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HomeMy WebLinkAbout12-21 JANUARY 24, 2012 12-21 RESOLUTION (CARRIED___6-0_____LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVAL OF SPECIAL EVENT / OTTER STREET FISHING CLUB INC. / UTILIZE MENOMINEE PARK (MILLERS BAY & PARKING LOT) FOR THEIR OTTER STREET FISHEREE / FEBRUARY 3 & 4, 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 (Millers Bay & Parking Lot) on Friday, February 3, 2012 from 5:00 p.m. to 11:00 p.m., and Saturday, February 4, 2012 from 9:00 a.m. to 6:00 p.m. for their Otter Street Fisheree 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 Street Department Barricades / Signs ($15 preliminary estimate) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official Name of Special Event: I � Stan Date: t End Date: �2 Briefly describe your event. Be sure to include the purpose of the event and all EVENT SUN MON TUE WED THUR FRI SAT DATE c� ` SETUP TIME ' (� f START TIME 'per ,pp STOP TIME ;f a .Oa TEAR DOWN CLEAN UP COMPLETED Location of •''�� � �� Estimated Attendance (dally & total): LO Number of Booths: 0 m A DEC 28 2011 CITY CLERK'S OFFIC is (inciud��� APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Primary Contact: N -- Daytime Telephone: 1 u Cell Phone: 7 Fax: Email: Address: City: � Secondary Contact: State: W i Zip Code: Daytime Telephone: Cell Phone: Fax: Email: Address: City: — State: Zip Code: Onsite Primary Contact:, b Cell phone: Fax: Email Address: State: Zip Code: City: Onsite Secondary Contact: Cell phone: Fax: Email: Address: State: Zip Code: City: NOTE Either the primary or secondary onsite contact must be present onslte at all times during the event. APPLICATION F OR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK SPECIAL EVENT CHECKLIST (please check all boxes that app1Y) Ls it event a: �esfival 1 Music Concert ❑ Religious / Educational © R Memorial ❑ Street I Block Party ❑ Parade i Fun Run I Walk a -Than ❑ March utilizing any Public Property © P lic Assembly for political P ep os po Toumament (Fishing, S occer, e tc-) o Other Location o _ event' Park or other publicproperty , or right of way o Public street, sidew a lle y, ❑ Private property. = ve: c beverages ( ditional permit required from City Clerk) od & non - alcoholic beverages Health Dept.) (Additional permit required ❑ Non-food relate s ales requ or display booths ( additional permits t and/or CanopY (Additional permit required contacted min mum o 3 days before digging) gets Hotline must be Generators) emit re 'd from Inspec (Additional p ❑ Fires or Candies (Additional permit required from Fire Dept.) Fireworks tAdditiai7al permit required ts'de of normal operating hours © Activities In ' a. p Council) alver required from City ) VBarricades (Approval from City Clerk's office if in right of way) TION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY APPLICA CLERK Amplified Sound ev ent Q Animals included or allowed in imais must be licensed and have proof of vaccination) Cooking Equipment (fire Department approval required) We have made arran ements for: ;F�qstroom and hand washing facilities id waste and recycling services Event insurance S services o p lic safety & security 1 EM �ectricity 1 Generators r extinguishers bann or signs Advertising with • Drinking water • _grey water and grease removal ather contingencies LP as L Heating Space Intentionally Left Blank 0 ER APPLICATION FOR SPECIALC EVENT TO BE RETURNED TO S Event Public Safe and'�Se Plan Name of Event: Location of Event: S Date of Event: C — 6pni Time the Event is to Open: m Sponsor of the Event: - Estimated Attendance (daily and total): Emer enc Contact Information: Name: Daytime Phone Numbe . Cell Number: Name: Daytime Phone Number: Cell Number: Name: Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: Emer enc Notification of the Public Th e p ublic will be notified of safety and/or security issues in the following manner: 10 ECIAL EVENT PERMIT To BE RETURNED TO CITY APPLicaT�oN FOR SP CLERK Emer enc Medic I Services Name of Provider: Contact Person 1 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: Location of fire access roads: Securi Name of Provider: Contact Person I Telephone Number. Location of Provider at Event Site: — Location of Missing Persons Station: Event Parking Locations: -- . 11 APPLICATION FOR SPECIAL EVEN PERMIT — CLRK Severe Weather Cont enc Who will determ Public SafeW Site Plan ust be Provide a schematic drawing of the event site location. include heg hosing legible and drawn to scale. The public safety plan 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 nd gates (g ates must be numbered) 6. Location of exits a 7 Location of Fire extinguishers 8.- Location of severe weather shelters 9. Location of Fire 1 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 TO BE RETURNED TO CITY r� it 12 Have you confirmed that the locations will be open and available? I n r APPLICATION FOR SPECIAL EVENT PER _ TO BE RETURNED TO o Provide any other information that you feel should be considered Yes No lan I have reviewed and have considered hkos alogg v ___- information provided by the City o 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 1 5) 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 of the event I am allowed to sign this application on behalf al Event permit true, correct, o information contained in this application for a Spec changes to the ai and complete to the best of my knowledge. If there ere of Oshkosh of these Special Event, I agree that I wll promptly notify the City changes and request approval Date (print name) (print title with organization) 13 SPECIAL EVENT INDEWMCATION AND HOLD HARNMESS AGREEMENT (Medium and High Risk Events) 04ick aL�2� ��ee, EVENT: //�� ORGANIZER _ V `l FC-- — 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. ,G 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 oi, or judgment entered against, the foregoing individuals and/or entities. The event organizer shalt 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 b ehalf of the organizer(s) of the Special Event. EVENT ORG �t < ;5� (print name of org ) 1 co - —t� (date) Zg (signature) (title) Zi re-, L (print name) (print title) (date) (signature) (title) �� • (print name) (print title) 17