HomeMy WebLinkAbout11-67FEBRUARY 22, 2011 11 -67 RESOLUTION
(CARRIED 6 -0 LOST LAID OVER WITHDRAWN )
PURPOSE: APPROVAL OF SPECIAL EVENT / MICHAEL KRUEGER / UTILIZE
VARIOUS CITY STREETS FOR OSHKOSH SLUSHBALL RALLY /
MARCH 13, 2011
INITIATED BY: CITY ADMINISTRATION
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that approval is granted to Michael Krueger to utilize various city streets, on
Sunday, March 13, 2011, from 12:00 noon to 2:00 p.m. for their bicycle race, 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
none
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
GENERAL EVENT INFORMATION
Official Name of Special Event:
DSNkv� sLyS�IrRI. - L �,a L,�
Start Date: J 3a End Date: i
—�
EVENT
DATE
SUN
3 13 111
MON
TUE
WED
THUR
FRI
SAT
SETUP TIME
"1: 00 A
START TIME
STOP TIME
TEAR DOWN
/CLEAN UP
COMPLETED
a ` fl—
Location of Event:
VL/S A/, MA, n✓ Ste_ U5 I�l6 -0 II 1..11
Estimated Attendance (daily & total)
Booths: > D_
`110 Number of
Organization(s) Sponsoring Event:
(including addresses)
Briefly describe your event. Be sure to include the purpose of the event and all
planned activities.
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Primary Contact: Mi ckjA C -
Daytime Telephone: (G)_ Ll
Cell Phone:
Fax:
Email: C.gFT.4�nlN' K2vr(� 2 Ql��i lrtll_
Address: 1 Ja 6 2 G Div S
City: State: Zip Code
Secondary Contact: A. E= (_ i S� ^ 14 ,_� y (=
Daytime Telephone: (u
Cell Phone:
Fax:
Email:
GvZ
Address: ST
City: 57 4/,-'a 7 � State: w 1 Zip Code: S y p
Onsite Primary Contact: /yj Vjq C
Cell phone:
Fax:
Email:
Address:
City: _
State:
Zip Code:
Onsite Secondary Contact: f., eL I S S ,
Cell phone:
Fax:
Email:
Address:
City: State: Zip Code:
NOTE Either the primary or secondary onsite contact must be present onsite at
all times during the event.
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
SPECIAL EVENT CHECKLIST
(please check all boxes that apply)
Is your event a:
• Festival / Music Concert
• Religious / Educational
• Rally / Memorial
• Street / Block Party
❑ Parade / Fun Run I Walk- a -Thon
• March utilizing any Public Property
• Public Assembly for Political Purpose
• Sport Tournament (Fishing, Soccer, etc.)
Other f3)CSC '^ 2A C
Location of event:
❑ Park or other public property
X Public street, sidewalk, alley, or right of way
-i% Private property
Will you have
- Alcoholic beverages
(Additional permit required from City Clerk)
• Food & non - alcoholic beverages
(Additional permit required from Health Dept.)
• 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)
• 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)
10 Barricades
(Approval from City Clerk's office if in right of way)
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
Vr Solid waste and recycling services
9. Event insurance
Public safety & security / EMS services
Electricity / Generators
X Fire extinguishers
ig Advertising with banners or signs
f Drinking water
pf Grey water and grease removal
�t Weather contingencies
❑ LP Gas
❑ Tent Heating
Space Intentionally Left Blank
APPLICATION FOR SPECIAL EVENT PERMIT -
TO BE RETURNED TO CITY CLERK
Special Event Public Safety and Security Plan
Name of Event: (Y)HLDCN 1<-C1,L
Location of Event: 9 15 P,1 . kA 1 N S!
Date of Event: M ^ Q - & I
Time the Event is to Open: I `?,'.C'D
Sponsor of the Event: K1 C - ��r
Estimated Attendance (daily and total): t�U f
Emergency Contact Information:
Name: 1 1CHZje(_
Daytime Phone Number: �07 �-O `) wo - a t L �
Cell Number: I
Name: ��� t S 5•� l �vf= S
Daytime Phone Number: ,7ic, - 1
Cell Number: it
Name:
Daytime Phone Number:
Cell Number:
Primary Location of Event Staff at Event Site: 7"/M c -
Emergency Notification of the Public
The public will be notified of safety and/or security issues in the following
manner:
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Emergency 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:
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Severe Weather Contingency
Shelter Locations:
Have you confirmed that the locations will be open and available?
VAS
Who will determine if your event is canceled or held? Phone number:
," , ]fi 1�P' !2"�O Cl/ )
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 must 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
APPLICATION FOR SPECIAL EVENT PERMIT
— TO BE RETURNED TO CITY CLERK
Other
Provide any other information that you feel should be considered
w �;, L/ — T) 4� c �T iC yC, LIE 2n (A— T U
L - � e, (: f oi� -- r�1 - rN , e4T T f= � P i g L .
Yes
x
No
I have reviewed and have considered the Contingency Plan
information provided by the City of Oshkosh along with this
application (pages 11, 12)
I have reviewed and understand the City's Insurance
requirements for Special Events as described in this document
(pages 13, 14, and 15)
I am enclosing the event's Public Safety Site Plan (see page 9)
I am enclosing other information that I believe is necessary or
helpful to describe the planned event
SIGNATURE
I am allowed to sign 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
changgs 3hd r q est proval of them.
Z J
M ) ( 41 A 6-C, A�nivel 6 ;- Date
(print name) (print title with organization)
SPECIAL EVENT
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
(Medium and High Risk Events)
EVENT: 05HU( d 5� 12ANL G1�
ORGANIZER: AA I C 1- -C— L IS' 2UtJ /
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, 05 4 ) 16 b 'l )1 6 b S2. US AA L Cam
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
costs of defense and reasonable attorneys fees, and further agrees to pay any settlement entered into or on behalf of,
or judgment entered against, the foregoing individuals and/or entities.
The event organizer shall abide by the City's insurance requirements 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 individual(s) signing this agreement has the authority to enter into this agreement on behalf of the
organizer(s) of the Special Event.
EVENT ORGANIZER
(print name of organizer)
/
/31
(date)
i
(signature) U (title)
(print name) (print title)
(date)
(signature) (title)
(print name) (print title)
- Oshkosh Slushball Rally-
The Slushball Rally is an 'alleycat' bicycle race for amateur cyclists. An alleycat is an open course race
that consists of checkpoints in which each rider needs to visit in order to finish. Riders are encouraged to
use their intimate knowledge of the city's streets to navigate the quickest route. There is no formal
course as there would be in a conventional 'criterium' race.
Routing and Checkpoint info -
Starting point:
The Time Community Theater, 445 n. Main St.
Checkpoints:
• Star Gallery, 1128 Oregon St.
• South Park
• Red Robin, 600 Koeller Rd
• Streets of Fire, 415 n. Main St,
• Steve's Tattoo, Campus Plz
• Red Arrow Park
• Menominee Park
Finish Point:
The Time Community Theater, 445 n. Main St.
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