5.b) Special Event Permit, Meister's Bar and Grill Taco Daze �
Meeting Date: 8/3/2010
Agenda Item: ��- �,
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City Council Agenda Report
City of Scandia
14727 209`h St. North
Scandia, MN 55073 (651) 433-2274
Action Requested: Consider approving a Special Event Permit for Meister's Bar and Grill
for its Taco Daze Events (Friday and Saturday, September 10 & 11,
2010.)
Deadline/ Timeline: N/A
Background: • Meister's Bar and Grill, located at 14808 Oakhill Road North,has
applied for a Special Event Permit; this permit is reviewed under
the provisions of Ordinance No. 115 which became effective on
September 17, 2009.
• The bands `Boogie Wonderland' and `Underacheivers' and a"teen
idol" event will perform on an outdoor stage. Both bands will
perform from 8 p.m. to 12 p.m. and the teen idol event occurring
during the afternoon (Saturday, 9/11)between 1 p.m. and 4 p.m.
• There will be a $2 cover charge and Meister's will supply 4
WCSO Deputies Saturday and 2 WCSO Deputies on Friday for
security. Multiple trash receptacles will be provided along with 2
dumpsters. Sanitary facilities will consist of 12 portable toilets
provided outside of the bar by Vacuum Excavating and the
restaurant's 2 interior bathrooms.
• The selling of beer will occur outside on Meister's property as
well as a beer garden. The original application included beer sales
to the west of the building,but because this is not on the Meister's
premises covered by their liquor license, it has been deleted from
the request. There will be food available from the inside kitchen
as well as chips and other food items outside.
• Parking will occur on site, available street parking and the
adjacent parking lot owned by the City. The City of Scandia is
named as an additional insured on the Liability policy because of
the use of City property for parking.
• This would be the second permit issued for an amplified special
event to Meister's in 2010. The ordinance allows no more than
four at any one location in a calendar year.
Recommendation: It appears that all ordinance requirements have been met. Staff
Page 1 of 2
07/28/10
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recommends that the following conditions be attached to the permit:
1. The event shall be held as described in the application received
on June 1, 2010, as revised.
2. Any vendors present on the site shall possess a sales and use
tax permit if required by Minnesota law.
3. Any signs or banners shall comply with the Scandia
Development Code.
Attachments/ • Special Event Permit Application
Materials provided: . Release and Indemnification Agreement
• Washington County License to Operate
• Certificate of Liability Insurance
Contact(s): Scot Taylor, Meister's Bar and Grill
763 433-5230
Prepared by: Steve Thorp, Code Official
(Meister's 2010 Taco Daze)
Page 2 of 2
07/28/10
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CITY OF SCANDIA - -
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�p����:� �����.� �e���t �����c�.��on
INSTRUCTIONS: Fill aut this farm complete}y,sign it a�i&iac2ude alI rec�uire�attachments. If additional space is
needed,attach additianal sheets. Sub�nit to the Ciiy of Scandia at Ieast 3d days prior to the date of the event wiEh the$25.00
pernut fee. You will be notified at the time of application of the date for City Council consideration of the request.
1. Nan�es �urp�se aud desct�i��ior� of ev�nt:
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Locatian address: � ��� � �(��'����� _ � •
Date(s}: �"j�'' ��T� �� � �
--��e
Event stariing Time: �'i�, — 5;�t� :���" /��1 � Event ending time: '�,!,�(�' �� �'�
Set-up start date and time:
Dismantle by- date and time: ,� ' '� — � (' ,� ,��
Anticipated number of pariicipants and/or spectators: . � '� , . �� `C` . � . /� � �
If there is a fee or donation required as a condition of
attendance, please descrihe: �' �� �a(� �, " 4��
Z. A.ttact� sketct� a�-srte �t�� sh�R�g th�t�catic�n af�fie fo�oR�ing�s applicable:
route (beginning/end, direction of travel, _ fo�d concession are�s (cooking, serving,
tr�c control points) consumption)
_ ticketing/registration/ent�� locat�ans _ alcahQlic beverage concession area
_ entertainment ar stage Iacations _ other c�ncession area.s
_ portabte toiiet facilities _ size�d IacatiQn of ar�y tents oF structures
_ fencing locations _ trashlrecycling rece�tacle area
_ parking areas for partieipa�ltsl spectators _ fire��rQrks or pyrotechnics site
_ sign lacations _ first aid facilities
_ speaker(sdund arnp�ific�,tia�� �ocations _ ot�er as may be applicable
City of Sccr.�a�'la,Speciad�'vent Permit Application,Page 1 of 7
,
3. t4.��ii�a�t�tf�rm�.ti�n:
Name: ...���� ��- � Title: ��J 1�� �^
Address: 1��(,l� �s ���r� � ��.
