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Home My Public Portal AboutROCK HOUSE.pdf�u CITY OFTY ISLAND StDEWALK CAFE OR MERCHANDISE DISPLAY ROCK HOUSE BAR & GRILL 1518 BUTLER AVE. TYBEE ISLAND, ® .31328 Business ocati :'1518 BUTLER Certificate : 152 Date Issued: A clear pedestrian path of a ininimurn of 4 feet must be _ maintained at all times. Compliance with ADA provision is required at all to res. A sidewalk element shall not be permanently attached to the side-wall. Sidewalk elements shall be stacked/set aside immediately upon ceasing daily operation and must be secured in such a manner as to prevent them 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 build° gg. SIDEWALK CAFE YX 749 ARE, A - 10 TA: LS 2 CAIRS EACH HOURS OF OPERATION Sunday 10 a —10 p Monday 10 as - pni Tuesday 10 ant -10 pr a Wednesday 10 a - 10 pry Thursday day 10 a - 10 pin Friday _ 10 am — 10 pro Saturday 10 am — 10 p This Permit and plans must be displayed in e conspicuous placein your business establishment. The City of Tybee Island et, be notified of any change i a u . _This Permit is not transferable and is subject to being revoked if abused. This Permit expires / / . a� a, i }£ Planning Zoning P.O. Box 27=19 « 103 Butler Avenue - Tybee Island, Georgia 31328-2749 (91.2) 786-4573 - FAX (912) 786-5737 CITY OF TYBEE ISLAND SIDEWALK CAFt OR MERCHANDISE DISPLAY PERMIT APPLICATION Business name Street address Mailing address Name of business owner: Email j Di Phone numbers of owner: BusinessHome Mobile ti Name of applicant if other than owner: Email Phone numbers of applicant: Business Home Mobile Relationship of applicant to owner (same, employee, agent, etc.) Mailing address of applicant Application is for: Sidewalk Cafe 13 Merchandise Display ` 1 q Ix 1. The length and width in feet of the public right-of-way to be used: 1 The number of tables and chairs to be provided at the Sidewalk Cafe: 3. Hours of operation of the Sidewalk Cafe or Merchandise Display: Sunday, 40--1 E? until Monday until FOR OF�ICE U45E ONLY Tuesday: until Data ,esca;y Wednesday: until faworRanewal tzen>s :,t�var�Zer Thursday: until Friday: until Saturday: until Sidewalk elements of cafes and merchandise displays must be secured dally when normal business operations cease. The applicant shall not replace the approved items or change the layout without written authorization from the Planning and Zoning Manager. DOC NTS REQUIRED WITH APPLICATION • Affidavit (must be notarized,- seepage 2) • Indemnification Agreement (must be notarized; seepage 3) • Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (seepage 4) —13 A Site Plan to scale with measurements of the proposed sidewalk area and all items to be placed on or within it (seepage 4) 04-- 1; Photograph(s) of the sid walk area (optional) 11 41 A Applicant's signature �. Date Printed name ROUTING .. APPROVE OR DENY BY DATE FEE City Marshal Sidewalk Use Fee An application may require 30 days or more to process. DItECT AN APPEAL OF PERMIT DENIAL TO THE CITY MAINAGEP- Planning & Zoning Manager 403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328 (912) 472-5033 FAX (912) 786-9539 i sch,-iaf(i.?cltyoftybec.or x Page 1 of 6 12714/2012 INDEMNIFICATION (RELEASE AND HOLD BARWESSNT) This Indemnification, Release and Hold Harmless Agreement is made this day of V'C 2® by ("APPLICANT") for the benefit of the City Tybee Island, Georgia (`CITY"). When referre 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 Cafe 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, W-HEREAS, 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 Cafe or Merchandise Display the APPLICANT agrees as follows: 1. 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 Cafe 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. 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 Cafe 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 Cafe 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, successgfs and assigns. Notarized signature: Printed name: Date: STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged be�fo day ®f 20 , by wn to me or who has produced identification. ® tssro°®N° 0 �R ® a Sign e of Not Public m ° rn®"� 4�® MY Commission expires: �� ®. co ®®°* 12/14/2012 Page 3 of 6 �� ANN AFFIDAVIT 1, acting in the capacity of owner, agent, emg[oyee, etc. name on behalf of the establishment known as a + i located at business notne q j Tybee Island, Georgia, attest to the following: street address o I have reviewed this application and all entries are correct and accurate to the best of my knowledge: o There are no omissions of fact. o There are no items located on the sidewalk where the Sidewalk Cafd or Merchandise Display is proposed that would prohibit the Planning and Zoning Manager from issuing a Sidewalk Cafe or Merchandise Display Permit; o 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, o 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 Cafe or Merchandise Display Permit. r � r ��.° .Notarized Signature: ��,Date:`� � Op; 1�--� /422— Printed Name: STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged before me this JA day of , 20 by 11 r�avaA who a'SS rpersonally known to me or who has produced identification. �`1t0iit®�f ° IS$!(aM® Sig tore of Not Publ'UAR °m ® M® 12 My Commission expires: p ° °®®°�qQ coil w°° 12i1ai?ora Page 2 of 6 ° ®� °®®°°<°®°" � �� DATE (..I..N1Y1) AC"R'" CERTIFICATE OF LIABILITYKWRANCE 3/11/202V lig 2 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND ONFERSNOR 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 'Bernard Williams & Company, LLC 16001 Chatham Center Drive Suite 100 iSavannah GA 31405 CT "A Grady Howell P HONE AIC 234-4476 • gi2)234 44 FA (912)232-8490 No I E-MAu. ADD ESS: INSURER(S) AFFORDING COVERAGE POLICY EFF JMW22ff)2aL FtN; URERA: James River Insurance Compan LIMITS INSURED iBikinis, Inc, DBA- Rockhouse Bar Grill 1,PO Box 276 iTybee Island GA 31328 B: Hudson Specialty_ -INSURER INSURER C INSURER D: INSURER E: i INSURER F: COVERAGES CERTIFICATE NUMBER: CL2231124101 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, TERMOR CONDITION OF ANY CONTRACTOR 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 LTR I TYPE OF INSURANCE ADDL SR SUBR POLICY NUMBER POLICY EFF JMW22ff)2aL POLICY EXP ImmmRaM L LIMITS —I GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE To RENTED $ 50 000 PREMISES '. occurrence) , MED EXP (Any one person) $ Excluded A CLAIMS -MADE 1:i1 OCCUR 00121855-0 9/15/2021 9/15/2022 -PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED MBINED SINGLE LIMIT— accident) $ (E� BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE $ Per accident) $ UMBRELLA LIAB OCCUR —4CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATIONJOTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE = I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA 1:M:Z0�1EEJ$ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT 1 $ Ifyes, describe under DESCRIPTION OF OPERATIONS below A Liquor Liability SLL47533 9/15/2021 9/15/2022 Each Occurrence $1,000,000 General Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Tybee Island is listed as Additional Insured. C-ERT!F!C-ATF "ni nFR CANCELLATION ACORD 25 (2010/05) @ 1988-206 ACORD CORPORAi ION. All 11!J11Lb IMPUN VVU. INS025 (201005).01 The ACORD name and loao are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Tybee Island 103 Butler Ave AUTHORIZED REPRESENTATIVE Tybee Island, GA T. Brett Goodwin/HH ACORD 25 (2010/05) @ 1988-206 ACORD CORPORAi ION. All 11!J11Lb IMPUN VVU. INS025 (201005).01 The ACORD name and loao are registered marks of ACORD