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Crime Stoppers Application
yss.xrN4-A COUNTY January 6, 2020 Kittitas County Commissioners 205 W. 5th Suite 108 Ellensburg, WA 98926 RE: Yakima County Crime Stoppers "Your Canyon for a Day" May 17, 2020 Dear Sirs: In preparation for our 16' annual Bike Tour on May 17, 2020 we have sent the following for your review and approval. o Event Application m An attachment to the Event Application e 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. a Application for exemption from permit. $200.00 Administration fee. We are again requesting a waiver of the $5,000.00 cash or bond provisions of KCC 5.2.100. This is the 16th annual ride in the Yakima River Canyon. We are confident that we have sufficient safe guards and precautions in place, including many members of various law enforcement agencies to mitigate any risks. Thank you once again for your time and consideration of our application. Sincerely yours, Mark Peterson President, Yakima County Crime Stoppers (509) 728-4329 ,.,.._ _ 9Vf FEB — 7 2020 Linj— GWS iiC: „i� D� O[�$AIl+liSaivi iv, l�� elKittitas County, Washington BOARDOFCOUNTY COMMISSIONERS EVENT APPLICATION PROCESS 1. Submit a completed Event Application and materials to th4l, Kittitas County Commissioners Office at least Go 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 maybe required in addition from individual departments including: the Fire Marshal, Public Health, Environmental Health, Community Development Services, and the Public Worsts Department. A $200.00 permit fee is to be submitted at the time of application for each event. Applications will not be processed until the permit fee has been received. 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 maybe 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 and endorsements specifically naming "Kittitas County" as an additional insured in the minimum amount of $1,000,000.00 per occurrence and a$2,000,000.00 aggregate coverage must be included with the Event Application. 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. 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 COUNTY COURTHOUSE • 205 WEST 5'h , SUITE 108 - FLLENSBURG, WA 98926 (509) 962-7508 • FAX(509)962-7679 www.co.kittitas.wa.us ittitas Coun contact Information www. co _k i tt itas. w a, u s Board of County Commissioners — (509) 962-7508 Community Development Services — (509) 962-7506 Environmental Health — (509) 962-7005 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 KITTITAS COUNTY COURTHOUSE - 205 WEST P, SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www.co.kittitas.wa.us Admissions Tax Kittitas County Ordinance 2016-003 Ordinance amending Ch.3.22 Kittitas County Code to impose an Admissions Tax "Admissions charge," in addition to its usual and ordinary meaning includes but shall not be limited to a charge for participation in an event or activity; a charge made for season tickets or subscriptions, or a charge made for use of seats and tables, reserved or otherwise, and other similar accommodations; and a charge made for rental or use of equipment or facilities for purpose of recreation or amusement, and where the rental of the equipment or facilities is necessary to the enjoyment of the privilege for which a general admission is charged, the combined charges shall be considered as an admission charge. A dopation for admittance shall also be deemed an admission charge. Admission charge includes any money paid within or without of Kittitas County for any of the kinds of admission charges defined herein so long as the facilities, entertainment, recreation or amusement privilege derived from such admission charge occurs in Kittitas County. The tax imposed shall be collected at the time admission charge is paid by the person seeking admission to any place and shall be reported and remitted by the person receiving the tax to the Treasurer in quarterly installments on or before the last day of the month next succeeding the end of the quarterly period in which the tax is collected or received. Any person conducting or operating any activity for which an admission charge is made shall register with the Auditor. In order to complete the registration process, you will need to register online. Any questions, please contact the Treasurer's office at 509-962-7535; Auditor's office at 509- 962-7502 or email at admissionstax@co.kittitas.wa.us. Kittitas County, Washington BOARD of COUNTY COMMISSIONER 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 ox deviation from the final agreed upon route and/or method of operation described may result in the immediate revocation of an issued permit. Specifics ou'klining Event Permits can be viewed athM2://www.co.kittitas.wa.us/bac/countycodeZti e05.asR Event Information Name of event: Your Canyon for a Day Bike Tour Date(s) of event: May 17,2020 Hours of operation: 8:00 am _4:00 pm Description of the event: Bipyele ride through Yakima River Canyon Has this event taken place before? Vs No Dates: Past 15 yrs in May Estimated attendance: 650 including volunteers How is your event being publicized? Bike shops, email, our website Please attach any flyers, posters, etc. with your application submission. Contact Information Name of the organizer/ contact person: Yakima County Crime Stoppers - Mark Peterson Address: PO Box 11056 Yakima, WA 98909 Phone number(s): (509)728-4329 Email address: hhfurniture4 aol.com Date of birth of applicant: 5/3/1960 KITIITAS COUNTY COURTHOUSE • 205 WEST 5°, SUITE 108 . ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitasma.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 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 and that drug or narcotics violations are crimes under RCW. . -) I/ Mark Peterson Applicant Name (Print) Applicant Alicia Stromme Tobin Applicant Name (Print) Applicant Signature KITTITAS COUNTY COURTHOUSE • 205 WEST 5", suITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kitdtas.wa.us 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 i If yes, you must attach a drawing including the dimensions. The structure may require an inspection by County staff prior to the event. Public Healthfflnvironmental 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 http: Jwww.co.kittitas.wa.uslhealth1food.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. KIT 1TAS 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? Yes 69 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 rani -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 P, SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kixtitas.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Law Enforcement/Securi!y mergency Medical Services Will there be security on site during the event? Yes V 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? No If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? Yes 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? �4 No If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? XA No If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes We 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 Liquor Control Board and must submitted with your application materials. KTTTITAS COUNTY COURTHOUSE • 205 WEST 5', SUITE 108 - ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kftfitas.wa.us 44, j g� li :a�uso:tits � i 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? Vs 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? s No KITTITAS COUNTY COURTHOUSE • 205 WEST 5', SUITE 108 ELL.ENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitasma.us Kittitas County, Washington BOARD OF COUNTY COMMISSIONERS gar bagelRecyrlin Do you have a plan for garbage and recycling? Ves 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? 44 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 $2,000,00.0.00 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 - 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 V If no, you must request a letter in writing to the Board of County Come-nissioners requesting a waiver to the Penal Bond - Bond of indemnity and outline the specific reasons why it should not be required of your event. Coun Filings and Registration Is there a cost to attend the event? Vs No How much are you charging to attend your event? KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 ' ELLENSBURG. WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitasma.us Attachment To Special Use Event Application For Event on May 17, 2020 RE: Your Canyon for a Day Bike Tour Yakima County Crime Stoppers, Inc. DESCRIPTION OF ACTIVITY AND EVENT AT THE YAKIMA CANYON MAY 17, 2020 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 instrumental in the apprehension of felons. This will be the tenth year we have sponsored the bicycle tour in the Yakima Canyon. We had approximately 425 riders last year with over 50% of them starting the ride near 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 turn 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 corner of the Roza parking lot we will also be selling concessions (pop and chips) 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 going 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) — provided by Valley Septic who drop off and pick up their equipment Two at the Roza site (both with hand sanitization equipment and one for handicapped access). One at Big Rock rest site. One at Umtanum/Big pines rest site. Two at Thrall Road site (both with hand sanitization equipment and one for handicapped access). Two at Yakima RV Park. 2. Traffic Control - we will have 8 officers Yakima Police Officers and Yakima County Sheriff Deputies patrolling the canyon during the ride, as well as the Blue Knights and reserve officers riding/driving through the Canyon throughout the ride. Yakima County Sheriff Deputies on duty at each barricade on both ends of the canyon. 