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Home My WebLink About11-143MARCH 22, 2011 11 -143 RESOLUTION (CARRIED 5 -2P LOST LAID OVER WITHDRAWN ) AS AMENDED PURPOSE: APPROVAL OF SPECIAL EVENT / JOE KUBIAK / UTILIZE CITY STREETS FOR OSHKOSH PUB CRAWL /APRIL 16, 2011 INITIATED BY: CITY ADMINISTRATION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 the Joe Kubiak to utilize city streets: Main Street and Irving Avenue, on Saturday, April 16, 2011, from 5:00 p.m. to 3:00 a.m. for his pub crawl, in accordance with the municipal code and the attached application, with the following exceptions /conditions: A. $1500 Deposit 10 days prior to the Event B. C. 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 Police Department -- Staffing ($2,989 - $3,533 preliminary estimate) Street Department -- Barricades ($100 - $150 preliminary estimate) Sanitation Garbage /Recycling, Street Cleanup ($200 - $1000 preliminary estimate) BOLD & ITALICS INDICATES AMENDMENT MARCH 22, 2011 11 -143 RESOLUTION (CARRIED LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / JOE KUBIAK / UTILIZE CITY STREETS FOR OSHKOSH PUB CRAWL /APRIL 16, 2011 INITIATED BY: CITY ADMINISTRATION NOW,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 the Joe Kubiak to utilize city streets: Main Street and Irving Avenue, on Saturday, April 16, 2011, from 5:00 p.m. to 3:00 a.m. for his pub crawl, 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 Police Department -- Staffing ($2,989 - $3,533 preliminary estimate) Street Department -- Barricades ($100 - $150 preliminary estimate) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official Name of Special Event: QSh �pS h P U b Gt CA I Start Date: S�Ua M 7 lG End Date: a 30 aM Vz Briefly describe your event. Be sure to include the purpose of the event and all planned activities. Tke 6st►Ko. -w PL4 4a,v�\ i5 ayt �VPNa r,,Jker�e ccr�;Gi P� WaI K {'cDM +avLO l b 4a verti 01 Q W a v o ha vp oliq 411 v, EVENT DATE N MON TUE WED THUR FRI SA SETUP TIME START TIME M STOP TIME TEAR DOWN / CLEAN UP COMPLETED a..34M Location of Event: tAoL h S + re* 05W &.5 Jj Estimated Attendance (daily & total): r.' Q, 100 Number of Booths: 0 Organization(s) Sponsoring Event: (including addresses) #Iry APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Primary Contact: �SO P, ,_ A ` Daytime Telephone: qa D ' & 6 3 Cell Phone: ` I SZD Fax: Emai Address: City: 0 Secondary Contact: Robe,( � Daytime Telephone: Cell Phone: Zip Code: Fax: Emai (AW D b C.-00 0 v A M 4 . CEO Address: 3 g l a �J Pyre, 5f04 Ave A VT q 1 b City: State: State: 3:1. Zip Code: Onsite Primary Contact: So e- Kc 6 i c+, Y Cell phone: qa0 ,2 63'r266 Fax: Emai J Kc•,6 i c4 k 'SO 7 9L P M h 4y • Co Address: 'Y M . M0 , 5 f g ee fi City: 6sh 1CO5 t4 State: w Zip Code: Onsite Secondary Contact: Rb bet'; Wac av, Cell phone: 310Q - FEY~ 13 ff-k Fax: Email: (AW 4 cAcx> n. co M Address: 39 A) NO City: C 1ni 60.86 State: Zip Code: NOTE Either the primary or secondary onsite contact must be present onsite at all times during the event. , coup- f U-e. A PT If J6 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 Tournament Fishing, So cer, etc.) p� f Other M ec ot 0 5 hKask M,Gio Location of event. C,, (AL C_� & J ❑ Park or other public property X Public street, sidewalk, alley, or right of way c< 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 ❑ 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 dd Public safety & security / EMS services f 05 N ❑ Electricity / Generators ❑ Fire extinguishers ❑ Advertising with banners or signs ❑ Drinking water • Grey water and grease removal • Weather contingencies ❑ LP