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HomeMy WebLinkAboutYCCS'f iYAKIMA COUNTY February 16, 2017 Kittitas County Commissioners 205 W. 5th Suite 108 Ellensburg, WA 98926 RE: Yakima County Crime Stoppers "Your Canyon for a Day" May 21, 2017 Dear Sirs: HOZ frZ In preparation for our 13th annual Bike Tour on May 21, 2017 we have sent the following for your review and approval. A Event Application • An attachment to the Event Application • Certificate of Insurance from State Farm naming Kittitas County, Yakima County, Washington state Patrol, BLM, WSDOT and Federal Government as additional insured or certificate holders. • Application for exemption from permit. • $200.00 Administration fee. We are again requesting a waiver of the $5,000.00 cash or bond provisions of KCC 5.2.100. This is the 13th annual ride in the Yakima River Canyon. We are confident that we have sufficient safe guards and precautions in place, including many members of various law enforcement agencies to mitigate any risks. Thank you once again for your time and consideration of our application. Sincerely yours Mark Peterson President, Yakima County Crime Stoppers (509) 728-4329 Kittitas County, Washington BOARD of COUNTY COMMISSIONERS EVENT APPLICATION Thank you for your interest in holding a special event in Kittitas County. Please complete and return this application along with any other materials to the Kittitas County Board of Conimissioners at least. 60 days prior to the day upon the event is scheduler/. Any misrepresentation in the application materials or deviation from the final agreed upon route and/or method of operation described may result in the immediate revocation of an issued permit. Specifics outli ihig Event Permits can be viewed at http:/ /www.co.kittitas.wa_us/hoc/r'[1nnivf odo/tiflo c; icn Event Information Name of event: Canyon for a fla Bike Tour Date(s) of event: May 21, 2017 Hours of operation: 8:00 am - 4:00 Description of the event: Bicycle ride througFt Yakima River Can on Has this event taken place before? V No Dates: Past 11 yrs in May Estimated attendance: 1,000 including volunteers How is your event being publicized? Bike shops, email website Please attach any flyers, posters, etc. with your applicatimi submission. Contact hiforrrtation Naive of the organizer/contact person; Yakima County Crime Stoppers - Mark Peterson Address: PQ Box 11056 Yakima VILA 98909 Phone number(s): (509)728-4329 Email address; hhfurniture4 aol.com Date of birth of applicant: -5/3/1960 KITTITAS COUNTY COURTHOUSE • 205 WEST 5'h, SUITE 108 • F.LLFNSBURG, WA 98926 (509)962-7508 • FAX (509) 962-7679 www.colittitas.wa.us If the application is made on behalf of a partnership, please submit full names with their residence and post office address for a period of six months prior to the date of application together with the location of principal office or place of business of such corporation. Emergency contact name(s) and phone number(s) that can be contacted during the event: Mark Pet r on _(509)728-4327 Name Phone Number -R_Qy Sishiki g Name Phone Number WRITTEN PERMISSION TO ENTER EVENT SITE I/ We hereby permit law enforcement and/or County officials to enter the site for which the Event Application has been granted at the time of the event and up to five days prior to the event for the purposes of inspecting and enforcement of County Code and other applicable laws, and pursuant to my agreement and representations made in connection with this Event Application. SWORN STATEMENT OF COMPLIANCE I/ We hereby acknowledge that I/ We have read Kittitas County Code, have familiarized myself with County requirements. I/We agree that either my designated agent or I/we shall be on site at all times and shall be responsible for the operation of the event and for compliance with all legal requirements in connection with this event. I/ We understand that failure to comply with the rules, regulations and conditions set forth in Code may be deemed a gross misde>qA 4plicant hat d narcotics Lt -- violations are crimes under RCW. _Mark Peterson