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Home My WebLink AboutGran Fondo ApplicationKittitas Counfy, Washington BOARD or COLINTY COMMISSIONERS EVENT APPLICATION Thank you for your interest in holding a special event in Kittitas Coun$r. Please cornplete 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 rnisrepresentation in the application materials or deviation from the final agreed upon route andf ot method of operation described may result in the imrnediate revocation of an issued perrnit. Specifics outlining Event Permits can be viewed at h www Event Information Name of even r' Grqn Fnndn llenshr rrn Date(s)ofevent 6-19-21 Hours of operation: 8:00 am - 5:00 pm Description of the event: 90 mile bicvcle ride Has this event taken place before? Estimated attendance: 140 "/" No Dates: 6118/19 How is your event being publicized?www. rideviciouscvcle.com Please attach any flyers, postets, etc. with qoar application subtnissiotr. Contact Information, Name of the organizerfcontactperson: Jok€ M?edk€ ; ,'"'"n::ri;1,;;'. Address: 139 E SW Ephrata. WA 98823 'ilAY rl 1 ?fi'll Email address:bi mail.com Phone number(s): (509) 75A-0977 Date of birth of applicant:1A-14-77 KrrflrAs couNt-y col;R rr{lusE 205 wnsr 5s . slJlrF 108 EI-LENSBURG, wA 98926 is09) 962-750t1 FAX (509) 962-7679 www.co. kittiLs.wn.us If the application is made on behalf of a partorersl'rip, 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. Emergencv confact narne(s) and phone number(s) that can be contacted during the event: Jake Maedke Name Karen Maedke Phone Number (50e) 760-3620 Phone Number WRITTEN PERMISSION TO ENTER EVENT SITE I/We herebv permit law enforcement andf 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 olher 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 Il\{e have read Kittitas County Code, have farniliarized myself with Counly requirements. I/We agree lhat eithel my designatecl agent or If we shall be on site at all times ancl shall be responsible for tl're operation of the event and for compliance with all legai requirements in connection with this event I/We understand that failure to comply with the rules, regulaiions and conditions set forth in Code may be deemed a gross rnisdemeanor ancl that drug or narcotics violations are crirnes under RCW Name Jake Maedke Applicant Name (Print) Karen Maedke Applicant Name (Print) KII-I'TTAS COUN'|Y COURTHOUSE . 205 WI]ST 5.h, SIJTIIJ I08 III-I,ENSBUItC. WA 98926 (s09) 962-7508 FAX (509) 562-7679 wury.co-kiItilas.rva. us Kittitas County, Washington BOARD or COTINTY COMMISSIONIERS Fire Safetv and Protection If more than 50 people are expected at your event, you must complete a separate application pro&ss which can be obtained through the Kittitas County Fire Marshal's office. You may contact the Fire Marshal's office at5A9-962-7A04. Will there be a temporary skucture erected for the event? Yes S If )res, you must attach a drawing including the dimensions. The sil'ucture may require an inspection by County staff prior to the event. Public Heal I H ealth 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 ves, is the food and beverage that you intend on and serwing at the event exempt from permit requirements wa.us al - If ves, please submit an application for exemption from permit and proof of food J 't handlers h'aining to the Kittitas Countl Public Health Departunent (KCPHD). If ves, and the foocl or beverage is not considered e1erygt frorn-perrnit, then does the per.son or organization prepaiing and serving the food h11e a food service permit, iemporary food service permit, or catering perrnit from KCPHD? - I{ yes, please provide a list of foods and beverages that you intend on having pr.p"t"a and served at thc event along with the name and phone number(s) of the permitted person or orgarrization. If yes, and the persr)n or organization preparing and serving the food does not alreacly 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. KITlITAS COUNTY COUltTIit)USti . 