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HomeMy WebLinkAboutBPW Paperless Packet 02-19-25Board of Public Works and Safety Meeting Agenda Wednesday, February 19, 2025 – 10:00 a.m. Council Chambers City Hall, One Civic Square MEETING CALLED TO ORDER 1. MINUTES a. Minutes from the February 05, 2025, Regular Meeting 2. BID OPENINGS, RECOMMENDATIONS, AND AWARDS a. Bid Opening for City of Carmel RFQ for Vehicles 2025; Chief Drake Sterling, Carmel Police Department b. Bid Opening for 22-ENG-05 99th Street Path Construction Between Westfield Blvd and Haverstick Road; Brad Pease, Director of Engineering 3. TABLED ITEMS a. Request for Revocation of Consent to Encroach; 41 North Rangeline; Lot One Partners, LLC TABLED 11-06-24 4. CONTRACTS a. Request for Agreement between the Park Board and City of Carmel; Parks Resource Officer Agreement with Carmel Police Department; Chief Drake Sterling, Carmel Police Department b. Request for Professional Services; American Structurepoint, Inc.; ($698,000.00); 24- ENG-07 Raised Crosswalks at Hazel Dell, Gray Road, and Main Street; Additional Services Amendment #1; Brad Pease Director of Engineering c. Request for Professional Services; CHA Consulting, Inc.; ($57,500.00); 18-ENG-02 106TH Hazel Dell Roundabout; Additional Services Amendment #1; Brad Pease Director of Engineering d. Request for Professional Services; CrossRoad Engineers, P.C.; ($240,000.00); On Call Plan Review 2025-2026; Additional Services Amendment #3; Brad Pease Director of Engineering 5. REQUEST TO USE CITY STREETS/PROPERTY a. Request to Use Carter Green and Palladium East Patio; Special Request to Use Electricity; Mira Awards; February 26 through 27, 2025; 5:00 PM to 11:00 PM; Andretta Erickson, MBSA Events, Inc. b. Request to Use Midtown Plaza; Community Sensory Day; March 8, 2025; 9:00 PM to 2:00 PM; Kevin Whited, City of Carmel c. Request to Use/Close City Streets; Annual St. Patrick’s Celebration; March 14 though 17, 2025; 8:00 AM to 1:00 PM; Sean McCutcheon, The Brockway Public House d. Request to Use Civic Square Gazebo and Lawn; The CardioCare Race for Hearts 5K; March 29, 2025; 8:00 AM to 1:00 PM; Inayat Arora, CardioCare/American Heart Association e. Request to Use/Close City Streets; High School Graduation; May 17, 2025; 12:00 PM to 5:00 PM; Jamie Woodruff f. Request to Use Carter Green and Use/Close City Streets; Special Request to Use Electricity; Juneteenth Celebration; June 19, 2025; 10:00 AM to 10:00 PM; Brandon Anderson, Carmel High School g. Request to Use/Close City Streets; RUN (317) Village of WestClay 5k; June 19, 2025; 12:00 PM to 9:30 PM; Jeff Graves, Vision Event Management h. Request to Use Reflecting Pool; Special Request to Use Electricity and Reflecting Pool Restrooms; Submarine Club Event; August 9 through 10, 2025; 7:00 AM to 5:00 PM; Chris Campbell i. Request to Use Civic Square Gazebo and Lawn; Special Request to Use Fountain Restrooms; Wedding Ceremony; September 06, 2025; 5:00 PM to 10:30 PM; Candance Clapp 6. OTHER a. Resolution BPW 02-19-25-01; Approving the Exchange of Property Between Government Entities; Board of Trustees of Sugar Creek Township, Hancock County; ($300,000.00); 2013 Marion Body Works Inc. Rescue Truck; Chief Joel Thacker, Carmel Fire Department b. Request for Waiver of BPW Resolution No. 04-28-17-01; 10604 106TH Place; Duke Energy c. Request for Stormwater Technical Standard Waiver; Carmel High School Tennis Complex; Pete Rankovich, TLF Engineers d. Request for Stormwater Technical Standard Waiver; 4411 E 146th Street; Mike Timko, Kimley-Horn and Associates e. Request for Acknowledgment of Grant Agreement; Gregory Hancock Dance Theatre; ($103,000.00); 2025 Arts Grants; Commission for the Arts f. Request for Acknowledgment of Grant Agreement; Booth Tarkington Civic Theatre; ($205,000.00); 2025 Arts Grants; Commission for the Arts g. Request for Acknowledgment of Grant Agreement; Carmel International Arts Festival, Inc.; ($56,000.00); 2025 Arts Grants; Commission for the Arts h. Request for Acknowledgment of Grant Agreement; Carmel Symphony Orchestra, Inc.; ($275,000.00); 2025 Arts Grants; Commission for the Arts i. Request for Acknowledgment of Grant Agreement; The Great American Songbook Foundation; ($208,000.00); 2025 Arts Grants; Commission for the Arts j. Request for Acknowledgment of Grant Agreement; The Cat; ($70,000.00); 2025 Arts Grants; Commission for the Arts k. Request for Acknowledgment of Grant Agreement; Actors Theatre of Indiana, Inc.; ($205,000.00); 2025 Arts Grants; Commission for the Arts l. Request for Grant Agreement; Carmel Clay Historical Society; ($100,000.00); Grant for Carmel Clay History Museum; Commission for the Arts m. Uniform Conflict of Interest; Michael Brisco n. Uniform Conflict of Interest; Joel Thacker 7. ADD-ONS 8. ADJOURNMENT Board of Public Works and Safety Meeting 1 Minutes 2 Wednesday, February 5, 2025 – 10:00 a.m. 3 Council Chambers City Hall, One Civic Square 4 5 6 7 MEETING CALLED TO ORDER 8 Chairwoman Campbell called the meeting to order at 10:01 AM 9 10 MEMBERS PRESENT 11 12 Chairwoman Laura Campbell, Alan Potasnik, City Clerk Jacob Quinn, and Jessica Dieckman were 13 present. 14 15 MINUTES 16 Minutes from the January 22, 2025, Regular Meeting. Board Member Potasnik moved to approve. 17 Board Member Campbell seconded. Minutes approved 2-0. 18 BID OPENINGS, RECOMMENDATIONS, AND AWARDS 19 20 Bid Award for 25-STR-02 Paving; Crystal Edmondson, Street Department, recommended awarding 21 the bid to Howard Companies, for $6,853,166.82 as they were the lowest quote and most responsive. 22 Board Member Potasnik moved to approve. Board Member Campbell seconded. Bid approved 2-0. 23 24 Bid Award for Neighborhood Drainage Improvements at Pawnee Road & Auman Drive Loop; Brad 25 Pease, Director of Engineering, recommended awarding the bid to William Charles Construction 26 Company, LLC., for $1,378,000.00 as they were the lowest quote and most responsive. Board Member 27 Potasnik moved to approve. Board Member Campbell seconded. Bid approved 2-0. 28 TABLED ITEMS 29 30 Request for Revocation of Consent to Encroach; 41 North Rangeline; Lot One Partners, LLC TABLED 31 11-06-24 REMAINS TABLED 32 Request for Purchase of Goods and Services; William Charles Construction Company, LLC; 33 ($1,378,000.00); 23-04 Auman & Newark Neighborhood; Board Member Potasnik moved to take the 34 request from the table. Board Member Campbell seconded. Approved 2-0. Board Member Potasnik 35 moved to approve. Board Member Campbell seconded. Request approved 2-0 36 37 38 39 CONTRACTS 40 41 Request for Agreement for Emergency Medical Supervision and Training Services; St. Vincent Carmel 42 Hospital, Inc. dba Ascension St. Vincent Carmel; Training Services; Chief Joel Thacker, Carmel Fire 43 Department, briefly speaks; that this and updated agreement with our partnering hospital. The last 44 time this was updated was in 2006 and we have made changes. Board Member Potasnik moved to 45 approve. Board Member Campbell seconded. Request approved 2-0. 46 Request for Professional Services; American Structurepoint, Inc.; ($574,253.00); 24-ENG-10 Hazel 47 Dell Parkway and Canton Drive Roundabout; Board Member Potasnik moved to approve. Board 48 Member Campbell seconded. Request approved 2-0. 