Phone: � ��'� �'��" ��r �� Ceil:
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E-Mail: ��IJ "��. ,� � , �✓Y�
Affiliation/organization: ��'�, `� �'(�� �� � (��' �(`� �� �t�
—� �'�
Are you an autharized applicant for this organization? Yes�No
VJill this person have authority to cancel or maciify event plans? Yes �. No
Will this person be present at the event and in eharge of the ev�nt
at all times? Yes�No
If no,provide contact information for perso� who will be the
responsible party on the day of this event
Name: Titie:
Address:
Phone: Cell:
E-Mail:
4. Enterta�n�e�t:
Describe entertainment plans. If there wi�l be musie, saund amplification or any other noise impact,
please describe including the intended hours.
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5. Sanitatian!pr�tab�e w�tet�:
Descz-ibe the toilet and hand washing facilities present on the site(type, number& location) as well as
temporary/partable faciiities to be provided. Describe flle so�rce of potabl�(drinking)water.
YV ��I � � .'��/` �LJ .� . �'
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City of Scandiq Special Event Permit Application,Page 2 of 7
6. Parking and traffic cQntt�cri:
Describe the lacation and nu�nber af pa.rking s�aces ava��ab�e. I�escr��e arrangements that have been
made for trafhc control.
,
�—.�'�� �� �J '.� �=�'� ���` ��c,� ���t��`�
7. Emergency/m�dic� s�r-c�ices:
Describe measures th�t�uitl b�e take�to ensur� emerge�cy vel�iele acc�ss (�alic�, �re, ambc�anc�} to
the event a.rea.
������ � tc�c�` �
�. SCCUi1�I CT'6RIrd martag�mercte
Descr�be yaur propased prace�ures artd staffing far the event o�era�ions and cra«�d contra�.
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9. '�rash/�°ecy�ling,event clea�-�ap:
Descnbe the number,t��pe and locanon of trash/recycling containers to be provi�ed. What provisions
have been made for ctean-�of the site and surronnding area after th�event?
�v ��,fJ_� Icj C� n`S
��� �� �� �
Name of trash/recycling�auter: �`(�.,a� `�Yl �.`'fl����!'}P11�
`n
IQ. L�gh�n�:
Describe any tet�porary or permanent IiglitiF�g�Iiat�vill v�added for t4�e event.
Citv af Sccmdia,Special Event Permit�Ipplication,Page 3 of 7
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13. I�dema�if�catior�:
Ordinance No_ 119 requires that a special event permit holder shall agree tc� defend, indemnify and
hold the City, its afficers and employees harmless from any liability, ciaim, damages, costs,judgments,
or expenses, inctuding at#omey's fees, resulting directly or indirectly from an act or omission
including, without limitation,professiaual errors and omissiQns of event promater,its agents,
employees, arising out af ar by any reasan of the conduct of the activity aatharized by such permit and
against all loss caused in any way by reasan of the failure of the event promater to fully perform all
obligations under this ardinance. Plec�se complete the redease an�L indemrtifica€ion agreement and
atPach to this appl�catiorc.
�0. Insurance
As a condition af the granting of a permit for a special event conducted on public property or public
streets or parking lots,the permit kolder shall grovide to the Caty a public Iiability insurance policy
naming the City as an adciitional insureci ent�ty with limits af not Iess than one million dallars per
accurience. Pleo.�e�rltrcel�the cet°ti�cate�}}�'ansurance to thas appl.ic�ation.
,�....�..... ..__ ....�_�, ... _..
THE MINNESOTA DAT'A PRACTICES ACT requires that we infarm you of your rigl�£s about t1�e pt•ivate
data we are requesting on this fornz. Prrvate data is available ta you, but not to the public. We are requesting
this data to determine your eligibil�ty for aper•rrtit fYorrz the Cify af Scandia. Provrding tl�e data may disclose
information that cauld cause your applicafion t6 be denied. Yozc are nat legally required to provide the data;
however, refusing to suppdy t�Ze dafa may cause your permJt to not be processed. Pour residence address and
telephone number will be corsidered public data uf�fess you request this�nformation to be private and provide
an alternative address andtelephone number. Please sign below to indicate that}rou have read this notiee:
-, -�----"''
/-`_— C"' , ' .
Signature: ��� Date: �_ _
_ t'�-- _
I request thai my residence address a�ad fele�hone number be cansidered private data.
Mv alternative address and telephone numher are as fallows:
Address_ _ Telepho�te:
� �.:.:���-� ...�..,» �-::�:�_. ..d. .
Aclanav��iec�gement/Sig����e:
I hereby acknowledge receipt of a cop}�of this application form and Ordinance No. 119,Establishing Rules and
Regulations for Speciai Events, and s.gree to abide by the ordinance and any other conditions that the City of
Scandia may place upon issuance of tlus permit.
�„o,�--�--�- .� _ � �
Signature: ,✓ I?ate:
City of Seandia,Speeial E'vent Perrnit Application,Page 6 of 7
■ _
.
-SPECIAL EVENT SPONSOR-
RELEASE AND INDEMNIFICATION AGREEMENT
CITY OF SCANDIA, MINNESOTA
THIS IS A RELEASE OF LIABILITY INDEMNIFICATION AGREEMENT. SPECIAL
EVENT PERMIT HOLDER MUST READ CAREFULLY BEFORE SIGNING.
In consideration for being permitted to engage in the following special event activities in Scandia:
`` "�� ��
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Special Event Permit Holder hereby acknowledges,represents, and agrees as follows:
A. We understand that the above described activities are or may be dangerous and do or may
involve risks of injury, loss,or damage to us and/or third parties. We further
acknowledge that such risks may include but not be limited to bodily injury,personal
injury, sickness, disease, death, and property loss or damage, arising from the following
circumstances, among others:
(Special Events Permit Holder initials here) �t
B. If required by this paragraph,we agree to require each participant in our special event to
execute a RELEASE AND INDEMNIFICATION AGREEMENT for ourselves and
for the City of Scandia, on a form approved by the city.
Participant Release and Indemnification required?YES k NO_
(Special Events Permit Holder initials here) �t
C. We agree to procure, keep in force,and pay for special event insurance coverage, from an
insurer acceptable to the City of Scandia, for the duration of the above described
activities.
(Special Events Permit Holder initials here)
1
i
D. By signing this RELEASE AND INDEMNIFICATION AGREEMENT,we hereby
expressly assume all such risks of injury, loss,or damage to us or any related third party,
arising out of or in any way related to the above described activities,whether or not
caused by the act, omission,negligence, or other fault of the City of Scandia, its officers,
its employees,or by any other cause.
��
(Special Events Permit Holder Initials here) J c
E. By signing this RELEASE AND INDEMNIFICATION AGREEMENT,we further
hereby exempt,release and discharge the City of Scandia, its officers, and its employees,
from any and al] claims,demands, and actions for such injury, loss,or damage to us or to
any third party,arising out of or in any way related to the above described activities,
whether or not caused by the act, omission, negligence,or other fault of the City of
Scandia its officers, its employees,or by any other cause.
