HomeMy WebLinkAbout11-73FEBRUARY 22, 2011 11 -73 RESOLUTION
(CARRIED 6 -0 LOST LAID OVER WITHDRAWN )
PURPOSE: APPROVAL OF SPECIAL EVENT / GRAYBEARD PRODUCTIONS
INC / UTILIZE SOUTH PARK FOR THEIR FOX VALLEY
MOTORCYCLE SHOW & SWAP MEET / JUNE 4 & 5, 2011
INITIATED BY: CITY ADMINISTRATION
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that approval is granted to Graybeard Productions Inc (Doug Kienast) to utilize
South Park, on Saturday, June 4, 2011, from 4:00 p.m. to 10:00 p.m.; Sunday, June 5,
2011, from 8:00 a.m. to 6:00 p.m., for their Fox Valley Motorcycle Show & Swap Meet, 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 ($20 preliminary estimate)
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
GENERAL EVENT INFORMATION
Official Name of Special Event: - j - T --
Start Date: c t` End Date:
Briefly describe your event. Be sure to include the purpose of the event and all
planned activities.
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EVENT ,
SUN
MON
TUE
WED
THUR
FRI
SAT
DATE
SETUP TIME
7 d r
7I o�
START TIME
t5 � L kf,
STOP TIME
, DOPM
TEAR DOWN
/ CLEAN UP
G�
; Dapm
COMPLETED
Location of Event
--- a-'5 Iq k /-I
Estimated dance (daily & total):
Booths:
Organ izat�n s� V n
(including add
J?— f494V Number of
6
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CITY CLERK'S OFFICE
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Contact: 0 , 6� eA
� 45 ..S� t l - !c� -4%
Prima f
ry
Daytime Telephone: '
Cell Phone: /
Fax:
Email: T JD��G e AC IVA S 7 0 14P 7 ,C 4/Y1
Address: ,�741 T /�,
City: State: Zip Code:
Secondary Contact: ✓ 1/ L l4)AkA
Daytime Telephone: --� 33 - `:? 5 'j' �
Cell Phone: L -? 7 f
Fax:
Email:
Address: 3=� 4 7 10 �2)
City: ,� State: lS Zip Code:
Onsite Primary Contact:
Cell phone:
Fax:
Email:
Address:
City: State: Zip Code:
Onsite Secondary Contact:
Cell phone:
Fax: ✓1 ✓Vi
Email:
Address:
City: State:
Zip Code:
NOTE Either the primary or secondary onsite contact must be present onsite at
all times during the event.
7
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 Tour (Fishing, Soccer, etc.)
• Other pf)� Pk6 r d f V a:
Location of event: j P, DF 4C is
ark or other public property
❑ Public street, sidewalk, alley, or right of way
❑ Private property
Will you have
lapV F/7- C hII L4PG�&
FbX ) ,ALLEY
coholic beverages
(_Additional permit required from City Clerk)
moo & non - alcoholic beverages
(A 'tional permit required from Health Dept.)
on -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)
8
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Amplified Sound
❑ Animals included or allowed in event
(a 1 als must be licensed and have proof of vaccination)
ooking Equipment
(Fire Department approval required)
We have made arrangements for
troom and hand washing facilities
waste and recycling services
wo'Event insurance
lic safety & security / EMS services
ctricity / Generators
i xtinguishers
with banners or signs
," , wking water
r-'Gr ater and grease removal
WoWeather contingencies
❑ LP Gas
❑ Tent Heating
Space Intentionally Left Blank
9
APPLICATION FOR SPECIAL EVENT PERMIT —
TO BE RETURNED TO CITY CLERK
Special Event Public Safety and Security Plan
Name of Event: LG A10-&W fi t, t°°l�
Location of Event: �56 0 7/4 — A
Date of Event:
/j
Time the Event is to Open:
Sponsor of the Event /C ? 3 EA)2 ,D P P 0 1)� 1 . l / JC
Estimated Attendance (daily and total):
Emergency Contact Information:
11�� ` 149
Name: b f'J � ' I
Daytime Phone Number:
Cell Number:
Name: jI Z-
Daytime Phone Number:
Cell Number:'
Name: LL GC�I'12
Daytime Phone Number:
Cell Number: ')
Primary Location of Event Staff at Event Site:
Emergency Notification of the Public
The public will be notified of safety and /or security issues in the following
manner:
L) IV 13 �5 V , 5 f= i� I r�P 6 a NA L0/ re6 r
io
APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY
CLERK
Emergency Medical Services
Name of Provider: 62 Ay BE#Q
1)
Fkh 0 /b ) V-� —
NrFy
/4 b , 5
Contact Person / Telephone Number: � 0 er) 0 ;�fi ��'T - Q C�&5 , -,/
Location of Provider at Event Site: Pft IZA ( 0 `"
Fire Protection
Name of Provider: I -r- c`
OF 6 1 Dy 4 5 P ) T K
Contact Person /Telephone Number: DDVE FYV A S1 - c2
Location of Provider at Event Site: l9 T V /LL4 f 0 IV
Number of Fire Extinguishers: q Ad 0 A VA I LA,Q Le 6 sl o e) 77 PAY
Location of fire access roads: 5e 0 P q P-I
Security
Name of Provider:
Contact Person / Telephone Number: I1'� Location of of Provider at Event Site: P A V I L-L ( D
Location of Missing Persons Station: ppru ( � L. 13
Event Parking Locations: /�T ; P
11
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Severe Weather Contingency
Shelter Locations: �oO T4 A4 W
Have you confirmed that the locations will be open and available?
will determine if r event is canceled or held? Phone num er:
)DOI-c- WIF-AST 9/6
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
c�
PA
12
APPLICATION FOR SPECIAL EVENT PERMIT
— TO BE RETURNED TO CITY CLERK
Other
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
Speci Event, I agree that I will promptly notify the City of Oshkosh of these
chan a and request proval of them.
044 v elZF-A) A7, ; T �� Date
(print name) (print title with organization)
13
Provide any other information that you feel should be considered
SPECIAL EVENT
INDEMNIFICATION AND HOLD HARMLE AGREEMENT
(Medium and High Risk Events)
EVENT: � l)A L.L., /o / � V
ORGANIZER: �12A f,3 4 AC & e,7?O 1� 11 1161
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 FY N 9 7 W j M s ��) 4 U)
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)
go /&0
(date)
gnature) (title)
(date)
(signature) (title)
(print name) (print title)
(print name) (print title)
17
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On .Sunday June • 6th, place Sattir July 17th` �P s DJ Il day long, a
Graybeard Productions A' Children's Hospitals of
ltrve iemo th }3ob
Inc., a 501c Non - Prof - Wisconsin's CoachesAsso-
IZ1 of 99.di�xe Wolf,
it Organization, held ciation All-Star Charity
and &W Evang:and the
our 5th annual Fox Val- Football Game, at Titan
Alimony$Ines Bird with
ley Motorcycle Show and Stadium in Oshkosh.
a surprise visit fiat Amy
Swap Meet at South Park We hold this free fam
Jo and DJ of the Road
in Oshkosh. ily event every year, rain
Trip Band on stage to
rock with the boys, then
This year's , event was or shine, with 13 trophy
after the show moving to
a huge success allowing classes, and food & bev-
Surf City Sports Bar to
us to present a check for erage prices the whole
continue the party
$10,500 to our charities family can afford `We had
This year we had sev-
(Children's Hospitals of thousands in raffle prizes,
'era, l special guests includ-
Wissin -Fox Valley, and including HDTV's, cash
con Special
mg p Senator Dave
Olympics of N.E. rafnes, 50/50x, and tons of
Zien, signing photos of his
Wisconsin), which took door prizes. We also had
Million Mile Harley, The
Mowhawk Man and his
Rolling Veterans Memo-
rial, and as always you
could find anything you
need, from a tattoo firom
Chis Henry of Steve's Tat-
too, to that special -part or
accessory from our over
70 vendors, and of course
all the spectacular show
bikes, from the worst rats
to the best customs.
Also, a special thanks to
10 year old Cami Gisvold,
our judge Reid's daugh-
ter, for telling her great
story �of recovery from a
brain tumor at Children's
Hospital Fox Valley, and
by helping us out all day
long!
For 2010, we are giving
our donation to the car-
diac division of Children's
Hospitals of Wisconsin-
Fox Valley, in the name
of 13 year -old Emily Phil-
hp of Oshkosh, a great
little girl, who along with
her mother Gweyn, did
such a fantastic job tell -
ing their story. We feel we
can directly help kids like
Emily, who is possibly fac-
ing a heart transplant in
the future.'The reason I
do and will continue to do
the Fox Valley Motorcy-
cle Show the first Sunday
of June each year, is in
memory of my infant son
Derrick Douglas Kienast,
who we lost 25 years ago
on June 6th 1985 at four
months old, to a heart dis-
ease that today, because
of the great advance-
ments in pediatric heart
treatment, could have
been saved. This is why
we know every cent we
raise will help one more
child live a normal life.
Finally, I would like
Cluck Pfmnta*m
continued from page 2
to thank our many spon-
sors, my good friends for
more years than we all
want to admit -my com-
mittee members Bill
(H.D.) Wara, Bill (Tomato)
Anderson, Bob Gomach,
-mi3 our over 50 dedicat-
ed volunteers that make
this event possible, know-
ing that arty event we
hold, 100% goes directly
to the kids that need it
the most.
We are also holding
another great show, with
our friends at G.T Promo-
tions, at the Sunny view
Expo Center in Oshkosh,
October 9th & 10th, and
as always for the kids.
Harley- Davidson • Indian • Cleveland • Triumph • Honda • BMW • Norton • BSA • Moto Guzzi • Salsbury •
Graybeard P r OdUCflO n S InC. presents a
CU
a nonprofit 501 C3
�,-� inYot hide 5th Annual
_
- FOX VALLEY
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and swap meet
C" South Park, Oshkosh, WI - Sunday, June 6, 2010
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all makes & models welcome
• 11 trophy classes
-. , • registration 8am to 12pm a
• awards 5pm I
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$1,000s
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°' in raffles
3 • All day DJ! Live radio remote! & prizes!_
• Music by Bobby Evans & - 50501
the Alimony Blues Band!
cc
• Sell your bike in our FREE motorcycle corral!
e
Proceeds go to:
Children's Hospital of Wisconsin - Fox Valley ft
Special Olympics of NE Wisconsin o
a Vendor booths available. For more information contact Doug at (920) 426 -2791.
WISCONSIN'S LARGEST BIKE SNOW PARTY! 0 =
r check us out at graybeardproductions.org bike & vendor registration forms on website d
Scott Special • Suzuki Thor • Vespa • Tiger • Victory • Simplex • Mustang • Powell AJS • Zundapp -