49 Request for Purchase of Goods and Services; Globe Asphalt Paving Co;($295,277.09); 22-ENG-13 50 Rohrer Road Path and Water Main; CO#1; Board Member Potasnik moved to approve. Board 51 Member Campbell seconded. Request approved 2-0. 52 Resolution BPW 02-05-25-01; Request for Acknowledgment of Contract between City and Vendor; 53 Laketec Communications, Inc.; ($313,856.48); SAN Enclosures Data Center & Expedient Data 54 Center; Kevin Cusimano, Director of Information Communication Services, briefly speaks; that this is 55 to replace 5 year old equipment that we store all the cities data. Board Member Potasnik moved to 56 approve. Board Member Campbell seconded. Resolution approved 2-0. 57 Request for Professional Services; Bar Communications, LLC; ($60,000.00); Media Relations and 58 Communications Services; Additional Services Amendment; Board Member Potasnik moved to 59 approve. Board Member Campbell seconded. Request approved 2-0. 60 Request for Purchase of Goods and Services; Mainscape, Inc.; ($1,632,719.00); Mowing and 61 Landscaping; Additional Services Amendment; Board Member Potasnik moved to approve. Board 62 Member Campbell seconded. Request approved 2-0. 63 Request for Purchase of Goods and Services; Mainscape, Inc.; ($80,000.00); Snow Removal; 64 Additional Services Amendment; Board Member Potasnik moved to approve. Board Member Campbell 65 seconded. Request approved 2-0. 66 Request for Purchase of Goods and Services; Signal Construction, Inc.; ($240,000.00); Contractor 67 Services; Additional Services Amendment; Board Member Potasnik moved to approve. Board Member 68 Campbell seconded. Request approved 2-0. 69 Request for Purchase of Goods and Services; TrueGreen; ($267,893.14); Fertilization; Additional 70 Services Amendment; Board Member Potasnik moved to approve. Board Member Campbell seconded. 71 Request approved 2-0. 72 73 74 75 76 REQUEST TO USE CITY STREETS/PROPERTY 77 78 Request to Resesrve Parking Spaces Along City Center Drive; Coach Bus Parking; February 19 79 through February 20, 2025; 4:00 PM to 3:00 PM; Board Member Potasnik moved to approve. Board 80 Member Campbell seconded. Request approved 2-0. 81 Request to Use City Streets; Shamrock The District; March 14 through March 17, 2025; 12:00 PM to 82 12:00 AM; Board Member Potasnik moved to approve. Board Member Campbell seconded. Request 83 approved 2-0. 84 Request to Use Civic Square Gazebo and Lawn; Special Request to Use Fountain Restroom; Holi 85 Event for Carmel Giving Hope; March 22, 2025; 3:00 PM to 8:00 PM; Board Member Potasnik 86 moved to approve. Board Member Campbell seconded. Request approved 2-0. 87 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; April 88 12, 2025; 2:00 PM to 6:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 89 seconded. Request approved 2-0. 90 Request to Use/Close City Streets; Carmel Elementary Pup Running; April 22, 2025; 2:55 PM to 3:35 91 PM; Board Member Potasnik moved to approve. Board Member Campbell seconded. Request 92 approved 2-0. 93 Request for EMS Services; 21st Annual 5k Fundraiser for Creekside Middle School; April 26, 2025; 94 7:00 AM to 10:30 AM; Board Member Potasnik moved to approve. Board Member Campbell 95 seconded. Request approved 2-0. 96 Request to Use City Council Chambers; National Day of Prayer; May 1, 2025; 11:00 AM to 1:00 PM; 97 Board Member Potasnik moved to approve. Board Member Campbell seconded. Request approved 2-98 0. 99 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; May 2, 100 2025; 2:00 PM to 6:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 101 seconded. Request approved 2-0. 102 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 103 14, 2025; 2:00 PM to 6:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 104 seconded. Request approved 2-0. 105 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 106 20, 2025; 2:00 PM to 7:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 107 seconded. Request approved 2-0. 108 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; June 109 21, 2025; 2:00 PM to 7:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 110 seconded. Request approved 2-0. 111 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; July 26, 112 2025; 2:00 PM to 7:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 113 seconded. Request approved 2-0. 114 Request to Use Carter Green and the Palladium East Patio; Special Request to Use Electricity; August 115 16, 2025; 2:00 PM to 6:00 PM; Board Member Potasnik moved to approve. Board Member Campbell 116 seconded. Request approved 2-0. 117 118 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; 119 September 7, 2025; 2:00 PM to 7:00 PM; Board Member Potasnik moved to approve. Board Member 120 Campbell seconded. Request approved 2-0. 121 Request to Use Carter Green; ASCPA Annual Gala; September 19 through September 22, 2025; 10:00 122 AM to 5:00 PM; Board Member Potasnik moved to approve. Board Member Campbell seconded. 123 Request approved 2-0. 124 Request to Use Palladium East Patio; Special Request to Use Electricity; Wedding Ceremony; 125 September 27, 2025; 2:00 PM to 7:00 PM; Board Member Potasnik moved to approve. Board Member 126 Campbell seconded. Request approved 2-0. 127 OTHER 128 Request for Public Right of Way Dedication; 22-ENG-07; Board Member Potasnik moved to approve. 129 Board Member Campbell seconded. Request approved 2-0. 130 Uniform Conflict of Interest; Board Member Potasnik moved to approve. Board Member Campbell 131 seconded. Acknowledgment approved 2-0. 132 Uniform Conflict of Interest; Board Member Potasnik moved to approve. Board Member Campbell 133 seconded. Acknowledgment approved 2-0. 134 ADD-ONS 135 136 ADJOURNMENT 137 Chairwoman Campbell adjourned the meeting at 10:18 AM. 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 APPROVED: ____________________________________ 153 Jacob Quinn – City Clerk 154 155 156 _____________________________________ 157 Chairwoman Laura Campbell 158 159 160 ATTEST: 161 __________________________________ 162 Jacob Quinn – City Clerk 163 164 October 29, 2024 Board of Public Works and Safety One Civic Square Carmel, Indiana 46032 RE: REVOCATION OF CONSENT TO ENCROACH AGREEMENT- 41 NORTH RANGELINE - LOT ONE PARTNERS, LLC Dear Board Members: The Department of Engineering is recommending revocation of the existing consent to encroach agreement between the City and Lot One Partners, LLC, approved by the Board on September 6, 2023. The agreement allowed a 2.5’ encroachment into the east/west alley accessed via 1st AVE NE to install a curb and handrail along the pedestrian access walkway. This encroachment has been found to limit vehicular access through the alley, causing vehicles to drive onto the private property south of the alley to access a loading zone. The Department of Engineering has confirmed the removal of the encroachment will not create any code violations or other safety hazards and therefore requests the board revoke the consent to encroach agreement and require removal of the encroachment to restore unobstructed vehicular access through the alley. Sincerely, Bradley Pease, P.E. City Engineer ATTACHMENTS: CONSENT TO ENCROACH AGREEMENT CzTfshfzHsfdivlijobu3;57qn-Gfc17-3136 CzTfshfzHsfdivlijobu5;26qn-Gfc16-3136 CzBmmjtpoMzodi.NdHsbuibu22;38bn-Gfc21-3136 CzTfshfzHsfdivlijobu3;51qn-Gfc21-3136 CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY* Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: N/A Include addresses as appropriate 01/28/202501/30/2025Streets confirmed this initial request could be done Yes 02/07/2025 Yes 02/05/2025Yes 02/04/2025 Yes, 02/07/2025 Yes 02/07/2025 Yes, 02/11/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Event Use/Purpose: Description of Event: An easy to read, color map of the area is required with submission. Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: N/A 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS: TechPoint is hosting it's annual Mira Awards at the Palladium on Thursday, Feb. 27. Provide a brief description of event The event is all happening inside the Palladium but we are requesting use of power outside the Palladium to have a ballyhoo of light (moving lights) on the red carpet on the south steps. Map with details attached. Sizes: Truss towers are 36"x36" bases Attach additional pages if needed-SEE BELOW TechPoint - Mira Awards - Outdoors - Feb. 27.pdf 125.63KB ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT Event Date Start*Event Date End* If multiple dates, please list Set-Up time* Tear Down End time* Event Start time:* Event End time:* Rehearsal Number of People Expected:* Fees? Fees (cont'd) 2/26/2025 2/27/2025 Set up on the evening of the 26th, event date is on the 27th. 5:00:00 PM 11:00:00 PM 6:00:00 PM 10:00:00 PM NA 1,200 Will a Fee be charged for this event? If yes, please describe below. YES NO Purpose of fee Ticketed event in the Palladium EVENT SET UP: Mark all that apply Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: Vendors Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previsously granted request to use a City facility for any lawful reason. VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A 6. CONTACT INFORMATION: Andretta Erickson andretta@mbsaevents.com 3174649389 3177162229 MBSA Events, Inc. (on behalf of TechPoint) City Indianapolis State / Province / Region IN Postal / Zip Code 46208 Country USA Street Address 2955 N Meridian St, Suite 400 Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. MBSA Events, Inc. Name of Organization/Applicant Signature of Authorized Agent/Applicant Andretta Erickson, Vice President and COO Printed Name and Title (If applicable) 3174649389 Phone Number (Required) 2955 N Meridian St, Suite 400 Indianapolis IN 46208 Address of Organization/Applicant 1/28/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ (2) Truss towers with lights affixed to it, pulling power from permanent light pole adjacent (1) LED Poster to let guests know that the east entrance is closed and to enter at the south entrance Note: unsure that City of Carmel approval is needed as this will be in the doorway of the east entrance and not on the East Patio (1) Truss arch with lights and LED posters affixed to it to welcome VIP guests at valet Note: unsure that City of Carmel approval is needed as this will be in the doorway of the west entrance TechPoint –Mira Awards February27, 2025 CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    02/06/2025 Yes, 02/07/2025 Yes, 02/07/2025 Yes, 02/07/2025 Yes, 02/7/2025 Yes 02/07/2025 Yes 02/11/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: 30 West Main Street Economic Development/Carmel Utilitie Include addresses as appropriate An easy to read, color map of the area is required with submission. Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start * Per the City of Carmel Special Event/Facility Use Policy, requests must be received at least 60 days prior to the event. Event Date End* If multiple dates, please list Set-Up time:*Tear Down End time:* Event Start time:*Event End time:* Rehearsal Number of People Expected:* Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS Community Sensory Day Provide a brief description of event This event is sponsored by the City of Carmel and the Carmel Advisory Committee on Disabilities (CACD) and gives Carmel area youth with disabilities a chance to celebrate in a low-sensory environment. There are several sensory tables and we play a movie with no sound on the screen. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 3/8/2025 3/8/2025 9:00:00 AM 2:00:00 PM 10:00:00 AM 1:00:00 PM NA 100 Fees? Vendors Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Will a Fee be charged for this event? If yes, please describe below. Yes No EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup 3178197208 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Kevin Whited kwhited@carmel.in.gov 3178197208 3173724084 City of Carmel, CACD Address Organization Type:* Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. City Carmel State / Province / Region IN Postal / Zip Code 46032 Country United States Street Address 30 West Main Street Address Line 2 Economic Development/Carmel Utilitie Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. City of Carmel, MAC Name of Organization/Applicant Signature of Authorized Agent/Applicant Kevin W Whited, Transportation Development Coordinator Printed Name and Title (If applicable) 3178197208 Phone Number (Required) 30 West Main Street Economic Development/Carmel Utilitie Carmel, IN 46032 Address of Organization/Applicant 2/6/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other Street closing on Cranston Ave., plus North bound lane on Old Meridian on 3/15 3-7pm during CFD activities.    01/31/2025 Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/2025 Requester notified of recommendations:Secure/appropriate barricades are used to block off the streets. Especially the portion on Old meridian. They will be using large Beer Trailer. Additionally", the CFD will have their trucks blocking traffic north bound" 02/04/2025 Yes, 02/07/2025 yes 02/07/2025 yes 02/11/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Cranston Ave. from Old Meridian to the Providence parking lot just behind the Brockway Pub, plus the North bound lane of Old Meridian from West Carmel Dr. to Grand Blvd only on 3/15 from 3-7pm for CFD activities. Cranston Ave to be closed 3/14 through 3/18. 12525 Old Meridian St. Include addresses as appropriate An easy to read, color map of the area is required with submission. Google Map of Street Closure.pdf 719.15KB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: Will also close a portion of Old Meridian North bound lane for CFD activities 3-7pm on 3/15. 