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1h. Chanhassen Lions: Liquor License for Feb Fest.CITY OF - CHANHASSEN 690 COULTER DRIVE P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317 (612) 937 -1900 • FAX (612) 937 -5739 !►� i �u ,7: 111i1►� TO: Don Ashworth, City Manager FROM: Karen Engelhardt, Office Manager DATE: January 16, 1997 SUBJ: Approval of Temporary On -Sale 3.2 Beer License, Chanhassen Lions Club, February Festival Attached please find an application for a 3.2 beer license from the Chanhassen Lions Club. The Lions would like to sell beer at the annual February Festival on Lake Susan on February 15. Also attached is the liquor liability insurance certificate that is in effect for this event. An alternate date of February 16 has been set for February Festival in the event of inclement weather. I would suggest that this alternate date also be approved for the liquor license. RECOMMENDATION Approval of the 3.2 beer license for the Chanhassen Lions Club on February 15, 1997 on Lake Susan is recommended, with an alternate date of February 16 in the event of inclement weather. gAuser\karen \liquor\lions.e PS- 09 079- 01 ($'$5' MINNESOTA DEPARTMENT OF PUBLIC SAFETY PHONE 612 - 29 6 -6159 LIQUOR CONTROL DIVISION 333 SIBLEY • ST. PAUL, MN 55101. APPLICATION AND PERMIT FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE TYPE OR PRINT INFORMATION NAVE OF ORGANIZATIO �Ir L - O V s 4j) o 66h cL5 W DATE ORGANIZED 11168 TO.OFMEMBERS S3 TAX EXEMPT NUMBER - 963 STR T ADDRESS D 3 CITY ��nhass ATE N I ZIP COD 3> NAME OF PERSON MAKING APPLICATION art (fr(c 6 BUSINESS PHONE P HOME PHONE 1 1 6 19.) q 9 395' DATES LIQUOR WILL BE SOLD? 0 TO 3 DAYS) Th F-e ibru.a 1 0 i �tz5 DOES�Y6ANIZ❑ IO HAVE A CHARTER GENER f P ROSE OF ORGANIZATION S ORGANIZATION ICER'S NAME y � c�nce(aic 64 r ADDRESS ( t 3 L1 l M ; nne tva - krn- wooJ s .fir r-yCJ OR ANIZATION OFFICER'S NAME I r e e- 1 S ec� r ADDRESS lei br Gbo► n hassaV ORGANIZATION O FICER' AME t�1.11 � �N Tre�sure�r ADDRESS [ � °a s7 G )wn 6 _ 5 5 6- d 6 _ 5 5 6- d � �U- . Location where license will be used. If an outdoor area, describe. e ij ty ebmar r 5 i Vet� _C Fis `n Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing the services. yoe_ /T i s Ir i d un n,� , (5 r-(;e_t\J M , Alk) Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage. (Note: Insurance is not mandatory) !Ae s _ APPROVAL CITY OF CITY FEE AMOUNT DATE FEE PAID DATE APPROVED LICENSE DATES APPROVED LIQUOR CONTROL DIRECTOR SIGNATURE CITY CLERK NOTE Do not separate these two parts, send both parts to the address above and the original signed by this division will be returned es the license. Submit to the City Clerk at least 30 days before the event. 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 REOUI REM ENT, 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 D ESC R!BED HEREIN IS SUBJECT TO ALL THE TER.SS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...... ................. ............................... ............................. ............................................................................................................. ............................... TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM /00/YY) GENERAL LIABILITY GENERAL AGGREGATE .. ...... ... ::.:::::.::.: ::::::::::::::::::::::::::::::::::::::::::::::.. ._.....:::::::::::::::.::::.::: . 06/12/96 ODUCER CLAIMS MADE OCCUR. c::;:.>;:;:....... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND (612)893 -9218 ......... OWNER'S 3 CONTRACTOR'S PROT. :.........: CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE CORPORATE 4 INS AGENCY INC DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ... ............................... : S ........' ....................... ............................... POLICIES BELOW. .. ............................... S 7220 METRO BLVD COMBINED SINGLE EDINA MN 55439 ............................................................................. COMPANIES AFFORDING COVERAGE ............................... .............................. ............................... ALL OWNED AUTOS COMPANY A LETTER Transcontinental Ins. Co. ............................... SCHEDULED AUTOS ......................................................................................................................................... COMPANY B $ 'URED LETTER .......................................................................................................................................... ..............................: Lions Club of Chanhassen COMPANY LETTER C ............... .............................(? j '1 `�v j ......- .,..,........x .. _J.....�,.., ........................ ..............................I P.O. Box 484 : �� bf .......... LETTER D : S Chanhassen, MN 55317 ............................. . COMPANY ...................................................................................................... ..............................I :....---": UMBRELLA FORM AGGREGATE ................... .............................. LETTER E :......... OTHER THAN UMBRELLA FORM ...............: 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 REOUI REM ENT, 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 D ESC R!BED HEREIN IS SUBJECT TO ALL THE TER.SS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...... ................. ............................... ............................. ............................................................................................................. ............................... TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM /00/YY) GENERAL LIABILITY GENERAL AGGREGATE S :.......... COMMERCIAL GENERAL LIABILITY ............. ............................... PRODUCTS- COMP /OPAGGR. .. .. ............................... : S CLAIMS MADE OCCUR. c::;:.>;:;:....... ........... ............................... PERSONAL & ADV. INJURY ............................. : S ......... OWNER'S 3 CONTRACTOR'S PROT. :.........: ... .... .............. EACH OCCURRENCE ... : S ............ ............................... FIRE DAMAGE (Any one tire) ... ............................... : S ........' ....................... ............................... ................. MED. EXPENSE (Any one person) .. ............................... S AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO ;......... LIMIT S ALL OWNED AUTOS ............ ............................... :BODILY INJURY .... ............................... SCHEDULED AUTOS (Per person) $ HIRED AUTOS ............. ............................... BODILY INJURY .... ............................... $ NON -OWNED AUTOS (Per accident) GARAGE LIABILITY .................................................;......... ............................... .......... PROPERTY DAMAGE : S EXCESS LIABILITY EACH OCCURENCE : $ :....---": UMBRELLA FORM AGGREGATE ................... .............................. .._... ............................... :......... OTHER THAN UMBRELLA FORM ...............: ....... ............................... STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT : S AND.. ............................... ......... .. . ............................... DISEASE- POLICY LIMIT : S EMPLOYERS' LIABILITY .............. ..... .... ............................... DISEASE -EACH EMPLOYEE S OTHER -- - -- — — — Liquor LLP142599895 06/30/96 06/30/97 See Below Liability CRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS Bodily Injury $1,000,000.ea person /$1,000,000. per occurrence; Property Damage $1,000,000. per occurrence; Loss of Means of Support $1,000,000. ea person/ per occurrence; Annual Aggregate $1,000,000. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL SO_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Lions Club of Chanhassen LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Attn: Bob Siegel LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. P.O. BOX 484 AUTHORIZED REP V Chanhassen, MN 55317 _ _//