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Home My WebLink About11-75FEBRUARY 22, 2011 11 -75 RESOLUTION (CARRIED 6 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / OSHKOSH SATURDAY FARMER'S MARKET / UTILIZE 400 & 500 BLOCK OF MAIN STREET/ JUNE 4, 2011 THROUGH OCTOBER 22,2010— EVERY SATURDAY INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Oshkosh Saturday Farmer's Market (Kris Larson) to utilize 400 & 500 block of Main Street, every Saturday, starting June 4, 2011 through October 22, 2011, from 5:00 a.m. to 2:00 p.m. their Oshkosh Saturday Farmer's Market, 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 Electrical Division -- Electrical / power usage — preliminary estimate — unknown at this time Street Department -- Barricades ($1,700 — 21 weeks / preliminary estimate) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION ��S41�G�1 ��U_ t•�lr�•� �ct�•�.tilev'S C T Official Name of Special Event: , . l Start Date: 4)� q 9�) i I End Date: oc� ZZ 7,0 1 Briefly describe your event. Be sure to include the purpose of the event and all planned activities. EVENT DATE SUN MON TUE WED THUR FRI SAT SETUP TIME START TIME STOP TIME TEAR DOWNck7 / CLEAN UP COMPLETED 1'M Location of Even : '1 iJV O 7 c� Ic **" TO !mil �1 Estimated Attendance (daily & total): 0A Number of �Go�N� Booths: ^' 100 Organization(s) Sponsoring Events - ( jG17 6 (including addresses) 1-7, G.— .�«Jdr�CF� ELI a G 1 NOV e l I I NO Y U 8 20 10 G �� NoVo4zo,o D CITy �FR� OFF /CF APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Primary Contact: �2�5 Lf' Daytime Telephone: Z30 7333 Cell Phone: � Z11 6yS Fax: UZo Zoo 533 Email Address: ��i !� �� +� �� City: GA�� State: Zip Code. �ir9nT_ Secondary Contact: �5POA� 1�6Zsor-) Daytime Telephone: Z, 30 If�5 Cell Phone: 6a� Fax: q2o 0 �3G1 Email: &Ji p,N6 C -0 Address: ►^^ A City: State: Zip Code: Onsite Primary Contact: 1 Cell phone: 9r,0 9 C IC ?Z Fax: '�- Email: Address: 4r� W t� �,/piaD City: ap 1"13 State: �,�^_ Zip Code. �v ,� �5 Onsite Secondary Contact: 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 / Walk- a -Thon ❑ March utilizing any Public Property • Public Assembly for Political Purpose • Sport Tournament (Fishing, Soccer, etc.) `Q Other UOE15 ' 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€andtes b� `s (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 Amplified Sound ❑ Animals included or allowed in event (animals must be licensed and have proof of vaccination) �i Cooking Equipment (Fire Department approval required) We have made arrangements for Restroom and hand washing facilities Solid waste and recycling services Event insurance N Public safety & security / EMS services 1, Electricity / Generators Fire extinguishers Advertising with banners or signs \, Drinking water �. Grey water and grease removal 1� Weather contingencies ❑ LP Gas ❑ Tent Heating Space Intentionally Left Blank APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Name of Event: X -J/v - Iow) 05- 0 4 � o Location of Event: Date of Event: %it- rt - 06 2Z <& Time the Event is to Open: 5 o cq QA Sponsor of the Event: 1(o;S zAez) �ga I�0�211 r 00W),A 6W r/ ` csk4sp Estimated Attendance (daily and total): �5 / - 7� coo 130 Emergency Contact Information: Name: Daytime Phone Number: lZo Zi30 IUf Cell Number: S'�� ZM (;4rR Name: I rS ;r +( a] Daytime Phone Number: Cell Number: 9 Z1 sl�Z 3z- Name: 5P2�- L130-50A] Daytime Phone Number: 230 '9KK5 Cell Number: 4b2jZY l,'410 Primary Location of Event Staff at Event Site: 2 Isj Emergency Notification of the Public The public will be notified of safety and /or security issues in the following manner: 66 ) Ong 5 f� y l , -6 1 oTz . APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Other Provide any other information that you feel should be considered Yes IM 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) 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 b my knowledge. If there are any changes to the Special Event that I will promptly noti os o t ese changes uest approval I/ 1� (0 Date (print title with organization) 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? 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 SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: ro ?p py , ORGANIZER: �' 4 'a 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, , , S � `� C2;av` 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, ) 4 p r ��N (print name of organizer) l)_L(. (title) AID �Af&O11 ' LAAr —Ow,) (print name) (print title) (date) (signature) (title) (print name) (print title) N Lw 5sa 00+9R 'ViS 3NI H0IVY4 '3AV NCIDKHSVA V) ui CL V) W V) o Ld Z Z Z Ld LLI K F- v) Z tn LA z u w 0 Ir 0. L '3AV NCIDKHSVA V) ui CL V) W V) o Ld Z Z Z Ld LLI K F- v) Z tn LA z u w 0 Ir 0. I 5 2MM Jag " t!FkL 1 . r 22 a. rt ° ,'' �� '3AY llINH3M m I I wl , o 133 W z z F- z M 0 W W Z to Ln 9. O L) # w IL LL 5 2MM Jag 1 . a. m I S DLit Al •• 31 - 4rS 3NM HZ)IVVI I wl , o 133 W z z F- z M 0 W W Z to Ln 9. 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