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Cones* Barricades * No Parking Signs* Event Use/Purpose:* Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Agreement must be signed with Carmel Street Department before delivery/pickup Standard Cones Tall Skinny Cones Barricades (used to close roads)Crowd-Control Gates Please note the number of Barricades needed 8 Please note the number of NO PARKING SIGNS needed 3 5. EVENT DETAILS St Patrick's celebration tent party. Description of Event:* Event Date Start * Per the City of Carmel Special Event/Facility Use Policy, requests must be received at least 60 days prior to the event. Event Date End* If multiple dates, please list Set-Up time:* Tear Down End time:* Event Start time:*Event End time:* Rehearsal Number of People Expected:* Fees? Fees (cont'd) Provide a brief description of event The annual St. Patrick's celebration. Tent party with bands and beer stands. SCHEDULE OF ACTIVITIES & BANDS: Sat 3/15: 12-2pm CFD Pipers, 2-3pm Ian Reppert, 3-7pm CFD pumper pull and keg toss, 5:30-8pm The Party Band, 8:30- 11pm The Earworms. Sun 3/16:1:30-3pm Aela, 4-7:30pm The Earworms, 8-11pm Rhino Down. Mon 3/17: 1:30-3pm Murat Highlander Pipe Band, 4-7 Pigeons of Market Square, 7:30-10pm Discombobulated. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 3/14/2025 3/17/2025 8:00:00 AM 1:00:00 PM 1:00:00 PM 11:00:00 PM NA 1,000 Will a Fee be charged for this event? If yes, please describe below. Yes No Purpose of fee Raise money for the CFD Bereavement Fund EVENT SET UP: Stage 10' x 20' Size of Stage Vendors Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. 30 x 75 Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup 7047268489 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Sean McCutcheon Sean@dannyboybeerworks.com 7047268489 7047268489 The Brockway Public House City Carmel State / Province / Region IN Postal / Zip Code 46032 Country United States Street Address 12525 Old Meridian St. Address Line 2 Suite 150 For-Profit Organization Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. The Brockway Public House Name of Organization/Applicant Signature of Authorized Agent/Applicant Sean McCutcheon Printed Name and Title (If applicable) 7047268489 Phone Number (Required) 12525 Old Meridian St., Ste 150 Carmel, IN 46032 Address of Organization/Applicant 1/31/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    01/26/2025Requester is aware public restrooms will not be opened during their event. They will be providing portables. 01/28/2025This event did not request police for traffic control. Approved if they are only walking on the sidewalks and plan to follow all traffic laws. 02/04 CPD Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/2025 Yes, 02/07/2025 Yes, 02/07/2025 We have decided to proceed with applying for a total of three officers:•One at Veterans Way and Monon Blvd• One at Veterans Way and Gradle• One at Rangeline and Gradle Dr Additionally, we will have some volunteers stationed at:• Monon Blvd and Rangeline• Red Truck Rd and Rangeline Yes,02/11/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: A section of Veterans Way. Include addresses as appropriate An easy to read, color map of the area is required with submission. IMG_0254.jpg 2.9MB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: Temporary traffic control to manage pedestrians/runners. 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Cones* Tall Skinny Cones* Event Use/Purpose:* Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Agreement must be signed with Carmel Street Department before delivery/pickup Standard Cones Tall Skinny Cones Barricades (used to close roads)Crowd-Control Gates Please note the number of Tall Skinny Cones needed 35 5. EVENT DETAILS The CardioCare Race for Hearts 5K Walk/Run is organized to raise awareness about heart health and promote heart disease prevention within our community. This event aims to educate participants about the importance of a healthy lifestyle, recognizing early warning signs, and taking proactive measures to protect their heart health. It will feature inspiring guest speakers, including heart disease survivors and cardiac health experts, alongside engaging activities for participants. All proceeds from the event will be donated to the American Heart Association to support their life-saving research, public health education, and advocacy efforts to combat heart disease and stroke. Our goal is to inspire action and foster a healthier, heart- conscious community. Description of Event:* Event Date Start * Event Date End* If multiple dates, please list Set-Up time:*Tear Down End time:* Event Start time:*Event End time:* Rehearsal Rehearsal Date: Rehearsal Start:Rehearsal End: Number of People Expected:* Fees? Provide a brief description of event We are hoping to have our CardioCare Race for Hearts 5K Walk/Run scheduled for Saturday, March 29th, from 10:00 AM to 1:00 PM, to raise awareness about heart health and support the American Heart Association in the fight against heart disease. The event will begin at 10:00 AM with a Guest Speaker Session from 10:00 to 11:00 AM. This session will feature cardiac surgeons, healthcare professionals, the corporate team at the American Heart Association, and heart disease survivors, who will share their stories and offer insights on heart disease prevention. At 11:00 AM, the 5K Walk/Run will begin, encouraging participants to engage in a healthy, active lifestyle while supporting the cause. The race will be followed by a Closing Ceremony from 12:00 PM to 1:00 PM, where the winners will be announced. During this time, attendees will also have the opportunity to visit various booths set up by event sponsors, learn more about heart health, and take photos to commemorate the event. This event is designed to bring the community together in a fun and educational way while raising funds for the American Heart Association's ongoing efforts to combat heart disease and promote cardiovascular health. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 3/29/2025 3/29/2025 8:00:00 AM 1:00:00 PM 10:00:00 AM 1:00:00 PM NA Rehearsal Start Time:Rehearsal End Time: 200 Will a Fee be charged for this event? If yes, please describe below. Yes No Fees (cont'd) Vendors Vendors Present* Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Purpose of fee Obtaining donations for the American Heart Association to fund life-saving research, public education, community programs, and advocacy efforts to reduce heart disease and stroke deaths. EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A Approximately how many vendors will be present? 6 6. CONTACT INFORMATION: Inayat Arora inayatarora03@gmail.com 3178539839 4632104248 CardioCare/American Heart Association Address Organization Type:* Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. City Carmel State / Province / Region Indiana Postal / Zip Code 46074 Country United States Street Address 13296 Mink Ln Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. CardioCare/American Heart Association Name of Organization/Applicant Signature of Authorized Agent/Applicant Inayat Arora: Nonprofit Event Organizer Printed Name and Title (If applicable) 3178539839 Phone Number (Required) 13296 Mink Ln Carmel, Indiana 46074 Address of Organization/Applicant 1/26/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/2025 Yes, 02/07/2025 yes 02/07/2025 Yes, 02/11/2025 CITY OF CARMEL, INDIANA Information CARTER GREEN SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. FACILITY* Neighborhood Name/Streets to be closed 1. CITY FACILITY REQUESTED: Mark all that apply CARTER GREEN (area between Palladium & James Building) PALLADIUM EAST PATIO (on the Campus of the Center for the Performing Arts) 2. STREET(S) REQUESTED: The road around Carter