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Home My WebLink About11-283JUNE 28, 2011 11 -283 RESOLUTION (CARRIED 7 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / ADVANCED MAINTENANCE SOLUTIONS, LLC & CLASSIC CYCLE, LLC / UTILIZE WINNEBAGO COUNTY PARK FOR OLD GLORY RIDE TO HONOR & VETERANS CELEBRATION / JULY 30, 2011 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Advanced Maintenance Solutions, LLC & Classic Cycle, LLC (Christine Schad) to utilize Winnebago County Park on Saturday, July 30, 2011, from 8:00 a.m. to 7:30 p.m., for their Old Glory Ride to Honor & Veterans Celebration, 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: rI n - ;1_D {� ! D E rt0 I�01�Z s y E Y E l2 ?} S Start Date: Q o�U ! I End Date: J 1.1 L �/ 3c oZ0 f l Briefly describe your event. Be sure to include the purpose of the event and all planned activities. F ndrai sm a ev eyW -b bex>.eAP4 nmcd era i sc atohem 4f t • r ••- v • EVENT DATE SUN MON TUE WED THUR FRI `I SETUP TIME r(:00 START TIME S: 00 STOP TIME TEAR DOWN / CLEAN UP COMPLETED 9:3D Location of Event: , Estimated Attendance (daily & total): Soo Number of Booths: —0 Organization(s) Sponsoring Event: (includ Lk: �m pM I .L.0 g � IGZSS� C C H MAY 2 7 2011 is w i APPLICATION FOR SPECIAL EVENT PERMIT- TO BE RETURNED TO CITY CLERK Primary Contact: O-A\eks - Vi ex e- � c-V\cLJ- Daytime Telephone: 9a0 $$(A aaa'�L Cell Phone: Ctac) � 5� 0 310a- Fax: q 010 011ts Email: Can�l�� -;rye t c�iSCv�nS}v�� v�� co►'✓l Address: 15 S�J LOrn wt��c� a ( (ST' City: IQ 2etL State: w 1 Zip Code: - 5 - �Lq Secondary Contact: ' D\ane- IMF` Dono A Daytime Telephone: q Q.Q - X 3 8 - Cell Phone: q Q-0 - ar4 I - 50 4g Fax: _ Email O rq Address City: _ S .'r S+ Zip Code: Onsite Primary Contact: r c S-i rXe- U c_k Cell phone: @-0 4 ES o s1CO� Fax: _ Email: Address: 5 . City: YY1 State: LA_)N_ Zip Code: Onsite Secondary Contact: J0v�r\ Rc-\Ao"�A Cell phone: qaQ 450 4-c- 60 Fax: Emai f c lnYlDf q rYtat I. cons Address: L- OYYIPYI�I - G ' la I �� City: £?2r\z � State: Zip Code: ►0 w. S 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.) - pit , C X Other _ + L�'eM An be-Ae -4 �- Cold- 0or Cori Location of event: )4 Park or other public property • Public street, sidewalk, alley, or right of way • Private property Will you have VAAIcoholic beverages Additional permit required from City Clerk) Food & non - alcoholic beverages (Additional permit required from Health Dept.) VNon -food related sales and/or display booths (No additional permits required) VTent 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 v 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 sr and hand washing facilities vSolid waste and recycling services Event insurance Public safety & security / EMS services Electricity / Generators v extinguishers sr"Advertising with banners or signs &Kbrinking water Grey water and grease removal t'Weather contingencies ❑ LP Gas ❑ Tent Heating Space Intentionally Left Blank APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Name of Event: Special Event Public Safety and Security Plan ow Gior�, e+eran's (1I 12-b r dA a Location of Event: 0_0M VVkU- a p a r �< Date of Event: d ao I 1 C Sp-+ UO . ? 