C ,
(Special Events Permit Holder Initials here) J (
F. We further agree to defend,indemnify and hold harmless the City of Scandia,its officers,
employees, insurers, and self insurance pool, from and against all liability, claims, and
demands, court costs and attorneys fees, including those arising from any third party
claim asserted against the city, its officers,employees, insurers or self insurance pool,on
account of injury, loss or damage, including without limitation claims arising from bodily
injury,personal injury,sickness,disease,death,properiy damage or loss,or any other
loss of any kind whatsoever,which arise out of or are in any way related to the above
described activities,whether or not caused by our act,omission,negligence,or other fault
of the City of Scandia,its officers,its employees,or by any other cause.
(Special Events Permit Holder Initials here)
G. By signing this RELEASE AND INDEMNIFICATION AGREEMENT,we hereby
acknowledge and agree that said Agreement extends to all acts,omissions,negligence,or
other fault of the City of Scandia,its officers, and/or its employees,and that said
Agreement is intended to be as broad and inclusive as is permitted by the laws of the
State of Minnesota. If any portion thereof is held invalid, it is further agreed that the
balance shall,notwithstanding,continue in full legal force and effect.
(Special Events Holder Initials here) ��
H. We understand and agree that this RELEASE AND INDEMNIFICATION
AGREEMENT shall be governed by the laws of the State of Minnesota and that
jurisdiction and venue for any suit or cause of action under this agreement shall lie in the
courts.
(Special Events Permit Holder IniNals here) � �
I. This RELEASE AND INDEMNIFICATION AGREEMENT shall be effective as of
the date or dates of the applicable special event, shall continue in full force until our
responsibilities hereunder are fully dischazged, and shall be binding upon us,our
successors,representatives,heirs, executors, assigns, and transferees.
,
(Special Events Permit Holder Initials here) �
2
IN WITNESS THEREOF, THIS RELEASE AND INDEMNIFICATION AGREEMENT is
executed by the special events permit holder, acting by and through the undersigned,who represents
that he or she is properly authorized to bind the Special Events Permit Holder hereto.
PRINTED NAME OF SPECIAL EVENTS PERMIT HOLDER:
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PRINTED NAME AND TITLE OF PERSON SIGNING ON BEHALF OF SPECIAL EVENTS
PERMIT HOLDER:
Name
Title
Signature
Date
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����gwn Department of Publlc Health and Envlronment
��1�� 14949 62nd Stteet North PO Box b
Sflltwater MN 55082-0006
� Office; 651-430-6655 Facslmile: 651-430-6730
--- - —_-�---
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Establishment: Meister's Bar & Grill Inc, j
License Number: 9416
License Type U�nits Valid period
Additional Facility-Bar 1 1/1/2070- 12/31/2040 I
Food Establishment > 18 Ernplt>yyees 1 1/1/201fl- 12/31/2010 I
Private Sewer&Water `r�� , ,' ��� 1 , I
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I Site Address; �1480$�akhl�,l�t�N , . Owner: Met�tec's Bar,& Grlll Inc
Scandla AllPf S�U7� : ` .. Address: l i t$0 H�ruia AVE N
Phone: ` 651-�33-5230 : � '�Hugo M(�: 5�038
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IMelster's Bar & Grlll Inc. I�'fiereby li�ensed and authodzed:�o o{�e�a#e In�fVc}shington County, Is subJect to
' all provisions and cbndltlons of the appl�able Ordlnclnc�,ond satd)Icense Is revocable for vlolatlons
� thereof. � -
i Thfs Ucense Is condltional t�y a#tached Genercrl and Speclfic CondMlons and the condltions must be I
; posted wlth the Llcense.
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Dated; October 26, 2009
Amanda Strommer --- _.--- ------ I
Program Manager �
-- — - -- --- --- - - -----__----------�
_ THIS LICENSE MUST BE POSTED and Is NON-TRANSFERABLE -- ---- -- -�j
If ycw need asslstance due to dlsabllfty or languoge barrler,please call 651-430-6655(TiY 651-430-6246)
, Equal Employment Opportunfly/AttlmwtNe Actlon Page 1 of 2
�
A��� DATE(MM/DD/YYVY) ,
� GE�TlFICATE OF LEA,BlL[TY iNSURANCE 03/03/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED HY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTiTUTE A CONTRACT BETWEEN THE ISSUING INSURER�S�, AUTHORI2ED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
1MPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the poficy,certain policfes may require an endorsement. A statement on lhis certiticate does not confer rights to the
certificate holder in Ileu of such endorsement(s).
