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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 I I� 0 1 n C i 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 ... ...:::.:.:::: ::::::........................