Fillable CITY OF DECATUR, ILLINOIS (City of Decatur Illinois)

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CITY OF DECATUR, ILLINOIS (City of Decatur Illinois)

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BROWSE CITY OF DECATUR ILLINOIS (IL) FORMS

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CITY OF DECATUR, ILLINOIS
#1 GARY K. ANDERSON PLAZA DECATUR, ILLINOIS 62523-1196
Phone: 217-424-2747 Fax: 217-424-2799 Email: engineeringforms@decaturil.gov
APPLICATION – TEMPORARY USE OF PUBLIC PROPERTY OR ROW PERMIT
Please fill in all requested information. In addition, attach a scaled drawing with dimensions of
the existing public right of way or property area detailing the proposed size and placement of
tables and chairs, fencing, shelving, displays, décor, or any other items to be part of the
temporary use area. The drawing should include any existing obstructions or permanent street
fixtures, either existing or proposed, within the proposed use area. The depiction of buildings
should include any doors leading from the establishment or abutting buildings. The drawing
should clearly detail the number of feet and location of unobstructed space permitting free
passage of pedestrian traffic around and through the area, as well as social distancing
separations. Application not considered complete until all required attachments are submitted.
A
pplication Date:
Legal Name of Business:
Doing Business As:
Business Address:
Do you have a Liquor
License
Yes
No
Business Phone:
Owner’s Name:
Owner’s Phone:
Owner’s Email:
Store Manage
r
:
24-Hour Phone:
Hours of Operation
Indoor:
Outdoor:
Expiration Date:
August 31, 2020
A
pplication By:
I understand I must keep a clear, unobstructed ADA compliant passage for pedestrian traffic
on sidewalks or other passageway of 4 feet in width at all times.
Signature:
-FOR OFFICE USE ONLY-
Received By:
Date:
A
pproved By:
Date:
A
ttachments:
Scaled Drawing with Dimensions
Certificate of Insurance (naming the City as an additional insured,
coverage must include outdoor area permitted on public property)
Indemnity and Hold Harmless Agreement
Temporary Use of Public Rights of Way or Property
A
greement
Photographs Showing the Existing Condition of the Sidewalk
Photographs of Proposed Fencing Products (if applicable)
Last Revised Date: 5/28/2020
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
For and in consideration of the use of City property as specified specifically in this Temporary Public
Property Application for the express purposes indicated therein, the sufficiency of which is hereby
specifically acknowledged, Business agrees to indemnify and save and hold harmless the City, and its
agents, officers, volunteers and employees from and against any and all costs, lawsuits, claims, losses,
damages, liabilities, settlements and judgments or expenses that it may sustain, individually or collectively
as a result of any suits, actions or claims of any character or type whatsoever brought on account of property
damage and/or injury to, or death of any person or persons, including any employees, agents or volunteers
of Business which may arise in connection with the use, maintenance or improvement of said City property
by Business.
BUSINESS:_______________________________
By:___________________________
(Must be authorized to enter into, bind and execute)
Title:__________________________
Date:__________________________
Temporary Use of Public Property Agreement
In consideration of the City of Decatur, an Illinois municipal corporation (“City”)
agreeing to allow _______________________________________. (“Business”) to temporarily
use public rights of way or property in their operations of the sale of food, beverages and/or other
retail products and the waiver of permit fees for such temporary use of public rights of way, done
with the public interest of maximizing business activity within the guidelines set forth by the
State of Illinois of its Phase 3 Restore rules and regulations for preventing and containing the
COVID-19 virus, Business acknowledges and agrees to the following:
1. Any permit issued for the temporary use of public rights of way shall terminate no
later than August 31, 2020 or until otherwise shortened or extended by City Council.
2. That Business has reviewed and is familiar with the provisions of City Code Chapter
41, Section 12 (“Code”)
https://www.decaturil.gov/wp-content/uploads/2015/10/CHAPTER-
41.pdf
and agrees to comply with the provisions in this Code unless specifically waived by the
City Manager or Public Works Directors or their designee.
3. That patrons of Business must have access to indoor restrooms.
4. All beverages provided, served or consumed must be in a plastic, aluminum, paper or
other unbreakable material cup or container.
5. In addition to the requirements set out in the Code, all debris must be removed by
Business at the close of business each day.
6. In addition to the insurance requirements required in the Code, Business will provide
an insurance policy, rider or other satisfactory proof, evidencing existence of the required
insurance coverage for their use of public rights of way or public property in addition to Business
premises.
7. In addition to requirements set out in the Code, all drawings, requests and use of
public rights of way must be in compliance with State of Illinois rules, regulations and guidelines
in effect on the date of this Agreement which can be found at
https://coronavirus.illinois.gov/s/
and must provide for all social distancing requirement in effect at all times.
8. That Business will comply with all requirements of the Macon County Health
Department and the Illinois Department of Public Health required for its operation including, but
not limited to, all social distancing requirements and the enforcement of the same.
9. If Business is utilizing public rights of way adjacent to driving areas, barricades or
other similar obstruction shall be set out in its scaled drawing and provided and placed by the
City or by the Business with City approval.
10. That Business acknowledges and agrees that the terms and conditions set forth in the
Code and this Agreement are essential and that this Agreement is expressly conditioned, entered
into and approved upon the above conditions and permit compliance and failure to do so shall be
subject to any and all penalty provisions and procedures set forth in the City Code and
Ordinances of the City, and any temporary permit issued as a result of this Agreement may be
suspended or revoked following notice and opportunity to be heard, by the City Manager or
designee.
11. That by signing this Agreement, the undersigned affirmatively states that they are the
owner, operator or authorized agent of the Business and are authorized to sign, enter and bind
Business to the terms set out.
CITY OF DECATUR, ILLINOIS BUSINESS:_______________________________
(Name)
By:___________________________ By:______________________________________
Title:__________________________ Title:_____________________________________
Date:__________________________ Date:_____________________________________
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CITY OF DECATUR, ILLINOIS (City of Decatur Illinois)

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Completed 22 January 2021

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