Gas ❑ Tent Heating Poor (- -e-, 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: (�`JY��OS �/1 Qty b U(qWk Location of Event: Vl1—OS �1 Ma Date of Event: Time the Event is to Open: S;ooPM H /16 Sponsor of the Event: See 6(7 ) is Estimated Attendance (daily and total) No , I Q 0 Emergency Contact / Information: �/ Name: �coe— Daytime Phone Number: on Cell Number: 0 1 (9 ' Name: R. ftb e w v Daytime Phone Number: 31R- 85 • I Cell Number: f� Name: See ac )1 Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: (?P LV\ &I� W 1 I 1 0 ` 6V nw h ZS fcx - Ff Emergency Notification of the Public The public will be notified of safety and /or security issues in the following manner: 10 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Emergency Medical Services Name of Provider: 0 5 os �, Qow("rL Dep� Contact Person/ Telephone Number: 1 "`G flairr "s tab Location of Provider at Event Site: /" 1 h 5` fee fi S os Fire Protection Name of Provider: 05h kost) F''Ce 1 t Contact Person / Telephone Number: � " a LEA — 5a A, (� Location of Provider at Event Site: Number of Fire Extinguishers: EC LA �a V r G 5 +L^ -e � r O W Location of fire access roads: Securit Name of Provider: /�/� Contact Person / Telephone Number: r l� �' Hit (r's q� 6 - a 3 - 56 e?. Location of Provider at Event Site: A `CJ I v1 J 7 f'P�4 (35Wos' ) Location of Missing Persons Station: N Ovle— Event Parking Locations: hK R Geis 11 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Severe Weather Contingency Shelter Locations: i Y Zek05 ! N VU 1 W I I ' P 6 U �J t O.Clequafe Skelfer j[n COS-e of c,,o W ea�tie�' Have you c firmed that the locations will be open and avai a e . ves Who will determine if your event is canceled or held? o hone number: Sn�2 K.ubia� �1� 0 703- o �Cn�s 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 numbere� O W y D Location of Fire extinguishers, Cut BCC ho ue t 8. Location of severe weather shelters 9. Location of Fire / EMS access road � DACIC Location of security staff, 8 W i 1) -be Q e016h ih Location of emergency contact event personnel ' h 0 raU V►� t Location of assembly area and approximate occupant a 2Sunts 5 free" Location of event parking, 05'k vo$Lr G;�j/ j 6 �VeN� 14. Location of barricades 15. Location of generators 16. Location of temporary roadways 12 APPLICATION FOR SPECIAL EVENT PERMIT — FOR REVIEW ONLY CONTINGENCY PLAN Event sponsors should review and consider the following issues when they are planning or preparing for an event. Many of these issues are required by one or more regulations, or are components of larger regulations. Considering other issues which may not be required should contribute to the planning and operation of the event. Developing responses to these questions should result in more productive and fruitful discussions with the various departments with the City during their review of the Special Event Application. Weather related issues: rain, snow, severe storms, tornadoes, etc. a. If the weather forecast includes bad weather, will the event be cancelled? If so, how will attendees be notified? b. Develop a plan for the sudden onset of severe weather. Where will the people go and who is designated to assist in their safe arrival at the safe refuge place? c. Is there an area of safe refuge in case of a tornado? 2. Medical Issues a. Where will ambulance access to the event be in case one is needed? b. Who will conduct crowd control in the event of a medical emergency? C. Will a first aid station, with trained first aid provider, be provided at the event? Where? d. If applicable, is there adequate shade to prevent heat stroke? Will water be provided? Where? 