1g. Liquor License: Chan Lions for Feb Fest.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 J. Engelhardt, Office Manager
DATE: January 18, 1996
Action by Ctty Adrdlyft 6bT
P,r;- f{f i
Roject
a',a ^ lmd to Born }, K96ff
to a meif
SUSJ: Request for One Day Non - Intoxicating Liquor License, Chanhassen Lions Club,
February Festival &
Attached please find an application for a one daygnouri intoxicating liquor license from the
Chanhassen Lions Club. The Lions would likelo sell beer on the ice at the February Festival on
February 17, 1996. Also attached is a copy oeheir liquor liability insurance that is in effect for
that day.
Recommendation
Staff recommends approval of the one" "day non - intoxicating liquor license application from the
Chanhassen Lions Club to sell beer at the February Festival on February 17, 1996.
PS- 09079.01 (8185)
PHONE 612 - 296 -6159
7 L
MINNESUTA DEPARTMENT OF PUBLIC SAFETY
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
NAME OF ORGANIZATION
Lions Club of Chanhassen
STREET ADDRESS
P.O. Box 484
NAME OF PERSON MAKING APPLICATION
Ga Boyle -------- - - - - --
DATES LIQUOR WILL BE SOLD? 11 TO 3 DAYS)
February 17, 1996
ORGANIZATION OFFICER'S NAME
Roman Roos, President
ORGANIZATION OFFICER'S NAME
Robert Siegel, Secretary
ORGANIZATION OFFICER'S NAME
Curt Robinson
DATE ORGANIZED MBERS TAX EXEMPT NUMBER
1988 - (o Z '
C STATE ZIPCODE
nhassen MN 55317
PHONE HOME PHONE '
(6 12 ) 934 -7617
DOES ORGAN IZATION HAVE A CHARTER GENERAL PURPOSE OF ORGANIZATION
Yes ❑ No Service '
ADDRESS
1727 Greencrest Drive, Victoria
ADDRESS
411 Highland Drive Chanhassen
ADDRESS
202 West 7 7th Street, Chanhassen
Location where license will be used. If an outdoor area, describe.
Lake Susan Park
Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing
the services.
Locker Bros. Distributing, Green Isle, Minnesota
Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage.
(Note: Insurance is not mandatory)
Yes. Transcontinental Insurance Co.
APPROVAL
CITY OF
CITY FEE AMOUNT
DATE FEE PAID
SIGNATURE CITY CLERK
DATE APPROVED
LICENSE DATES
APPROVED LIQUOR CONTROL DIRECTOR
NOTE: Do not separate these two parts, send both parts to the address above and the original signed by this division
will be returned c s the license. Submit to the City Clerk at least 30 days before the event.
ME
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7
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A4M/DD'::;Y >::> :::...........
: ?:;:ISSUE D ATE n
A 0 ANCE
> ::............... :;;:::::::::::::::::::;:;::.;:.;:.;:.;:.;:.;;:.;::.;:.;:.;;:.;;:.;:.;;:.;:.;;;:.::::::.....;;;::;.>:.;:.;:.;;:.;:.;:.;:.;:.;:.;:.;::::.:>;:..;:.;;:.;;;:.;::;:.;:.::;::::;:::;;>:.;:.;
.::.: :..........................................................................
:.;:.;;:. >:.;;:.:;.;:.;:.;; >::> : 06/19/95
...............................
'PRODUCER
ERTIFICATE S
IS ISSUED A A MATTER OF IN ONLY LY AN . D
t
RS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
F OES
CORPORATE 4 INS AGENCY INC
OT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
ES BELOW.
7220 METRO BOULEVARD
'
EDINA MINNESOTA 55439
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A TRANSCONTINENTAL INS. CO.
INSURED _ ....... ..........
COMPANY B
...........: LETTER
t
COMPANY
Lions Club Of Chanhassen
LETTER C
'
P.O. Box 484
__
COMPANY D
LETTER
Chanhassen, MN 55317
...........................
COMPANY E
LETTER
C.0
......... :. . ........ ...... .
....................... .......... ::::::::::::::::::::.::::::::::
.......:..:::...:..:::::::.:::.::::::::::::::::::::
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR LIMITS
'
GENERAL LIABILITY
DATE (MM /DD/YY) DATE (MM /DDNY)
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
..................:......... ...............................
PROD UCTS•COMP/OP AGGR. ; $
CLAIMS MADE OCCUR.
.. _ ......... .................
PERSONAL & ADV. INJURY $
1
OWNER'S & CONTRACTOR'S PROT.
... ......... ........ ...................
EACH OCCURRENCE $
_
FIRE DAMAGE (Any one fire) $
............. ......... ... .............. .:......... ...............................
MED. EXPENSE (Any one person) w $
AUTOMOBILE LIABILITY
'
COMBINED SINGLE $
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS
(Per person)
'
HIRED AUTOS
BODILY INJURY
NON -OWNED AUTOS
(Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE $
t
EXCESS LIABILITY
EACH OCCURENCE i $
UMBRELLA FORM
........................................................ ...............................
AGGREGATE $
T
0 HER THAN UMBRELLA FORM
'
WORKER'S COMPENSATION
STATUTORY LIMITS
......................
EACH ACCIDENT $
AND
__..__ ................................:.._ ........... ......................... .
DISEASE- POLICY LIMIT $
EMPLOYERS' LIABILITY
'
DISEASE -EACH EMPLOYEE $
OTHER
A LIQUOR LLP2660268
06/30/95 06/30/96 SEE BELOW
'
LIABILITY
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS
LIQUOR LIABILITY: BODILY INJURY:$ 1,000,000 ea.person
/$1,000,000 ea.occurrence;
PROPERTY DAMAGE: $1,000,000 ea.occ; LOSS OF MEANS OF SUPPORT: $1,000,000 ea
'
person /$1,000,000 ea. occ; ANNUAL AGGREGATE:
$1,000,000
CERTIFICATE HOLDER
.. CANCELLATION-.--.
'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Chanhassen City H2II
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Attn: Todd Hoffman
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
690 Coulter Drive
AUTHORIZED R E
Chanhassen, MN 55317
O F
..
ACORD 25 S E7/90
At;`RRD CORPORATION 1990 ..,;;