Boger City Optimist

COUNTY
OF
LINCOLN, NORTH CAROLINA
115 WEST MAIN STREET, 3RD FLOOR CITIZENS CENTER. LINCOLNTON, NORTH CAROLINA 28092
OFFICE OF THE COUNTY MANAGER
W. TRACY JACKSON, COUNTY MANAGER
MARTHA W. LlDE, ASST. COUNTY MANAGER
(704) 736-8471
FAX (704) 736-8820
MEMORANDUM
TO:
Lincoln County Board of County Commissioners
FROM:
W. Tracy Jackson, County Manager
Martha W. Lide, Assistant County Manager
SUBJECT:
Special Events Fee Waiver Request for Boger City Optimist Football
DATE:
September 25, 2013
We have received the attached request to waive fees related to the Special Events
Ordinance for the Boger City Optimist Football Games in 2013. The dates for the games
are September 28 th and October 19th . They have completed the application required by
the Special Events Ordinance (attached) and submitted proof of insurance.
The Special Events Ordinance provides that the County Commission may waive fees if:
I. The organization sponsoring the event is a not for profit organization.
2. If any funds generated by the event are used to support the event for the
following year or are used to support a community project
3. Other factors that may document the contribution the event makes to the
community that would justify waiving fees.
Boger City Optimist is a not for profit organization which was established to provide
youth sports programs. Volunteers give many hours in planning and manning the game
days. Proceeds from these game days are used to suppoti the program.
Fees are estimated to be approximately $3,500 for coverage. As per the letter from Dee
Brittain, BCO President, the Club will continue to a donation for these services.
Thank you for your continued support of these community events in Lincoln County.
Special Event / Mass Gathering Permit Application
Imporlanllnformalion
./ A Special Events/Mass Gathering Permit Application is required if the event is
o A pianllt!d PUBLIC event that in vo lvl;:s th e gath ering of 300 people for a common purpose or goal,
o n publi c or pri vate properly in which any urthe fo llowing apply: use, sak or di splay of fireworks;
sale, purchase, provi sion or con sumption alcohol; li ve entertainments; overnight acti vities,
motori zed or non motori zed vehicle racing; activities located who le or partially on publi c rig ht of
way; or a sport that involves phys ical contact between participants as pm1 of normal play.
o
Spec ial Events shall includ e, (but are not limited to), parades, fes tiv als, demonstrations, and
co mmuni ty event s.
o
A !\lass gathering where th e ex pected or actual presencl! of more than 1,000 indi vidu als w ill be in
attendance or participating in a venue or area for a speci fi c purpose .
./ Apillications must be turned in 30 days prior to the event. AlllJlications will be reviewed by the
Lincoln County Special Event/ Mass Gathering Application Review C ommittee.
v
Applicant may be required to meet certain conditions, including paying for law enforcement,
emergency services a nd other staff r equired to support the event in order to receive a permit.
Payment must be received prior to the issuance of the pa mit.
./ Any street closures on State maintained roads, require written approval from NCDOT prior to the
date(s) of the event. Copies of all submissions to and approvals from NC DOT must be forwarded to
Lincoln County Park and Recreation for committee use. For further information contactthe NC DOT
at 704-748-2400
./ If any cooking, food heating devices. or portable sanitary units will be used at this event, additional
health and fire Ilerruits and fees may be required .
./ Applicant
ilia ) '
be required to pay permit fe es for usc of [mblic facilities .
./ All applicants will be held accountable for tras h clean up after each event.
./ The Permit may he revoked by Lincoln County for th e al)plicallt's failure to comply with terms and
conditions stated on the application .
./ C heck with Fire Marshal to see if there a re other requirements that must be met
./ If the event is located on or around the lake, additional permits may be required. For further
information please contact the Lake No r man Marine Commission.
