:00 a.m. to 1:00 p.m. for their Ice Fishing Tournament, in accordance with the municipal code and the attached application, with the following exceptions /conditions: BE IT FURTHER RESOLVED that as a condition of approval, the Event Organizer shall pay the City's actual costs for extraordinary services. Cost Estimates for Extraordinary Services DEC /13 /2010/MON 02:28 PM Oshkosh CVB FAX No.9203039294 F,002 Y A APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official Name of Special Event: � �1 12 f i t�i"n9 eirCu (/cle-ME Start Date: Stu .2 4, A0� End Date: 4" .70, A 011 f EVENT 9UN MON T E WFED THUR FRI SAT DATE SETUP TIME START TIME STOP TIME TEAR DOWN / CLEAN UP COMPLETED Location of Event: Estimated Attendance (daily & total): 150 &AL-r c. 4 * Number of Booths* / 'D d OrganizAttion(s) Sponsoring Event: 1 PC., (including addresses) N s 5 " 6 S '-;L I� JAN 1 x, x 6 Briefly describe your event. Be sure to include the purpose of the event and all ninnnArl nr- DEC /13 /2010 /MON 02:28 PM Oshkosh CVB FAX No.9203039294 P,003 APPLICATION FOR SPECIAL EVENT PERMIT- TO BE RETURNED TO CITY CLERK Primary Contact: Oshk z#. a y is- baba,- CAC4•- Daytime Telephone: ah - ,, O Cell Phone: 9 }0 - a7 q - 4 3a It Fax: 36 !qj.9Y Email: 041'A asti koj ti Address: City: State: 1 j = Zip Code: Secondary Contact: Aft /ACC Daytime Telephone: Cell Phone: Fax: Email: Address: City: State: Zip Code: Onsite Primary Contact: Nalre, - /3 40,65A Cell phone: 12 -• 3 of - qj S*J' Fax: Email: akeh ep na, c c, . Cram, Address: City: Onsite Secondary Contact: _m /Ks M e AIQ.0' Cell phone: ELI 5L_G 3 Fax: Email: Address: M City: State: Zip Code. NOTE Either the primary or secondary onsite contact must be present onsite at all times during the event. DEC /13/201010N 02:29 PM Oshkosh CVB FAX No.9203039294 P,004 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK SPECIAL EVENT CHECKLIST (please check all boxes that apply) Is your event a: o Festival / Music Concert • Religious / Educational • Rally / Memorial • Street / Block Party • Parade / Fun Run / Walk- a -Thon • March utilizing any Public Property • Public Assembly for Political Purpose port Tournament (Fishing, Soccer, etc.) ❑ Other Location of event: ark or other public property M P" • Public street, sidewalk, alley, or right of way • Private property Will you have ❑ Alcoholic beverages (Additional permit required from City Clerk) pe'Food $ non - alcoholic beverages (Additional permit required from Health Dept.) a Non -food related sales and /or display booths (No additional permits required) ❑ Tent and/or Canopy (Additional permit required from Inspections Dept.) (Digger's Hotline must be contacted minimum of 3 days before digging) t3 Generator(s) and /or additional electrical facilities (Additional permit required from Inspections Dept.) ❑ Fires or Candles (Additional permit required from Fire Dept.) ❑ Fireworks (Additional permit required from Fire Dept.) • Activities in a park outside of normal operating hours (Waiver required from City Council) • Barricades (Approval from City Clerk's office if in right of way) t DEC /13 /2010/MON 02:29 PM Oshkosh CVB FAX No.9203039294 P. 005 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK • Amplified Sound • Animals included or allowed in event (animals must be licensed and have proof of vaccination) • Cooking Equipment (Fire Department approval required) We have made arrangements for • Restroom and hand washing facilities • Solid waste and recycling services • Event insurance • Public safety & security / EMS services • Electricity / Generators • Fire extinguishers • Advertising with banners or signs • Drinking water • Grey water and grease removal • Weather contingencies • LP Gas • Tent Heating Space Intentionally Left Blank 9 DEC /13 /2010/MON 02:29 PM Oshkosh CVB FAX No- 9263039294 P,006 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Special Event Public Safety and Security Plan Name of Event- NA ( F� C -1*La •► a - u t au A klti. 40a:Osr I c E..h7 e u Location of Event: X2-4 _ 3 a Date of Event: 1101.4— 3d / "+ I Time the Event is to Open: .5vif- I' 0d- 94n! V 4rl. 5j,,,.,,,.{ '7& A. % .,*A& -* 6fista- / 06 Sponsor of the Event: Qg1t.r(C"o Q"as. - Estimated Attendance (daily and total): 15'0 "0,a na..0 00 Emergency Contact Information: Name: �C.1��• Daytime Phone Number: 1 j —.2n Ga Cell Number: Name: j f Ke i%�f��l Daytime Phone Nor: Cell Number: lil Name; Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: `PTUj,.J &AA-� /&G Emergency Notification of the Public The public will be notified of safety and /or security issues in the following manner: 10 DEC /13 /2010/MON 02:29 PM Oshkosh CVB FAX No.9203039294 F. 007 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK EmerAeneY Medical Services Name of Provider: Contact Person / Telephone Number: Location of Provider at Event Site: Fire Protection Name of Provider: Contact Person / Telephone Number: Location of Provider at Event Site: Number of Fire Extinguishers: Location of fire access roads: Securi� Name of Provider: Contact Person / Telephone Number: Location of Provider at Event Site: Location of Missing Persons Station: Event