HomeMy WebLinkAbout12-33
JANUARY 24, 2012 12-33 RESOLUTION
(CARRIED___6-0_____LOST________LAID OVER________WITHDRAWN________)
PURPOSE: APPROVAL OF SPECIAL EVENT / BADGER STATE OUTBOARD
ASSOCIATION / UTILIZE MENOMINEE PARK (MILLERS BAY)
FOR THEIR BADGER STATE OUTBOARD RACES / SEPTEMBER
1 & 2, 2012
INITIATED BY: CITY ADMINISTRATION
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that approval is granted to Badger State Outboard Association (Jon Evans) to
utilize Menominee Park (Millers Bay) on Saturday, September 1, 2012, from 11:30 a.m. to
7:00 p.m. and Sunday, September 2, 2012 from 11:30 a.m. to 7:00 p.m. for their Badger
State Outboard Race event in accordance with the municipal code and the attached
application, with the following exceptions/conditions:
A.
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
none
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
GENERAL. EVENT INFORMATION
cial Name of Special Event:
Start Date: `�T __- -_ -_ -_ End Date:
EVENT
SU
MON
TUE
WED
THUR
FRI
SA
DATE
(3
[
SETUP TIME
g P-M
An
START TIME
13 0
! 13D
STOP TIME
-� dy -�
Pr
TEAR DOWN
! CLEAN UP
) b p M
10 P
COMPLETED
Location of Event:
Estimated Attendance (daily & total): ,J2 Number of
Booths: 1 s
Organization(s) Sponsoring Event:
(including addresses)
D 6ch�.
M
N
IECF�VF� DO
DEC 28 2011
6 CITY CL ERK S OFFICE
/ i n.
Briefly describe your event. Be sure to include the purpose of the event and all
planned activities. 1_
APPLICATION FOR SPECIAL EVENT PERMIT -- TO BE RETURNED TO CITY
CLERK
Primary Contact: plo-a�
Daytime Telepho : _ 9 a 0 - 4,Ao -
Cell Phone:
Fax:
Email: 1 r r)V 3 1
Address: 39'D C:1
City: W p State: UT-c Zip Code: 5t-[ q,,,
Secondary Contact: ZoLj1f- _WzKft.a2
Daytime Telephone: __ 9ad a
Cell Phone:
Fax:
Email:
Address:
City: _
Onsite Primary Contact:
Cell phone:
Fax: Iv y
Email:
Zip Code:
Address:
City:
State:
State:
Zip Code:
Onsite Secondary Contact: Dlx4&
Cell phone:
Fax:
Email: CED
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)
lsyour event a:
• Festival I Music Concert
• Religious 1 Educational
. ❑ Rally / Memorial
• Street / Block Party
• Parade / Fun Run f Walk -a -Thou
• March utilizing any Public Property
• Public Assembly for Political Purpose
,`Sport Tournament (Fishing, Soccer, etc.)
❑ Other
Location of event:
>rPark 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)
X'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
XAmplified 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
X safety & security I EMS services
• Electricity/ Generators
• Fire extinguishers
>q'Advertsing with banners or signs
XDrinking water
❑ Grey water and grease removal
Weather contingencies
❑ LP Gas
❑ Tent Heating
Space Intentionally Left Blank
O
APPLICATION FOR SPECIAL EVENT PERMIT —
TO BE RETURNED TO CITY CLERK
Special Event Public Safety and Security Plan
Name of Event:
Location of Event:
Date of Event:
Time the Event is to Open:
Sponsor of the Event:
Estimated Attendance (daily and total):
Emergency Contact Information:
Name:
Daytim Phone Number: a4 S
Cell Number:
Name: J
Daytime Phone Number: 9�
Cell Number:
Name:
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:
10
APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY
CLERK
Emergency Medical Services
Name of Provider: LoaQ± t1?,aC hA &AJ1 A.
Contact Person I Telephone Number: _ Al !
Location of Provider at Event Site:
Fire Protection
Name of Provider: C ) ) I
Contact Person I Telephone Number:
Location of Provider at Event Site:
Number of Fire Extinguishers:
Location of fire access roads:
Security
Name of Provider: q
Contact Person I Telephone Number:
Location of Provider at Event Site:
Location of Missing Persons Station:
Event Parking Locations:
11
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?
will determine if your event is canceled or held? Phone number:
E° J rP /-An Yi D� J,0 f-A �h 0, rq .1 b) 44a n - 0 - I - �
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 1 ticket booths
4. Boundaries of the event
5. Location of fences
6. Location of exits and gates (dates 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
12
APPLICATION FOR SPECIAL EVENT PERMIT
— TO BE RETURNED TO CITY CLERK
Other
Provide any other information that you feel should be considered
Ye t s / No
V I have reviewed and have considered the Contingency Plan
information provided by the City of Oshkosh along with this
application (pages 14 -, 4- 2)(jq, I
I have reviewed and understand the City's Insurance
requirements for Special Events as described in this document
(pages 11- ( — z j ) .
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 trite, correct,
and complete to the best of my knowledge. If there are any changes to the
Special Event, I agree that I will promptly notify the City of Oshkosh of these
changes and req t approval of them.
jai .28 /ij -
ov Fv v\ 5 Fvty%j Grad - - zr c , R S 04 Date
(print name) (print title with organization)
13
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.
1, Weather related issues; rain, snow, severe storms, tornadoes, etc.
a. If the weather forecast includes bad weather, will the event be cancelled? Lf-"
If so, how will attendees be notified? P(+ S m
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 afe 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 sh de to prevent eat stroke? Will
water be provided? Where? W o I Ak
3. Crowd Control
a. Who will monitor the barricades?
b. Who will work the entry gates? Maintain egress and access �1
C. Who will patrol the ar a to prevent incidents from getting out
of control? � � b �1
d. Develop a plan for those patrolling the crowd of what to do if
they encounter unruly behavior. Have communications equipment.
fft W eco
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. 10) P
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 n n paying attendees breach
the gate or perimeter? A) ) P� -
d. If a complaint is received, for example, for loud music, how and who will
handle the complaint? ()?D
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? Slf-
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? I'll;
g, Is there adeg safe parking provided? Where? , AJ—
o E - n - I" A- 6--' alt 6 Np -?
Space Intentionally Left Blank
15
SPECIAL EVENT
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
(Medium and High Risk Events)
EVENT:
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.
In consideration for the City's approval of the Special Event, ( X- o
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)
(date)
L�,— Ler`
(signature) (title)
J�h FVC,V\ s �t
(print name) riot title)
(date)
(signature) (title)
(print name) (print title)
17
Reetz
Softball
Diamonds
1 -7 Shelter #A
Shelter #3
Millers
Bay
01
Z: Kiwanis
M
Shelter #1
Pond
Amusement Rides
r � / Restfoorns
-J
Pond
L- i s, Zoo Entrance
Shelter #2
Beach
House
Tennis
Courts
"Little Oshkosh"
Playground
L ME 11 rAVE. Lake
--- --- Winnebago
AM
ikE Menominee Park
Facilities - 0f H K0 -H