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HomeMy Public PortalAboutBEACH BUM BOUTIQUE.pdfBusiness Location: 13 TYBRISA STREET Certificate #: 02299 Date Issued: 3/9/2021 A clear pedestrian path of a minimum of 4 feet must be maintained at all times. Compliance with ADA provision is required at all times. A sidewalk element shall not be permanently attaOed to the sidewalk. Sidewalk elements shall be stacked/set aside immediately upon ceasing daily operation and must be secured in such a manner as to prevent their use. Use of the right-of-way may be temporarily suspended at the discretion of the city. Sale transactions shall not occur on sidewalks. All sales must occur in the building. Wednesday 8:00ANI - 12:00ANJ Thursday 8:00ANI - 12:OOAM Friday 8:OOAM - 12:OOAM Saturday 8:00ANI - 12:1OAM FrIM-IM17. 0 ii lim-96 N.I. and is subject to being revoked if abused. This Permit expires on 12131/2021 George Shaw Planning & Zoning Manager (912) 786-4573 - FAX (912) 786-5737 name PERMITAYPLICATION FUR of 7CE4rSE0KY Dare Recaived Aarr ar Reae*W Lterme Xamner L The length and width in feet of the public right-of-way to be used: _ 2. The number of tables and chairs to be provided at the Sidewalk Cafe Hours of operation of the Sidewalk Cafe or Merchandise Display: Sunday:; until Monday: `: until Mailingaddress w Wednesday. Oeuntil Name of business owner: ► until ®av -- ail auntil a Phone numbers of owner: Business i rn An appficarian my require 30 days or more m process. oboe Name of applicant if other than owner: Email Planning & Zaining Manager Phone numbers of applicant Business Home Mobile Relationship of applicant to owner (same, employee, agent, etc.) Mailing address of applicant THE CITY MANAGER. Application is for: Sidewalk Cafe Merchandise Display L The length and width in feet of the public right-of-way to be used: _ 2. The number of tables and chairs to be provided at the Sidewalk Cafe Hours of operation of the Sidewalk Cafe or Merchandise Display: Sunday:; until Monday: `: until Tuesday:a01, until Wednesday. Oeuntil Thursday: ► until ®av -- Friday: auntil a Saturday: a until -9f Lf— Sidewalk elements of cafes and merchandise disptays must be secured daffy when normal business operations cease. The applicant shall not replace the approved hems or change the layout without written authorization from the Planning and Zoning Manager. DOCUMENTS REQUIRED WITH APPLICATION Affidavit (must be notarized; seepage 2) Indemnification Agreement (must be notarized; see page 3) Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (seepage 4) A Site Plan to scale with measurements of the proposed sidewalk area and all items to be placed on or within it (see page 4) Photograph(s) of the sidewalk area (optional) Applicant's signature 1 Date ' Printed name AOIITPICs APPROVE OR DE?4Y BY DATE EEr Sideevali: Use Fee 50.00 Cky Marshal An appficarian my require 30 days or more m process. _ Planning & Zaining Manager DIRECT AN APPEAL OF PERMITDElRAL.TO THE CITY MANAGER. 403 Butler Avenue p.0. Box 2749, Tybee Island, Georgia 31328-2749 (912) 786-4573, ext. 5431 or 5071 FAX (912) 786-9539 www.cityoftybee.org Page I of 6 110912014 IMIr r r tr«9911NAW M mot t"; W 1, NA16ma5melp This Indemnification, Release and Hold Harmless Agreement is made this J ' day of 20_�:l , by 61&m&n rok &2af?esa�n -_ ("APPLICANT") for the benefit of the City Tybee Island, Georgia ("CITY"). When referred to herein, the CITY means the Planning and Zoning, Manager, the municipality, its City Council, and each member thereof, and its officers, employees, advisory board members and representatives. WHEREAS, the APPLICANT is the owner or lessee of the property located at Tybee Island, Georgia; and, WHEREAS, the APPLICANT has applied for a Sidewalk Caf6 or Merchandise Display Permit for the temporary use of the sidewalk area abutting the property described above pursuant to City Codes, ordinances, and policies and is required thereby to indemnify, defend and hold and save the CITY harmless for its use of the public right-of-way (hereinafter collectively the "PROPERTY-); and, WHEREAS, the APPLICANT is authorized to and has obtained all necessary approvals for this Agreement, NOW, THEREFORE, in consideration of the CITY allowing the APPLICANT to use the public right-of-way for its Sidewalk Ca -f6 or Merchandise Display the APPLICANT agrees as follows. L The above recitals are true, and correct and are incorporated herein by reference, 2. The APPLICANT agrees to indemnify and hold and save the CITY harmless from any and all damages, loss or liability occurring by reason of any injury of any person or property which may occur as a result or consequence of the issuance of the Sidewalk CaE or M'erchandise Display Permit or the use of the PROPERTY by the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or any of them or occasioned by an act or omission, neglect, or wrongdoing of the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or any of them. APPLICANT will, at their own cost and expense, defend and protect the CITY against any and all such suits, claims or demands which may be claimed to have arisen as a result or consequence of or in connection with the issuance of the Sidewalk Caf6 or Merchandise Display Permit or the use of the PROPERTY by the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or any of them or occasioned by an act or omission, neglect, or wrongdoing of the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or any of them. Notwithstanding the foregoing, this should not be construed so as to require the applicant or anyone else to indemnify the CITY for claims arising from the sole negligence of the CITY, its agents, employees, or officers. 