Green. Include addresses as appropriate 01/27/2025 Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/2025Allied Solutions Yes, 02/04/2025 Yes, 02/07/2025 yes 07/07/2025 Yes 02/11/2025 UPLOAD MAP Type of Closure: Further Info for type of closure REQUESTS: CITY SERVICES NEEDED: Cones* Barricades* No Parking Signs* An easy to read, color map of the area is required with submission. Blocked Carter Green.jpg 75.48KB Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: 3. SPECIAL REQUESTS: Mark all that apply ELECTRICITY JAMES BUILDING RESTROOMS (CARTER GREEN) *Extra fees apply N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other Agreement must be signed with Carmel Street Department before delivery/pickup Standard Cones Tall Skinny Cones Barricades (used to close roads)Crowd-Control Gates Please note the number of Barricades needed 8 Please note the number of NO PARKING SIGNS needed 8 Event Use/Purpose: Description of Event: Event Date Start*Event Date End* If multiple dates, please list Set-Up time* 5. EVENT DETAILS: Juneteenth Celebration Provide a brief description of event The Carmel Juneteenth Celebration will be a vibrant celebration of Black success, excellence, and the rich history of Juneteenth, taking place at Carter Green in Carmel. This community-focused event will feature an array of Black-owned businesses as vendors, showcasing their products and services. Attendees can enjoy live performances by talented local Black artists, offering music, spoken word, and other entertainment that reflects the cultural diversity of the community. Food vendors will provide a culinary journey, emphasizing African, African American, and Caribbean cuisines, ensuring a delicious and authentic experience for all. This family-friendly event is open to all audiences and aims to educate and inspire by highlighting the significance of Juneteenth, commemorating the emancipation of enslaved African Americans, while celebrating the achievements and contributions of the Black community. Join us in creating an inclusive space that fosters community, culture, and unity as we honor the past and look towards a bright future. Attach additional pages if needed-SEE BELOW Carter Green Sat Map Annotated.jpg 195.12KB ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 6/19/2025 6/19/2025 10:00:00 AM Tear Down End time* Event Start time:* Event End time:* Rehearsal Number of People Expected:* Fees? Vendors 10:00:00 PM 1:00:00 PM 8:00:00 PM NA 3,000 Will a Fee be charged for this event? If yes, please describe below. YES NO EVENT SET UP: Mark all that apply Stage 24x12 Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. 10x10 Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571- 2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Mark all that apply VENDORS PRESENT FOOD SERVED (May be subject to Hamilton County Health Department inspection.) ALCOHOL SERVED - Please see Section R under “General Terms and Conditions” in the Public Use Policy. N/A Vendors Present* Contact Person Email Phone Number: Cell Number: Name/Organization: Address Organization Type:* Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previsously granted request to use a City facility for any lawful reason. Approximently how many vendors will be present? 56 6. CONTACT INFORMATION: Brandon Anderson Carmel High School Black Student Alliance and Future Black Leaders: Carmel City Carmel State / Province / Region IN Postal / Zip Code 46032 Country United States Street Address Address Line 2 Non-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Carmel High School Black Student Alliance and Future Black Leaders: Carmel Name of Organization/Applicant Signature of Authorized Agent/Applicant Brandon Anderson Printed Name and Title (If applicable) Phone Number (Required) Address of Organization/Applicant 1/26/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other city streets    01/29/2025Confirmed date + times with requester. It is a night run. Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/3025 Yes, 02/07/2025 Yes, 02/07/2025 Yes, 02/11/2025 Neighborhood Name/Streets to be closed Upload Map 2. STREET(S) REQUESTED: Village of WestClay Neighborhood. Jeff Terp the Executive Director of the VOWC is supplying all the course marshals for the event. Turn by Turn • Start line on West New Market Street All Lanes • Right South on Meeting House Road All Lanes • Left East on Rhettsbury Street Westbound Lane Only cone centerline for 2 way runner traffic • Left North on Bird Cage Walk All Lanes • Right East on Horseferry Road All Lanes • Right East on Beaufain Street All Lanes • Right South on Milford Street All Lanes • Right West on Hourglass Drive All Lanes o Cone to push participants 6ft north of the south curb for left turn from Hourglass Drive onto Parson’s Gate • Left South on Parson’s Gate All Lanes • At Chelmsford Circle go left and go clockwise around the circle • West on Chelmsford Street All Lanes • Right Northwest on Rosebery Street All Lanes • Left West on Rhettsbury Street All Lanes o Take soft left onto Meeting House • Left South on Meeting House Road All Lanes • Right West on Mowbray Street- All Lanes • Left South on Burke Drive All Lanes All Lanes • Right North on Horseham Street All Lanes • Right East on at (first) Branford Street All Lanes • Left West on Stanhope Street All Lanes • Right North on Treaty Line Street All Lanes •Treat and Rhettsbury stay to the right with traffic • Right East on Glebe Street Eastbound lane with traffic • Right Southeast on West New Market Street All Lanes Include addresses as appropriate An easy to read, color map of the area is required with submission. 2025 RUN(317) Carmel Village of WestClay Course Map.pdf 604.55KB Type of Closure: Further Info for type of closure Requests: City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start *Event Date End* If multiple dates, please list Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: Running event. Roads will close and runners approach and reopen as the walker clear. 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS RUN(317) Village of WestClay 5K RUN/Walk benefitting Jackson Center for Conductive Education Provide a brief description of event RUN(317) Village of WestClay 5K RUN/Walk is part of the RUN(317) Series highlighting unique neighborhoods of the RUN(317) area code. This year's official charity partner is Jackson Center for Conductive Education. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 6/19/2025 6/19/2025 Set-Up time:* Tear Down End time:* Event Start time:*Event End time:* Rehearsal Number of People Expected:* Fees? Fees (cont'd) Vendors Vendors Present* 12:00:00 PM 9:30:00 PM 7:00:00 PM 9:00:00 PM NA 1,700 Will a Fee be charged for this event? If yes, please describe below. Yes No Purpose of fee cover cost of event and benefit charity EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A Approximately how many vendors will be present? 3 Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. 