I, DIANE RAUH, City Clerk of Said City Hereby Said City of Des Moines
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~ *Roll Call Number Agenda Item Number Lll Date ._______S~pt~mJ?_~r_JQ.)QQ1 Application from Downtown Events Group for permission to temporarily place banners across E. Locust Street for the 2007 World Food Festival, October 3-7, 2007. Moved by to receive, fie and approve baners. COUNCIL ACTION YEAS NAYS PASS ABSENT CERTIFICATE COWNIE I, DIANE RAUH, City Clerk of said City hereby COLEMAN certify that at a meeting of the City Council of HENSLEY said City of Des Moines, held on the above date, KIERNAN among other proceedings the above was adopted. MAHAFFEY IN WITNESS WHEREOF, I have hereunto set my MEYER hand and affixed my seal the day and year first VLASSIS above written. TOTAL MOTION CARRED APPROVED Mayor City Clerk ~, City of Des Moines Application for Permission to Temporarily Place Banner(s) or Item(s) Over/Across Public Street and/or Right-of-Way Please submit application 45 days in advance Print or Type Applicant: -- 0 \ù N .-¡ 0 \AJ N S \J ~ NT S ~-i \rl- Address: '100 L-o U-s1- cst) Stile \00. be~S ~\Vìes 5ò3oD¡ . Contact Person: .~ :r öh- son Alternate Contact: .s e.p ¡" €-jí 1t ~ Daytime Telephone: ~. 'ß(ç - 4-Ci 4 b Cell: loi\ .- q,+d.~ d-ß(o - 4'14-d- E-Mail. Address:e \J \c ~ t-~vaLPøO~V\SOh~ do\.h...LOVì 0V3 Fax: Date(s) the banner(s) or item(s) wil be displayed: 10/. 2 - 10'. 18 ..JO 01 Purpose ofthe banner(s) or item(s): t)CnVrí ti~ - :?~howcO-se . -\A, co\A+rì .e.S ¿; +h e Lú. Dv- i dJ:olr~~wJ. e-,,P_ 1l1'IAJ:¿:ú& Preferred Location: Please provide a map or diagram of the street indicating banner location. OlJ E., LoGLLS"T 5t.e e-T ~ ~. "3i--- s+" +0 . ~~_nh AI/e__ ." C 5e c'_ lX++o.ch-éd. ') How wil the banner(s) or item(s) be anchored? -\ V- -h -b-+e__ If you plan 0 anchor to t e utilty pole, please provide written permission from the Po Ic:S, utilty company or from the City (if poles are City-owned). Such permission is not a substitute for meeting the requirements for receiving this permit. Size ofbanner(s) or item(s): . .i;AC.J/"\c i r- -"'lotjDV\ u_ - ,1",e.":: i \rope. X' 5 15 ( :: r.._~ø W\U _I rii1 \- '\tJr-rìL4-l , t ,., L":: ¡ Specifications of baDner(s) or item(s): Type of Material: L,tjh-t VJ.e-~n.+ Y\': )Ol"l.fÒ..J::Ari"L i Number of grommets used to secure banner or item: ~ ¡\Cl-\ ..\CU V\ei.5 ~ '3 v-n- p 13 IÜn d Wì i \ he tlJlCAed CL+ , -+e. +op OY\tu . Sketch of banner or item design: Wil you need electricity provided for your item?J If electricity is necessary, how would it be obtained: . w~ \ \ \-D\ N eect i; \-eC+Yib+v\ ' SPy", ~hom.lt+Æc.hel, · Indemnification: To the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf Des Moines, Iowa against any and aU of, indemnify, and hold harmless the City of claims, demands, suites, or loss, including any and all outlay and expense connected therewith, by reason of personal injury, bodily injury or death, and property damage, which arises out of the Applicant erecting, displaying, maintaining and removing banner or item display. Insurance: A Certifcate of Insurance to demonstrate compliance with these requirements shall be submitted to the City's Risk Management Offce. Applicant shall purchase and. maintain during the period of the banner or item display, including erection, display and removal of banner or item. General Liabilty Insurance with a limit of no less than $500,000 per occurrence and/or aggregate, Automobile Liabilty Insurance for owned (if applicable), non-owned and hired vehicles with a limit of no less than. $500,000 per occurrence. Both the General and Automobile Liabilty Insurance policies shall include Contractual Liabilty coverage equivalent to that included in a standard ISO insurance form with the General Liabilty edition date being no earlier than 1998, unless otherwise approved by the City of Des Moines, Iowa. If the banner or item display is part of a special event for which a Street Use Permit is granted the insurance required for the Street Use Permit wil be considered to also cover insurance otherwise required for this permit. Applicant agrees to provide all maintenance and upkeep ofthe banner(s) or item(s) for the duration that the banner(s) or item(s) is in place. Banner(s) or item(s) may be removed at the expense ofthe applicant if required by the City. ~~\/yixM~J 'iJl5/01, Signature . Date Please return to City Clerk's Offce 400 Robert D. Ray Drive Des Moines, IA 50309 . Phone: (515) 283-4209, Ext. 7 Fax: (515) 237-1645 . FOR OFFICE USE ONLY: Traffc Division approval: 'Risk Management approval: .