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HomeMy WebLinkAboutGran Fondo Application7y�a Kittitas County office Of The Treasurer Brett Wachsmith, Treasurer ' - - 205 W 5th Avenue, Sure 102 L...._. i„�Ellensburg, Wa 98926 Phone (309) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2017-1229 Date: 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: AMYC Receipt Type: CHK Template: Comments: CSR 2017-857 SPECIAL EVENT APPLICATION GRAN FONDO ELLENSBURG - JAKE MAEDKE 02/27/2017 FundCode G1Code Description Amount 001 1632171 SPECIAL EVENTS FEE $200.00 Total Amount: $200.00 Kittitas County Treasurer's Office Submitted By: AMY CZISKE (c) 2002 Cashtax All Rights Reserved www.balancedaction.com FEB 11 7017 �— Kittitas County, Washington BOARD OF COUNTY COMMISSIONER,, 5: AN L4I '�tY �_ .—�._ EVENT APPLICATION PROCESS i. Submit a completed Event Application and materials to the Kittitas County Commissioners Office at least 6o days prior to the event. There are several departments who review the Event Applications and make their determination based upon the application, written plans and documentation that has been provided. Please note that additional permits may be required in addition from individual departments including: the Fire Marshal, Public Health, Environmental Health, Community Development Services, and the Public Works Department. 2. Once a special event has been approved by the County Commissioners, the site and facilities may need to be inspected by County officials (including but not be limited to the Fire Marshal, Sheriff's Department, and Public Health Department) up to five days in advance prior to opening to the general public. This is to ensure that you are complying with the stated plans upon which the approval was made. If you fail to comply with those requirements, your permit may be revoked and the event closed. 3. Depending upon the nature and scope of the proposed event, other permits may be required as determined through the application process (liquor license, etc.). Some events may require approval from other agencies or jurisdictions. 4. Permittee covenants and agrees to indemnify, defend and hold harmless the County, its officers, agents and employees from any and all claims actions, damages, liability, cost and expense, including reasonable attorney fees in connection with or occasioned, in whole or in part by any act or omission of Permittee, its officers, agents, employees, customers or licenses, or arising from or out of Permittee's failure to comply with any provision of the Event Permit granted as a result of this application, regardless of whether it is alleged or proven that the acts or omissions of the County, its officers, agents or employees caused or contributed hereto. 5. Insurance Requirement: A Certificate of Insurance specifically naming "Kittitas County" as an additional insured in the minimum amount of $i,000,000.00 per occurrence and a $2,000,000.00 aggregate coverage must be included with the Event Application. The County Prosecutor's office may require a greater amount if it is determined to be necessary for the proposed event. 6. Written statements signed by the applicant and property owner allowing permission to enter the event site for inspections and stating responsibility for the event and compliance with the codes is required as part of the written documentation to be submitted at the time of application. 7. Before applying for an event it is encouraged that you schedule a time to meet with County departments so they may assist with questions you may have prior to submitting your application. KITTITAS COUN'rY COURTHOUSI • '_(K WFST 5". SUITI: 108 • I:LUNSBURG, WA 98926 (509) 962-7508 • FAX (509) 963-7679 ��u�� u�_kiunns.wa.us Kittitas County Contact Information www.co.ki tti tas.wa.us Board of County Commissioners — (509) 962-75o8 Community Development Services — (509) 962-7506 Environmental Health — (509) 962-7698 Fire Marshal — (509) 962-7000 Prosecutor — (509) 962-7520 Public Health — (509) 962-7515 Public Works Department — (509) 962-7523 Sheriffs Office— (509) 962-7525 Solid Waste Department — (509) 962-7542 KITHTASCOUN'ryCOURTHOUSL• 205 WL-ST5", SUITE 108 - I:LLENSBURG. A')8926 (509) 962-7508 - FAX (509) 962-7679 wwwxo.kitIitns.wo.us Kittitas County, Washington t� BOARD of COUNTY COMMISSIONERS MCI 111 -1 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 atht4)://www.co.kittitas.wa.us/boc/coimtycode/title05.as2 Event Information Name of event: Gran Fondo Ellensburg Date(s) of event:. 