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Home My WebLink About11-68FEBRUARY 22, 2011 11 -68 RESOLUTION (CARRIED 6 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT/ BETA THETA PI FRATERNITY & UNITED WAY/ UTILIZE CITY STREETS FOR THEIR BETA THETA PH — UNITED WAY 5K /APRIL 2, 2011 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Beta Theta Pi Fraternity & United Way (Ethan Turner) to utilize city streets: primary route - Pearl Avenue, Osceola Street, Algoma Boulevard, Elmwood Avenue, New York Avenue, Western Street, Congress Avenue, High Avenue and Rockwell Avenue; alternate route - Pearl Avenue, Rockwell Avenue, High Avenue, Woodland Avenue, Algoma Boulevard, New York Avenue, Western Street, Congress Avenue, on Saturday, April 2, 2011, from 11:00 a. m. to 12:30 p.m., for their Beta Theta Pi— United Way 5K (walk/run), 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 Street Department -- Barricades ($210 primary route or $120 alternate route - preliminary estimate) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official Name of Special Event: Start Date: 4I Z1 Zo i i End Date: q/2-j701, EVENT SUN MON TUE WED THUR FRI SAT DATE . 1 1212&11 SETUP TIME Ido4.rr. START TIME STOP TIME TEAR DOWN / CLEAN UP COMPLETED Location of Event: ,J , �Le, ",fie,- .4-/ -)/,, I./,, Estimated Attendance (daily & total): _ _Number of Booths: Organization(s) Sponsori (includ Fvent 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: 6 1 rover Daytime Telephone: Cell Phone: (:?cS) z- 2-c -�� ro Fax: Email: /c g )mo- l . c Address: City: Ds 4 k sI Secondary Contact: fF.X 6rua Daytime Telephone: Cell Phone: _(Z(�Z� 3a�t� G7 &5 Fax: Alan e Email: ,��lex_avawlatl�co,•, Zip Code: -5 -/ Address: FIVE( City: ci;4 ICasG, State: (fir Zip Code: �;y4oi Onsite Primary Contact: C I A , 4 TUl/14ek Cell phone: Fax: /I / Email: /u -eg e'e 4,400L vl a, - 1 r ce,� Address: 5 -5�; 6/oW, city: sG,,k�_�G� State: Ia11 Zip Code: Onsite Secondary Contact: &W6"UpYA Cell phone: a(,? -5 -'W Fax: Email: Address: 15 3� VIv City: CEL ins State: tJ 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 / Walk- a -Thon • March utilizing any Public Property • Public Assembly for Political Purpose • Sport Tournament (Fishing, Soccer, etc.) • Other Location of event: ❑ Park or other public property iF( Public street, sidewalk, alley, or right of way ❑ Private property Will you have ❑ Alcoholic beverages (Additional permit required from City Clerk) X 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) x Barricades (Approval from City Clerk's office if in right of way) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK jiC 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 A. 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 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Special Event Public Safety and Security Plan Name of Event: ec- � Location of Event: %Je4.� Fev �, & CPN;,e�si��cFtc Date of Event: ri Time the Event is to Open: 10 4. 1-1 . Sponsor of the Event: �c�ka��. Estimated Attendance (daily and total): Emergency Contact Information: Name: - Daytime Phone Number: Cell Number: 66e g) ZZV Name: / Daytime Phone Number: Cell Number: Z 3e 1 Name: Daytime Phone Nu ` er: (7-izz) Cell Number: LL, -) 5 el Primary Location of Event Staff at Event Site: Skw�t 4 fi2cret tg Emergency Notification of the Public The public will be notified of safety and /or security issues in the following manner: 11 e L �a ✓a w 1 1 2 ��erp APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Emeroencv Medical Services Name -of Provider. �� c� �' -� 0c Xe I Contact Person I Telephone Number: 1 144 Hte i r)5�) Location of Provider at Event Site: Fire Protection rr / Name of Provider: Contact Person / Telephone Number: Ha l- Location of Provider at Event Site: 1�n S' Number of Fire Extinguishers: Location of fire access roads: AL le, Avg Securi NameofProvider: o- �(�Sk ktSL�C��r��S Contact Person I Telephone Number: , �� {'(a� -��; 5 , �l W ) 2 3 , r Location of Provider at Event Site: 6 7 - e Location of Missing Persons Station: Event Parking Locations: L�la dLeX� �o l�lell»�ss CPS APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK Severe Weather Contin4ency Shelter Locations: Have you confirmed that the locations will be open and available? es 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 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 Yes 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 changes and request approval of them. Date (print name) (print title with orda ization) SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: ORGANIZER: � � L LLi�✓l ek 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, 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) (date) (signature) (title) ��C -�t j �f �t e t�„ lug, �-1, rye u �' lla i✓ (print name) (print tifle) (date) (signature) (title) (print name) (print title) Beta Theta Pi/United Way 5k on April 2 nd, 2011 Direction & Road Primary Route Turn Direction & Road Next Turn Rockwell Ave. Right Start East on Pearl Ave. Osceola Street Left North on Osceola Street. Algoma Blvd. Right East on Algoma Blvd. Elmwood Ave. Left North on Elmwood Ave New York Ave. Right Northeast on New York Ave. Western Street Left Northwest on Western Street. Congress Ave. Left Southwest on Congress Ave. High Ave. Left East on High Ave. Rockwell Ave. Right South on Rockwell Ave. Pearl Ave. Left East on Pearl Ave. Finish Alternative Route (If construction has started on Osceola) Turn Direction & Road Next Turn Start West on Pearl Ave. Rockwell Ave. Right North on Rockwell Ave. High Ave. Left West on High Ave. Woodland Ave. Right North on Woodland Ave. Algoma Blvd. Left West on Algoma Blvd. New York Ave. Right North on New York Ave. Western Street Left Northwest on Western Street. Congress Ave. Left Southwest on Congress Ave. High Ave. Left East on High Ave. Rockwell Ave. Right South on Rockwell Ave. Pearl Ave. Left East on Pearl Ave. Finish BETA THETA PI /UNITED WAY 5K April 2, 2011 UW Oshkosh Student Recreation & Wellness Center 735 Pearl Ave., Oshkosh, WI C . (D 11 im � . 01MA wp 111 xis S E) (2) S 0 0 CZ) PF r. 31 PA 4p t 'VE NW CL 7 co CL 0 C-4 j6, Q!) I W 11-81 LJ O (D ll--/ S fl D- E LL. 2M LU O UA in - wpi w gem -f u yy sy 0 AA