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HomeMy WebLinkAboutBattle of the Tribute BandsAPR 2 9 Kittitas County, Washington BOARD of C OUNTY 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 athttp://www.co.kittitas.wa.usZboc/coun!ycode/title05.asp Event Information Name of event: Battle of the Tribute Bands Date(s) of event: Saturday, .July 6, 2019 Hours of operation: 1 PM-10PM Description of the event: An outdoor concert in the Swiftwater Cellars Ampitheater with approximately 700-800 quests. Has this event taken place before? /S No Dates: W4115.7/2/16.711117&V2118 Estimated attendance: 700-800 How is your event being publicized? Radio, Print, Social Media. _Only posters have been created thus far._ Please attach any flyers, posters, etc. with your application submission. Contact Information Name of the organizer/ contact person: Colette Graham Aklkl r, -ss: PO Box 492, Roslyn, WA 98941_ Phone number(s): 509.852: 7310 Email address: colette(a)-swiftwatercellars.com Date of birth of applicant: 11/22/1984 KITTITAS COUNTY COURTHOUSE • 205 WEST 5"', SUITE ] 08 - ELLENSBURG, WA 98926 (509) 962-7508 . FAX (509) 962-7679 www.co.kiU1tas.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: Colette Graham 509.260.0096 Name Phone Number Leena Haija 509.378.8814 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 violations are crimes under RCW. Colette Graham Applicant Name (Print) Leena Haija Applicant Name (Print) KITTITAS COUNTY COURTHOUSE - 205 WEST 5h, SUITE 108 ELLENSBURG, WA 98926 (509) 962-7508 FAX (509) 962-7679 www.co.kittitas.wa, us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Fire Safely 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 MarshaPs office. You may contact the Fire Marshal's office at 509-962-7000. Will there be a temporary structure erected for the event? Vs No 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?/s 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: //www.co.kittitas.wa.us/health/food.asp? - If yes, please submit an annlication 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 5", SUITE 108 ELLENSBURG, WA 98926 (509) 962-7508 FAX (509) 962-7679 www.co kittitas.wa us Are there permanent or fixed bathroom facilities already available at the location of the event? Y/s No 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 COUNTY COURTHOUSE • 205 WEST 5h, SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 FAX (509) 962-7679 www. co. kittitas. wa. us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS skill Law Enforcement/Securibamergency Medical Services Will there be security on site during the event? Vs No 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? Y/s No If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? s 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? vs No If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Vs No If yes, provide a map of their route. Will there be alcohol served at the event? s No 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, WA 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? Yesr 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 V KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kitfitas.wa.us Kittitas County, Washington 4- BOARD of COUNTY COMMISSIONERS GarbageAecydipg 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 Instirance and endorsements, specifically naming "Kittitas County" as an insured? V1s 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 aZgregate 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 - 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 ;Is 5,000.00 Penal Bond - Bond of Indemnity with your Event Application? 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? Adult $35/Child $25 KITTITAS COUNTY COURTHOUSE 305 WEST 5", SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 963-7679 www.co,kittjtas.wa.us 8 SWIFTWATER C L i i n ra s Seating Seating for this event will be festival style seating. This means that there will be general admission with the venue being a large open area and patrons will have to bring their own seating i.e. chairs or blankets. The "seating" will be filled on a first come first served basis. Food & Beverage Swiftwater Cellars will be serving various foods that will be prepared onsite in our cooking facilities as covered under our Kittitas County Public Health Department "General food services food level 3/ Supplemental Catering" Permit. The permit number is FE -16-00160 and is valid through October 31, 2019. All staff that will be handling food will have valid food handler's permits. Beer, wine, and select hard alcohol will be available during the concert. All staff serving alcoholic beverages will have valid MAST permits. Swiftwater Cellars staff and security will be on hand to check IDs for all patrons who will be consuming alcohol and staff will also be roaming the venue looking for any alcohol consumption violations that may occur. Bathroom Facilities Currently, the Swiftwater Cellars Amphitheater has 8 fixed restroom units. We will be bringing an additional 7 restrooms and 2 hand washing stations to handle the crowd of approximately 800 people. With a total of 15 restrooms, approximately 7 will be for males and 8 for females. Please see the attached map for the proposed restroom locations that are marked with an X. Patrons will not need to more than 200 feet to reach a restroom from anywhere inside the venue. M.T.H Septic Service will be providing the portable units for our event. The address for M.T.H Septic Service is 281 Hugh Banks Road, Cie Elum, WA 98922. Security Swiftwater Cellars staff will be providing security for the event. We anticipate have 3-5 staff members onsite for security during the event to keep patrons safe and assist in controlling human traffic in an orderly fashion. Leena Haija will be the event manager at the concert. We also plan on having 5 security guards onsite for any disturbances and safety concerns. We have hired Phoenix Protective Corporation (PPC) for the additional security guards. The address for Phoenix Protective Corporation is 1519 E. Nob Hill Boulevard, Yakima, WA 98901. The contact for PPC is Gabe Villanueva, Operations Manager. There will also be an additional 10-15 Swiftwater Cellars staff members onsite handling various functions for the event. EMS Services We have an agreement with Fire District 7 and they will provide an onsite team to handle any EMS needs that may arise during the event. Traffic Control Parking at the event venue will be extremely limited and all event attendees will be encouraged to park at the offsite parking location. Please see the offsite parking plan below. Handicap access parking spots will be maintained at the event venue for patrons displaying a state certified placard. Offsite Parking Event patrons will be instructed to park at the Maintenance Building parking lot and Dawson Park parking lot located on Suncadia Property. Parking attendants will be at the offsite location to direct traffic and maintain safety at the location. Any patrons staying at the Suncadia Lodge can and will be encouraged to park there and take the Suncadia shuttle to the venue. Shuttle Buses Shuttle vans will be provided for patrons parking at the Maintenance Building parking lot and Dawson Park parking lot. There will be 1-2 vans shuttling between the venue and offsite parking. Due to the closer proximity of the designated parking areas many of the patrons will likely walk to the venue. Garbage/Recycling We have a contract with Waste Management of Ellensburg and they will bring additional dumpsters to our location to handle the increased amount of garbage produced by the event. We will also have the proper recycling receptacles placed next to each garbage can to reduce the amount of trash produced by the event. Insurance Swiftwater Cellars current certificate of liability has been included with the Kittitas County event application. The included certificate of liability expires on 11/1/2019. Kittitas County should also have a copy of the attached certificate of liability and the additional insured form as requested, from the Swiftwater Cellars insurance agent from last year when the policy went into effect with Kittitas County named as an insured certificate holder. S W I F T W, -'-A, C E L L A R rER s EA r i ,,,Mhll, lilidill MMill, S U MM E R r 10 2019 S t—RI SATURDAY, JULY 6, 2019 hTTLE O_F-JHE.j&ANDS TRIBUTES TO KENNY CHESNEY, ERIC CHURCH & CARRIE UNDERWOOD i SATURDAY, AUGUST 24, 2019 E.H I C GO R E W I R TICKETS ATOS I RCELLARS.COM mm m CIS, SWI TWATEIt L/ L L A 0 r �'`�� of T/144 e�2 2,OOPM TO 3-OOPM ATLANTIC (BRUCE SPRINGSTEEN 3 30PM TO 4 30PM SUNDAY GIRL (BLONDIE TRIBUTE) 5 OOPM TO 6 OOPM REBEL YO G (BILLY IDOL TRIBUTE)2 6 30PM TO 7 3OPM SHE - BOP O (CYNDI LAUPER TRIBUlTIE 8 OOPM TO 9 3OPM VALHALLA (LED ZEPPELIN TRIBUTE) NO OUTSIDE FOOD AND DRINKS PLEASE BRING YOUR ID s SWIFTWATLR 4 N J U -I T I 0 1 DOORS OPEN AT I OOPM TICKETS $35 ADULTS PRICES DO NOT NCLUDE TAX AND FEES) SWI FTWATERCELLARS.COM toi[e KITTITAS COUNTY FIDE MARSHAL'S OFFICE 411 N. Ruby St., Suite 2, Ellensburg, WA 98926 Office (509) 962-7657 Fax (509) 962-7682 Fire Mi arshal "Special Event/Assembly" Permit Application Date: ❑ Initial ❑ Renewal Permit: 21 Event Permit (Temporary) Title of Event: O �^e .--r`� Dates/rimes of Event: —i • ` r� I,FI 20l°I ►'"S 0—+ 1 P" t C.61-�C.lz.