1g Request for on-sale non-intoxicating liquor license, Chan rotary, July 2 1 /
1
CITYOF
1 CHANHASSEN
0
690 COULTER DRIVE • P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
1 _ (612) 937 -1900 • FAX (612) 937 -5739
Action by M ,,::,, r,
1
bdorse:i_. ftLL
MEMORANDUM moe.itw L. __
Rejecte a
I �'
TO: Don Ashworth, City Manager D ate 41972,
-
Date Subm to Commission
FROM: Karen Engelhardt, Office Manager
I Date Subm;tted to Council
DATE: June 23, 1993
1 SUBJ: Request for On -Sale Non - Intoxicating Liquor License, Chanhassen Rotary,
July 2
1 Attached please find an application for an on -sale non - intoxicating liquor license from the
Chanhassen Rotary Club. The Rotary plans to sell beer on July 2 during the community picnic
I and street dance portion of the annual Fourth of July Celebration. The Rotary has sold beer at
this celebration for the past few years. The application submitted did not include a copy of the
of liquor liability insurance, and the applicant, Tim Erhart is aware that this document must be
1 submitted before the license will be issued.
I Recommendation
This office recommends approval of the on -sale non - intoxicating liquor license request from the
Chanhassen Rotary to sell beer on July 2 in City Center Park as a part of the annual Fourth of
I July Celebration, contingent upon receipt of their liquor liability insurance certificate.
1
Update (6/25/93):
1 I received the liquor liability insurance certificate in today's mail. Approval
is recommended.
II KJE
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PRINTED ON RECYCLED PAPER
r Ps- °9 °'9- °1'8'85` MINNESOTA DEPARTMENT OF PUBLIC SAFETY
PHONE612- 296 -6159 LIQUOR CONTROL DIVISION
1 333 SIBLEY • ST. PAUL, MN 55101
I R _ „ APPLICATION AND PERMIT
`' FOR A 1 t 3 DAY TEMPORARY ON -SALE LIQUOR LICENSE
I TYPE OR PRINT INFORMATION
NAME OF ORGANIZATION DATE ORGANIZED NO OF MEMBERS TAX EXEMPT NUMBER
C‘ . r �; -
1 STREET ADDRESS CITY STATE ZIP CODE
g ` L',1 j i t 4 _ ' C,' C.- (, c.: _ .. M , _ 1
NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE
I I - — ( 6' /1 ) L/) , .i 6 (`- ) ..L t.: ,
DATES LIQUOR WILL BE SOL[ ? (1 TO 3 DAYS) DOES ORGANIZATION HAVE A CHARTER GENERAL PURPOSt OF ORGANIZATION
(2 t -Yes 0 N ` r c
I ORGANIZATION OFFICER'S NAME ADDRESS
ORGANIZATION FFICER'S NAME ADDRESS
I I C- rY\ I h., 0 1
ORG NIZATION OFFICER'S NAME ADDRESS
° T
I Location where license will be used. If an outdoor area, describe.
I '^ !
IV
1
I Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor licensee providing
the services
1
Will the applicant carry liquor liability insurance? If so, the carrier's name and amount of coverage.
1 (Note: Insurance i:: not mandatory)
1 APPROVAL
1 CITY OF DATE APPROVED
CITY FEE AMOUNT LICENSE DATES
1 DATE FEE PAID
APPROVED LIQUOR CONTROL DIRECTOR
I SIGNATURE CITY CLERK
I NOTE Do not separate these two parts, send both parts to the address above and the original signed by this oivision
will be returned as the license. Submit to the City Clerk at east 30 days before the event
1
•
-
tSSUEDATE (MMlDD/YY)
CERTIFICATE OF .INSURANCE- 06/31/93
ONLY PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
HUGGINS INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
1786 State St. POLICIES BELOW.
P O Box 270
Salem, OR 97308 COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER ZURICH INSURANCE COMPANY
COMPANY B
INSURED LETTER y}�_±
" S V
COMPANY C
Rotary District 5950 LETTER Ri t q :
J Gregory Murphy Dist Trea COMPANY s.
1433 Utica Ave So Ste 175 LETTER D " 1TY ` E (.- -
St. Louis Park, MN 55416 COMPANY
LETTER E
COVERAGES •
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO 1
INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC .-
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 LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE S 7 000 000
X COMMERCIAL GENERAL LIABILITN PRODUCTS- COMP /OPAGGR. S 2,000,000
CLAIMS MADE X OCCUR. PERSONAL & ADV INJURY S 1,000,000
A OWNER GL064 -47- 004 -03 07/01 /93 07/01 /94 EACH OCCURRENCE S 1,000,000
X LIQUOR LIAR FIRE DAMAGE (Any one fire) S 1,000,000
X NON - OWNED AUTO MED. EXPENSE (Any one person) S 5,000
AUTOMOBILE LIABI
COMBINED SINGLE S
AN' AUTO LIMIT
ALL OW' EU All OS
BODILY INJURY
SCHEDILED ALTOS (Per person)
IIIRED All OS
BODILY INJURY S
NON -OWNED ALTOS
(Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE
EXCESS LIABILITY' EACH OCCURENCE S 2,000,000
A X UMBRELLAFORM CC6447036 -02 07/01/93 07/01/94 AGGREGATE s 2,000,000
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT S
AND
DISEASE - POLICY LIMIT S
EMPLOYERS' LIABILITY
DISEASE -EACI-I EMPLOYEE S
OTHER
DESCRIPTION OF 0I' ERATIONS /LOCATIONS'VEIIICLES!SPECIAI. ITEMS
RE BEER BOOTH AT 4TH OF JULY CELEBRATION ON JULY 2, 1993, SPONSORED BY THE
ROTARY CLUB OF CHANHASSEN, MEMBER OF DISTRICT #5950 CERTIFICATE HOLDER NAMED
BELOW IS NAMED AS AN ADDITIONAL INSURED, BUT ONLY AS RESPECTS TO THE OPERATIONS
AND ACTIVITIES OF THE ROTARY CLUB OF CHANHASSEN
CERTIFICATE HOLDER
CANCELLATION
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
690 COULTIER DRIVE LIABILITY OF ANY KIND UPON THE COMANY, ITS AGENTS OR REPRESENTATIVES
CHANHASSEN, MN 55317 ALTI10 PRESEFTATIVE
jr .Algr 1 / %sir
ACORD 25 -S (7/90) • . ..: x ACORD CORPDRATION 199