2 at Thrall 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. We own our own signs and barricades and will provide them for the event. 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, as well as HAMM Radio operators We also have The Bearded Monkey on site for bicycle repairs when needed. 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 President/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, r � Mark Peterson President, Yakima County Crime Stoppers Cell: (509)728-4329 2 TE AC R CERTIFICATE OF LIABILITY INSURANCE DA 2/13/2016 44.�-. 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, tf the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 luau of such endorsements . PRODUCER O C ISABEL MUNGUTA iAME.. S$Fiaxalfr BRUCE H SEARS aH°:rr 509.697.490D r 509.697.9394 c a EMAIL ISABEL.MUNGUTA.KCA7 STATEFARM.COM 105 S 1ST STREET � SELAH, WA 98942 INSUR s MI'06 MNG COVERAGE as INSURED State Farm Fire and Casualty Company 1 25143 State Farm Mutual Automobile Insurance Company 1 25178 CRIME STOPPERS OF YAKIMA COUNTY INC PO BOX 11056 YAKIMA, WA 98909 ^ Arr rii ieeocn. 12FVICInId Nf IMAr-R- .. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC LY PERIOD O INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' TYPE OF INSURANCE ADD MOM POLICY NUMBER POtJCY EFF FOLkCY E51P LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EAtROCCURRENCE $ 2,000,000 MER EXP Ay One parson] $ 5,000 ADVINAURY $ 2,000,000 A Y 98 -BJ -G478-3 07101/2019 07/01/AL � GEHL AGGRE13ATE LIMIT APPLIES PER: A[30REGATE $ 4,000,000 CTa=cannProt~AGG $ 4,000,000 POLICY JECOT- LOC ' __70 $ OTHER: AUTOMOBILE LIABILITY (E SINaiisl SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO OWNED I SCDULED AUTOS ONLY I AUTOHES HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Par BODILY INJURY (Per accident) $ PROPERTY DAMAVE $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIE—CU, IVEE.L. c T T E 77 EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If es, descrbe under DESCRIPTION OF OPERATIONS below _7� DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) LOCATION: 128 N 2ND ST, YAKIMA, WA 98901 YOUR CANNYON FOR A DAY RIDE ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNTY, WASHINGTON STATE PATROL, DEPT OF TRANSPORTATION, BUREAU OF LAND MANAGEMENT, US GOVERNMENT AND "rhe United States Department of the Interior-BLM is additionally insured." CERTIFICATE FOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KITTITAS COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. 205 W 5TH, STE 108 ELLENSBURG, WA 98926 AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD C PORATION_ All riahtm recprva_rI_ ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 0316-2016 Insured: Policy Type: FIRE Policy: Number CMP -4102 FE -6999.2 CMP -4705.2 FE -8724 FE -8744.1 CMP -4791 CMP -4860 CMP -4572 Forms / Endorsements CRIME STOPPERS OF BUSINESS - MISC 98 -BJ -G478-3 F Description Number BUSN COVG FORM CMP -4804 TERRORISM NOTE CMP -4247.1 LOSS OF INCOME CMP -4709 IM CONDITIONS FD -6007 IM COMP PROP CMP -4788 AI PERMIT CMP -4779 AI DESG PERSON FE -3650 AMEND PREMIUM CMP -4561.1 JANUARY 16, 2020 Page 1 of 1 Description AI CLUB AMENDATORY END MONEY & SECUR IM ATTACH DEC AI MANAGERS EMPLOYERS LIAB ACTUAL CASH POLICY END R-Rtn to Status Accept Kittitas County Office Of The Treasurer Amy Cziske, Treasurer 205 W -Ath Avenue, Suit* 1112 Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Suspense Receipt Number: 2020-538 Received From: MANDY BUCHHOLZ - DEPUTY CLERK OF THE BOARD Check Amount: $200.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $200.00 Deputy: MANDYR Receipt Type: CHK Template: COMMISSIONER! COMMISSIONERS Comments: Special Event Application - Yakima County Crime Stoppers Application FundCode G1Code 001 1632171 Total Amount: Description SPECIAL EVENTS FEE Date: 02/07/2020 Kittitas County Treasurer's Office Submitted By: MANDY ROBINSON Amount $200.00 $200.00 (c) 2002 Cashtax All Rights Reserved 02/07/2020 15:15:40 MANDYR