ODic;! Ust! Only
Lincoln County
11 5 W Main Street
))
(I
Lincolnton, North Carulina 28092
GEORG E W OOD
Cmlll(v A.follflger
Special Event Application
1
8i~
South .' ootba ll Homcdays fo r BOKer city Pant hers & Stcelcrs
I.
Name of [)'('nl:
2.
Nan"
3•
"
4.
Dalc(s): 9-28-1J& 10-19-13
0' ._._
:80m GI, ODlhn;S!
I SOI(C)3 P, o,;de Tax ID; .
5.
T;me
Oay(s) 0'
1
6.
IB
Ty pe 0' ["nl
1
0
PDhHe '
1
Wa ikor RUII
: ?- 2~, 1
7
Brief drscriptioll
L..
1
I SI.,I:
9:30 am
End:
7:30 pm
..
.
0
I' , ,.te '
0
ReHg;o" s
~
Linco ln Co Youth
Footba ll Games
0
Parad e
1
0
Olh"
1
0
1
;
I
UI
B02,cr City Optimist has offered }'outh foot hall for the Lincoln County Communil}' for over 40 l'cars. These football
homeda):'s allow the l'outh of our community to (!Iay in the high school football s tad i um~ where they will (','cntuslly
attend school andlor pial' football. Doger City currenUy has around 175 boys play ing foo tball for our organization.
I
1
9.
Tota l: These numbers arc
C h ild ren:
Staff!Wor kc rs:~
Specta tors: {'stimated 700
10.
'"ne: Nkol, maok
I Name: lee 8,itt.i"
lJa},timl' Ph one:
I ,,,.i ng Pho.e:
I!Add"'s:.2 155 Ed.. hm Lao<
hour... that's a high estimate
Secondary Co ntact Person
Primary Conlacl l'er so n
C, lIh
,
Cell Phone :
I Da)'time
I
Eve ning Pho ne:
Add,
ror
the lotal that mi2hl show UI)
all dal: .... l'0u will (!robabll'
hnearound tOO·ISO [ler
Partici pan ts: cslinmlcd 350
18 F"".. " RO
(',n Phone
Cl'1I Pho ne
--
C ity/State/Zi p: Lincolnton NC 28092
Cit),lStll te(Lip: Linco lnton NC 28092
[ -mail : Dee@bogerc itl'ol1timiSI.COIlI
[-ma il:Nicolc@bogercitl'optimist.com
Please answer the following general questions a bout the event:
I
~[\i'Hl l hC~C be ao"pl;ficd sound, loud spcakers, musk, clc. ea"s;og a polCoH., oo;sc
lar
Ir
s.x
8
Yes.,X
0
No
8
Yes~
0
No
com'ern !
I
o
Ir yes, please specify: i'A an nouncer for football game
15.
Are electrical oullets required for this e"ent?
1
16.
If--I
17.
- -
Will tents, canopies, tension-membrane structu res, t railers, inflata ble/air
suppo rted dev ices, fc ucing, sea ffoldill g, etc. br involved in this c\'en t?
1
J ___
---------------
----- ------
rr so, please desc ribe the types, sizes a nd qu antity used: Cano~l' for shade at the aates
01
Will ak ohol be pro\'ided, sold or consumed at this e\"e nt ?
Y('s
19NoX
Ir yes, please specify:
r-;; Ollly t!tose orgmlhmlolls Issued a mild ABC permit may prot'hle alcollol.
r:iiiCPer'lIit Number.: -- - -- - -
Tills permit must be provide(/ by the ABC Commissioll ill fl(/vallce of tilis event.
I
I,
0
Will vehicles be involved in the event ( boats, trac tors can;, tractors, noats,
bicycles, etc )
-
If yes, please specify type and how many
l-i9."- \ Vill
there he v endorsi - - - - - -- - - - - - --- - - - - -I 0
Yes
res
,0
I No-X
I
I
I0 rT - - -
.j;"" '"..," ,,~., ~ -,." ~"' ,",-""""-,," I0 '. jOr
- - - If
--
IZQ
yc~.-pl;;sc
x
I
s",dfy ""-a"d how many wc wHi usc eo"",,;oos staod aod "n.eidd oks1a:d snacks
-- ~
--------l
H A(/ditlona/ permits am/fees may be require(/ by Tile Liltco/II COllllty Heallit Departme"t and Lilleolll ComIty Fire
Marshall's Office,
Will th ere be any materials used, handled, acculTIulated, sto;ed, or displayedthat llIay create a fire haza rd, including bu t not limited to open nfl llleS,
fi rcwork~, pyrotechn ics, "eh ide fuel, coo king fuel. hay, deco rations,
combustible trash, cte.
ro
\'es
0
No.,X
--- -------------------------- - - ------------ 1---- ---- -- ------Ir )"t's, please sped fy:
•• You mllSl provide a copy of all iSSlled insurallce policy covering the lise of the
listed materials,
abo~'e
1
21:-
I
22.
Will admission be ('harged?
0
YesX
0
No
Will a nim als be IIsed in this cwnl ?
0
Yes
0
No.,X
--
r - .....",; :.-::-=::-_-::c:c;;c:--------------- -- - - -- - - - - - - , - - - - - - - - -- ---If yes. please spccir,y:
.. No flllimais flrt! allowed at t l'ell/S unless being IIst ll inlhe el'ent as specljlf!t/ abol'/!. Allimals brought by spectalors!
participants as compan/olls are 1101(ll/owell Service allimals fire exempt from this requirement.
23.
o
Will you ha\'c a first aid station?
If p's, who will
111811 it·~
EMS
Yes.x
o
No
l" \allll': L.lNCOLN CO F:MS
Phone number:
I 24.
Number: 30
lIo\\' many toilets will he provided I accessible? \'ES ...
"7:- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .
25.
Will this event impede the flow oflraffic or require that stretts be blocked?
.ryes, will the r"tire widlh of 111(> street be
n('('es..~ar}'
D - Y~"'- '1J-- ~~o.x -
o
for this event?
26.
Whallut' your plans for parking? Uigll Schoo l Parking 1..01
27.
What are your plans for signage? NO S igns
28.
What are your plans for waste clean up? DCO Volunteers will help with trash pick up
Yes
o
No.x
Yes.,X
o
No
*" You will be responsible/ or cleallillg any trash aCCllnllllated by this evef1/.
I 29_
o
Is this event covered by liability insurance?
~~lf~)~·e~s-.~s'~'b~n~'"U~.-c~o~P~y~o~f~l~h~e~po~lic~)~·w
~U~h~t~h7;S~"~P~P~I~;C~""U~o~n-------------------~Cco~p=,~.O~1~pLO~II~0~· ~a~lI~ac~h~e~dc----L------1
1--- l---;;--i incollI County is " ot respollsible for prm'idi"g liability Insurance/ or this eve"t. You will be require(i to prol·ltle
if1Sllrance cOI'ernge. Pro%/lnsurance cow rage must be prol'lrie(/ prior to the fin al approt'fll o/this application.
I
,\ltach a mal. indicating the staging. ending point. streets tra\'eled (elact route), assembly areas, and disassembly are-;;;:If possibl(', please also submit an ar(,1l photo or map in .jpeg or .pdf format.
30.
I
31.
32.
Please answer the following questions concerning need for County and Support
Se.'Vices (See attached schedule of event size and standby services required):
Securitv/Law Enforcement: Do you need sC"Curity I crowd conlrol assistance
from the !.inroln County Sherirrs Office? Already SeclII'ed wilh city & sheriffs
offirc
D
D
Yes.,X
No
- FirelRescue: Do you need Fire Rescue Sta-''d~b-y~Se
"·-'v-cic-e~s·.~'-------------+-,o
"""l-oy'-e-s--tI-,O
c:+N"·O--_
~x;-·~~ - - -
33,
I''-Iedicfll TrflnSllOrt: Do you IlCfd medical transportation standby services?