6-11-17 Hours of operation: 8:00 am - 5:00 pm Description of the event: 88 mile bicycle ride Has this event taken place before?/S No Dates: June 12, 2016 Estimated attendance: 100 How is your event being publicized? www.rideviciouscycle.com Please attach any flyers, posters, etc. with your application submissiou. Contact Information Name of the organizer/ contact person: Jake Maedke Address: 139 E SW Ephrata, WA 98823 Phone number(s): _(509) 750-0977 Emailacirlr4ss: eohratabikes[a7gmail.com_ Date of birth of applicant: 10-14-77 KI'1'11'IAS COUNTY cOURTNOUSF 205 %k ES 1 5", sU1'rE 108 - ELLENSBURG, WA 98926 (509) 962-7508 FAX (509) 962-7679 WWN co kinnas Wil 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: Jake Maedke _ (509) 750-0977 Name Phone Number Karen Maedke (509) 760-3620 _ 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 Counh, 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 violations are crimes under RCW. Jake Maedke ApplicantMPrint) t Name (Print) Applicant Signature Applicant Signature KI I I'II AS CONN 11 LOUR I IIOIJSI 105 �tI S 1 5"', SUITE 108 • ELLFN'S131AK'. WA 08926 0091 962 7509 FAX (509) 962 7679 %%w%% cc, IJI111as warns 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 V 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 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 hg1j://www.co.kittitas.wa,us1health/food.au? - If yes, please submit an application 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 COURTIIOUSF • 205 WL•SI' 5", SUITF 108 • FLLhNSHURC,, \VA 98926 (509) 962-7501 • FAX (509) 962-7679 "a %k.co-kitwus.tva.us Are there permanent or fixed bathroom facilities already available at the location of the event? Yes V 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 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 COUNTN' COURTHOUSE - 205 WEST 5", SUff1: I(IS • I-L1_FNSBUItG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 1\'\V N'_L'11.I:1Llllil S. \1 .1 LIS Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Law Enforcement/Security/Umergency Medical Services Will there be security on site during the event? Yes Vo 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? Yes 4 If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? Yes 1 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 colitrol? Yes 10 If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? Yes 46 If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes 1 If yes, provide a map of their route. Will there be alcohol served at the event? Yes l6 If yes, a State permit is required from the WA State Liquor Control Board and must submitted with your application materials. KIl ril'AS COUNTY C'OURTHOUSL- 205 WESTY'. SUI1 I: 108 • FLLLNSBURG, WA 98926 (509) 962-7508 ' FAX (i09) 962-7679 www.co.kii iias.%%n.u, n its - t�) Kittitas County, Washington BOARD o-FCOUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? Yes 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? Yes V6 KIl HTAS COUNTY COURTHOUSE - 205 WL-Sl''i". SUITE 108 • LLLENSHURG. WA 98926 (509) 962-7508 • FARC(509) 962-7679 %%ww.co. kwims.mims Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Garbage/Recycling Do you have a plan for garbage and recycling? 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? Yes Vo 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 Indemnity 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 Vo If no, you must request a letter in 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? Y/s No How much are you charging to attend your event? $70 KITTITAS COUN 1) COURTHOUSE • 205 WEST 5ih, SUH 1. 108 • ELLENSHUItG, WA 9X426 (509)962-7508 • FAX (509)962-7679 wwwso, kInims-%k"M1S January 06, 2017 Kittitas County Commissioners 205 West 5th, Suite 108 Ellensburg, WA 98926 RE: Requesting a waiver to the Penal Bond — Bond of Indemnity Dear Kittitas County Commissioners: On behalf of Vicious Cycle Events Inc., we are requesting a waiver to the $5000 Penal Bond - Bond of Indemnity. We don't anticipate any damage to any county roads during this Gran Fondo Ellensburg Bicycle Ride. We have done several bicycle rides throughout different counties in Washington and have had zero problems with damage. We have worked with Grant, Douglas, Chelan and Klickitat counties as well as the DOT and Department of Fish and Wildlife utilizing their roads for the purpose of these bicycle rides. There are between 100-200 riders on the road spread out over the course of approximately 7 hours for an 88 mile bike ride. All riders will be advised to