� t >�Ip(� e� j ppM Physical Location of Event: 2 f ., tQ _ . . , 1) r' %(e -, e �Um �u[J 1�1CJLJCd ► '� I WA -76V,�L ❑ Indoors WOutdoors Event Coordinator : j -C Phone r t I n phone #: jj �7L 5 • 692 . -q3 I v Cell M. 2�9-572 .5�Sco Mailing Address .2 city - I? StWA- ziPC7n41e. t —it- •rr ❑ Assembly occupancy (permanent) PDysicat Ad&r4s: MgTt i : Maift Addm a Bsriklisrg Uwtfcr: Mailing Addmr s SUN: I MON: I TUE: 4miriic the of Building: ASMWs Map #: Phone #: city Phone #: City Cell #: St zip Email: Cell #: St zip Email: WED: f THU: I PRI: SAT: Specific Description of operation/Event: (Required for both permits) C t�'S - glad Food/Beverage? No Alcohol Served? S No Live Entertainment? YES NO Security On Site? NO Tents? #of YES NO Stages? #of _� YES NO Emergency Contact: Phone #: After Hours: Phone #: �•3�S.f I hereby state that the above information is correct. I agree to comply with all requirements related to this Event/Assembly Permit. I further agree to, and hereby grant to the Kittitas County Fire Marshals Office the right to enter onto the premises as described for this permit application, for the purpose of making such inspections and tests as may be required. This permit is Valid until renewed, revoked, transferrable. or expired and is non - Owner /Authorized Agent Signature: V'J Print Name: i7 Title: f Y� Phnue :a2- - 731 L not Version 2009.2 x I Lb 3�> x SWIFCEL-01 _ PURLACHEF ACa�o CERTIFICATE OF LIABILITY INSURANCE DATE 11/02/201!8 Y) 111021201$ 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 have ADDITIONAL INSURED provisions or 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 TACT -NAME; Richland Office PHONE PayneWest Insurance, Inc. AX, No,_Extl: (5.09) 946-6161 (A1C, NGI:($6 � 215-4862 390 Bradley Blvd. Richland, WA 99352 INSURERISIAFFWiDlNG COVERAGE NAIC # INSURED Swiftwater Cellars, LLC PO Box 492 Roslyn, WA 98941 INSURER A: Allied World Suecialty Insurance INSURER C INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: — R£VNEMN 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRIVD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,0 CLAIMS -MADE u OCCUR5115007905 11/01/2018 11/01/2019 f}AMAC3E.TCJRENTEn. 1,000,0 X �Rl;MI13E;� IFS $ X Liquor Liability 10,0' MED EXP A one arson � I a 1,000,0 1A GATE LIMIT APPLIES PER: POLICYLi PE� 1-1 LOC A AUTOMOBILE LIABILITY X I ANY AUTO 5116007905 OWNED SCHEDULED AUTOS ONLY _ AUTOS X HIRED X NON STT D AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE JI15117007905 DED I X I RETENTION $ 0 I ANY PROPRIETOR/PARTNER/EXECUTIVE (:FFICER/MEMBER EXCLUDED? u N / A (Mandatoryin NH) If ves, describe under 11/01/2018111/01/2019 GENERAL AGGREGATE $ 2 PRODUCTS - C0MP/0P AGG $ NA Stop Gap 1 x.15411 81NGLE LIMIT 1 $ BODILY INJURY Per arson $ BODILY INJURY (Per arr-idenll 1 S 11/01/2018111/0112019 I AGGREGATE PER EL DISEASE - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) re: All Events. Kittitas County is added as additional insured per form WIGL00014 attached. CE"FiCATE HOLOER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kittitas Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 205 W 5th Ave Ellensburg, WA 98926 AUTHORIZED REPRESENTATIVE I _ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD [NAMED INSURED: Swiftwater Cellars LLC POLICY NUMBER: 5115-0079-04 EFFECTIVE DATE:717)2oi7 AUTOMATIC ADDITIONAL INSURED ENDORSEMENT THIS ENDORSEMENT CHANGES THE COVERAGE FORM. PLEASE READ IT CAREFULLY. This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION V — WHO IS AN INSURED is amended to Include as an insured any person or organization but only with respect to the following: a. Liability for "bodily injury", "property damage", or `personal and advertising injury" resulting from, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; 2. in connection with premises owned by or rented to you; or S. resulting from the ownership, maintenance, or use of premises leased to you and subject to the following additional exclusions: (a) any "occurrence" which takes place after you cease to be a tenant at that premises. (b) structural alterations, new construction or demolition operations performed by or on behalf of the person or organization you have leased from. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. W -GL 00014 00 (06112) Page 1 of 1 Includes copyrighted material of Insurance Servlces Offices, Inc. with Its permission. Kittitas County Office Of The Treasurer f. �y Amy Cziske, Treasurer 205% W -At'k Axon@, 3uitie IU2 Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2019-2220 Date: 04/29/2019 Received From: MANDY BUCHHOLZ - DEPUTY CLERK OF THE BOARD Check Amount: $600.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $600.00 Deputy: KYLEEW Receipt Type: CHK Template: Comments: CSR 2019-1547 SWIFTWATER CELLARS SUMMER CONCERT SERIES: BATTLE OF THE BANDS, TRIBUTES TO ERIC CHURCH, CARRIE UNDERWOOD & KENNY CHESNEY, TRIBUTE TO CHICAGO FundCode GICode Description Amoun 001 1632171 SPECIAL EVENTS FEE $600.00 Total Amount: $600.00 Kittitas County Treasurer's Office Submitted By: KYLEE WUESTHOFF (c) 2002 Cashtax All Rights Reserved www.balancedaction.com