CRODUCER CONT T guSE, JoAnn E
Security State Agency °�N.�;_ 651-433-5753 F�c,No�: 651-433-3205
21190 Ozark Avenue North E�� ,
P. O. BOX 190 PROD ER
Scandia, MN 55073 �t�o��o�• 1002301 _
INSURERfS)AFFORaNG COVERAGE NAIC N
INSURED INSURERA: RAM MUTUAL INSURANCE �
MEISTER'S BAR AND GRILL, INC, DBA INSURERB:
S. T. REALTY, LLC
INSURER C:
14808 OAKHILL RD N --- - — - --
SCANDIA, MN 55073 INSURERD: _ _ ^,
INSURER E:
I
651-762-8083 651-433-5230 INSURERF: ~
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANGE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL.L THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�LTR TYPE OF INSURANCE �� �—pOLICY NUMBER MatPo�YpNVYVFF �PAM/upD/YyY�Yy L1MrtS
GENERALLIAB�LRY EACHOCCURRENCE S 1,000,00C
I "bAxfA�E�O REN�TE�—
A X�COMb1ERCIALGENER4LLWBILITY �CP179190.00 1z/28/2004I12/2B/2010i pREMISES(Eexcurrente . S _ 100,00C
I J GUIMS-MADE �OCCUR I }MED EXP(Any one person) �S 5,0 0 C
I � I PERSONAL 8 ADV INJURY S 1,000,00 C
� GENERAL AGGREGATE I S 2,O 00,O O C
�GEN't AGGREGATE LIMIT APPLIES PER: �PRODUC7S-COMP/OP AG6 S 2,0 00�00(
POLICv�PR�- lOC b
AUTOMOBIIE LU181LfTY � COMBINED SiNGIE LIMIT S
(Ee accitlent)
ANY AUl'0
� ;8001Lv INJURY(Per person) S
ALL OWNED AUTOS '�
.BODILY INJURY(Per attitlent) S
SCMEDULEO AUTOS �
PROPERTY DAMAGE S
HIREO AUTOS � (Per xcident)
NON-0WNED AUTOS � t
-- — s
- UMBRELU lIAB OCCUR I ! EACH OCCURRENCE $ -- _
�C�� CLAIhiS-MADE� AGGREGATE S — —
DEDUCTIBLE � , I � S
. RETENTION S
WORKERS COMPENSATtON WC STATU- W
AND EMPLOYERS'11ABIlRY y�N _�T9_ $ : ___ _
ANV PROPRIETORlPARTNERlE7(ECUTNE ❑ N�A I E.L.EACH ACCIpENT S
OFFlCERIMEMBEREXCLUDED9 --�--_ _.
(Mandatory In NM) I E.L.O�SEA$E•EA EMPLOYE� S
HyE5 describe under E.l.DISEASE-POLICV�{MIT $
DESCRIP710N OF OPERATIONS Mlow
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DESCRIPTION OF OPERATIONS/LOCATIONS!VEMIClES (Atfaeh ACORD 101,AdANion�1 R�marks ScMduN,N moro sp�ea Is rpulr�d)
INCLUDING THE CITY OF SCANDIA AS ADDITIONAL INSURED WITH RESPECT TO TWO EVENTS SPONSORED BY MEISTER�S BAR
AND GRILL USING THE CITY'S PAFtKING IAT LOCATED ADJACENT TO MEISTER'S BAR AND GRILL ON 5/22/2010 AND TACO
DAZE ON 9/10/2010 AND 9/11/2010
CERTIFICATE HOIDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE TMEREOF, NOTICE WILL BE DELNERED IN
CITY OF SCANDIA ACCORDANCE WITH THE POLICY PROVISIONS.
14727 209TH STREET
SCANDIA� MN 55O�I3 pUTMORI2EDREPRE�ENTATIVE
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✓ 81988-2009 ACORD CORPO TION. All rights reserved
ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD