1n. Approve Temporary Beer License for Septemberfest, Chanhassen LionsMEMORANDUM
TO:
FROM:
DATE:
SUBJ:
CITY OF
---_
CHANHASSEN
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937 -1900 • FAX (612) 937 -5739
Action 69 City Adffl" t 0
Ertrinrs�� D W �
Mod iRed -
Relecte
Don Ashworth, City Manager of 9 7 _ 9
i� Submitted to Commissidll
Karen Engelhardt, Office Manager Date "hied to Cooed
September 7, 1994
Request for On -Sale Non- Intoxicating Beer License, Chanhassen Lions Club,
Septemberfest
The Chanhassen Lions Club is requesting an
beer at the city's annual Septemberfest Celet
Saturday, September 24 from 10:00 a.m. to ,'
The Lions Club has sold beer at this celebra
incidents. Attached is a copy of the liquq l
this date.
Recommendation
This office recommends a
the Chanhassen Lions Clu
from 10:00 a.m. to 5:00"D'
sale non- intoxicating liquor license to sell
on % .The celebration will take place on
p mt in City Center Park behind City Hall.
for the past several years without any
ity in rance certificate which is in effect for
) bf the on -sale non -
serve beer at the Septt
in City Center Park.
ng liquor license requested by
Celebration on September 24
J
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PS- 09079 - 01(8/85) MINNESOTA DEPARTMENT OF PUBLIC SAFETY
PHONE 612-296-6159 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 -
NAME OF ORGANIZATION
�1� C U �
DATE ORGANIZED T - 0 — .0 9 - 0
MEMBERS
TAX EXEMPT NUMBER
!b
- �3
ST§I ET ADD S o x
C Cl
A 4 ° Y1
STAT
R - A I
ZIP CODE
S_ J ��
NAM OF PERSON KING APPLICATION
6'
BUSINESS PHONE
(6 a -
HOME PHONE
l� lk) C1 T9 - t i
DATES LIQUOR WILL BE SOLD? 11 TO 3 DAYS)
DOES ORGANIZATION HAVE A CHARTER
GENERAL PURPOSE OF ORGANIZATION
1
IXYes 0 No
R Q GAN TION OFFICE 'S NAME
A C �a � urs %,n
A DRESS
'A S6 ' I Cc R-6
ORC NI 1AT10N F ER'S NAME
ADDRESS
OR - GAbUZATION 0FFICER'9 NAME
ADDRESS
Location where license will be used. If an outdoor area, describe.
Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing
the services.
Applicant's Date of Birth: - ,
Signature o pplicant (includ fiddle name)
APPROVAL
CITY OF
DATE APPROVED
CITY "EE 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 as the license. Submit to the City Clerk at least 30 days before the event.
iii
D Y;:;:;::i;:;r,;:
::::::::::::::::::::::::::::::::: i::::::::;:::;: i:? i::::::::;::: ::: ? <:::::::::::::::::::::::::: ::::::::::::' c:::: i'•:>: i3::: i::::::i::::;:::::i:c:ISSUE DATE / D
.:< A4 . 41101 0
m
....................................................................... ...............................
::0::. _:::::::::::::.:::::::::::: 08/19/94
� � � .
............................................................................................. ...............................
P RODUCER �.
��.�.�.THIS
SU
CERTIFICATE . � . �IS . �ISS ED AS A MATTER OF INFORMATION ONLY AND
612 - 893 -9218
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
CORPORATE 4 INS AGENCY INC
POLICIES BELOW.
7220 METRO BOULEVARD
COMPANIES AFFORDING COVERAGE
EDINA MINNESOTA 55439
....................................................................... ............_.............__... ......... ...............................
COMPANY
A TRANSCONTINENTAL INS. CO.
LETTER
...........................................................:................. ...............................
.................................................................................................................................... ..............................
COMPANY
LETTER B
INSURED
i .................. _..------- .. .............. ..... ............................... _....................... _0000. _ ...................... ...............................
E COMPANY
I C
CHANHASSEN LIONS CLUB
LETTER
C/O CURTIS ROBINSON
..................................................................................................... ............................... ........................0000...
COMPANY
202 West 77th Street
LETTER D
Chanhassen MN 55317
_._ ........................................_..............................._..........__.._............ ...............................
COMPANY
LETTER E
............ .......................:.:::.:. �::::::................:: :::::::::::::::::.:::::::::::.: �:. �:::. �::::::.
........::::::::::...... 0000... .. 0000... ................ ..........................
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.
................... .. 00_0_0...
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
............... ... ..... .........,
............ ....... . ........ __
CO : TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD/YY) DATE (MM /DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE w $
COMMERCIAL GENERAL LIABILITY
PRODUCTS- COMP /OP AGGR. $
............ ............... ...........
CLAIMS MADE OCCUR.:
PE .. S
R ONAL & AOV. INJURY $
.............................
:: >;;: >:::::::.
OWNER'S & CONTRACTOR'S PROT.
...........................
EACH OCCURRENCE $
.. .. ... ._. .._. ..... I .........................
FIRE DAMAGE (Any one Sire) $
...............................
_ ... ..........................._
...........................
MED. EXPENSE (Any one person) i $
AUTOMOBILE LIABILITY
COMBINED SINGLE $
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Par person)
HIRED AUTOS
BODILY INJURY
'd $
NON -OWNED AUTOS
(Pe nt)
r accident)
:GARAGE LIABILITY
PROPERTY DAMAGE
P $
EXCESS LIABILITY
EACH OCCURENCE $
.........................
UMBRELLA FORM
.....
.............................,$
AGGREGATE
O THER THAN UMBRELLA FORM
:::::::::::::::::::::::::::::.::.:: :::::::::::::::::::::.:::::::::
STATUTORY LIMITS
WORKER'S COMPENSATION
_ ._ .
EACH ACCIDEINT $
AND .................................................>........
...............................
DISEASE- POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE -EACH EMPLOYEE $
OTHER
A LIQUOR LLP2660268
06/01/94 06/30/95 SEE BELOW
LIABILITY
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/SPECIAL ITEMS
LIQUOR LIABILITY: BODILY INJURY: $1,000,000 EA. PERSON /$1,000,000 EA.000URRENCE;
PROPERTY DAMAGE: $1,000,000 EA.000; LOSS
OF MEANS OF SUPPORT: $1,000,000 EA
PERSON /$1,000,000 EA. OCCURRENCE; $1,000,000 ANNUAL AGGREGATE
SPECIAL EVENT HELD SEPTEMBER 24,1994
T : HOB, t}
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
CITY OF CHANHASSEN
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P.O. BOX 147
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPR E ATIVES.
CHANHASSEN MN 55317 - 0147
AUTHORIZED REPRESENTATIVE
ATTN: CITY CLERK
...
...:::.:.:::: ::::::........................