Applicant Name (Print) Signature Applicant Name (Print) Applicant Signature KITTITAS COUNTY COURTHOUSE • 205 WEST 5"', SUITE 108 • F.LLFNSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www. co. ki tti tas. w a. u s Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Fire Safety and Protection If more than 50 people are expected at your event, you must complete a separate application process which can be obtained through the Kittitas County Fire Marshal's office. You may contact the Fire Marshal's office at 509-962-7000. Will there be a temporary structure erected for the event? Yes to If yes, you must attach a drawing including the dimensions. The structure may require an inspection by County staff prior to the event. Public Health/Environmental Health Will there be food served at the event? Yes XA If no food will be served at the event then, no permit or application is required. If yes, is the food and beverage that you intend on preparing and serving at the event exempt from permit requirements htt r. /www.co.kittitas.wa.us/­health/tood.M? - If yes, please submit an a lication for exemption from permit and proof of food handlers training to the Kittitas County Public Health Department (KCPHD). If yes, and the food or beverage is not Considered exempt from permit, then does the person or organization preparing and serving the food have a food service permit, temporary food service permit, or catering permit from KCPHD? - If yes, please provide a list of foods and beverages that you intend on having prepared and served at the event along with the name and phone number(s) of the permitted person or organization. If yes, and the person or organization preparing and serving the food does not already have a food service permit. - Then a temporary food service permit or catering permit will need to be acquired from KCPHD prior to the event. Please allow at least 2 weeks to complete the food service permitting process. KITTITAS COUNTY COURTHOUSE - 205 WEST 5th, SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.colitti tas.wa. us Are there permanent or fixed bathroom facilities already available at the location of the event? Yes VO If yes, please provide an estimated attendance for the event, a detailed map that identifies the name and address of the physical facility that will provide lavatory facilities for the event, quantity of toilette facilities available for each gender, and the distance from the event that patrons MLLS t walk, If no, please provide an estimated attendance for the event, specific information related to the number of portable restrooms that will be provided, the distance from the event that patrons must walk, and a service plan to ensure that sani-cans remain in a sanitary condition. You must include the location of the portable restrooms on a map/diagram of -the event. KITTITAS COUNTY COURTHOUSE - 205 WEST 5th , SUITE 108 • F.LLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.coliltitls.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Law Enforce men VSectiri�y Emergency Medical Services Will there be security on site during the event? Yes V6 If yes, please provide a complete list of names and contact information for who will be providing the security. Will Emergency Medical Services (EMS) be on site during the event? MS No If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? Yes V6 If yes, Kittitas County has a noise ordinance in effect (see County Code for details). If your event is scheduled for outside of the allowed time, you must submit a written letter to the Board of County Commissioners requesting a waiver and it must be included with your application materiak Will you have traffic control? Vs No If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? Vs No If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes V6 If yes, provide a map of their route. Will there be alcohol served at the event? Yes If yes, a State permit is required from the WA State Iiquor Control Board and must submitted with your application materials. KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 • FUENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.colittitasma.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? TIS No If }yes, please provide a detailed adequate traffic and detour plans at the time of submission of the application. Will there need to be road closure or detour signs posted? Vs No KITTITAS COUNTY COURTHOUSF • 205 WEST 5th, SUITE 108 • ELLFNSBURC, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www.co.kittitas.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Garbage Mecyclaing Do you have a plan for garbage and recycling? Y/s No A written plan for garbage and recycling must be attached to your application materials. For questions or assistance contact the Kittitas County Solid Waste Department at 509-962-7542. Insurance Have you obtained a Certificate of Insurance, specifically naming "Kittitas County" as an insured? V No A copy of the Certificate of Insurance must be included with your application materials, Kittitas County must be named as an additional insured in the amount of $1,000,000.00 per occurrence and $2,000,000.00 aggregate coverage. Penal Bond - Bond of Indemni A $5,000.00 Penal Bond - Bond of Indemnity is required to be deposited with the County Treasurer to save and protect the streets, pavements, bridges, etc. from damage. The deposit or its balance will be returned once the event has been held and the Board of County Commissioners has certified no damage has been done and that the County has not incurred additional expenses Are you submitting a $5,000.00 Pen I Bond - Bond of Indemnity with your Event Application? Yes V" If no, you must request a letter u -t writing to the Board of County Commissioners requesting a waiver to the Penal Bond - Bond of Indemnity and outline the specific reasons why it should not be required of your event. County Filings and Registration Is there a cost to attend the event? Vs No How much are you charging to attend your event? $50.00 aia910 rider, $8600 family of four KITTITAS COUNTY COURTHOUSE • 205 WEST 5d' , SUITE 108 • ELLENSSUR(i, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitagma.us a.U5 Supplement to Questions: This is the 13d' consecutive year we have held the event (typically the 3rd Sunday in May annually). We rent portable toilets from the same vendor every year: Valley Septic. They provide drop off and pick up services of their equipment. Washington State Patrol, Yakima Police Department, The Blue Knights, YC Rangers, and the Yakima Sheriffs Office all provide voluntary patrol services and traffic control. We also provide emergency services through EMS, as well as HAMM Radio operators due to limited cell coverage in the canyon. We have Valley Cycle on site for bicycle repairs, as well as Recycle Bicycle from Ellensburg. All road closure signs and barricades are provided by Yakima County Crime Stoppers. We used to rent these services but purchased our own two years ago. Feb 03 17 02:32p ACQ L]� CERTIFICATE OF LIABILITY INSU TN15 CERTIFICATE IS ISSUED AS A MATTER OF INFORh1ATION ONLY AND CONFERS NO RI ...:ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A*ENO, E%TENr) OR ALTER TH LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B •RFSEtNTAT{VE OR PRODUCER. ANI7 THE CERTIFICATE HOLbER. rir-�rsl wlvr: Ir the Certifitato holder ]a an ADDITIONAL INSURED, the poilcypesl must be endo,, terms and conditions of tha policy, certain policies may require an endvrsemont. A statement Cerllficate holder in flea of such earlorsemenIt(S.. PRODUCER BRUCE SEARS - STATE FARM K Christina DIIIII PO BOX 669 PI=iSL lk1<F�IIF: 57 a9o� .w j SELAH, WA 98943 �' INSt1fEL� INSURED - ..