205 WESI 5'h . SUITE I08 ELI-ENSBIJRG, wA 98e26 (.50r)962-7s08 FAx$a9)962'1679 mvwco.kittitas-wa us ? Are there perrnanent or fixed bathroom facilities already availatrle at the location of the event? Yes # Lf 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 tcr the nurrrber of portable restrooms that will be provided, fhe 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 nap/ diagtam of the event. KrrmAS couNTy couRTl'lousE' 205 wEslsr, sulrn 108 ELLENSBURG, wA 98926 (s09) 962-7-508 FAX (s09) 962-?679 www.co.kittitas.wa,us Kittitas County, Washinglon BOARD oe COIINTY COMMISSIONERS Medical es Will there be securiQr on site during the event? Yes \6 If yes, please provide a complete list of names and contact information for who will be providing the securi ty. Will Emergency Medical Services (EMS) be on site during the event? Yes V If yes, please provide written verification frorn the providers. Will there be music, sound amplification or any other noise impacts? Yes S If yes, Kittitas County has a noise ordinance in effect (see Countv Code ftir details). If vour event is scheduled for outside of the allowed time, you must submit a written ietter to the Board of County Commissioners requesting a waiver and it must be included with yor.u application materials. Will you have traffic control? Yes \6 If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? Yes S If yes, please provide the location and a parking plan' Will there be shuttle buses provided for attendees? Yes S lf ves, provide a map of their route. Will there be alcohcl 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. KITTTTAS COUNTY COURTHOUSE 205 WES.I5E, SUITE I08 ELLENSBURC. WA 98926 (509) 962-7s08 FAX (509) 962-7679 rvwrl.co. kittilas.ra.us Kittitas County, Washington BOARD OF COUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or requir-e the closure and free use of any public roa4 street or right-of-way? Yes $6 If yes, please provide a detailed adecluate traffic and rletour plans at the tirne of submission of the application WilI there need to be road closure or detour signs posted? Yes ry6 K]T;ITAS COI,JNTY COURTHOUSE . 205 WI,S'I'5U" SUITE IO8 EI-LENSBURC. WA 989?6 (s09) 962-?508 FAX(509) 962-7679 ww.co-kittitas,rm us Kittitas County, Washington BOARD oF COIINTY COMMISSIONIERS Garbage/[tecycling Do you have a plan for garbage and recycling? V" No A wlitten plan for garbage and recycling must be attached to your application rnaterials. For questions or assistance contact the Kittitas CounW Solid lVaste Departrnen t at 549 -9 62-7 5 42. Insurance Have you obtained a Certificate of fnsurance and endorsements, specifically namirig "Kittitas County" as an insured? V No A copy of the Certificate of Insurance amd endorsements must be included with your application materials. Kittitas County rnust be named as an additional insured in the amount of $1,000,000.00 per occurrence and $2,000,000.00 aggtegate coverage. This insurance must apply fir'st and on a primary non-conhibuHng basis in relatibn to any other insurance or seU-insurance available to Kittitas County. Penal Bond - Bond of Indemnitv 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 $5,000.00Application? Yes If no, you must request a letter in writing to the Board of County Comrnissioners requesting a waiver to the Penal Bond - Bond of Indemniry and outline the specific reasons why it shoulcl not be required of your event. Countv Filines and Registration Is there a cost to attend the event?No tsIow much are )/ou charging to attend your event? $ZO KrT-trrAS coliN'Irr cot;Itl'notisE . 