6. CONTACT INFORMATION: Jeff Graves Jeff@VisionEventManagement.com 3172943622 Vision Event Management City Westfield State / Province / Region IN Postal / Zip Code 46074 Country USA Street Address 17401 Tiller Ct Address Line 2 Suite A For-Profit Organization Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Jeff Graves Name of Organization/Applicant Signature of Authorized Agent/Applicant Jeff Graves Presiden Printed Name and Title (If applicable) 317-294-3622 Phone Number (Required) 17401 Tiller Court, Suite A Westfield, IN 46074 Address of Organization/Applicant 1/29/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    01/30/2025 Yes, 02/07/2025 Yes, 02/05/2025Yes, 02/04/2024Pedcor: Yes 02/07/2024 Yes, 02/07/2025 Yes, 02/07/2025 Yes, 02/11/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Include addresses as appropriate An easy to read, color map of the area is required with submission. Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other Electricity turned on, fountains turned off during the day, sprinkling system in grass turned off 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event:* Event Date Start *Event Date End* If multiple dates, please list Set-Up time:*Tear Down End time:* Event Start time:*Event End time:* Rehearsal Number of People Expected:* Fees? Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS Remote control submarine club event Provide a brief description of event Members of the club visit Carmel to attend this event to operate their battery powered submarines in the reflecting pond. We rent a 30x60 frame tent, tables, and chairs so the participants have a place to display and work on their submarines. Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 8/9/2025 8/10/2025 Tent is normally set up the day before our event and taken down the day after 7:00:00 AM 5:00:00 PM 9:00:00 AM 3:00:00 PM NA 40 Will a Fee be charged for this event? If yes, please describe below. Yes No EVENT SET UP: Stage Vendors Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Address Organization Type:* Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. 30x60 Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Ace party rental Name of Merchants(s) doing the setup 3179696062 Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Chris Campbell Subcommittee City Carmel State / Province / Region IN Postal / Zip Code 46033 Country Street Address Address Line 2 Non-Profit Organization Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. Is the Organization based within the City of Carmel city limits? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Subcommittee Name of Organization/Applicant Signature of Authorized Agent/Applicant Chris Campbell Printed Name and Title (If applicable) Phone Number (Required) Carmel, IN. 46933 Address of Organization/Applicant 1/30/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ CITY OF CARMEL, INDIANA Information SPECIAL EVENT / FACILITY USE REQUEST FORM Please reference the City of Carmel Special Event/Facility Use Policy * Must be at least 18 years of age to complete this form. The Event Request Form must be submitted a minimum of 60 days prior to the planned date of the event or activity. Please click here to request the Carter Green or East Patio. Facility(s) 1. CITY FACILITY(S) REQUESTED: Civic Square Fountain Area Civic Square Gazebo / Lawn Japanese Garden Monon & Main Plaza Midtown Plaza (Events must be free and open to the public. We are unable to accommodate public movie requests.) Reflecting Pool (Please note that Veteran's Memorial Freedom Circle and Plaza is not available for use) Sophia Square Other    02/03/2025 There is another wedding, same date, same location, but it is from 1-4 and this request is from 5pm-10pm Both Parties are aware Yes 02/07/2025 Yes, 02/204/2025 Yes, 02/05/2025 Yes, 02/07/2025 Yes, 02/07/2025 Yes, 02/11/2025 Neighborhood Name/Streets to be closed Upload Map Type of Closure: Further Info for type of closure Requests: 2. STREET(S) REQUESTED: Include addresses as appropriate An easy to read, color map of the area is required with submission. Rolling closure Total closure Lane restrictions - explain below Other - explain below N/A Explain lane restrictions needed and other needed below: 3. SPECIAL REQUESTS: Electricity Fountain Restroom - Fountain/Gazebo Reflecting Pool Restrooms N/A Other 4. CITY SERVICES NEEDED: Mark all that apply City Services Needed Event Use/Purpose:* Description of Event Date End* Tear Down End time:* Event End time:* Rehearsal End: Cones/Barricades (signed agreement required) Detour/Traffic Redirection Signs (signed agreement required) Emergency Medical Services (EMS) (Extra fees may apply) Extra Patrol During Event (when available) Traffic Control (Extra fees may apply) On-site Security (Assigned off-duty CPD officers, extra fees will apply) No Parking Signs (Pick up at Carmel Police Department) Trash Trailer ($150 fee may be applied for use) N/A Other 5. EVENT DETAILS Wedding Provide a brief description of event Small wedding. Maybe 50 people Attach additional pages if needed-SEE BELOW ADDITIONAL PAGES OF DESCRIPTION OF THE EVENT 9/6/2025 10:30:00 PM 10:00:00 PM NA Event: * Event Date Start * 9/6/2025 If multiple dates, please list Set-Up time: * 5:00:00 PM Event Start time:* 5:00:00 PM Rehearsal Rehearsal Date: Rehearsal Start: Rehearsal Start Time: Number of People Expected: * Fees? Rehearsal End Time: 50 Will a Fee be charged for this event? If yes, please describe below. Yes No Vendors Contact Person* Email* Phone Number:* Cell Number: Name/Organization: Address Organization Type:* EVENT SET UP: Stage Size of Stage Tent(s) – If placing a tent over the entire green space at Midtown Plaza, the exclusive vendor for tent rental is A-Classic Party Rentals (317-251-7368). Otherwise, you may use the vendor of your choice. Size of Tent (s) (Tents 20 x 20 or larger require inspection by Carmel Fire Department, 317-571-2600) Bounce House N/A Other Name of Merchants(s) doing the setup Phone Number of Merchant(s) doing set up: VENDORS: Vendors Present Food Served (May be subject to Hamilton County Health Department Inspection) Alcohol Served (Please see Section R under “General Terms and Conditions” in the Special Event/Facility Use Policy) N/A 6. CONTACT INFORMATION: Candace Clapp City Greenwood State / Province / Region IN Postal / Zip Code 46143 Country Street Address Address Line 2 Individual Residency A refundable Security Deposit in the amount of $100 for any applicant located or residing within Carmel city limits or a non-refundable event fee in the amount of $150 for any applicant located or residing outside of Carmel city limits must be received prior to application review or processing. Payment may be made online using a credit or debit card at https://www.govpaynow.com . PLC #A0026j, calling the Govpay call center at 1-888-604-7888 (give them PLC#) or in the form of a certified check or money order made payable to the City of Carmel. (Mail to: Carmel City hall, Attn: Lobby Desk, 1 Civic Square, Carmel, IN 46032) The Carmel Board of Public Works and Safety reserves the right, in its sole discretion, to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. Is the requestor a citizen of the City of Carmel? Yes No SECURITY DEPOSIT AND FEE: DISCLAIMER: Acknowledgement and Agreement Mayor's Office ACKNOWLEDGEMENT AND AGREEMENT TO COMPLY WITH SPECIAL EVENT/FACILITY USE POLICY I have read and understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. I will leave the City facility I use in the same condition that it was immediately prior to my use thereof. I agree to pay for any damage, repair or clean-up costs incurred by the City as a result of my use of a City facility. I hereby certify that I, and the organization I represent, if applicable, agree to be bound by the City's Special Event/Facility Use Policy and by any addition conditions or restrictions placed upon my/our use of a City facility by the Board. I understand that the Board has the right to deny, alter or revoke my request for the use of a City facility for any lawful reason. I and/or my organization also agree to indemnify and hold harmless the City of Carmel and all of its directors, officers, employees, agents and affiliates from any claims of whatever nature (whether foreseeable or not) arising from or in connection with this Application for any damages, costs or expenses incurred directly or indirectly as a result of my/our use of the City-owned facility and/or property. Age Confirmation* Special Event/Facility Use Policy* * * GO TO THE CITY OF CARMEL USE ONLY TAB AND CLICK ON SUBMIT I confirm that I am 18 years of age or older. By selecting this box, I hereby acknowledge that I have read and fully understand the City of Carmel, Indiana ("City") Special Event/Facility Use Policy and agree to be bound by all the terms and conditions set forth therein. Candace Clapp Name of Organization/Applicant Signature of Authorized Agent/Applicant Candace Clapp Printed Name and Title (If applicable) Phone Number (Required) Address of Organization/Applicant 2/3/2025 Date City of Carmel Use Only Approved this ______day of _______________, 20 CITY OF CARMEL, INDIANA By and Through its Board of Public Works and Safety ___________________________________ Laura Campbell, Presiding Officer Date: ______________________________ ___________________________________ James Barlow, Member Date: ______________________________ ___________________________________ Alan Potasnik, Member Date: ______________________________ ATTEST: _____________________ Jacob Quinn, City Clerk ________________ Date Special Conditions:__________________________________________________________________ RESOLUTION NO. BPW 02-19-25-01 A RESOLUTION OF THE BOARD OF PUBLIC WORKS AND SAFETY OF THE CITY OF CARMEL, INDIANA, APPROVING THE EXCHANGE OF PROPERTY BETWEEN GOVERNMENTAL ENTITIES UNDER INDIANA CODE 5-22-22-10 AND 36-1-11-8 WHEREAS, pursuant to Indiana Code (“IC”) 5-22-22-10 and IC 36-1-11-8 (collectively, the “Statutes”), the Board of Public Works and Safety (the “Board”) of the City of Carmel, Indiana (the “City”), as the City’s purchasing agency, may exchange property with another governmental body upon agreed terms and conditions as evidenced by the adoption of substantially identical resolutions by each entity; and WHEREAS, a transfer of property between governmental bodies under the Statutes may be made for any amount of property or cash as agreed upon by the governmental bodies; and WHEREAS, pursuant to the Statutes, the Board of Trustees of Sugar Creek Township, Hancock County, Indiana (the “Township”), is willing and has determined that it is now in its best interests to exchange its surplus 2013 Marion Body Works Inc. Heavy Rescue Truck (the “Rescue Truck”) with the City, for the City Fire Department arranging for the transportation of the Rescue Truck from its location in the Township, and for Three Hundred Thousand Dollars ($300,000.00); and WHEREAS, pursuant to the Statutes, the Board has determined that it is now in the best interests of the City to accept the Township’s surplus Rescue Truck, in exchange for the City Fire Department arranging for the transportation of the Rescue Truck from its location in the Township, and for Three Hundred Thousand Dollars ($300,000.00). NOW, THEREFORE, BE IT RESOLVED by the Board, as follows: Section 1. The foregoing Recitals are incorporated herein by this reference. Section 2. The terms of the exchange shall be controlled by the following: (a) At the time of exchange mutually agreed to by the City and the Township, the Township will provide the Rescue Truck, an invoice for Three Hundred Thousand Dollars ($300,000.00), and an original copy of the clear title to the Rescue Truck. (b) The City is responsible for transportation of the Rescue Truck from its current location in the Township. (c) Upon the exchange of the Rescue Truck, the City agrees to assume all liabilities associated with the Rescue Truck. This includes, but is not limited to, any damage or obligations arising from the use, ownership, or operation of the Rescue Truck. The Township shall be released from any such liabilities as of the date and time of the exchange. (d) The Rescue Truck is transferred “as is” and “with all faults.” The Board and the City acknowledge that the Township or its agents, employees, officers, or representatives have made no representations regarding the quality, condition, or safety of the Rescue Truck. The Township expressly disclaims all warranties, express or implied, including but not limited to, the warranty of merchantability or fitness for any particular purpose. The Board and the City acknowledge, accept, and approve this disclaimer. (e) The Township warrants that it is the sole owner of the Rescue Truck and that the Rescue Truck is free and clear from all liens and encumbrances. (f) The City shall pay the Township within thirty-five (35) days after the date of the City’s receipt of Township’s invoice. (g) The Township shall adopt a resolution substantially identical to this Resolution and the passing of said resolution and this Resolution shall effectuate the Agreement between the parties. Section 3. (a) The Board hereby designates the City Fire Chief Joel Thacker as its agent for purposes of completing the exchange under this Resolution. Chief Thacker is hereby authorized to execute all documents required in connection with the exchange of property pursuant to the terms of this Resolution and to take all other lawful actions necessary to complete the exchange of property. (b) The Township shall designate Township Fire Chief Brandon Kleine as its agent for purposes of completing the exchange under this Resolution. The Township shall authorize Chief Kleine to execute all documents required in connection with the exchange of the Rescue Truck pursuant to the terms of this Resolution and to take all other lawful actions necessary to complete the exchange of the Rescue Truck. [SIGNATURE PAGE TO FOLLOW] SO RESOLVED. PASSED by the Board of Public Works and Safety of the City of Carmel, Indiana, this ___ day of , 2025, by a vote of ayes and nays. CITY OF CARMEL, INDIANA By and through its Board of Public Works and Safety (“Board”) ATTEST: By: Laura Campbell, Presiding Officer Jacob Quinn, Clerk Date: Date: James Barlow, Member Date: Alan Potasnik, Member Date: BARRINGTON DR 18 1 13 P1 19 7 - 0 2 4 -- I - P O L E - H M I 5 6 6 1 3 - 5 5 - 1 1 1 2 ' W E S T O F CO N S T R U C T I O N S C M . 