HomeMy Public PortalAboutBEN & JERRY'S.pdfCITY OF TYBEE ISLAND
SIDEWALK CAFE OR MERCHANDISE DISPLAY PERMIT
BEN & JERRY'S OF SAVANNAH
25 E. BROUGHTON ST.
SAVANNAH, GA 31401
Business Location: 15C TYBRISA ST.
Certificate #: 502
Date Issued: 1/24/2023
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 attached 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.
SIDEWALK CAFE - 1 UMBRELLA
HOURS OF
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
OPE RATION
11AM — lOPM
11AM—lOPM
11AN1—lOPM
11AM — 10PM
11AM — 10PM
11AM — IOPM
11ANI — lOPM
This Permit and plans must be displayed in a conspicuous place in your business establishment.
The City of Tybee Island must be notified of any change in status. This Permit is not transferable
and is subject to being revoked if abused. This Pe it expires on 12/31/2023.
sa L. Schaaf
Planning & Zoning
P.O. Box 2749 • 403 Butler Avenue • Tybee Island, Georgia 31328-2749
(912) 472-5033
CITY OF TYBEE ISLAND
SIDEWALK CAFE OR MERCHANDISE DISPLAY
PERMIT APPLICATION
Business name Q� P X r7 's eig 5
. H4 -e..4
Street address ig- c r 4 r, t 6 h A S 71 •
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Mailing address
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Name of business owner: 4 J „, S i b h
Email Set U
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Phone numbers of owner: Business q`a (AI / a0 gi Home
Mobile 9 >0
3 ( 7
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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
Applicat cn is for: Sidewalk Cafe
1. 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:
3. Hours of operation of the Sidewalk Cafe or Merchandise Display:
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
11
until
until
until
until
until
until
until
Jo
Merchandise Display
Aso
FOR OFFICE USE ONL'1
Date Received
New or Renewal
License Number
Sidewalk elements of cafes and merchandise displays must be secured daily 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.
DOCUMENTS REQUIRED WITH APPLICATION
O Affidavit (must be notarized; see page 2)
O Indemnification Agreement (must be notarized; see page 3)
• Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (see page 4)
O 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)
Cl Photograph(s) of the sidewalk area (optional)
Applicant's signature
Printed name
Date
ROUTING
APPROVE OR DENY
BY
DATE
FEE
City Marshal
Sidewalk Use Fee $0.00
An application may require
30 days or more to process.
DIRECT AN APPEAL OF PERMIT
DENIAL TO THE CITY MANAGER.
Planning & Zoning Manager
403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328
(912) 472-5033 FAX (912) 786-9539
Lschaaf@cityoftybee. org
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Page 1 of 6
12/14/2012
INDEMNIFICATION AGREEMENT
(RELEASE AND HOLD HARMLESS AGREEMENT)
This Indemnification, Release and Hold Harmless Agreement is made this go day of (Fa IA , 20 a 3 , by
*in he -1/ 4- G 401Y y' s ("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
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,
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 Cafe
or Merchandise Display the APPLICANT agrees as follows:
1.
2.
3.
4.
5.
C i y /4,'6 s4 s 71-
,
Tybee
The above recitals are true, and correct and are incorporated herein by reference,
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.
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.
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.
The terms of this Indemnification Agreement shall be binding upon and
representatives, successor
Notarized signature:
Printed name:
Date:
STATE OF GEORGIA
COUNTY OF CHATHAM
assygns.
.�j
The foregoing instrument was acknowledged before me this 2_ •' day of
CjeN. SC-C.,b��>^
Signature of Notary Public
My Commission expires:
Page 3 of 6
inure to the benefit of the parties and their heirs, legal
Jon
,20 ,by
who is personally known to me ```0b1 �,' t*kyie identification.
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lr''rtC�UNTY 01 -
12/14/2012
AFFIDAVIT
I,
61&/'
name
on behalf of the establishment known as
/CCJ• /
r,56 5 ,
street address
, acting in the capacity of
owner, agent, employee, etc.
business Vine
, Tybee Island, Georgia, attest to the following:
located at
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 Cafe 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.
