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HomeMy WebLinkAbout11-70FEBRUARY 22, 2011 11 -70 RESOLUTION (CARRIED 6 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / MARCH OF DIMES / UTILIZE CITY STREETS FOR THEIR OSHKOSH MARCH FOR BABIES / APRIL 16, 2011 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to March of Dimes (Alyssa Matelski) to utilize Westhaven Drive, 9 Avenue, Graceland Drive, Witzel Avenue, Lake Point Drive (turns into Sunnybrook) and Springmill Drive, on Saturday, April 16, 2011, from 8:00 a.m. to 12:00 p.m., for their Oshkosh March for Babies, 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: Os h I {os h c.rc h Tor b b, Start Date: 9 1 I (0 I I I End Date: i I% 1 .a / 11 EVENT DATE SUN MON TUE WED THUR FRI SAT SETUP TIME (D 6.rq START TIME � 4 rk STOP TIME I a Ism TEAR DOWN / CLEAN UP COMPLETED Location of Event: Aurora. NLc1'cc,1 Ce IQ Estimated Attendance (daily & total): 3o0 Number of Booths: !V A Organization(s) Sponsoring Event: f'►'lc rc 11 n 1),'m (including addresses) M na k j b'rne.s F 7 Pc -u M Green 80.4 W i 5y3oy JAN 0 6 2010 - Briefly describe your event. Be sure to include the purpose of the event and all ninnnind activities. APPLICATION FOR SPECIAL EVENT PERMIT – TO BE RETURNED TO CITY CLERK Primary Contact: Alvr sa f +e- (5 K _ _ q_ � w-�- �-► o'°' � } Daytime Telephone: ydo - 3 37 Cell Phone: 9 ao _ S 90 - o 9 q Fax: 9,10 - 337 -9fyl Email: arna els K i fn mr rr h n cl +'mss . r o r►-) Address: '77C ParKu re.w Rea- d City: G re e_ n r3 a� State: w Zip Code: 5 `l 3o y Secondary Contact: ' mm Daytime Telephone: 4 %c - 3 7 - 10 5 9 Cell Phone: 7�0 -- F)i c , - ( 631?) Fax: 9ar✓ -33:z- 91yl Email: re, — Address: 74o t r K v w i_cl City: Gceco a , State: W1 Zip Code: 5 LJ 3 0 ` Onsite Primary Contact: AtAlc, M Cell phone: `I a0 - S ?0 - d 9 Fax: a,a - 337- / / Emai a m 4P 13 ©/hG rrc h OV &rnf-3 - co r) Address: 790 NrKvE , ►M City: = r ee r, u State: (,j Zip Code: 5 Y 0 y Onsite Secondary Contact: Cell phone: - 7 tS 056- c 9 f, q Fax: tv p, Email: l ILA 4 [a t-\ Address: 7 TO prar Ku�EL'i Cl City: Cn r e e n i> U State: �11 1 Zip Code: 5 N,i Q 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 j� 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 Public street, sidewalk, alley, or right of way 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) ❑ Barricades (Approval from City Clerk's office if in right of way) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK X 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 ls� Restroom and hand washing facilities Solid waste and recycling services Event insurance ❑ Public safety & security I EMS services • Electricity I Generators • Fire extinguishers �q Advertising with banners or signs Drinking water ❑ Grey water and grease removal , N, 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 Pl Name of Event: DS h Kos n arc h �or �aL, Location of Event: A uror - o` Pled ca I Cen - 8 5S More I )es uen Dr. Dsh*5s U SLISa�1 Date of Event: r l 1 C a 41 jo I I Time the Event is to Open: 13 o Sponsor of the Event: arch a� Ames Estimated Attendance (daily and total): �On Emergency Contact Information: Name: a l� cl Daytime Phon Number: Sao - 3 � � Cell Number: 9 j - RI - )31.) - Name: Ch a n n Daytime Phone Number: 9 jQ - 33 - 7 9 9 Cell Number: 99,0 - Ll I - it Ll a Name: Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: Xeg ro. on A re Out o or Acl , , v. j Emergency Notification of the Public The public will be notified of safety and/or security issues in the following manner: 6sh K P s s APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Emergency Medical Services Name of Provider: N ) O� Contact Person /Telephone Number: Location of Provider at Event Site: Fire Protection