D-5. Approval of Temporary Liquor License, Chanhassen Rotary Club, July 3-4, 2017D -5
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9 Chanhassen is a Community for Life-Providing for Today and Planning forTomorrow
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MEMORANDUM
TO: Todd Gerhardt, City Manager
FROM: Kim Meuwissen, Office Manager
DATE: May 8, 2017
SUBJ: Approval of Temporary On-Sale Liquor License, Chanhassen Rotary Club,
July 4th Celebration
PROPOSED MOTION:
The Chanhassen City Council approves the request from the Chanhassen Rotary Club for a
temporary on-sale intoxicating liquor license to sell alcoholic beverages at the 4th of July
Celebration on July 3 & 4, 2017 in City Center Park. Approval is contingent upon the Rotary
Club providing liquor liability insurance."
Approval of this request requires a simple majority vote.
The Chanhassen Rotary Club has submitted an application for a temporary on-sale intoxicating
liquor license for the 4th of July Celebration on July 3 &4, 2017. Liquor sales will take place
between 4 pm and midnight on July 3, and between 10 am and 5 pm on July 4 in City Center
Park as outlined in the attached map. The Rotary would like to sell beer, wine, and malt
beverages (e.g. Mike's Hard Lemonade) as they have done for many years without incident.
The club will be required to provide liquor liability insurance for the event (their policy renews
on July 1St)
RECOMMENDATION
Staff recommends approval of the Chanhassen Rotary Club's request for a temporary on-sale
liquor license for the 4th of July Celebration on July 3 &4, 2017 in City Center Park. Approval
is contingent upon the provision of liquor liability insurance.
ATTACHMENT
1. Application.
2. Certificate of Liability Insurance.
3. Map
g:\admin\liquor\rotary\rotaryjuly 4 2017.docx
PH 952.227.1100• www.ci.chanhassen.mn.us• FX 952.227.1110
7700 MARKET BOULEVARD • PO BOX 147 • CHANHASSEN • MINNESOTA 55317
Minnesota Department of Public Safety
ppr, GAlcohol and Gambling Enforcement Division
445 Minnesota Street,Suite 222,St. Paul,MN 55101
651-201-7500 Fax 651-297-5259 TTY 651-282-6555
Alcohol&Gambling Enforcement APPLICATION AND PERMIT FOR A 1 DAY
TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
Name of organization Date organized Tax exempt number
R001- ( it +%2- 4-t - t 5D2-32i
Address City State Zip Code
PC) boY- 70 Minnesota b5 3,,"7
Name of person making application Business phone Home phone
Rog t,t2. -?J--1-2-2.751 552-AA-2-O°13
Date(s)of event Type of organization
i 3t_•( 1, 0104 it- 20 r Club E.Charitable Religious El Other non-profit
Organization officer's name City State Zip Code
TtN\t...CQ0s..1- C:. +44.1i8,66.--1,j Minnesota C7
Organization officer's name City State Zip Code
Minnesota S5;17
Organization officer's name City State Zip Code
S/Cati e n.46.o.: IA0, Minnesota C.,5?,i 7
Organization officer's name City State Zip Code
tW 1rORL-e JC, 0-+kk S.1;-'w Minnesota 554,0
Location where permit will be used. If an outdoor area,describe.
If the applicant will contract for intoxicating liquor service give the name and address of the liquor license providing the service.
Ifthe applicant will carry liquor liability insurance please provide the carrier's name and amount of coverage.
Uc•t«&t t CLOMP, -1`.• S i—300 -52i -moi ?Z = 210vc,Oz O
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 Date Approved
1.00 July 3 and 4, 2017
Fee Amount Permit Date
April 12, 2017 kmeuwissen@ci.chanhassen.mn.us
Date Fee Paid 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
A® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmYYt
7/1/2017 7-1-16
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(ies) 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 NAME: Lockton Companies
500 West Monroe,Suite 3400 T1 NN Ext), 1-800-921-3172 I roc,No): 1-312-681-6769
CHICAGO IL 60661 E-MAIL rotary @locklon.com312)669-6900 ADDRESS; !
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Lexington Insurance Company 19437
INSURED All Active US Rotary Clubs&Districts INSURER B
1393456 Rotary Club of Chanhassen INSURER C
Attn:Risk Management Department INSURER D:
1560 Shennan Ave.
Evanston, IL 60201-3698
INSURER E:
INSURER F
COVERAGES ROTINOI 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.
INSR TYPE OF INSURANCE
ADDLISUBR POLICY EFF POLICY EXP LIMITSLTRINSDWVDPOLICYNUMBERIMMIDD/YYYY) (MMIDDIYYYY)
A X COMMERCIALGENERAL LIABILITY 01537.5594 7/I12016 7/1/2017 EACH OCCURRENCE _ $ 2,000,000-
DAMAGE TO RENTEDCLAIMS-MADE ( X I OCCUR PREPREMISESAEa occurrence) $ 500,000
X Liquor Liability MED EXP(Anyone person) $ XXXXXXX
Included PERSONAL&ADV INJURY $ 2,000000
GE 'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 4000,000_
X POLICY Li JEQ L_-I LOC PRODUCTS-COMP/OP AGG S 4,000,000_
OTHER:
A AUTOMOBILE LIABILITY 015375594 7/1/2016 7/1/2017 CBINED SINGLE LIMIT $(
EOaMaccident)2,000,000
ANY AUTO BODILY INJURY(Perperson) $ XXXXXXX
ALL OWNED —SCHEDULED BODILY INJURY(Per accident) $AUTOS AUTOS XXXXXXX
X HIRED AUTOS X ADNSWNED Per accccide DAMAGE $ XXXXXXX
S XXXXXXX
UMBRELLA LIAB _ OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX
EXCESS LIAR _ CLAIMS-MADE AGGREGATE XXXXXXX
DEOJ7 RETENTIONS XXXXXXX
WORKERS COMPENSATION NOT APPLICABLEPER
ERR-
AND EMPLOYERS'LIABILITY I STATUTE ER
Y/NANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ XXXXXXXOFFICER/MEMBER EXCLUDED? N/A
Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ XXXXXXX
gatdescribe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX
DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If mom space Is required)
The Certificate Holder is included as Additional Insured where required by written 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 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED fN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEDREPRESENTATIVE - - -f 1
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1988,20114 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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