The URL can be used to link to this page

1g. Camp Fire USA: Approve Temporary Liquor License0 CITY OF CgANHASSEN 7700 Market Boulevard PO Box 147 Chanhassen, MN 55317 Administration Phone: 952.227.1100 Fax: 952.227.1110 Building Inspections Phone: 952.227.1180 Fax: 952.227.1190 Engineering Phone: 952.227.1160 Fax: 952.227,1170 Finance Phone: 952.227.1140 Fax: 952.227.1110 Park & Recreation Phone: 952.227.1120 Fax: 952.227.1110 Recreation Center 2310 Coulter Boulevard Phone: 952.227,1400 Fax: 952.227.1404 Planning & Natural Resources Phone: 952.227.1130 Fax: 952.2271110 Public Works 1591 Park Road Phone: 952.227.1300 Fax: 952.227,1310 Senior Center Phone: 952.227.1125 Fax: 952.2271110 Web Site wwaci.chanhassen.mn.us MEMORANDUM TO: Todd Gerhardt, City Manager FROM: Karen Engelhardt, Office Manager DATE: January 10, 2011 ok-5- SUBJ: Approval of Temporary Liquor License, Camp Fire USA MN Council, January 24, 2011 PROPOSED MOTION: "The City Council approves the request from Camp Fire USA Minnesota Council for a temporary on -sale intoxicating liquor license for their annual meeting on January 24, 2011 at the Chanhassen Library. Additionally, the fee shall be set at $1." Approval of this request requires a simple majority vote of the City Council. Camp Tanadoona is holding their annual meeting in the Wilder Room at the Chanhassen Library on Monday, January 24, 2011. They would like to serve wine following the meeting. Liquor liability insurance has been submitted for the event. RECOMMENDATION Staff recommends approval of the request from Camp Fire USA Minnesota Council's for a temporary on -sale liquor license for their annual meeting on Monday, January 24, 2010 at the Chanhassen Library. Additionally, it is recommended that the fee be set at $1. ATTACHMENT Application Form gAuser \karen \liquor \camp tanadoona.doc Chanhassen is a Community for Life - Providing for Today and Planning for Tomorrow yy At�?�Ht Or Pu, bh Minnesota Department of Public Safety ALCOHOL AND GAMBLING ENFORCEMENT DIVISIONl� 444 Cedar Street Suite 133, St. Paul. MN 55101 -5133 (651) 201 -7507 Fax (651) 297 -5259 TTY (651) 282 - 6555 W W W.DPS.STATE.MN.US APPLICATION AND PERMIT FOR A l TO 4 DAY TEMPORARY ON -SALE LIQUOR LICENSE TYPE OR PRINT INFORMATION VA\ G (�(� f IA -e- a V NAME OF ORGANIZATION DATE 1� ORGANIZED TAX E EMPT NUMBER L�.1 �i J Cnctv7e 4 L q i z - DI b u)1) U STREET ADDRESS CITY STATE ZIP CODE W� 00 M i nn OhS rANJ 5Sy f NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE St S t ter — 2QYl (IctL) Z� 5- LO Z o 3 Q 6)) q S 3— 1 4 Lo Z DATES LIQUOR WILL BE S9L+) SE-Zvl D TYPE OF ORGANIZATION 1rr v.' , n i. 12" 7 r, ORGANIZATIO14 OFFICER'S NAME Location license will be used. If an outdoor area, describe 11_A (') h R S S 2 i) 6 b Y c. v u tA N► S 3i1 ADDRESS - 3 1 00 t,v . t' a-k C St ► X--c.- v 6 -c-v 3 iv a . SW/4t 100 01 hire poi iS Will the applicant contract for intoxicating Liquor service`? If so, give the name and address of the liquor licensee providing the service. Will the applicant carry liquor liability insurance? If so, please provide the carrier's name and amount of coverage. A i n, we s F, ,, �-► - 0 UU + a GL.Q (�& ( , O DC � 000 , OCR APROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL & GAMBLING ENFORCEMENT CITY /COUNTY CITY FEE AMOUNT DATE FEE PAID DATE APPROVED LICENSE DATES SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED DIRECTOR ALCOHOL AND GAMBLING ENFORCENIEN - I NOTE: Submit this form to the city or county.30 days prior to event. Forward applications — ned by city and /or county to the address above. If the application is approved the Alcohol and Gambling Enforcement Division will return this application lobe used as the License for the even, PS -09079 (05/06) a►coR>b® CERTIFICATE OF LIABILITY INSURANCE OP ID CB �./ DATE(MMIDD/YYYY) 12/17/10 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(les) 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 NAME. C o ry B ergman Assured Protection, Inc. A/c No E :t: 651 - 779 -7000 " ,No ) : 651 -779 -092 ADDRESS: CO @a i insurance.com 5671 Geneva Avenue N. PRODUCER CUSTOMERID#- CAMPF -1 Oakdale MN 55128 Phone:651 -779 -7000 Fax:651- 779 -0921 INSURER(S) AFFORDING COVERAGE NAIC9 INSURED - INSURER A: past Bend Mutual Insurance Co PERSONAL BADVINJURY Caazzaapp Fire LISA 310v West Lake St Ste 100 INSURERS INSURERC: $ Minneapolis MN 55416 INSURER D : $ INSURER E : AUTOMOBILE INSURER F: 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. INSR LTR TYPE OF INSURANCE IN WVD POLICY NUMBER (MMIDD (MMIDD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL BADVINJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEa LOC PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y IN ANY PROPRIETOR/PARTNER/EXECUT� OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 A T WC STATU- OT - TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A Liquor Liability NSN1337032 05 /05 /10 05/05/11 Occurrenc 1,000,000 Aggregate 1 000 000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES { Attach ACORD 101, Additional Remarks Schedule !(more space is required) Annual Meetingg January. 2010 at the Chanhassen Pu151ic Library serving wine during tEe reception CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MNDE PTI I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MN Dept of Public Safety Alcohol & Gambling Enforcement 444 Cedar St Suite 133 St. Paul MN 55101 -5133 AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD