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HomeMy WebLinkAboutCrime Stoppers Special Event Application1.r January 1, 2018 Kittitas County Commissioners JAN 2 2 205 W. 5" Suite 108 Ellensburg, WA 98926 RE: Yakima County Crime Stoppers "Your Canyon for a Day" May 20, 2018 Dear Sirs: In preparation for our 14th annual Bike Tour on May 20, 2018 we have sent the following for your review and approval. s Event Application 6 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. 0 Application for exemption from permit. e $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 14th 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 oFCOUNTY 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 athLV://www.co.kittitas.wa.us/boc/­countvcode/`titicO5.asl2 Event Information Name of event: Your Canyon for a Day Bike Tour Date(s) of event: May 20,_20_18 Hours of operation: 8:00 am - 4:00 pm Descripboii of the event. Bicycle ride through the Yakima River Canyon_ Has this event taken place before? s No Dates: Past 13 yrs in May Estimated attendance: 750 including volunteers How is your event being publicized? Bike shops, email, website Please attach any flyers, posters, etc_ with your application submission. Contact Information Name of the organizer/ contact person: Yakima County Crime Stoppers - Mark Petersen Address: PO Box 1105E Yakima. WA 98909 Phone number(s): (509)7284329 Email address: hhfurnjture4(@.ao1.com aol.com Date of birth of applicant: 5/3/1960 KTTTII'AS COUNTY COURTHOUSE • 205 WEST 51h, surrE m • EUENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.c0.1duitasmams 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 Peterson (509)728-4327 Name Phone Number Alicia Stromme Tobin(509)969-8683 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 - nd that dru or narcotics violations are under RCW. 5,11 Applicant Name (Print) ppl�icont Signature E I OMlh Applicant Name [Print) Applicant Signature KnTI'I'AS COUNTY COURTHOUSE • 205 WEST 5"', surra los • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www.co.lottitas.wa.us Kittitas County, Washington BOARD oFCOUNTY COMMISSIONERS i:f 3'f 43 1A �l ii] 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 -� �eal!b&nvironmental Health Will there be food served at the event? Yes V 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 bttp://www.co.kittitas.wa.us/health/food.asp? - 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. IUTTITAS COUNTY COURTHOUSE • 205 WEST 5', SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 WWW.00.1dtrihe4.W&U8 Are there permanent or fixed bathroom facilities already available at the location of the event? Yes V6 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. KT TPAS COUNTY COURTHOUSE • 205 WEST 5", SUICE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.lattitas.waus Kittitas County, Washington BOARD of COUNTY COMMISSIONERS r � , Alf-Ifr�.•-. ��k1 Law Enf orcement/Securitff meMena Medical Services Will there be security on site during the event? Yes 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? Yes V) 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? ms's No If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes If yes, provide a map of their route. Will there be alcohol served at the event? Yes 106 If yes, a State permit is required from the WA State Liquor Control Board and must submitted with your application materials. K1TTITAS COUNTY COURTHOUSE • 205 WEST 56', surrE 108 • ELLENSBURG, WA 98926 (509) %2-7508 . FAX (509) %2-7679 wwwxo.lattitas.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Iii M. Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? V'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? Y/s No KnTffAS COUNTY COURTHOUSE • 205 WEST 5"', SUn'E 108 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) %2-7679 www.co.lattitas.wa.us Kittitas County, Washington BOARD of COUNTY CONMSSIONERS Gar bageLRecycling Do you have a plan for garbage and recycling? Vs 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 and endorsements, specifically naming "Kittitas County"' as an insured? V.s. No A copy of the Certificate of Insurance amd endorsements 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. This insurance must apply first and on a primary non-contributing basis in relation to any other insurance or self-insurance available to Kittitas County. Penal Bond - Band of Indemni!r 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 No 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? Vs No How much are you charging to attend your event? K1TTII•AS COUNTY COURTHOUSE • 205 WEST 5d, SUrrE 108 • ELLENSBURG, WA 98926 (509) %2-7508 • FAX (509) 962-7679 www.coldttitas.wams Supplement to Questions: This is the 14th consecutive year we have held the event (typically the 3'd 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 three years ago. Attachment To Special Use Event Application For Even on May 20, 2018 RE: Your Canyon for a Day Bike Tour Yakima County Crime Stoppers, Inc. DESCRIPTION OF ACTIVITY AND EVENT AT THE YAKIMA CANYON MAY 20, 2018 BY THE YAKIMA COUNTY CRIME STOPPERS' "YOUR CANYON FOR A DAY BIKE TOUR" The Yakima County Crime Stoppers' "Your Canyon for a Day Bike Tour" is a fun ride designed for the whole family to enjoy the Yakima Canyon without any through traffic. This is Yakima County Crime Stoppers' only fund raiser with the funds to be used for rewards paid out to tipsters who are instrunicniai in the apprehension of felons. This will be the tenth year we have sponsored the bicycle tour in the Yakima Canyon. We had approximately 1,000 riders last year with over 50% of them starting the ride at the Yakima River RV Park in Ellensburg. The majority of our riders come from the Westside of Washington. We will be using the Roza