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Home My WebLink About22. 12-58 FEBRUARY 14, 2012 12-58 RESOLUTION (CARRIED__7-0___LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVAL OF SPECIAL EVENT / OSHKOSH SOUTHWEST ROTARY & MILLS FLEET FARM / UTILIZE MENOMINEE PARK FOR BATTLE ON BAGO (ICE FISHING TOURNAMENT) / FEBRUARY 24 & 25, 2012 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Oshkosh Southwest Rotary and Mills Fleet Farm (Glenn Curran) to utilize Menominee Park (Miller’s Bay), on Friday, February 24, 2012, from 5:00 p.m. to 11:00 p.m. and Saturday, February 25, 2012, from 5:00 a.m. to 11:00 p.m. for their Battle on the Bago (ice fishing tournament), 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 ($30 preliminary estimate) APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION Official N e of Special Elwt: -44-0 tipPa Start Date: I a)J---) I ) End Date: a Ilas Briefly describe your event. Be sure to include the purpose of the event and all planned activities_ C-)2, ✓rC lO r\ 0111?Os f`4• q1R-, 7•1 _ I.S C e err or‘ U1/4J1S(b k, dai 3i i - -,- S to dal ` b A Ina C F.�Ck_ L03�� EVENT SUN MON TUE WED THUR FRI SAT DATE 0,14c) aS SETUP TIME Arn START TIME 5 Ph-15 11-1-n STOP TIME I/ -Pm 1) P1 TEAR DOWN / CLEAN UP COMPLETED b Fr►'\ Lo of Event: 0)1-u/raiz.— 714 \.) LY)1(') L; Estimated Attendance (daily & total):1 G Q d ')-)2 Number of Booths: } rct Lc Sid-700J a J�,9 Organization(s) Spo rin Event: I 04\1Lbsk /(including addresses) ).■O E L �f� rEi 0us� iv C S1-(yo.3 V JAN 11 2012 CITY CLERK'S OFFICE III� APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK Q �` C Q.6 Primary ry Contact: nr. CU{4 Daytime Telephone L4 ) VJ a31v " �61��1 (,)� Cell Phone: L o) U)0 - 0313 v,3p�( 1A.SrtCS�k ` ,Cor► Fax: �6i�ol 37ct-los- )3 (c Email: -Q►�R.Cllfcw gSSaCiccc( � C I � ;:z ti::. f f (5p �`�l13 ra lQv\ Addre s: - � City: U se State: 'WI Zip Code: 9--/GJ �) Secondary Contact: lV-� e U S Daytime Telephone:Lq .o) (4 l0— j 1P�� Cell Phone: �- Fax: l Email:�r SUSS Q �Pl O-�-o Address: v r City: State: Zip Code: Onsite Primary - onta : b1 ti C Cell phone: ( J2,0 ) 14)o — 03 Email: Address: City: State: Zip Code: Onsite Secon ar C nt ct: I d Gi c 9 Cell phone: l ) 1 ti- Gip%r}— Fax: Email: kt,tSS (le \-) co W\ 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) 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.) ❑ Other Location of event: ---trPark 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) 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) arricades (Approval from City Clerk's office if in right of way) APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK rMplified Sound ❑ Animals included or allowed in event (animals must be licensed and have proof of vaccination) >;i--Cooking Equipment (Fire Department approval required) We have made arrangements for: Restroom and hand washing facilities Solid waste and recycling services Event insurance h, Public safety & security/ EMS services "Electricity/ Generators Fire extinguishers \Advertising with banners or signs Drinking water Grey water and grease removal Weather contingencies LP Gas Tent Heating Space Intentionally Left Blank APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK Special Event Public Safety and Security Plan Name of Event: )3C46 di- L O Location of Event:I ' -16 — 111 I I l.6S Date of Event: )-1 Time the Event is to Open: 5 )?},-� Sponsor of the Event: 1)9Abck � ( ) hi 1 1) ( le nm Estimated Attendance (daily and total): )) i Emergency Contact Information: Name: 1-CYvry Cl.li�(c�r� Daytime Phone Number: C L)a o ) 10—03 13 Cell Number: 5c{,ri Name: "<dd )2euS5 Daytime Phone Number: q;40 1-/ 1C - '(p d Cell Number: Name: Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: ► l Harr-i.r,-e e, '�c )111)11; 15 Emergency Notification of the Public The public will be notified of safety and/or security issues in the following manner: - 144 PIP/ il4d i o �� . APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK Emergency Medical Services Name of Provider: \V\ Cow -erne i Contact Person I Telephone Number: l Location of Provider at Event Site: Fire Protection Name of Provider: \'l C Q v y Contact Person I Telephone Number: C"L"' q I 1 Location of Provider at Event Site: Number of Fire Extinguishers: Location of fire access roads: Security A . Name of Provider: 1 v�,� i n Y ,e— ,a�'`„CI".& S.C,CA-� Contact Person / Telephone Number: Sq(1; 'C1-1---1 r 5tA, -9-- Location of Provider at Event Site: Location of Missing Persons ..Stt�atiion: p Event Parking Locations: L 11- t CC-1 -- Z-'r;� Luc--t,-Y-1 2-ti`-f,---,—. APPLICATION FOR SPECIAL EVENT PERMIT— TO BE RETURNED TO CITY CLERK Severe Weather Contingency g\1-4.v■k (Cn C Re,k_ C--,cQ- 1(1F - -i'IC rve x? c -- Shelter Locations: Have you confirmed that the locations will be open and available? Who Veletermine ityour event is cele r held? Phone number: 1 1 Jc,l i t ) L 10- 13 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 Provide any other information that you feel should be considered Yes , No 'N.. have reviewed and have considered the Contingency Plan information provided by the City of Oshkosh along with this \.7 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 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 Spe '.I Event, I agree that I will promptly notify the City of Oshkosh of these c-ang•s and r-•t est approval of them. // 7 1 -- 41: ,2_ , 4111111111 , A� /./1.� Date (print name) (print title with organization) SPECIAL EVENT INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (Medium and High Risk Events) EVENT: BaAkk or, 6 ORGANIZER: ' cO)A-Olikr-A' 'te-sf-cp\f i �`�' \ U lel�1(Z C U i i g r\ 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, '► On )27.-, 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 C:7\e.'r,r C...\AV ta>•—■, .rint name of organizer) A19 ) id-- (date) (date) (s' nature) (title) (signature) (title) ✓) :. (°, (print name) (print title) (print name) (print title) A_3 Z F°- 3 - 0 0 • • J+ -t -x • • ri a c5 >4 pop 1 a a ot v` d 43- • • C1 Nd , X09 ut El] oL �-3 Ll I ,m Jn