HomeMy WebLinkAboutBuDu Racing ApplicationApril 13, 2016
Kittitas County Commissioners
Attn: Mandy Buchholz (mandy.buchhoiz2co.kittitas.wa us) BuDu
205 W 5th Ave. Room 110 RACING
Ellensburg, WA 98926
Dear Mandy:
After some long consideration, the Ellensburg Endurance Sports Association and BuDu Racing, LLC have decided to
not promote the Whisky Dick Triathlon going forward. I must admit, there were a few tears shed about it, as it is such
an iconic event, but together we made the decision. We have valued your contribution to the Whisky Dick and hope
that you may be willing to join us to help at the Ellensburg Triathlons, that will include an Olympic distance course this
year. In the past it was only a Sprint. We also will have the Carey Lakes Run, which is a 5k and 10k run.
Event Dates
Saturday, July 23, 2016
• Ellensburg Triathlons
Carey Lake 5K and 10K Runs
• Both starting at 8am at Irene Rinehart Park
Here are the relevant course details for the Ellensburg Triathlons. The bike course exits from Irene Rinehart park
turning right onto Umptanum Rd, right onto Manatash Road and will follow Manatash to the Sprint (just before Kittitas
Reclamation District Road) or Olympic turn around (just before the gravel) as appropriate and return the same way
The Sprint is just over twelve miles and the Olympic is 24.8. The run stays within the park area,
Links to the maps for the Ellensburg Triathlons are as follows:
Olympic RECEIVE
Swim (1 mile): httpJ/www matarriViltness.coi-nlroutes/view/957437795
Bike (24.8 miles): httD.11vww�-mapmvhtness-com/rcut_aslview/95682_349_1_
Run (10K): http://www.mapmvfitness.com/routes/view/956072145
Sprint
APR 18 2016
Swim (.25 miles): http;llwww-mapmyfi#ness.com/routes/view/956072145
Bike (12.3 miles): htto://www.mar)myfitness-com/routes/view/956080811 ,
j Si
Run (5K): h tp] /lw1iAy mat?myfitne*_s.cor' iroute5ll+ieW195720884 I
Assuming approval from the County Board of Commissioners, the race will occur as follows: C iU:iTY BOARD (N
Ellensburg Triathlons
• Swim begins at 8:OOam in Irene Rinehart Pond for the Olympic with an estimated swim time of 20-60 minutes.
• Using the New Bike Course, please see description above. Estimated cycle time: 30 — 120 minutes.
• Run leg remains on the trails within the park area.
Included in with this letter is a copy of the insurance certificate listing Kittitas County as an additional insured. The
following information is provided for the county health office in anticipation of standard queries I receive from them
each year:
• Water for aid stations will be from the city water supply, not an out-of-town well. We have used the water at the
fairgrounds in the past and would like to do that again this year.
• There will be 4 port -o -lets at Irene Rinehart Park in addition to the restrooms there.
In the past it was requested that I also include the following information in our letter:
• Penal Bond/Bond of Indemnity
The bike portion of this event are held on the local roads and do not cause any damage to the these roads, I
would like to request the board grant a waiver to the Penal Bond requirement Our team works hard to make
sure any that areas utilized by these events are left better than when the event started, and have not had any
problems in years past with these events.
• Waiver to the County Noise Ordinance
Since the event begins at 8, 1 request the ability to use a bullhorn as needed to ensure the safety of all
participants.
I thank you for your consideration. If you have any questions, or need more information, please do not hesitate to
make contact with me by phone or email (see below). I ask that you respond by either standard mail or by email so
that I can proceed accordingly and I thank you in anticipation.
If you have any questions, please contact me (see contact information below).
Sincerely,
Deanna Muller
BuDu Racing, LLC Deanna@BuDuRacing.com / 206/920-3983
Special Event Application
Ellensburg Triathlons — 07/23/2016
Will the event obstruct, interfere or require the colure and free use of any public road, street or right -a -way? In addition,
will you have traffic Control?
We are asking to close the road to the park, but no other roads will be closed. Will need police/sheriff support
in the following areas:
• Park Entrance and Umptanum (cyclists turn right coming out of the park and left coming back into the park)
• Turn around point on Manastash Rd at the Sprint event turn -around (just before Kittitas Reclamation District
Road)
• Turn around point at Manastash Rd almost to where the road turns to gravel (if the Sheriff deems this a
safety matter)
Will there be off-site Parking?
Parking will be at the Park and the ball fields if available. With an estimated attendance of 300, this should be
enough parking.
Will there be tickets sold to attend the event?
Please see attached event flier.
Do you have an informational Flier?
Please see attached.
Will there be food served?
We provide bagels, meats and cheese, peanut butter, jelly, muffins and fruit for participants Will submit
permit.
Do you have a plan for garbage and recycling?