Parking Locations: 11 DEC /13 /2010/MON 02:30 PM Oshkosh CVB FAX No.9203039294 P. 008 APPLICATION FOR SPECIAL EVENT PERMIT -- TO EE RETURNED TO CITY CLERK Severe Weather Contingence Shelter Locations: Have you confirmed that the locations will be open and available? Who will determine if your event is canceled or held? Phone number: Public Safety Site Plan Provide a schematic drawing of the event site location. The drawing must be legible and drawn to scale. The public safety plan most include the following items if they will be provided, or if they are required, 1. Location of booths, stages, and event structures 2. Location of first aid stations 3. Location of information / ticket booths 4. Boundaries of the event 5. Location of fences 6. Location of exits and gates (gates must be numbered) 7. Location of Fire extinguishers 8. Location of severe weather shelters 9. Location of Fire / EMS access road 10. Location of security staff 11. Location of emergency contact event personnel 12. Location of assembly area and approximate occupant amounts 13. Location of event parking 14. Location of barricades 15. Location of generators 16. Location of temporary roadways 12 DEC /13 /2010/MON 02:31 PM Oshkosh CVB FAX No.9203039294 P.012 Application for Special Event Permit and Additional Permits or Licenses for Event - (Return to City Clerk) 16 For Staff Applicant -- Use Only — Type of License or Check box for each License or Permit applicable to Enter Permit your event. Submit this form together with your amount of completed Applications and Fee to the Office of Fee, if he City Clerk. required Special Event Permit Park Shelter Please check this box if a shelter reservation will be Reservation required. Application If a shelter reservation is required for your event, you must make that reservation directly through the Parks De artment Office. Temporary Please check this box if there will be food or Restaurant Permit beverages, other than prepackaged items, sold or served at your event. Temporary Restaurants will be inspected and licensed on site during the Event. A list of vendors must be provided to the Health Services Division at least one week prior to the Event, Temporary Class "B" Retailers License (Acct. No. 100 - 0050 -4322 -00000 Temporary Use Permit (Acct. No. 100- 0740 -4334 -00000 Fireworks and Burning Permit Acct. No. -- Total Fee $ � (Return to City Clerk) 16 DEC /13/2010/MON 02:31 PM Oshkosh CVB FAX No.9203039294 SPECIAL EVENT TNDEMNIFTCATION AND IdOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: ORGANIZER �. iCI`r 141 P. 013 The event organizer agrees that it, and not the City, will be solely responsible for all incidents related to the event. This responsibility of the organizer to the City includes but is not limited to the actions of the event organizer, its officers, employees, agents, and volunteers, along with event vendors, contractors, subcontractors, participants, and visitors. In consideration for the City's approval of the Special Event, 44 jG 1 t/; v the organizer of this event agrees to indemnify and hold harmless the City of Oshkosh, and its officers, council members, agents, employees, and authorized volunteers, from, for, and against and agrees to defend the same from and against, any and all suits, claims, grievances, damages, costs, expenses, judgments and/or liabilities, including costa of defense and reasonable attorneys fees, and further agrees to pay any settlement entered into oir on behalf of, or judgment entered against, the foregoing individuals and/or entities. The event organizer shall abide by the City's insurance requircmtnts for the event, including the addition of the City of Oshkosh, and its officers, council members, agents, employees, and authorized volunteers as additional insured's for the event. The iudividual(s) signing tWs agreement has the authority to enter into this agreement on behalf of the organizer(&) of the Special Event. EVENT ORGANIZER (print name of organizer) 3 za// ( ate) ff t (signature) (title) (print name) (print title) (date) (signature) (title) (print name) (print title) 17 DEC /13 /2010 /MON 02:30 PM am enclosing the event's Public Safety Site Plan (see page4)/o I am enclosing other information that I believe is necessary or helpful to describe the planned event SIGNATURE Other Oshkosh CVB FAX No.9203039294 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Provide any other information that you feel should be considered F, 009 Yes No x I have reviewed and have considered the Contingency Plan information provided by the City of Os osh along with this application (pages I y, 1,5' ca ftc -) -.2_ I have reviewed and understand the City's Insurance requirements for Special Events as described in this document (pages l p - 2( I am allowed to sigh this application on behalf of the event sponsor. The information contained in this application for a Special Event permit is true, correct, and complete to the best of my knowledge. if there are any changes to the Special Event, I agree that I will promptly notify the City of Oshkosh of these changes and Nquest approval of them. I -3- poi/ Date (print name) 13