1a -lm ry- 5 -7 7 �6� rT — W a rv o o - �3O Time the Event is to Open: % 1 00 0 V^ Sponsor of the Event: 1�-dV ance.d Mai vlie � ovt S, LL � c _ s Estimated Attendance (daily and total): sow C Jet) LLC Emeraencv Contact Information: Name: at s1 i ne- &-ko- Daytime Phone Number: 9a0 ° $8Zo QQ L_ Cell Number: 0 jQ- U • 4 50.3 \O Z . Name: 9CIAQ Daytime Phone Number: ya0. ?3(,- 9400 Cell Number: 9Q0 4S0_g550 Name: S5uje'r �C- CCmse -'1 Daytime Phone Number: q '10 - % 9 QQ oL Cell Number: 90'20 • , at0�_ 5Cn Primary Location of Event Staff at Event Site: (2- 0MMLkA 2_v csY\Y"O Emergency Notification of the Public yl The public will be notified of safety and /or security issues in the following manner: APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Emergency Medical Services Name of Provider: L "_ 10 S�1 C rr__ __ _11 Contact Person !Telephone Number: C h ir�� ,^, �,�C1. 9 gso.q Location of Provider at Event Site: ' &ea6 A H 0 U 5(2, Fire Protection n I 1 Name of Provider: l�l "}' f� y �l (� S Vl - Our S e cttr1 Contact Person / Telephone Number: ��5� 1(w � ��-t �°�� "� ' Location of Provider at Event Site: Number of Fire Extinguishers: n Location of fire access roads: 0(0r� Security AI A ' (fh �� 6060- 0 Name of Provider: I'i d yoWl C�C-l_ \ � J y b^' � `� � S I LL C Contact Person /Telephone Number: an 6-0 5eJ4-a i q9 G(0 31 O Z Location of Provider at Event Site: ��' 1 `1IIay— Location of Missing Persons Station: ( I,C -mil Event Parking Locations: Ai P CK APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Severe Weather Contingency Shelter Locations: a Vt ii Have you confirmed that the locations will be open and available? Who will det mine if your event is a nce ed or held? Phone number: � ri 5�irt� �c -�ac� qao g�� a� aa C Rao �t!50 310Q- 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 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 rm on contained in this application for a Special Event permit is true, correct, and co Iete to the best knowledge. If there are any changes to the Speci vent, I agree t at I wil romptly notify the City of Oshkosh of these chaiGi and request ao roval o them. r-\ 5 I 15 La-oo �;v\��c ��s a.d (print name) (print title with organization) 4A\JaAC �n41C4/(NK Q �m oy.5 Date L-uf Provide any other information that you feel should be considered SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) n 1 I � e- �P,ra✓� s l�e�� r� a Y� EVENT: { G4 k A e- oel 0V " ORGANIZER: ��f C( Nl co So t I d rls LL 55� G �/ GHQ , LL-C- I 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. ff 11 ono In consideration for the City's approval of the Special Event, (;10r- R l a e— \ ( r �,,, , �, the organizer of this event agrees to indemnify and hold harmless the City of Oshkosh, and its officers, council `� a r te_ ` ` members, agents, employees, and authorized volunteers, from, for, and against and agrees to defend the same from �Q(2bra�,�on 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 Q e"I LUC t Gt nce— U� (vs A c�Jance�. lY�a �n �n (print name of organizer) 5 — 15 —QD11 (d Gmt 0 �Cw ] esi (signatur Joitv �hr�5 ►n� c h ctc� (print name) (print title) LLC �-,�,2r_ /i (dat ) 4 � 1 (signature) / (title) ...Try (print name) (print title) 3/25/2011 i I a communitypark- map.png (1018 743) Winnebago County Community Farb 501 Eft Courtly Rorid Y, Oftoslh. WI 54901 'C Dag Paxk 17ag Park I 0 l Resenred Sh H Shelter One C&Ibing imnit & Slides Picnic Tables Service Table m F3 lI7iaa� i.ake lea. Archery 3 Range y Field Restroolm M Open Air Shelters :shelter Two S.Mngs Picric Tables Service Table Open Air Shelters Picnic Table Shelter Four Climbing Unit Slide & Rings Picnic Tables sm -vice Table �4q 0 (A- tom' .� y 9 I Soccer - ��. Shelter Soccer Fields Soccer Fields Shelter Three Cl nbing unit _ Tire Svnng & :Aide Picnic Tables servce Table