D-3. Approval of Temporary Liquor License, Chanhassen Rotary Club, July 3-4, 2016MEMORANDUM
TO: Todd Gerhardt, City Manager
CITY OF FROM: Kim Meuwissen, Office Manager
CHANMEN
7700 Market Boulevard VT
DATE: May 23, 2016 d
PO Box 147
Chanhassen, MN 55317 SUBJ: Approval of Temporary On -Sale Liquor License, Chanhassen
Rotary Club, July 4th Celebration
Administration
Phone: 952.227.1100
Fax: 952.227.1110
PROPOSED MOTION:
Building Inspections
"The Chanhassen City Council approves the request from the Chanhassen
Phone: 952.227.1180
Fax: 952.227.1190
Rotary Club for a temporary on -sale intoxicating liquor license to sell alcoholic
beverages at the 41h of July Celebration on July 3 & 4, 2016 in City Center Park.
Engineering
Approval is contingent upon the Rotary Club providing liquor liability
Phone: 952.227.1160
insurance."
Fax: 952.227.1170
Finance
Approval of this request requires a simple majority vote.
Phone: 952.227.1140
Fax: 952.227.1110
The Chanhassen Rotary Club has submitted an application for a temporary on -sale
Park & Recreation
intoxicating liquor license for the 41h of July Celebration on July 3 & 4, 2016 in
Phone: 952.227.1120
City Center Park. The Rotary would like to sell beer, wine, and malt beverages
Fax: 952.227.1110
(e.g. Mike's Hard Lemonade) in a designated beer garden during this two-day
Recreation Center
event.
2310 Coulter Boulevard
Phone: 952.227.1400
The Rotary has provided these services for many years without incident. The club
Fax: 952.227.1404
will be required to provide liquor liability insurance for the event (their policy
renews on July 1St)
Planning &
Natural Resources
Phone: 952.227.1130
RECOMMENDATION
Fax: 952.227.1110
Staff recommends approval of the Chanhassen Rotary Club's request for a
Public Works
temporary on -sale liquor license for the 41h of July Celebration on July 3 & 4,
7901 Park Place
2016 in City Center Park. Approval is contingent upon the provision of liquor
Phone: 952.227.1300
liability insurance.
Fax: 952.227.1310
Senior Center ATTACHMENT
Phone: 952.227.1125
Fax: 952.227.1110 1. Application.
Website 2. Certificate of Liability Insurance.
www.ci.chanhassen.mn.us
g:\admin\liquor\rotary\rotary july 4 2016.doc
Chanhassen is a Community for Life - Providing for Today and Planning for Tomorrow
FAMA
C:
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Name of organization
(Rotary Club of Chanhassen
Address
IPO Box 781
Name of person making application
1Greg Krauska
Date(s) of event
July 3 and 4, 2016
Organization officer's name
1Greg Krauska
Organization officer's name
(KC Ahrens
Organization officer's name
Karol Lee
Organization officer's name
1Tom Furlong
Minnesota Department of Public Safety
Alcohol and Gambling Enforcement Division
445 Minnesota Street, Suite 222, St. Paul, MN 55101
651-201-7500 Fax 651-297-5259 TTY 651-282-6555
APPLICATION AND PERMIT FOR A 1 DAY
TO 4 DAY TEMPORARY ON -SALE LIQUOR LICENSE
Location where permit will be used. If an outdoor area, describe.
City Center Park, Chanhassen
Date organized Tax exempt number
111/12/1987 141-1592321
City State Zip Code
1Chanhassen I (Minnesota 155317
Business phone Home phone
1612-801-7821 1952-401-9445
Type of organization
❑ Club ❑X Charitable E] Religious E] Other non-profit
City State Zip Code
1Chanhassen I 1Minnesota 155317
City
State
Zip Code
1Victoria
(Minnesota
155386
City
State
Zip Code
1Chanhassen
I Minnesota
1 155317
City
State
Zip Code
1Chanhassen
I (Minnesota
1 155317
If the applicant will contract for intoxicating liquor service give the name and address of the liquor license providing the service.
If the applicant will carry liquor liability insurance please provide the carrier's name and amount of coverage.
Lockton Companies 1-800-921-3172 $2,000,000
APPROVAL
APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL AND GAMBLING ENFORCEMENT
City of Chanhassen
City or County approving the license
$1.00
Fee Amount
May 17, 2016
Date Fee Paid
July 3 and 4, 2016
Date Approved
Permit Date
kmeuwissen@ci.chanhassen.mn.us
City or County E-mail Address
952-227-1107
City or County Phone Number
Signature City Clerk or County Official Approved Director Alcohol and Gambling Enforcement
CLERKS NOTICE: Submit this form to Alcohol and Gambling Enforcement Division 30 days prior to event.
ONE SUBMISSION PER EMAIL, APPLICATION ONLY.
PLEASE PROVIDE A VALID E-MAIL ADDRESS FOR THE CITY/COUNTY AS ALL TEMPORARY PERMIT APPROVALS WILL BE SENT
BACK VIA EMAIL. E-MAIL THE APPLICATION SIGNED BY CITY/COUNTY TO AGE.TEMPORARYAPPLICATION@STATE.MN.US
CERTIFICATE OF LIABILITY INSURANCE DATE(MhYDDIYYYIf)
I--' 711n016 105/17/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER LOCKTON COMPANIES CUWAVI Lockton Companies
500 West Monroe, Suite 3400 PHONE I, 1-800-921-3172 IPAX 1-312-681-6769
CHICAGO IL 60661 -Mall ...... :
(312) 669-6900 ADss: Rotary(&lockton.com
INSURERS) AFFORDING COVERAGE I NAIL 0
INSURED All Active US Rotary Clubs & Districts
1379367 Attn: Risk Management Department
1560 Sherman Ave.
Evanston, IL 60201-3698
wsuRERA: Westchester Fire Insurance Con
I INSURER a
INSURER C :
NSURER 0:
INSURER E :
INSURER F :
110030
I
COVERAGES ROTIN01 CERTIFICATE NUMBER:
REVISION NUMBER:
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.
BI
LTR
F TYPE OF INSURANCE
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POLICYNUMBER
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PMI 023861355 007
7/1/2015
7/1/2016
CLAIMS-MADElil OCCUR
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MED EXP (Anv are person) I $ XXXXXXX
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PERSONAL R ADV INJURY ( $ 2X000
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GENERAL AGGREGATE I s 10,000.000
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ALL OWNED
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AUTOSWNED
PROPERTY DAMAGE(PeraeddenI s XXXXXXX
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DESCRIPTION OF OPERATIONS! LOCATKIN9 !VEHICLES (ACORD 101. Additional Remarks SeMdlda. mw de attached If mora aoaas b roaulrodl
The Certificate Holder is included as Additional Insured where required by written and signed contract or permit subject to the terms
and conditions of the General Liability policy, but only to the extent bodily injury or property damage is caused in whole or in part
by the acts or omissions of the insured.
CERTIFICATE HOLDER
City of Chanhassen
PO Box 147
Chanhassen MN 55317
RE: Rotary Club of Chanhassen
4th of July Celebration 7/3-7/4/2016
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED sfrKIfVs%^_-.-"
®1988-217141 ACORO' CbRPORAT(bN. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD