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HomeMy WebLinkAbout12-31 JANUARY 24, 2012 12-31 RESOLUTION (CARRIED___6-0_____LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVAL OF SPECIAL EVENT / OTTER STREET FISHING CLUB INC. / UTILIZE MENOMINEE PARK (AMES POINT) FOR THEIR OTTER STREET KIDS FISHEREE / AUGUST 11, 2012 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Otter Street Fishing Club (Terry Wohler) to utilize Menominee Park (Ames Point) on Saturday, August 11, 2012, from 10:00 a.m. to 2:00 p.m. for their Otter Street Kids Fisheree 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 LICATION FOR SPECIAL EVENT PERMIT To SE RETURNED TO C ITY APP CLERK GENERAL EVENT INFORMATION Official Namee, SLclll I :von Start date: End Date: L1 a t ose of the event and all Briefly describe your event. Be sure to include the pure — planned activities. E WED THUR 4SATt VENT SUN MON TUE DATE SETUP TIME START TIME STOP TIME TEAR DOWN / CLEAN UP COMPLETED Locatio of L1- �1�5 Estimated Attendance (daily & total): Number of Booths:- - organization(s) Sponsoring Event: (including addresses) ; rArjr I 6 E ro D oEC 28 2011 0 - CITY CLERK'S OFFICE APPLICATION FOR SPECIAL EVENT PERMIT TO BE RETURNED TO CITY CLERK Primary Contact: Daytime Telephone: S Cell Phone: Fax: Email: Address: 'r City; Secondary Contact: �� Daytime Telephone: -~ Cell Phone: Fax: Email: Zip Code: Address: State: Zip Code: City: .onsite Primary Contact: 2� Cell phone: Fax: Email: Address: State: Zip Code: City: Onsite Secondary Contact:i Cell phone: Fax: Email: Address: State: Zip Code: City: NOTE Either the primary or secondary onsite contact must be present onsite at all times during the event. 7 APPLICATIO FOR SPECIAL EVENT PERMIT -- TO BE RETURNED TO CITY CLERK SPECIAL EVENT CHECKLIST (please check all boxes Mat apply) Is your event a: © Festival / Music Concert ❑ Religious I Educational ❑ Rally/ Memorial © Street 1 Block Party o Parade 1 Fun Run 1 Walla -Thon o March utilizing any Public Property ❑ P blic Assembly for Political Purpose ort Tournament (Fishing, Soccer, etc.) ❑ Other Location of event: ark or other public property ❑ Public street, sidewalk, alley, or right of way ❑ Private property Will v_�ou have © Alcoholic beverages ditional permit required from City Clerk) v o & non - alcoholic beverages (Additional permit required from He alth Dept. ) ❑ Non -food related sales and/or display booths (No additional permits required) zy-'fent and/or Canopy (Additional permit required from Inspections Dept.) igger's Hotline must be contacted minimum of 3 days before digging) ptGenerator(s) and /or additional electrical facilities (Additional pen-nit required from Inspections Dept.) ❑ Fires or Candles (Additional permit required from Fire Dept.} ❑ Fireworks (Additional pen required from Fire Dept.) ❑ Activities in a park outside of normal operating hours (Waiver required from City Council) o Barricades (Approval from City Clerk's office if in right of way) 0 APPLICATION FOR SPECIAL EVENT PERMIT -- TO BE RETURNED TO CITY CLERK ❑ Amplified Sound n Animals included or allowed in event (animals must be licensed and have proof of vaccination) ❑ Cooking Equipment (Fire Department approval required) We have made arran emenfs for: /Re and hand washing facilities ,E lid waste and recyciing services vent insurance services © P. blic safety & security 1 EMS s ctn ty I Generators Fire extinguishers ;�Idvertising with banners or signs • Drinking water • Grey water and grease removal o Weather contingencies o LP Gas ❑ Tent Heating space fntenflonally Leff Blank E APPLICATION FOR SPECIAL C VE CLE TO BE RETURNED To Name of Event: . --.j f%--r ri+%, Plan Location of Evei Date of Event: M Time the Event is to Open: r �!70�r_ Y11 Sponsor of the Event: - Estimated Attendance (daily and total): Emer enc Contact Information: ,^ l Name: Daytime Phone Number: Cell Number: q "" Name: Daytime Phone Number: Ce Number: Name: Daytime Phone Number Cell Number Primary Location of Event Staff at Event Site: - T V�T Emer enc Notification of the Publlc The public will be notified of safety and/or security issues in the following manner: 10 811�� �d �lz APPLICATION FOR SPECIAL EVENT PERMIT— To BE RETURNED TO CITY Ap CLERK Emergent Medical Services Name of Provider: Contact Person I Telephone Number; Location of Provider at Event Site: Fire Protection ` 4 Name of Provider. Contact Person I Telephone Number: Location of Provider at Event Site: Number of Fire Extinguishers: Location of fire access roads: Securi Name of Provider: "Mik 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 Contin enc Shelter Locations 06 M Have you confirmed that the locations will be open and available? Who will determine if your event is can or held? Phone n m oer Public Safe 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 I ticket booths 4. Boundaries of the event 5. Location of fences (gates must be numbered) 6. Location of exits and gates (g 7. Location of Fire extinguishers 8. Location of severe weather shelters g. Location of Fire / EMS access road 1 o. 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 S �ECCTO CITY CLERK -- To BF RETURN o. Provide any other information that you feel should be considered Yes No / I have reviewed and have considered the Conto ge cy Pla y Oshkosh along information provided by the City of O application (pages 1 12) __.-- I have reviewed and understand the City~s Insurance 'r 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 S ial Event changes to the correct, and complete to the best of my knowledge. if Special Event, I agree that I will promptly notify the City of Oshkosh of these changes and request approval of them. ( I '1. A ,, 'q, 1 �' I � r � Sn Date (print name) (print title with organization) 13 SPECIAL EVENT MMOMCATION AND HOLD HARIIH.ESS AGRMMENT (Medium and High Risk Events) R L i EVENT': � JAY^ n�v '/ ef ORGANIZER: The event organizer agrees that it and not the City, will be solely re-sponsdile 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. (b In consideration for the City's approval Of the Special Event, the organizer of this event agrees to indemnify and hold harmhess 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 4 or judgment entered against, the foregoing individuals and/or entities. City's insurance requirements for the event, including the addition of Th event organizer shall abide by the the City of oshkosly and its officers, council members, agents, employees, and authorized volunteers as additional insureds for the event. The individuals) signing - this agreement has the authority to enter into thiis agreement on behalf of the or ganizer(s) of the Special Event. EVENT ORGANIZER S (print name o organizer) (date) ( ` ��� e) (signature} (title) L 1�'K' �Us - (print name) (print title) (print name) {print title) 77