1j. Chanhassen Lions Club: Liquor License for Softball Tournament.I�
CITY OF
CHANHASSEN
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937 -1900 • FAX (612) 937 -5739
MEMORANDUM
TO: Don Ashworth, City Manager
FROM: Karen Engelhardt, Office Manager
DATE: March 31, 1997
SUBJ: Approval of Temporary On -Sale 3.2 Beer License, Chanhassen Lions Club,
May 17 & 18
Attached please find an application for a 3.2 beer license from the Chanhassen Lions Club. The
Lions would like to sell beer at their second annual softball tournament on May 17 & 18, 1997 at
Lake Ann Park. Also attached is the liquor liability insurance certificate that is in effect for this
event. No incidents occurred at last year's tournament.
RECOMMENDATION
Approval of the 3.2 beer license for the Chanhassen Lions Club on May 17 & 18, 1997 at Lake
Ann Park is recommended.
gAuser \karen \liquor \lion s.e
PS- 09079 - 0118/851 MINNESOTA DEPARTMENT OF PUBLIC SAFETY
PHONE 612-296-6159 LIQUOR CONTROL DIVISION
333 SIBLEY • ST. PAUL, MN 55101
APPLICATION AND PERMIT
. 10 FOR A 1 to 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE
TYPE OR PRINT INFORMATION
NAM7 ORGANI A 10
;07 F ��aN �iAss��n!
DATE ORGANIZED
N0. OF MEMBERS
53
TAX EXEMPT NUMBER
z//- z". 7
STREET ADDR S
(', I x
CITY +
`1
STAT
/Ili
ZIP CODE
a 31
NAME F PERSON M ING APPLICATION
BUSINESS PHONE
HOME PHONE
DATES LIQUOR W LL BE SOLD? III TTOi3 DAYS)
7/
DOES ORGANIZATION HAVE A CHARTER
O No
GEN�, AL PURPOSE OF ORGANIZATION
/ — � c7 /
1 �'Yes
Jtv� i C &_
ORGANIZATION OFFI ER'S NAME � r
ADDRESS
ORG IZATION O FICER'S NAPAE
f 5
ADDRESS
�/I ��j P, axi
Gl rz /eUC'L <eel
0�4,o, / -f
OR NIZATIOI OFFIC R'S NAME _
ADDRESS
�)• �J �� Jl. �f/�i✓�Ar!'�,�/
Location where license will be used an outdoor area, describe.
, If
z 4 I e` IV V 4 h (C
Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing
the services.
Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage.
(Note: Insurance is not mandatory)
APPROVAL
CITY OF
DATE APPROVED
CITY FEE AMOUNT
LICENSE DATES
DATE FEE PAID
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.
.: .
%•: iF:>:r :»: IJJUC YAIC MMlU U /TT
A
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE;N IS SUBJECT TO ALL THE TEn:SS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
...................................................................:.................................... .............................., .................................:............................................................. ...............................
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ;POLICY EXPIRATION LIMITS
TR DATE (MM/DD/YY) DATE (MM /DO/YY)
GENERAL LIABILITY
GENERAL AGGREGATE
S
COMMERCIAL GENERAL LIABILITY
:.......... ........,
............... ...............................
_ PRODUCTS- COMP /OP AGGR.
.. ... ...I...........................
S
CLAIMS MADE OCCUR.
PERSONALS ADV. INJURY
: S
OWNER'S S CONTRACTOR'S PROT.
..
.......................
EACH OCCURRENCE
...............................
: S
....................... ...............................
......... ...........................
FIRE DAMAGE (Any one fire)
$
SCHEDULED AUTOS
................................................:.........
MED. EXPENSE (Any one person)
...................I...........
$
AUTOMOBILE LIABILITY
COMBINED SINGLE
S
ANY AUTO
LIMIT
ALL OWNED AUTOS
............................................
..................................
INJ Y
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BOD I LY I Y
$
NON -OWNED AUTOS
(Per accident)
GARAGE LIABILITY
......................... ...............................
.... ...............................
PROPERTY DAMAGE
i $
EXCESS LIABILITY EACH OCCURENCE : $
AGGREGATE
... ..................... ...........
. ...............................
UMBRELLA FORM ; S
OTHER THAN UMBRELLA FORM
ORM
IESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /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.
Lions Club of Chanhassen
Attn: Bob Siegel
P.O. Box 484
Chanhassen, MN 55317
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY''OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPREUNMfiff�
r
LmA
2ND ANNUAL
CHANHASSEN LION'S
SPRING SOFTBALL CLASSIC
MENS C, D, E, & MENS OVER 35
Saturday, May 17th and Sunday, May 18th
Lake Ann Park, Chanhassen
(112 mile west of downtown Chanhassen on Highway S)
GUARANTEED: 4 GAMES
* $110.00 + Two (2) blue stitch softballs * 4 fields, 300' fences
* Rain or Shine * Help support Lion's Club
* USSSA Sanction * Concessions: Food, Beer, Pop, etc.
* Contact: Lowell @ 934 -9301 or VERY REASONABLY PRICED!
Greg @ 937 -0910
RULES:
1. Three brackets (2 -0, 1 -1, 0 -2). The first two games decide bracket.
2. 10- Run -Rule after 5 innings.
3. Non protest basis.
4. Sponsor is NOT responsible for injuries or loss.
PAYMENT MUST ACCOMPANY ENTRY FORM - *NO EXCEPTIONS*
ENTRY MUST BE RECEIVED BY WEDNESDAY, MAY 14th, 1997
Team Name: Make Check payable to:
Managers Name: Chanhassen Lion's Club
Address: Send to: Lowell Vetter
City: Zip Code: 404 Highland Drive
Home #: Work #: Chanhassen, MN 55317
What city do you play league games in ?
Team Classification: C D E Over 35 (circle one)
L :3