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Home My WebLink About22 Challenge Ruck 10K at Big 4 & Fisherman's Wharf Jeffersonville City of Jeffersonville iNoinNn l,1 Special Event Application This application must be completed in its entirety. Any applications not properly completed will be denied.Applications should be submitted by email to: parksinfo@cityofjeff.net Once the application is submitted, it will be added to the agenda for the next scheduled Special Events Committee meeting. The applicant will be notified of the meeting date and time, and is required to attend the meeting for the application to be considered. Special Events Committee meetings are usually the first Tuesday of the month in the Parks office conference room: 500 Quartermaster Court#205 SITE PLAN Applications must include a detailed site plan which clearly shows all temporary structures including but not limited to tents, portable toilets, stages, bleachers, dumpsters,fencing, inflatables,etc. at the time of submission. PERMIT FEE All events approved by the Committee will be charged a $150 permit fee.The fee is payable by cash, check, money order or credit card. Permit fees are due 14 days after the event is approved. If the event is approved, permit fee is due (usually set at$150 per application, but may be increased depending on use of city services, risk assessment or other factors). INSURANCE Event producer must provide a current Certificate of Insurance that lists the City of Jeffersonville as additional insured. The policy must include at least $1,000,000 for general liability coverage.The Committee has the right to require additional coverage as it sees fit. COIs are due 14 days after the event is approved. SECURITY Most events approved by the Committee are required to have security on-site during all operating hours.The number of guards required will be determined by the committee, based on an event safety assessment—estimated attendance, alcohol service, risk factors, etc.The Committee may waive the security requirement for small events with minimal risk. Security must be contracted with the companies approved by the committee,which are listed below.The security contract/invoice must be turned in to the Committee at least 30 days prior to the event date. Vigilance Security Jason Kerberg 502.751.1061 jasonkerberg@vigilancesecuritygroup.net *The Jeffersonville Police Department does not provide security for events. Their role is limited to enforcing laws and facilitating street closures. IDHS PERMIT Amusement and entertainment permits are required for events that include concerts and other shows, amusement rides, movies and dances. It is the applicant's responsibility to obtain necessary permits from the Indiana Department of Homeland Security. The Special Events Committee does not advise on these requirements.Click here for the IDHS website to learn more about the permit requirements and application. BUSNINESS/ORGANIZATION INFORMATION Name: 22CHALLENGE.ORG For Profit L__J Non-Profit n Government El Neighborhood Assn n Other I 1 Address: 4263 Sunrise Drive, Sellersburg, IN 47172 Phone: 502-396-7460 Website: https://22challenge.org/ Social Media: https://www.facebook.com/profile.php?id=100064424933324 Event Contact(name, phone, email): Scott A. Ham Phone/Email/Website for Public Inquiries: 502-396-7460 / scott.a.ham@gmail.com List all sponsors affiliated with the event: Veterans Administration (VA), Veterans Club, Hero Reward, Karl Truman Law, The Crashers, Acres of Hope, Personal Counseling Services, Geahr Off-Road/Jeffersonville Auto Repair, KVIC, Clark & Floyd VSOs, WorkOne Vet Advocate, AARP, The Vet Center, Hounds for Heroes, +more EVENT INFORMATION Name of Event: 22CHALLENGE.ORG 10k Ruck March for Veteran Suicide Awareness Type of Event: 10k Ruck March for Veteran Suicide Prevention & Awareness Location: Big 4 Bridge & Riverfront/Fishermans Wharf Date(s): May 18, 2024 Event Times: 0830-1200 FACILITIES AND EQUIPMENT *The City does not provide ancillary facilities, equipment, etc.for special events. List the company and contact info for each of the following that will be used at the event: FENCING RESTROOMS Al Porty Potties delivered at RiverFront/Fishermans Wharf& Big 4 Bridge. TENTS Use large covered area at Big 4 REFUSE/RECYCLING We provide contractors bags for bottled water CLEANUP We take care of our mess. PROMOTION AND ADVERTISING Describe the promotional and advertising plan for your event: Social Media (Facebook, Instagram, etc.) Flyers, iHeart Radio interviews with Dingo & Terry Meiners, CONSENT OF APPLICANT Applicant agrees that the contents of the application are complete, true and accurate to the best of their knowledge, information and belief, and agrees to ensure compliance with the policies and regulations set by the Committee. SIGNATURE & DATE / 72L{ PRINTED NAME Scott A. Ham TITLE Volunteer *Sections below will be completed by Special Events Committee* COMMITTEE ADVISEMENT The City of Jeffersonville Special Events Committee hereby APPROVES DENIES this application based on the information provided at the meeting on o2' (,Q s a-LA (date). APPROVED BY Committee Director: Safety Director: � 02/6/lie.( dot Police Department: /G dy-IL. Fire Department: ' \c Lo. {- �;, �� -Z _ — Zy Parks Department: ()cake,( �y�� 'a ;2/ Street Department: *The Committee reserves the right to rescind approval of this permit at any time if requirements are not met by applicant in a timely manner, or if the event is determined to be a risk to public safety. REQUIRED SUBMISSIONS (Dates Received) PERMIT FEE INSURANCE SECURITY CONTRACT VENDOR C01(s) REQUEST FOR STREET CLOSURE Street Name (include block numbers or cross streets): No Closures unless requested by Jeffersonville PI Date&Time of Closure: Date &Time of Reopening: REQUEST FOR ELECTRICAL SERVICE *The Committee will approve the use of City-provided electrical service as it sees fit.Applicant should plan to use portable generators for all electrical needs unless otherwise advised by the Committee. Describe the electrical needs for the event: PA System provided by The Crashers for Opening Ceremony only. AMPLIFIED SOUND *The City of Jeffersonville's noise ordinance requires that all amplified sound cease by 11 pm. Will amplified sound be used at the event? Yes,Minimally If so, provide the name of the company and contact info: PA System provided by The Crashers for Opening Ceremony only. Describe any other use of audio/visual equipment at the event(include company info if different from above): Setup Time: 0730 Teardown Time: 1230 Alternate Date (if applicable): NA Private or Public Event: Public Estimated Attendance: 499 (Depending on Weather) Ticketed or Free Event: Free Ticket Pricing(if applicable): NA Is this a fundraiser for a non-profit organization? If so, provide name of the organization and contact info: Yes Partially. 22CHALLENGE.ORG Tip McCurdy 812-406-9081 Detailed Description of Event: START & FINISH AT BIG 4 STATION. GATHER AT 0830 AND RELEASE. WE WILL DO THE SAME PROCEDURES AS PREVIOUS YEARS, HAVE A-1 PORTA-POTTY & WIPES/ HAND SANITIZERS. WE DO NOT WISH TO CLOSE ANY STREETS. WE WILL MAINTAIN 6' SEPERATION OF FAMILY GROUPS, RELEASE RUCK MARCH PARTICIPANTS AS SMALL TEAMS. WE WILL HAVE ALL STAGGER AND USE SIDEWALKS & BE COURTEOUS TO PUBLIC ATTENDEES OF THE AREA TO INCLUDES LOCAL RESTAURANTS. (*NOTE: LAST 5 YEARS WE DID HAVE JEFFERSONVILLE POLICE AT OUR EVENT AT SPRING STREET & RIVERSIDE DRIVE.) FOOD/ALCOHOL Will food be served at the event? If so, list vendor(s): Fist Full of Tacos Truck Will alcohol be served at the event? If so, list vendor: NO *All vendors are required to provide a Certificate of Insurance that lists the City of Jeffersonville as additional insured. Vendor COIs are due at least 30 days prior to the event. If alcohol is being served, the policy must include alcohol liability coverage.