Recreation site and the Yakima River RV Park as our staging areas for the bicycle ride. The riders will leave from the Roza site or the RV Park and travel north or south on SR 821 then tuna around at Thrall Road or the Roza site and return the their staging site. The RV Park and the Roza site will mainly be used for participants to park and unload/load their bicycles. In the NE comer of the Roza parking lot we will also be selling concessions as we have done in years past. Coca-Cola may be providing a small trailer which will be at the concession site to dispense soft drinks with all profits golne, to the Yakima County Crime Stoppers. Even though we have worked with the Department of Transportation to close SR821 to through vehicle traffic, we understand there will be others using the canyon and we will be sharing the facilities at the Roza Site with them. We will be providing the following: 1. Portable toilets (8 total) Two at the Roza site (both with hand sanitization equipment and one for handicapped access). One at Big Rock rest site. One at UmtanumfBig pines rest site. Two at Thrall Road site (both with hand sanitization equipment and one for llandicappcd access). Two at Yakima RV Park. 2. Traffic Control - we will have 8 officers 2 Yakima Police Officers and 2 Yakima County Sheriff Deputies patroll int; the canyon during the ride. 2 Yakima County Sheriff Deputies on duty at each barricade on both ends of the canyon. 2 at Tlirall road on the Ellensburg side and two at the Firing Center entrance of the canyon. 3. Road closure signs will be posted 48 hours before the ride at each end of the canyon and during the ride. All residents will be notified five days before the ride and given a pass they can show the day of the ride. All campers will be notified the day before the ride of the 25 mile an hour speed limit in the canyon during the ride (Red's Fly Shop will also be notified). 25 mile an hour speed signs will be posted in the canyon during the ride. 4. Emergency medical personal from ALS Ambulance will be posted during the ride in the canyon. 5. Garbage and Recycling At each rest stop we will have garbage and recycling cans. At the end of the ride we will carry all garbage and recycling out of the canyon to H&H Furniture, owned by Mark Peterson, Yakima County Crime Stoppers Board Presidem/Member. Recycled items will be transported to Michaelson's Packaging, next to H&H Furniture. We will have 5 rest sites with the garbage and recycling cans. 6. All food given out at the rest sites will be prepackaged granola bars, sport drinks, and water. At the Roza site Coca-Cola may be providing a small trailer to dispense soft drinks with all profits going to the Yakima County Crime Stoppers. Should you have any questions or need further information, please feel free to contact me. Thank you, 1 Mark Peterson President, Yakima County Crime Stoppers Cell: (504)7284329 2 AC -"R" CERTIFICATE OF LIABILITY INSURANCE �01/12/20D 8YI 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 BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 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 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). PRODUCER BRUCE SEARS - STATE FARM PO BOX 669 SELAH, WA 98943 124Z�.lsabei Mun uia a� uxt': 501)-697-A900 -ADrQAESS: INSURERMAFFgRDING COVERAGE NAIC# INSURER A: State Farm Fire and Casualty Company5 4 �JI INSURERS: INSURED CRIME STOPPERS OF YAKIMA COUNTY INC INSURER c: PO BOX 11056 PRODUCTS - COMP/OP AGG SPOLICY YAKIMA,WA 98909 INSURER D: A INSI RER E ; INSURERF i 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ....... .. ...........� ' -Ubr INSR POLlC1' EFY- POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER ,[IL1hVDDlYYYY�� rlAVI7UlY LIMITS A GENERAL LIABILITY {—� PS0000003159006 04/1412014 [ 0411412018 k EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES %A o rranrn] $ 501aw CLAIMS-MADEI �._`_.I OCCUR MED EXP (Any one Rerson) $ PERSONAL 6 ADV INJURY $ ....--..... — 1GEN�1 GENERAL AGGREGATE $ 2,000,0 00 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG SPOLICY PRLOC $ A AUTOMOBILE LIABILITY Ci'JMIIINED 5INCiLE LMT a m:�slw11 $ X ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED I AUTOS X AUTOS _I HIRED AUTOS )( NON -OWNED AUTOS PROPERTY A aramidom $ $ li UMBRELLA LIAB HICCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS.MADE AGGREGATE $ I DED I 1 RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V41..,tERIEXCUTNE YIN ANY PRoPRIETORrloE WC STATUL( ],IT',- ITQR.} LIMJJ.5�. ER , E.L. EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? NIA (Mandatory In NH) 9 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under rlFsT S b9IM DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED - CERTIFICATE HOLDER WASHINGTON STATE PATROL YOUR CANYON FOR A DAY RIDE - MAY 20, 2018 DEPT OF TRANSPORTATION BUREAU OF LAND MANAGEMENT US GOVERNMENT AND "The United States Department of the Interior-BLM is additionally insured." KITTITAS COUNTY KITTITAS COUNTY 205 WEST 5TH, STE 108 ELLENSBURG, WA 98926 1.I4lVLCL.�H t IUlm 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 Isabel Mun�uia ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 2512010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 Kittitas County Office Of The Treasurer Brett Wachsrnith, Treasurer 205 W 511L Avenue, Suite 102 Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2018-418 Date: 01/22/2018 Received From: MANDY BUCHHOLZ DEPUTY CLERK OF THE BOARD -Mandy Check Amount: $200.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $200.00 Deputy: AMYC Receipt Type: CHK Template: Comments: CSR 2018-329 SPECIAL EVENT APPLICATION FEE FROM CRIME STOPERS "YOUR CANYON FOR A DAY 5.2.2018" FundCode G1Code Discripilog 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