-- --•- L"_*_-a''S!a F2nnFka CRIME STOPPERS OF YAKIMA COUNTY INC ixsLl(�pia_ PO BOX 11056 �R'S vREx YAKIMA,WA 98909 INSU"it D INSURER MR 11— a . Tl l!S 15 77 CE7i[! Y TId11- 1'HE 101,11, ES OF INSURANCE USTED 6ELOW HAVE BEEN ISSUED TO THE II.i:II;ATFp, }ypYVY1T}tSTANOyd{; ANY REQUIREMENT, TERM OR CPNDITFON OF ANY CONTRACT OR t CER''IFCATE MAY BE ISSUED OR LI PE=RTAIN. THE INSURANCE AFFORDED BY THE POLICIES DE. EXCL USiONS AND CONDIITE]N.S OF SIKH POLICIES. LIMITS SHOWN NIAY HAVE BEEN REDUCED BY PAID t 7YPECF wsuRARCt �� A GENERAL UABIUTY x CLk1M1:RCIALGENE.RALLIABLITY CL WW-UtOE � 7S l OLCIiR GEN AGGREGATE LIMITAPPLESPER' Pti1LrtY FkU LQG AUTONOWLE;_ Mi Ur'r Ij • i 1S&V Aero I � lr AIfTGS El AUTOSN.p _ IiA1F1)A1.TO NA 'I AUTOS UMBRELLA I.IASjJDCCUREXCESS LIAR B IC III AND EMPLOYERS' LI A ILII AND EMPLOYERS' LIABILITY 'I'hQrRF(:TOR!PARTrYIN FI F7-=S:r*vmwtz t%CLUDwi f MAndet" to N H) CIN / q It Itw. c9=L'a Uwkr - . P.1 A N C E DATE U2J0.3l231 % I TS UPON THE CERTIFICATE HOLDER. THIS COVERAGE AFFORDED BY THE POLICIES 4 THE ISSUING INSURERS), AUTHORIZED IF SUBROGATION IS WAIVED, subject to ll,, this certificate does not confer rights to the Om, .. . EU NAMED ABOVF: FOR THE POLICY PERIOD DOCUPOENT WITH RESPECT TO WHICH THIS U HEREIN IS SUBJECT TO ALL THE TERfI PS0000003159006 10411412014 (1411412 98 EACH OCCU"C-114 E is 7,000.000 '107ER1E�� acme nos S 50,000 _ MED EXP [qny rxie prU 5 PERSONIII 8 AOV FiWURY S i I IL'�1fI AGGREGATE S Z;ODUM " _ ! I F PERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sr*@duleH more apKd IsSURED -CERTIFICATE HOLDER raqulredi TATE PATROL SPORTATION YOUR CANYON FOR .ND MANAGEMENT I.fS GOVERNMENT AND THE UNITED STATES DEPARTMENT OF THE INTERIOR-BLM • vTT. i AS COUNTY ATE HOLDER — KI TITAS COUNTY 205 WEST STH, STE 108 ELLENSBURG, WA 98926 MO2tICiS • COWMP AgdG i S BODILY INdURY(Perpermn) 6 •� BODILY INJURY (PecITCoOertl) r�r _._ i "E" OCCURRt:NCe f AGGREGATE 5 EL. EAC+t ACCtOC1iT S _____ 81 DIBE+l3E - F,A ELiRLDYFti S n DAY RIDE - MAY 21, 2017 CANCELLATION SHOULD ANY OF THE ASOY DESCRIBED POLICIES B£ CANCELLEp BEFORE THE EXPIRATION DATE HEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Pd ICY PROyISIONS. %UTH ZE RSPRESENTATTVr; ACORD 25 (2010105) Q 1988-2010 The ACORD name and logo are registered marks of ACOR;ORD CORPORATION. All rights reserved. 1001466 132849.6 11-15-2010 Y A K I M A COUNTY "Crime Doesn't Pay, Crime Stoppers Does" OSCARIBARRA MALE —AGE 33 — DOB: 6/13/1983 510611— 170 LBS — BRO EYES — BLK HAIR IST DEGREE ASSAULT 2X ELIJAH JAMES ALLISON MALE —19 YOA —12/23/1997 6103" —175 LBS — HAZ EYES — BRO HAIR BURGLARY 2ND DEGREE WA�T'P1iD BRENDA FAE COFFMAN White Female —Age 49 —DOB: 9/12/1967 5'06" — 280 lbs — HAZ EYES — BRO HAIR THEFT OF A MOTOR VEHICLE E OSCAR GARCIA MALE — 45 YOA — DOB: 9/24/1971 5'08" — 200 LBS — BRO EYES — BLK HAIR 2ND DEGREE THEFT February - 2017 FREE -TAKE ONE 3 WAYS TO SUBMIT TIPS Phone: 1 -800 -222 -TIPS Text A Tip Text YAKCO plus your message to 274637 (crimes) Submit a Web Tib www.crimestoppersyakco.org DARRYL BAKER JOEL CASTILLO JR MALE — 49 YOA — DOB: 4/1/67 MALE —35YOA— DOB: 7/20/1981 5'07"-185 LBS — HAZ EYES —BLNHAIR 5'06"-170 LBS — BRO EYES —BLK HAIR POSSESSION OFA CONTROLLED 2ND DEGREE THEFT; ESC COMMUNITY SUBSTANCE -METHAMPHETAMINE CUSTODY-ORIGCHARGE: MAN/DEL/POSS WANTENT TO DELIVER NARCOTICS WANTIM TYACE GIBSON MALE — 40 YOA — DOB: 12/9/1976 5'08" —175 — BRO EYES — BRO HAIR 2ND DEGREE ASSAULT JEREMY DAVIS JAMES MALE — 44 YOA— DOB: 12/10/1972 6'02" — 215 LBS — BRO EYES —BRO HAIR 2ND DEGREE KIDNAPPING -DV HELP KEEP YOUR COMMUNITY SAFE BY STARTING OR JOINING A BLOCK WATCH IN YOUR AREA Buena • Grandview • Granger • Harrah - Mabton • Moxee • Outlook • Selah • Sunnyside • Tieton Toppenish - Union Gap • Wapato • Washington State Patrol • White Swan • Yakima - Yakama Nation • Zillah Kittitas County Office Of The Treasurer Brett Wachsnuth, Treasurer r r 205 W 5th Avenue, Suite 102 _ Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2017-1150 Date: 02/22/2017 Received From: MANDY BUCHHOLZ DEPUTY CLERK OF THE BOARD -MA Check Amount: $200.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $200.00 Deputy: CECILIAR Receipt Type: CHK Template: Comments: CSR 2017-789 SPECIAL EVENT APPLICATION YAKIMA COUNTY CRIME STOPPERS CHECK#2532 FundCode G1Code Description Amount 001 1632171 SPECIAL EVENTS FEE $200.00 Total Amount: $200.00 Kittitas County Treasurer's Office Submitted By: CECILIA RAHME (c) 2002 Cashtax All Rights Reserved www.balancedaction.com