obey all traffic laws. We appreciate your consideration. Sincerely, Jake Maedke Vicious Cycle Events Inc. Vicious Cycle Events Inc. 139 E ST SW Ephrata, WA 98823 509-750-0977 January 06, 2017 Kittitas County Solid Waste Department 205 West 5th, Suite 108 Ellensburg, WA 98926 RE: Solid Waste Plan for Bicycle Event Dear Kittitas County Solid Waste Department: This letter is to inform you of our Garbage/Recycling plan for the Gran Fondo Ellensburg scheduled to take place on June 11 th. All refuse generated from the Bicycle event will be picked up and disposed of by the event Director. There will be a follow vehicle that will be picking up refuse at the end of the event. Recyclable water bottles and/or cans will be collected and recycled by the event Director. Sincerely, Jake Maedke Vicious Cycle Events Inc. Vicious Cycle Events Inc. 139ESTSW Ephrata, WA 98823 509-750-0977 EVENT Gran Fondo Ellensburg Vicious Cycle Events Medical Plan DATE June 11, 2017 1. Will there be an EMT or ambulance on site? Yes X No If not on site, how will emergency medical staff be notified? Pay Phone X Cell Phone Radio Other: 2. Are there event staff or certified volunteers with Red Cross First Aid training? Yes If yes, what training? X Basic Advanced - Identify staff: Karen Maedke/Ruth Lamb 3. Is there a First Aid kit on site? X Yes No 4. Will police or security services be on site? Yes _ X No 5. Will emergency medical staff at event site be clearly identified? x Yes _ __ No 6. First aid and emergency medical stations identified? X Yes No 7. Does course design allow easy access for emergency vehicles? x Yes No 8. Describe emergency medical transportation? Ambulance 9. City/Location of nearest hospital: Kittitas valley Hospital- Ellensburg WA 10. Distance from event: 30 Miles 30 Minutes 11. Has hospital been notified of the event? X Yes No 12. Is emergency air transportation available? X Yes No Response time: NA Minutes 13. How will air transport be notified? X_ Phone Radio X EMT 14. What is the plan for suspending or postponing the event if a serious injury occurs? Riding will be suspended until the injured rider is safely removed from course NOTES: HOSPITAL PHONE NUMBER: 509-925-8472 AMBULANCE PHONE NUMBER: 509-962-7275 POLICE/SHERIFF PHONE NUMBER: 509-962-7527 ADDITIONAL INFORMATION: "Saq Wagon's" will be carrvinq a first aid kit as well as each of the "Aid Stations" No Gran Fondo Ellensburg: June 11, 2017 Kittitas County Roads: Dry Creek Rd McManamy Rd WA 10 Airport Rd Westside Rd Woods and Steele Rd Mohar Rd Upper Peoh Thorp Prairie Rd East Taneum Rd Thorp Highway Gladmar Rd Course map can be seen online at: http://ridewithp,ps.com/routes/6833060?privajcy code= xktW4 s0 acWhZC Gran Fondo Ellensburg 0 GOI Start on Dry Creek Rd 0 3.2 Right Turn right onto US -97 N 3.3 0.1 Left Turn left onto McManamy Rd 3.3 1.9 Right Slight right onto WA -10 W 5.2 14.3 <--- Left Turn left onto WA -10 W/WA-970 W 19.5 0.1 Right Turn right onto Airport Rd 19.6 3.5 -> Right Turn right onto E 1st St 23.1 0.4 Right Turn right onto N Short Ave 23.5 0.1 Left Turn left onto E 3rd St 23.6 0.9 <- Left Turn left onto N Pennsylvania Ave 24.6 0.3 -> Right Turn right on Railroad Ave 24.9 0.3 <-- Left Turn left on So Cie Elum Way 25.2 1.2 --+ Right Turn right onto Madison Ave 25.9 0.2 <-- Left Turn left at the 2nd cross street onto 6th St 26.0 0.1 Right 6th St turns right and becomes Marie Rd 26.2 0.1 T Straight Continue onto Westside Rd 26.3 2.0 Right Turn right to stay on Westside Rd AID 1 on LEFT 28.3 1.6 <-- Left Turn left onto Woods and Steele Rd 29.9 0.7 Left Turn left onto NF -4510 30.6 5.0 Right AID 1.5 on RIGHT 35.6 14.9 <-- Left Slight left onto NF -3300 45.5 1.8 -> Right Slight right to stay on NF -3300 47.3 9.2 Right AID 2 on RIGHT 56.5 0.1 <- Left Turn left onto NF -133 56.6 1.9 Right Turn right onto NF -119 58.5 2.0 Left Turn left onto NF -3350 60.5 6.5 T Straight Continue onto Westside Rd AID 3 on RIGHT 67.0 0.1 T Straight Continue straight onto Mohar Rd 67.1 2.0 Right Turn right onto Upper Peoh Point Rd 69.2 5.7 T Straight Continue onto Thorp Prairie Rd 74.9 7.4 <-- Left Turn left onto E Taneum Rd 82.3 2.6 Right Turn right onto Thorp Hwy 85.0 2.2 Left Turn left onto Gladmar Rd 87.2 Sani-cans will be provided and maintained by Brown and Jackson for Gran Fondo Ellensburg. There will be four at Mt Stuart Elementary school and 1 on the course at the intersection of Westside Rd and FS3300. We anticipate 100 participants and this has proven to be a successful san-can plan based on previous experience.