Ellensburg Triathlons (Irene Reinhart Park)
I will find out if we need to bring a dumpster into the park for this event, if so, I will do that. There will be no
water station for the bike, so no trash should be dropped out on the roads. I will make sure that the follow
vehicle has a garbage bag in case something needs to be picked up. The run course water station will have a
garbage bag for the water cups. We will have a recycle can available for participants, but we do not have
much recycle that we bring, since we do not have plastic water bottles.
Have you obtained a Certificate of Insurance specifically naming Kittitas County?
See attached.
s. 4,i 0 --
Kittilas 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 Commissioners at least 60 days prior to the day upon the event is
scheduled. 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 outlining Event Permits can be
viewed at http:Z /www,co.l<ittitas.xva.tisboc countycodeZtiticO5.asp
Event Information
Name of event: Ellensburg Triathlons and Carev Lake Runs
Date(s) of event: 7/23/26
Hours of operation: 6am-1 pm
Description of the event: Triathlon with swim, bike, and run -portions,
as well as a 5K and 10K run
Has this event taken place before? 'k No Dates: 8th year
Estimated attendance: 200-250
How is your event being publicized? Event fliers. brochures,_posters,
website and some print ads
Please attach any flyers, posters, etc. 7Vith pour application submission.
Contact Inf ormation
Name of the organizer/ contact person: Deanna Muller
Address: 31405 47th Ave South, Auburn, WA 98001
Phone number(s): 206-920-3983
Email address: Deanna@BuDuRacing.com
Date of birth of applicant: 8/28/1967
KITTITAS COUNTY COURTHOUSE • 205 WEST 5"', SIJITF 109 • ELLFNSBURG. WA 99926
(509) 962-7509 • FAX (509) 962-7679
www.co.kit ilas-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. BuDu Racing. LLQ (address is the same)
Emergency contact name(s) and phone number(s) that can be contacted during the
event:
Deanna Muller 206-920-3983
Name Phone Number
Rory Muller 253-334-4433
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 misdemeanor and that drug or narcotics
vi ations are cr' es der R'
picant ame (Print Applicant Signature
Applicant Name (Print) Applicant Signature
KITTITAS COUNTY COURTHOUSE • 2o5 wLST 5"', SUITE. 108 • ELLENSBURG. N`A 98926
(509) 962-7508 PAX (509) 962-7679
www.w.kittitas.\va-us
Kittitas County, Washington
BOARD of COUNTY COMMISSIONERS
Fire Safetv acid 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? Yesi
If yes, you must attach a drawing including the dimensions. The structure may
require an inspection by County staff prier to khe event.
Public I Iealthf Environmental Health
Will there be food served at the event? No
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 http:Z wivw.co„klttitas.wa.usZ]-iealth/food,asp?
- If yes, please submit an al2plication 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 c}n having
prepared and ser -reed at the event along with the name and phone number(s) of
the permitted parson or organization.
If yes, and the person or organization preparing and serving the food dues 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 5"', SUITE 108 • ELLENSBURG. ti'A 99926
(509) 962-7508 - FAx (509) 962-7679
www, co.kittitas.\va.us
Are there permanent or fixed bathroom facilities already available at the location of
the event?
V No
If yes, please provide an estimated attendance for the event, a detailed map that
identifies the niLme 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 must 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 5"' , SUITE ] 09 - ELLENSBURG, WA 98926
(509) 962-7508 • FAX (509) 96'-7679
www.colittitas.wa.us
Kittitas Couiity, Washington
BOARD OF COUNTY COMMISSIONERS
Law EnforcemenVSecurity/FEmergency Medical Services
Will there be security on site during the event? Yes 06
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? Vs No
If yes, please provide written verification from the providers.
Will there be music, sound amplification or any other noise impacts? No
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 materials.
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? Yes
If yes, please provide the location and a parking plan.
Will there be shuttle buses provided for attendees? Yes V
If yes, provide a map of their route.
Will there be alcohol served at the event? Yes V
If yes, a State permit is required from the WA State Liquor Control Board and must
submitted with your application materials.
KITTITAS COUNTY COURTHOUSE • 205 WEST 5"', SUITE 108 • ELLENSBURG.'A'A 98926
(509) 962-7508 - FAX (509) 962-7679
www.co.kittitas.wa.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? t/s 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 COURTHOUSE • 205 WEST 5"', SUITE 108 - ELLENSBURC,. wA 99926
(509) 962-7509 - FAX (509) 962-7679
wwwxo.kirlitas,xva,us
Kittitas County, Washington
BOARD of COUNTY COMMISSIONERS
G arbage/Recyclin&
Do you have a plan for garbage and recycling? V 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 insui-ed? 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 Penal Bond - Bond of Indemnity with your Event
Application? Yes V'
If no, you must request a letter in writing to the Board of County Commissioners
requesting a waiver to the Penal Bond - Bond of Inden-mity 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? 4/s No
How much are you charging to attend your event? Tri -$60 Runs $20
KITTITAS COUNTY COURTHOUSE • 205 WEST 5"', SUITE 108 � ELLENSBURG. \N'A 98926
(509) 962-7508 - FAX (509) 962-7679
wwvw. c o. k i t t i t a s_ w a. u s
The certificate holder is an additional insured as per form ECG20600: Additional Insured - Automatic Status When Required in a Written Agreement.