Notarized Signature:
Printed Name:
STATE OF GEORGIA
COUNTY OF CHATHAM
rte\
The foregoing instrument was acknowledged before me this Z day of
CC -14 he -r —
Date:
2hoc\ Bcc,bcuer
Signature of NotaryPublic
My Commission expires:
Page 2 of 6
, 20 2_j , by
who is personally known to me or who has produced identification.
I zooz5
oil 01
12/14/2012
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)/11 (7 V
A`�RLJ CERTIFICATE OF LIABILITY INSURANCE
DATE(W2023 Y)
1/20/2023
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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(tes) must be endorsed. If SUBROGATION I3 WAIVED, subject to
the tenors 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
GREGG M MILLER (17016)
2019 LINNHURST DR
PO BOX 5709
SAVANNAH, GA 31404-0000
CONTACT
GREGG M MILLER
PHONE FAX 912-355-3005
mic. N... Eatl: 912-355..5454 (A/C, No):
Ems; GREGG.MILLERQCOUNTRYFINANCIAL.COM
INSURER(S)AFFORDING COVERAGE
NAIL II
PURER A : COUNTRY Mutual Insurance Company
20990
INSURED 8761266
SCRIB SOLUTIONS INC
25 E BROUGHTON ST
SAVANNAH, GA 31401
INSURER B :
IW5URER 0
IN RO'
USURER E :
DIMMER F :
•
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.
PISA
TYPE OF INSURANCE
ADDL
!NSA
SUER
WVD
POLICY ma'am
POLICY EFF
(MMIDOIYYYY►
POLICY EXP
(MWDDIYYYYI
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
✓
GM9233868
12/14/2022
12/14/2023
RRREN Eb
HAG
$ 2,000,000
$ 50.000
DEACH OOCCURRENCE
PREMISES (Ea occurrence)
MED EXP (Any one person)
$ 5,000
CLAIMS -MADE I V. I OCCUR
PERSONAL BADV INJURY
$ 2,000,000
✓
BUSINESSOWNERS
GENERAL AGGREGATE
$ 4,000,000
$4,000,000
PRODUCTS - COMP/OP AGG
GENT. ( AGGREGATE UMITAPPLIES PER:
POLICY I pif LOC
A
AUTOMOBILE
✓
UABILnY
✓
SCHEDULED
AUTOS
NON -OWNED
AUTOS
✓
GM9233868
Covered on Businessowners
12/14/2022
12/14/2023
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
A
✓
UMBREUA UAB
EXCESS !JAB
✓
OCCUR
CLAIMS -MADE
✓
GU9233875
12/14/2022
12/14/2023
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 3,000 000
$
DED ✓ RETENTIONS 10.000
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS 0010w
N! A
WC STATU- OTH-
TORY UNITS ER
EL EACH ACCIDENT
$
EL DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Addhlor al Remarks Schedule Amore apace Is required)
POLICY INFORMATION:
HIRED AUTOS LIMIT AND NON -OWNED AUTOS LIMIT ARE $100,000 EACH OCCURRENCE SUBJECT TO A $100,000 AGGREGATE LIMIT
(CONTINUED)
CERTIFICATE HOLDER
CITY OF TYBEE ISLAND
403 BUTLER AVE
TYBEE ISLAND, GA 31328
ACORD 25 (2010/05)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
01988-2010 A• RD C t ' ORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC #:
AWaRU®
ADDITIONAL REMARKS SCHEDULE
Page 1 of
1
AGENCY
POLICY NUMBER
GM9233868
CARRIER
COUNTRY Mutual Insurance Company
NAIC CODE
20990
NAMED INSURED
SCRIB SOLUTIONS INC
25 E BROUGHTON ST
SAVANNAH, GA 31401
EFFECTIVE DATE: 1/20/2023
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
ADDITIONAL INSUREO(S):
CITY OF TYBEE
403 BUTLER AVE
TYBEE ISLAND, GA 31328
ACORD 101 (2008101)
0 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD