HomeMy WebLinkAbout11-194APRIL 26, 2011 11 -194 RESOLUTION
(CARRIED 6 -0 LOST LAID OVER WITHDRAWN )
PURPOSE: APPROVAL OF SPECIAL EVENT/ BIG MAC MEDIA, LLC / UTILIZE
SUNNYVIEW EXPOSITION CENTER FOR DEERFEST / JULY 22,
23 & 24, 2011
INITIATED BY: CITY ADMINISTRATION
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that approval is granted to Big Mac Media, LLC (Hugh McAloon) to utilize
Sunnyview Exposition Center on Friday, July 22, 2011, from 2:00 p.m. to 9:00 p.m.;
Saturday, July 23, 2011, from 10:00 a.m. to 6:00 p.m. and Sunday, July 24, 2011, from
10:00 a.m. to 4:00 p.m. for their Deerfest 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: G
Start Date: End Date: I
Briefly describe your event. Be sure to include the purpose of the event and all
planned activities. V . S I
.,1►TCf 2S.rA.1 3UUi=�e CA-
EVENT
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MON
TUE
WED
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DATE
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SETUP TIME
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START TIME
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STOP TIME
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TEAR DOWN
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COMPLETED
Location of Event: �7c. U Lt- ti
Estimated Attendance (daily & total): I5 OO / q 5 W Number of
Booths: 1 0
Organizations) Sponsoring Event: C�t5 MAr I? r (t0, -4, U -C
(including addresses) t 9 3 !N
-110 5 <1 4
D) E 9 �YE
MAR 9 2C11 C
CfTY CL- oFFICEI
E
APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY
CLERK
Primary Contact:
Daytime Telephone:
Cell Phone: - 1 1 T -5 1 L4 IF (4
Fax: `t ( Q Q S - 3 k S t
Emai �i5 �•,n,�c tM�+7,4 t��. C
Address: [ ��
City' ;6 l JA
State: %--J t
i �
Secondary Contact: L� o M �
Daytime Telephone: `� ( S ' 4 S - 3`f 5 - l
Cell Phone:
Fax:
Emai
Zip Code:
Address: ST «'7
City: - 7r CAA State: - I1 Zip Code: < ( 4i
Onsite Primary Contact: tt
Cell phone: 5' 70 -- 4 4 y
Fax:
Emai ��; �,,��L�7,:� l ��►� . CG.,.-r
Address: N 'q3
City:
rr?
State: Zip Code:
Onsite Seconda Contact: �A `Z��i V ` ^5
Cell phone:
Fax:
Emai 1 0, 2A ( -
Address: tJ V--O,-4
City: s 6 k r�
t•' C) 2 �C5 f
State: LJ \. 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:
Y Festival / M _•_ " " hlo
• 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: j
" her public property �'�-�' �`� � L
Park or of p
❑ Public street, sidewalk, alley, or right of way
❑ Private property
Will you have
IV Alcoholic beverages
(Additional permit required from City Clerk)
9l 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)
n
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Amplified Sound 4 �t, — t nt.o kt j ul:�(< ��Z� t{5 + �-•��
❑ 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
Public safety & security / EMS services
Electricity / Generators
Fire extinguishers
�( Advertising with banners or signs
�( Drinking water
a( Grey water and grease removal
X Weather contingencies
• LP Gas
• Tent Heating
Space Intentionally Leff Blank
APPLICATION FOR SPECIAL EVENT PERMIT —
TO BE RETURNED TO CITY CLERK
Special Event Public Safety and Security Plan
pe
Name of Event: /ar< �S
Location of Event:
Date of Event: `'� Ao t t
Time the Event is to Open:
Sponsor of the Event:
Estimated Attendance (daily and total): f
Emergency Contact Information:
Name: � 4 ant a(0 6�,
Daytime Phone Number: °1(S
Cell Number:
Name:
Daytime Phone Number: 5
Cell Number:
Name:
Daytime Phone Number:
Cell Number:
Primary Location of Event Staff at Event Site: e
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,St+1,<'oet
Contact Person /Telephone Number:
Location of Provider at Event Site:
Fire Protection
Name of Provider:
Contact Person / Telephone Number:
Location of Provider at Event Site:
Number of Fire Extinguishers: U r T) qT, t�
Location of fire access roads:
Security
Name of Provider:
Contact Person /Telephone Number: ""
Location of Provider at Event Site: �k�"z�(
Location of Missing Persons Station: ✓� ��
Event Parking Locations: ma, LA
11
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Severe Weather Contingency
Shelter Locations:
Have you confirmed that the,
`Ir- < — e, 2 vac.
W
will determine if your event is canceled or held? Phone number:
PLC tt 1'YXC-- J' :Ir I — `LO — 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 jv+�. �•�( �/ `��,J ��L(/�cn�7�
5. Location of fences
6. Location of exits and gates (gates must be numbered) Sa- r vAA
7. Location of Fire extinguishers 0 0
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 E,c�-v
14. Location of barricades N l A
15. Location of generators 06 'v
16. Location of temporary roadways t-►
will a open and available?
12
APPLICATION FOR SPECIAL EVENT PERMIT
— TO BE RETURNED TO CITY CLERK
Other
Provide any other information that you feel should be considered
c o'.) it cl�, L,ct--a,
Yes No
SIGNATURE
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
S I Event, I agree that I will promptly notify the City of Oshkosh of these
c and request approval of them.
tj Date
(print name) (print title with organization)
13
I have reviewed and have considered the Contingency Plan
information provided by the City of Oshkosh along with this
application (pages 11, 12)
1 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
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
S I Event, I agree that I will promptly notify the City of Oshkosh of these
c and request approval of them.
tj Date
(print name) (print title with organization)
13
SPECIAL EVENT
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
(Medium and High Risk Events)
EVENT: FES
ORGANIZER: � � rfl ete— L
The event organizer agrees that it, and not the City, will be solely responsible for a ll 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
organ of the Special Event.
EVENT ORGANIZER
Tint name of organizer)
(date)
U
O (signature) /�
U MLA (U(J^
(print name)
LO—C-
.rtJ s�h�2
(title)
0"i n4Z
(print title)
(date)
(sig ature) (title)
(print name) (print title)
17
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