The General Liability policy is primary as per Form CG0001.
The General Liability policy contains a Waiver of Subrogation provision as required by written agreement per Form ECG24522.
CERTIFICATE HOLDER:
Kitittas County, It's Officers, Officials, Employees
205 W 51h Ave
Ellensburg WA 98926
NOTICE OF CANCELLATION:
Should any of the above described policies be cancelled before the expiration date thereof
notice will be delivered in accordance with the policy provisions.
AUTHORIZED REPRESENTATIVE:
DATE' 2/29/201t(•
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER: 20160121399055
AGENCY:
.... . ........
ESIX 3 LLC
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
d/b/a Entertainment & Sports Insurance eXperts (ESIX)
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
d/b/a Entertainment and Sports Insurance Agency (California)
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
2727 Paces Ferry Road, Building Two, Suite 1500
BELOW.
Atlanta, GA 30339
678-324-3300 (Telephone)
678-324-3303 (Facsimile)
NAMED INSURED:
INSURERS AFFORDING COVERAGE:
USA Triathlon of Colorado DEANNA MULLER
INSURER A: Everest National Insurance Company
5825 Delmonico Drive
Colorado Springs CO 80919-2401
INSURER B: Everest National Insurance Company
E11EHT'PKFQRMATION: — —
Ellensburg Triathlon (Olympic and Sprint) (7/23/2016 - 7/23/2016)
POLICY/COVERAGE INFORMATION:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THL 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.
:INS TYPE OF INSURANCE: -POLICY NUMBER(S):: EFFECTIVE:
EXPIRES: LIMITS:
A GENERAL LIABILITY
X Occurrence rSIBML00212-151 12/1/2015
12/1/2016 GENERAL AGGREGATE (Applies Per Event) $2,000.000
12:01 AM
12:01 AM
X Paidielpant Legal Uahalay
EACH OCCURRENCE $ I,tt00,WDt)
DAMAGE TO RENTED PREMISES (Each Occ.) $1,000;000
MEDICAL EXPENSE (Any one person) EXCLUDED
PERSONAL & ADV INJURY $1,000,000
PRODUCTS-COMP/OP AGG $2,000,000
B UMBRELLA/EXCESS LIABILITY
i X Occurrence S18EX00179-151 12/112015
12/1/2016 EACH OCCURRENCE $1811 fI0,t111i1
12:01 AM
12:01 AM
AGGREGATE (Applies Per Event) SI0,60000
AGGREGATE (Policy) 540,004.000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS:
Coverage applies to the USA Triathlon sanctioned or approved event specified on this certificate.
The certificate holder is an additional insured as per form ECG20600: Additional Insured - Automatic Status When Required in a Written Agreement.
The General Liability policy is primary as per Form CG0001.
The General Liability policy contains a Waiver of Subrogation provision as required by written agreement per Form ECG24522.
CERTIFICATE HOLDER:
Kitittas County, It's Officers, Officials, Employees
205 W 51h Ave
Ellensburg WA 98926
NOTICE OF CANCELLATION:
Should any of the above described policies be cancelled before the expiration date thereof
notice will be delivered in accordance with the policy provisions.
AUTHORIZED REPRESENTATIVE:
Kittitas County Office Of The Treasurer
Brett Wachsrnith, Treasurer
205 W 5th Avenue, Suite 102
Ellensburg, Wa 98926
Phone (509) 962-7535 Fax (509) 933-8212
Cash Receipts
Receipt Number: 2016-2628 Date: 04/18/2016
Received From: MANDY BUCHHOLZ - DEPUTY CLERK OF THE BOARD- IV
Check Amount:
$200.00
Cash Amount:
$0.00
Other Amount:
$0.00
Total Amount:
$200.00
Deputy: TIFFANYR
Receipt Type: CHK
Template:
Comments:
CSR 2016-2011
BUDU RACING SPECIAL EVENT APPLICATION (ELLENSBURG TRIATHLONS/CAREY LAKE 51, & IOK RUNS)
FundCode GlCode
001 1632171
Total Amount:
ckcr tion
SPECIAL EVENTS FEE
Kittitas County Treasurer's Office
Submitted By: TIFFANY RAY
Amount
$200.00
$200.00
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