~~ r-d--tJ7 City Council approval: Sunflower Page i of i ~\ Herzberg, Karen M. From: Rouse, Jennifer L. Sent: Wednesday, August 22, 2007 9:23 AM To: Herzberg, Karen M. Subject: RE: Downtown Events Group Karen - Our department doesn't have a problem with this. Thanks. Jen From: Herzberg, Karen M. Sent: Friday, August 17, 20074:48 PM To: Rouse, Jennifer L.; Schultz, Mark J. Subject: Downtown Events Group Attached the banners/flags for the World Food FestivaL. Please review. We would like to put this on the September 10 meeting. Thank you. Karen Herzberg City Clerk's Offce 400 Robert D. Ray Drive Des Moines, IA 50309 #237-1389 10 i I i l__~I J 8/22/2007 DATE (MMIDDNY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE T 08/01/07 PRODUCER 1-800-247-7756 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Holmes Murphy Ii Assoc - WOM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXEND OR P.O. Box 9207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Des Moines, IA 50306-9207 Dave Olson INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Philadelphia Insurance Company Greater Des Moines Partnership INSURER B: Acui ty 700 Locust St., Suite 100 INSURER C: Des Moines, IA 50309 INSURER 0: INSURER E: COVERAGES 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO' POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS A ~NERALLIILIT PHPlt219694 03/01/07 03/01/08 EACH OCCURRENCE $1,000.000 ~~~~~~~OE~~~iuE~"CO I-X $100,000 ..ED EXP (Anv one oolSon! $ Excluded ,- 5MMERCIALCLAIMS GENERA MADE L!LIABILITY OCCUR I- PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $ 2,000,000 ~'LAGG~EñE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 2.000.000 X POLICY ~flR; LOC A PHPlt219694 03/01/07 03/01/08 ÆTOMDBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea oceldont) - ANY AUTO ---- I-- . ~..- ALLOWNEDAUTOS BODILY INJURY - $ (Po, paraon) - SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY - $ -X NON.QWNED AUTOS (Po, accldonl) PROPERTY DAMAGE $ (Po, occldanl) ~GE LIILIT AUTO ONLY. EA ACCIDENT $ EA ACC ANY AUTO OTHER THAN $ AUTO ONLY: AGG $ A ~ESSIUMBRELLA LIABILIT PHU080669 03/01/07 03/01/08 EACH OCCURRENCE $ 4,000,000 X OCCUR D CLAIMS MADE AGGREGATE $4,000,000 $ ~ DEDUCTIBLE $ X RETNTION $ 10,000 $ X I TIX~~T~JI~~ I ¡0,J!;- B WORKERS COMPENSATION AND L56045 03/01/07 03/01/08 EMPLOYERS' LIABILIT E.L. EACH ACCIDENT $500,000 my PROPRIETORlARTNERJXECUTIVE OFFICERIEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 ~~i"c~~Rti~~~NS bolow E.L. DISEASE. POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE. Wells Fargo World Food Festival October 5-7, 2007 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON City of Des Moines DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn. Mark Schultz IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 400 Robert DRay Drive REPRESENTATIVES. Des Moines, IA 50309 AUTHORIZED REPRESENTATIVE USA ~~lI ACORD 25 (2001/08) apetersenwdsm ACORD CORPORATION 1988 6768792 ,\\ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certifcate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affrmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) 3nN3A\i NN3d S \-1.i. 1.13\13 1.33'Ò~ . ~~ ~ ~(, S -co .ç:C5 ~ ~ --= . ¿( *~.'~ -~ ~ ~. .~ to ~ ~ij ¿( .. 13 \-Ì-~ 1.13\13 u) l-~ô'Ò); .' , 'r l.S\j~ 1.33'Ò1.S \-1: Page 1 of3 '\ \ Beth Johnson From: Beth Johnson Sent: Tuesday, August 14, 2007 1 :59 PM To: 'Rouse, Jennifer L.' Cc: Witmer, Jody R.