3. The APPLICANT does hereby remise, release, satisfy, quit claim, and forever discharge the CITY from any and all actions, suits, claims or demands that they ever had, now has, or may have in the future against the CITY as a result of the granting of the Sidewalk Cafe/Merchandise Display Permit or because of the use of the PROPERTY by the APPLICANT or their family, officers, agents, representatives, guests, employees, invitees, or persons contracting with either or any of them. 4. The APPLICANT will maintain liability or other insurance as required by City codes, ordinances, and policies which shall name the CITY as an additional insured and for which the CITY will be given a current certificate. Said liability or other insurance shall provide coverage for any suit or claim arising from the issuance of the Sidewalk Cafd or Merchandise Display Permit or the use of the PROPERTY by the APPLICANT. 5. The terms of this Indemnification Agreement shall be binding upon and inure to the benefit of the parties and their heirs, legal representatives, successors PAnd assigns. Notarized signature: Printed name: Date: STATE OF GEORGIA COUNTY OF CHATHAM The forego' in ment was ackno ledged before me this day o� 20,—ZL, by personally known to me or who has produced identification. Sig to otary Public My Commission expires: Page 3of6 Sharon S. Shaver Notary Public, Chatham County, GA MY Commission Expires December 4, 2023 110912014 S'V--L aAk1±, acting in the capacity of Co- Owner M— onner, age-, —P'q'—erc - on behalf of the establishment known as R?a� 13—kry% located at Tybee island, Georgia, attest to the following: u« add I have reviewed this application and all entries are correct and accurate to the best of my knowledge. There are no omissions of fact. There are no items located on the sidewalk where the Sidewalk C66 or Merchandise Display is proposed that would prohibit the Planning and Zoning Manager from issuing a Sidewalk CaM or Merchandise Display Permit. /No violation(s) of Georgia Law, Federal Law, Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner, or any Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this business within the last 12 months preceding the date of the application, _or, 0 a The following violation(s) of Georgia Law, Federal Law, Local Ordinance, or Rule or Regulation of the State Revenue Commissioner, or Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this business within the 12 months preceding the date of the application: o I have read the South End Policies and Procedures and will abide by said South End Policies and Procedures at all times during the term of the Sidewalk Caf6 or Merchandise Display Permit. A I Notarized Signature: Date: Printed Name: STATE OF GEORGIA COUNTY OF CHATHAM The forego ins ment was acknowledged before me this day ofZL, d_, 2by h o is personally known to me or who has produced identification. Signature f otary Public My Commission expires: Sharon S. Shaver Page 2 of 6 Notary Public, Chatham County, GA 110912014 ..4y Commission Expires December 4, 2023 CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY) 3/9/2021 _E 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 CONTACT NAME: Grady Howell Bernard Williams & Company, LLC PHONE Ext. (912)234-4476 aC No: (912)232-8490 (Aig- U26001 Chatham Center Drive E-MAIL ADDRESS: Suite 100 INSURERS AFFORDING COVERAGE NAIC # Savannah GA 31405 INSURER A: Auto -Owners Insurance Com an INSURED INSURER B Beach Bum .Boutique, Inc. INSURER C: 111 Juanita St Savannah GA 31410 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL213922416 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. TR TYPE OF INSURANCE ADDL 5 - POLICY EFFPOLICY EXP POLICY NUMBER MMJDShPYYYY fODJYYYY -. '. LIMITS GENERAL LIABILITY-. EACH OCCURRENCE $ - . 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T R `N ° LG° PR MISES "Ee oeLrcencei $ 300,000 A _ CLAIMS -MADE N1 OCCUR 4906139600 /13/2021 /13/2022 - MED EXP (Any one person) � $ - 10,000 PERSONAL &ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $ 2„000,000 X POLICYPRO- '', LOC J __----- $..._ AUTOMOBILE LIABILITY -. -. -_.. -_ _. -. -COMBINE -SINGLE LIM.d7` -.- - ANYAUTO 'BODILY INJURY (Per person) '.. $ -- ALL OWNED SCHEDULED AUTOS .AUTOS BODILY INJURY Per accident ( ) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE.--- $ Per accident) $ UMBRELLA LIAR ±CC,.UR EACH OCCURRENCE EXCESS LIAB LAS -MADE AGGREGATE DED RETENTION -.-. ---.. -._.---.... '., WORKERS COMPENSATION ---..- WC ST,aTU- OTH- -. -... AND EMPLOYERS'LIABILITY YIN - - - ANY PROPRIETOR/PARTNER/EXECUTIVEE.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? El'., NIA -. -- (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE S If yes, describe under - - ------ - DESCRIPTION OF OPERATIONS belcwv E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Tybee Island is listed as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Tybee Island ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Sharon Shaver 403 Butler Ave AUTHORIZED REPRESENTATIVE Tybee Island, GA 31328 I T. Brett Goodwin/HH ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights INS025 (201005).01 The ACORD name and logo are registered marks of ACORD . —11 e