205 wEST 5*. sulrE 108 FLLENSBURG. wA 98926 {s09) 962-7s08 rAX (s0e) 952-?67e u$v. co.kittitas.lva.us Penal Bond - Bond of Indemnify with your Events V' CERTIFICATE OF LIABILITY INSURANCE CERTIFTCATENUMBER: CL2142759446 REVISION NUMBER: DATE (MM/DD/YYYY} a4t2712021 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. LY ALTERNEGATIVELY THISHOLDER.CERTIFICATEpoNTHERIGHTSNOUONANDCONFERSISSUEDtsAASOFMAfiERINFORMATIONCERTIFICATETHISTHEBY POLIC|ESAFFORDEDCOVERAGEOREXTENDTHEORNOTDOESAFFIRMATIVELYAMEND,CERTIFICATE AUTHORIZEDISSUINGATNSURER{S},THEBETWEENCOI{TRACT endorsed.orhavetheINSURED,rsholder ancertificate statemeA onntendorsement.ancertainthetoandtermsofthepoliciesrequrr€mayconditionstspolicY,SUBROGATION WAIVED,subjectlf to the certificate holder in lieu of suchthis certificate does not confer Stanley (M1) 828-2013(641' 842-2135 meg@mckayinsagencY.com NAIC #AFFOROII{G CQVERAGE 35378tNsuRERA: Evanston lnsurance Company PRODUCER McKay lnsurance Agency, lnc. ,106 East Main Street P O Box 151 Knoxville tA 50138 70s39B. Gerb€r Life lnsurance ComPanY INSURER C INSI,,IRER D : INSURER E F: Silent Sports Association-NBTS SE Mcious Cycle Events, lnc. 139 E. Street SW Ephrata wA 98823 INSURED COVERAGES AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THEFOR PERIODPOLICYTHETONAMEDINSUREDABOVESELOWLISTEDBEENHAVEISSUEDTHETHATOFPOLICIESINSURANCEtsTHTOCERTIFYWHICH1'O THISOTHERORWITHDOCUMENTRESPECTORTERMOFCONDITIONCONTRACTREOUIREMENT,ANYNOTWITHSTANDINGINOICAIEO.THEAILtsHEREINTO TERMS,SUBJECTTHEBYPOLICIDESCRIBEDMAYINSURANCETHEAFFORDEDMAYCERTIFICATEISSUEDORPERTAIN, EXCLUSIONS LIMITSPOLICY NUMBERTYPE OF INSURANCE EACH OCCURRENCE 300,000 ExcludedEXPone 1.000,000E ADV 2,000,000 2,000,000 $ a6t20t2021a6t19t2021N3607AH01009s-3 COMMERCIAL GENERAL LIABILITY cLArMs-MAoE lxl o""r* lncludes Aihletic Participants POLICY PRGJECT I I LIMITAPPLIES PER: Loc A I BODILY INJURY (Per Person) BOOILY INJURY (Per accidenq $ $ ANY AU'O OWNED AU|OS ONLY HIRED AUIOS ONLY NON.OWNED AUTOS ONLY AUTOMOBILE LIAAILITY SCHEDULCO AUTOS OCCURRENCEOCCURUMBRELLA LIAB EXCESS LIAB E-1, EACH sE.L. LIMITE.L N/A AND EMPLOYERS' UABILITY YTN 1n lfyes, describe DESCRIPTION below EXCLUDED? COMPENSATION $25.000Excess Deductible $250a6/19t2021 06t20t242115-070944-24B Accident Medical Gran Fondo Ellensburg: June 1g, 2021 " Certificate holder is an additional insured but only with respect to liability arising out of ihe operations of the above namedinsured. "Thispolicyisissued,pursuannolowacodesection5l5.l4T,byanonjdmittedcompanyinlOWaandassuchisnotcoveredbythelowa lnsurance Guaranty Association." DESCRIPTION OF OPERATIONS , LOCATIONS , VEIIICLES {AGoRD 101' Additional Remark6 Schedule, may be attached ;f mote spa* ie Gqsi.ed) SHOULO ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA]TON DATE T}IEREOF, NOTICE WILL BE DELIVEREO IN ACGORDANCE WITH THE POLICY PROVISIONS. AUT}IORIZED REPRESEHTATIVE wA 98926Ellensburg Kittitas County 205 W- 5th Ave @ 1988-2015 ACORD ACoRD 25 (20r6103)The ACORD name and logo are register€d marks of ACORD CORPORATION.All rights reserved. 6 r,*.n,*Roslyn L6vnder @ @ 30 tl 50 ri:-4. @ Gran Fondo Ellensburg: June 19, 2021, Kittitas County Roads: Dry Creek Rd McManamy Rd WA 10 Airport Rd Westside Rd Woods and Steele Rd Upper Peoh' Thorp Prairie Rd East Taneum Rd Thorp Highway Gladmar Rd Course map can be seen online at: https://ridewitheps.com/routes/27597567 ,,..$. 25 20 40 65 35 I5 I 60 55 lo g @ Elleneburg 0.2 0.0 3.2 0.1 1.9 14.3 0.1 3.5 0.4 0.1 0.8 0.0 0.2 1.3 0.1 0.1 2.0 1.6 0.7 14.9 1.8 9.4 1.9 2.0 6.5 2.1 0.1 0.2 0.2 0.4 6.7 7.4 2.6 2.2 Right Right Left Right Left Right Right Right Left Left Right Left Right Left Right Straight Right Left Left Left Right Left Right Left Straight Left Right Right Straight Right Straight Left Right Left ---) ---+ <- ---+ +- --> ---+ ---) <- +- ---) <- __> +- --) 1 _-> <- <- <- ---) +- ---) +- t <- ---) --) t ---+ t +- ---) <- Gran Fondo Ellensburg Stight right onto Dry Creek Rd Turn right onto U5-97 N Turn left onto McManamy Rd Stight right onto WA-10 W Turn left onto WA-10 W/WA-970 W Turn right onto Airport Rd Turn right onto E 1st St Turn right onto N Short Ave Turn left onto E 3rd St Turn left onto Bullitt Ave Turn right onto E 3rd St Turn left at the 3rd cross street onto N Pennsytvania Ave Turn right onto Madison Ave Turn left at the 2nd cross street onto 6th St 6th St turns right and becomes Marie Rd Continue onto Westside Rd Turn right to stay on Westside Rd Turn left onto Woods and Steele Rd Turn left onto NF-4510 Stight left onto NF-3300 Stight right to stay on NF-3300 Turn left onto NF-133 Turn right onto NF-119 Turn left onto NF-3350 Continue onto Westside Rd Turn left onto 6th St Turn right onto lron Horse Trail Turn right at the 2nd cross street onto S Cte Etum Way Continue onto Lower Peoh Point Rd Turn right onto Upper Peoh Point Rd Continue onto Thorp Prairie Rd Turn teft onto E Taneum Rd Turn right onto Thorp Hwy Turn left onto Gtadmar Rd 0.1 3.3 3.3 5.2 19.5 19.6 23.1 23.5 23.6 24.4 24.4 24.7 26.0 26.2 26.3 26.4 28.4 30.0 30.7 45.7 47.4 56.8 58.7 60.6 67.2 69.3 69.4 69.6 69.8 70.2 76.9 84.3 87.0 89.2 I ,'j\ I i ! rl-/ ..\ 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 140 participants and this has proven to be a successful san-can plan based on previous experience. May 3,2021 Kittitas County Commissioners 205 West 5th, Suite 108 Ellensburg,WA98926 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 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 no problems with damage. We have worked with Grant, Douglas, Chelan and Klickitat counties as well as the WSDOT and WDFW 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. Riders will be advised they are to obey all traffic laws. We appreciate your consideration. Sincerely, Jake Maedke Vicious Cycle Events Inc. Vicious Cycle Events lnc 1"39 E ST SW Ephrata, WA 98823 509-750-0977 April29,2O2t 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 19,2O2I 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 Event Director Vicious Cycle Events lnc Kittitas Cnunty Ofrce Of The Treasurer Amy Cziske, Trrasurer 2O5 ltrI Sih.Arr*rrur, I'lulb lUl Elensburg,We 98926 Phnnr (509) 962-7535 Fax (509) 933-8212 Cash Suspense Receipt Number: 2021-2067 Received From: MANDYBUCHHOLZADMINSUPERVISOR Check Amount: $200.00 Cash Amount: $0.00 OtherAmount: $0.00 TotalAmount: $200.00 Deputy: MANDYR Receipt Type CHK Template: COMMISSIONERI COMMISSIONERS Comments: GRAN FOND SPECIAL EVENT APPLICATION Date:05114/2021 FundCode 001 Total Amount: GlCode 1632171 Description SPECIAL EVENTS FEE Kittitas County Treasurer's Office Submitted By: MANDY ROBINSON Amount $200.00 $200.00 (c) 2002 Cashtax All Rights Reserved 0511412021 1 3:10:20 MANDYR