3·1.
Crowd Control i\'lanllgers: Iflhee\'entwilihavemorelhanl.OOOparticipanlsa
trflined Crowd Control Manager is required for each 250 people. Do you need
trained Crowd Control Managers?
Linco ln Co EMS
t~~L:h_"_~_D~_~-o_u_n_ecd_o_th_e_,'UP~:~_f;;;m
the County?
PI,",edesr~i,;c.--
+
D
DYe ..
--,-_9_ji
__
Yes.,X
D
-0
YeS
- --
No
No.,X
=
I O-,No~l__
175 WATER STREET
NEW YORK, NY 10038
Dillinois National Insurance Co.
k8J New Hampshire Insurance Company
DGranite State Insurance Compa ny
(Each of the above being a capital stock company)
COMMERCIAL GENERAL LIABILITY
CONFIRMATION OF COVERAGE
This CONFIRMAT ION OF COVERAGE is attached to
and made part of MASTER POLICY NUMBER:
01-LX-000917052-8
44594-0004:
SE ABURY & SMITH
1242 1 MERED ITH DRIVE
URBANDALE, IA 50398
1-800-503-9227
EXTENDED NAMED
INSURED:
Optimist International
NORTH CAROLINA WEST
Dee Brittain
2155 Edgehill Ln .
Lincolnton, NC 28092
PO LICY PE RIOD:
FROM
TO MAY 1, 201 4
MAY 1, 201 3
AT 12:01 A.M. T IME AT
YOUR MAILIN G ADDRESS SHOW N ABOVE
LIMITS OF INSURANCE
EACH OCC URRENCE LIM IT
DAMAGE TO PREM ISES
REN TED TO YOU LIMIT
MEDICAL EXPENSE LI MIT
PERSONAL & ADVERTISING INJ URY LIMIT
$ 1,000,000
$ 100,000
$ EXCLUDED
$ 1,000,000
GENERAL AGGREGATE LI MIT
PRODUCTS/COM PLETED OPERATIONS AGGR EGATE LIMIT
Anyone prem ises
Anyone person
Anyone person or organization
$
$
2,000,000
1,000,000
APPLICABLE ENDORSEM ENT(S) PROVIDED TO THE EXTENDED NAMED INSUR ED:
See Attached Forms Schedu le
102222 (07/10)
Page 2 of 5
OPTIONAL ENDORSMENT(S) - ONLY PROVIDED TO THE EXTENDED NAMED INSURED IF " COVERAGE
PROVIDED" BOX, BELOW, IS CHECKED. COVERAGE IS NOT PROVIDED IF " COVERAGE NOT PROVIDED"
BOX, BELOW, IS CHECKED .
.
ABUSE AND MOLESTATION ENDORSEMENT
[8J
COVERAGE NOT PROVIDED
0
COVERAGE PROVIDED
PREMIU M
SXXX,XXX
-SEE ENDORSEMENT FOR
APPLICABLE LIMITS
COVERAGE EFFECTIVE
PERIOD FOR ENDORSEMENT
XXIXXIXX TO Xx/Xx/xX AT
12:01 AM TIME AT YOUR
MAILING ADDRESS SHOWN
ABOVE
HIRED & NON-OWNED AUTOMOBILE LIABILITY ENDORSEMENT
0
COVERAGE NOT PROVIDED
[8J
COVERAGE PROVIDED
PREMIUM
$INCLUDED
SEE ENDORSEMENT FOR
APPLICABLE LIMITS
.--COVERAGE EFFECTIVE
PERIOD FOR ENDORSEMENT
05/01/13 TO 05/01/14 AT 12:01
AM TIME AT YOUR MAILING
ADDRESS SHOWN ABOVE
Authorized Representative
102222 (07/10)
Page 3 of 5
Includes copyrighted material of Insurance Services Office, Inc., with its pe rmission.
All riQhts rese rVF~rI