3. Crowd Control a. Who will monitor the barricades? b. Who will work the entry gates? Maintain egress and access? C. Who will patrol the area to prevent incidents from getting out of control? d. Develop a plan for those patrolling the crowd of what to do if they encounter unruly behavior. Have communications equipment. 14 APPLICATION FOR SPECIAL EVENT PERMIT — FOR REVIEW ONLY 4. Security a. Will there be Police Officers providing security? If so, contact the Police Department for applicable requirements or guidelines relating to the number necessary. b. If volunteers or private agencies provide security, will they have appropriate phone numbers for EMS, Fire, and Police? c. If applicable, what will security officials do if non - paying attendees breach the gate or perimeter? d. If a complaint is received, for example, for loud music, how and who will handle the complaint? e. Provide communications equipment. Portable radios, cell phones, and access to land lines. f. If applicable, secure monies in an area not accessible to the attendees. 5. Event Logistics a. Where will there be, or will there be, a staging area for support staff? b. What time will the crowd be disbursed and by whom? c. Who will conduct clean up? d. Remember to maintain fire lanes and access roads. e. Appoint one person to oversee and take responsibility for the event. Who? f. Will an adequate amount of restroom facilities be provided? Where? g. Is there adequate safe parking provided? Where? Space Intentionally Left Blank 15 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Other Provide any other information that you feel should be considered Q� W,5e 11p +e +6d S ur crag( 901it -2 P have a ��d b� n geld e e c j G1 i iA 0 1` t H /& x4ta -' jC�° W i) � I LA Yes No J V 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 y I nes Eve nt, I agree that I will promptly notify the City of Oshkosh of these a-Dq-11 e and re que t approval of them. k-� :SU V LA6 � a K D541 K-cS5 k pup Date name) (print title with organization) UatA 1 Coocct i v�a`�0� 13 SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: 05 bs V1 YU b C_ reA �► ORGANIZER: 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. CC In consideration for the City's approval of the Special Event, ��J 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 U b i C04, riot name of organizer) Q ",� (-/- / I �-� (date) 0 S�Cds�► (signature) (title) (print name) (print title) (date) pub CA aw 1 f rt-5 V 1 t l b (signature) (title) (print name) (print title) 17 BAR ADDRESS PHONE aDWNERIMANAGER PHONE Barley & Hops 662 N_ Main 426 -3677 Nate Stiefvater 420 -2158 Calhoun Beach Club 695 N. Main 231 -6990 Tom Taggart Cranky Pat's 100 N. Main #1 230 -7287 Kyle Shilts 715 - 581 -5173 Jabroni's 14 W_ Irvin 232 -9390 Tom Bollom 379 -6621 Joe 's 430 N_ Main 230 -5637 Joe Novotny 379 -1207 Mable Mur h "s 701 N_ Main 231 -7735 Steve Vadnais 379 -5736 O'Brians 686 N_ Main 230 -3728 James Osterta 420 -5444 Old Oshkosh Saloon 216 N_ Main 651 -1515 Paul Esslin er 410 -1104 Kim Sen er 203 -9611 Peabod t s 544 N_ Main 235 -4004 Brian Hamill 410 -2973 Sami's 668 N_ Main 230 -6263 Paul Kovvalske 420-4811 St_ Thomas 693 N_ Main 235 -2077 Grace Brown Terry's 688 N_ Main 235 -8280 Blanca Bo danske 420 -1767 The Magnet 519 N_ Main 235 Kendal Koch 252 -3549 Katie Ward 252 -3550 Varsity Club 570 N_ Main 651 -0806 Jeremy West 608- 669 -0975 f, ulton Ave �OL 6'r � �S Ave E h , G6G S Te `S e�;aN Y Thorns * , &,irly E H ov S O xford A, , ay Ave E Parkk"y Ave Q�abOCA The Mc4 wed t .S Public Lbl%iry } � th 0 Riverside e Park s "� !mx 3� a Riverside e Park s "� !mx