Name of Provider: [\,' I f� Contact Person / Telephone Number: Location of Provider at Event Site: Number of Fire Extinguishers: Location of fire access roads: R� ' lob o� Ayrcrca MCI( Cent - Securit Name of Provider: N I 0� Contact Person / Telephone Number: Location of Provider at Event Site: Location of Missing Persons Station: Event Parking Locations: Rufnra M e cl i 1 C e,, 4 er 'a r Kr ,l 161 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Severe Weather Contingency Shelter Locations: A usor a mph ra 1 Ce I r. Cis kKcsl LJ1 5q7oy Have you confirmed that the locations will be open and available? Who will determine if your event is canceled or held? Phone number: q �0 5 50 - 0.x7 1 Alg5.5 - pojekK► 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. Location of booths, stages, and event structures 2. Location of first aid stations IL A 3. Location of information /ticket booths 4. Boundaries of the event 5. Location of fences N!a 6. Location of exits and gates (gates must be numbered) N I A 7. Location of Fire extinguishers N I i� 8. Location of severe weather shelters N f a 9. Location of Fire / EMS access road N i a 1 Location of security staff N i to 11 Location of emergency contact event personnel 1 Location of assembly area and approximate occupant amounts 13 Location of event parking 14. Location of barricades N; i a 15. Location of generators iv i iN 16. Location of temporary roadways N i A C I'^ Aurora Medical Center 855 N. Westhaven Drive Oshkosh, WI 54904 www.Aurora.org /Oshkosh � % Aurora Medical Center Medical N Oncology A L Entrance E Phyysician Draw OL4806f Physical Therapy ^.,+ a4w.ji s courtyard Cont. Main Center Surgery Entrance Aurora 1 ICU Cafe Diagnostic Imaging T R 0 Entrance aan ,5 �..ls�ra�l�on Surgery Surgery Entrance / N,/ Emergency ER Entrance Waitinq lab E Phyysician Draw o Offices Surgery Waiting Surgery Surgery Entrance / N,/ Emergency ER Entrance Waitinq Start/Finish: Aurora Medical Center 855 N. Westhaven Drive Oshkosh, WI 54904 Start at Aurora Medical Center Parking lot, route begins on the Aurora walking trail (along complex) to N. Westhaven Drive. • N. Westhaven Dr. to 9 Ave. • 9 Ave. to Graceland Dr. • Graceland Dr. to Witzel Ave. • Witzel Ave. to Lake Pointe Dr. • Lake Point Dr. (turns into Sunnybrook) to Springmill Dr. • Springmill Dr. to N Westhaven Dr. • N. Westhaven Dr. back to Aurora walking trail } 2 S � Z �r S . 1` � fioEEn Aom Y Y t:a :: I». Crr9er .4 ' [rJtM:alid 1 y 6kfl»en RM . i e : � r tti�cK�o�r � �� z z I/ '�¢]4KA14� Y zei hvC Vt;TC1IAsC C. Y CaMlmarY Pmza r EI�Pi?919 Crsu�r :- "' I Mluy meoc' 1 CeAw w W Avb S S :. 5 i VaMa APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Other Provide any other information that you feel should be considered , f�Nere, w Ii be cme chPcKDr)i9 LLccc Cl cif IC+I I oKe 21n l� r�ve l-cl Yes No 1C I have reviewed and have considered the Contingency Plan information provided by the City of Oshkosh along with this application (pages 11, 12) X I have reviewed and understand the City's Insurance requirements for Special Events as described in this document (pages 13, 14, and 15) X I am enclosing the event's Public Safety Site Plan (see page 9) k 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. 0 /ol I I I ssa I�o�elsk, ommun ckrec�- r Date (print name) (print title 4th organization) ��Zt� '�li � • i Zr���rs�.�r SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: bs " h O r Ida � BP ORGANIZER: Iy�vSSQ �' ►a'F�1f� � 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, Pick rC h o � b . m es , 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 mafck 6T Dime's (print name of organizer) (date) signature) (title) (print name) (print title) (date) (signature) (title) (print name) (print title)