0 4 - 0 0 1 -- I - 3 - P H A S E S P A C E R C A B L E T A N G E N T -- T - 4 A L D U P L E X AN D I N S T A L L R E C L O S E R -- A E S T O T R A N S F E R T H E I R P R I M A R Y T O P O L E E 1 0 6 T H S T W I L L I A M S O N P K W Y PO L E - 1 9 7 - 0 2 4 - 5 5 - 1 PO L E - 1 9 6 - 9 1 5 - 6 0 - 1 PO L E - 1 9 7 - 0 2 5 - 5 5 - 1 E-OH-PRIMARY-336 AAC-BAC ® ID CIRCLE FOR SAFETY® N1 3 2 4 3 0 1 2 4 4 1 2 . 4 7 / 7 . 2 K V X CA R M E L R O W BR E A K E R A T S S H O M E P L A C E 4 3 0 . 0 0 1 0 6 0 4 1 0 6 t h P l 56 9 3 7 6 0 2 CA R M E L HA M I L T O N IN , 4 6 0 3 3 An d r e w S h e l t o n 31 7 - 3 4 9 - 8 7 8 4 1" = 4 0 ' US P : US P : US P : US P : US P : ?:?:?:?: TO A D I T C H PO L E L I N E I S R I G H T N E X T 3901 W 86th Street Suite 200 | Indianapolis, IN 46268 | 317-334-1500 6203 Constitution Drive | Fort Wayne, IN 46804 | 260-444-4701 TLF February 6, 2025 John Thomas, CPMSM, CPESC Storm Water Administrator City of Carmel - Departments of Engineering and Storm Water 317-571-2314 jthomas@carmel.in.gov Re: SW-2024-0024, Carmel High School Witsken Tennis Complex Renovations Variance Request 1 – Storm Water Detention Basin Elevation Dear Mr. Thomas, On behalf of the Carmel High School Witsken Tennis Complex Renovations Project Team, we are requesting a Variance to the City of Carmel Stormwater Standards requiring 2.0’ of free board form the top of bank of the existing detention basin to the 100-year flood elevation of the developed condition, based on the Stormwater Review Comment #20. The existing detention basin is located at the southeast of the project area, with no work being proposed to the detention basin. The top of existing bank elevation is 604.65’. The pre- development condition for the 100-yr flood elevation is 602.65’ (2.0’ of freeboard). The proposed site improvements are estimated to increase the 100-yr storm event stage elevation by 0.05’ (or 5/8”). The developed condition 100-yr flood elevation is estimated to be 602.70’ having 1.95’ of freeboard. The minimal increase in elevation of 5/8” will not adversely affect the performance of the detention basin, will not cause overtopping of the banks during the 100-yr storm event. We request this variance for your consideration, and hope the information is sufficient to obtain approval for the stormwater permit. If you should have any questions or need additional information, please do not hesitate to contact us. Respectfully submitted, TLF, Inc. Pete M. Rankovich P.E. Senior Project Manager 3901 W 86th Street Suite 200 | Indianapolis, IN 46268 | 317-334-1500 6203 Constitution Drive | Fort Wayne, IN 46804 | 260-444-4701 TLF February 6, 2025 John Thomas, CPMSM, CPESC Storm Water Administrator City of Carmel - Departments of Engineering and Storm Water 317-571-2314 jthomas@carmel.in.gov Re: SW-2024-0024, Carmel High School Witsken Tennis Complex Renovations Variance Request 2 – Use of pipe fittings in lieu of Storm Manholes - Section 501.03. Dear Mr. Thomas, On behalf of the Carmel High School Witsken Tennis Complex Renovations Project Team, we are requesting a Variance to the City of Carmel Stormwater Standards Section 501.03 to utilize pipe fittings in-lieu of manhole structures, based on the Stormwater Review Comment #23. The proposed storm sewer system is comprised of trench drains at the ends of the tennis courts. The subject storm sewer system is located with the tennis court areas, that require minimal obstructions to playing surfaces and finished grades to be uniform with specific surface slopes. The use of trench drains was selected, as is industry standard to accommodate the finished grades. The trench drains have a flow capacity for 10-yr storm events that require multiple outlet points. These outlet points were connected to a storm sewer system via pre-fabricated fittings creating an enclosed manifold storm system. Connecting the outlet laterals to manhole or inlet structures would create obstacles in the playing or walking surfaces and create a risk for cracking of the post-tension concrete playing surface. We request this variance for your consideration, and hope the information is sufficient to obtain approval for the stormwater permit. If you should have any questions or need additional information, please do not hesitate to contact us. Respectfully submitted, TLF, Inc. Pete M. Rankovich P.E. Senior Project Manager kimley-horn.com 500 East 96th Street, Suite 300, Indianapolis, IN 46240 317 218 9560 November 25, 2024 City of Carmel Engineering Department 1 Civic Sq. Carmel, IN 46032 RE: PZ-2024-00149 SP Meadowstone Community Secondary Plat To whom it may concern, Kimley-Horn received comments on November 20, 2024 from the CrossRoad Engineers and the City of Carmel Engineering Department regarding the project noted above. One of the comments noted was the following: Please exclude the pervious area between the homes and eastern property line that will direct discharge to the ephemeral stream from the drainage area to calculate the allowable release rate. Please provide a waiver request for the direct discharge of this are to not count toward the overall release rate. Given how low existing grades are along the east property line, storm lines cannot be provided to capture this area while staying above the 100-year elevation of the southeast proposed pond. To place an inlet structure and capture this area, grades at the property line would need to be raised 5.28' to be placed at the 100-year elevation of the proposed pond, which would make swaling to this inlet impossible and ultimately make the inlet useless. For this reason, this area cannot be captured. Therefore, the side yard swales of lots 14-17 have been graded to capture the side yard areas, and roof drains will be directed to these side yard swales or the face of these buildings. The swale behind these lots will route to the existing stream, as is utilized in major runoff events. Given release rates are being calculated to the 0.1 and 0.3 requirements, this discharge has not been accounted for in allowable release rate calculations as it would increase the required detention far more than is reasonable. For reference, this area would be approximately 0.43 cfs of the 1.11 cfs allowed for the 10-year release rate, and 0.65 cfs of the 3.34 cfs allowed for the 100-year release rate. Furthermore, since the entire site is already releasing to this stream, direct discharge to the stream has been decreased by 98.45% and should therefore have no adverse effects. This area has been removed from allowable release rate calculations, thus reducing the allowable release rate. The wet basin 2 outlet control structure has been modified to meet these release rate requirements. Please see drainage report for further justification including drainage area maps and allowable release rate calculations. For these reasons, we are sending this Waiver Letter to receive approval on this deviation from the Carmel Stormwater Technical Standards Manual. Sincerely, Kimley-Horn and Associates, Inc. Mike Timko, P.E. Kimley-Horn and Associates, Inc. Direct: 317-218-9566 | Mobile: 317-753-2412 mike.timko@kimley-horn.com kimley-horn.com 500 East 96th Street, Suite 300, Indianapolis, IN 46240 317 218 9560 November 25, 2024 City of Carmel Engineering Department 1 Civic Sq. Carmel, IN 46032 RE: PZ-2024-00149 SP Meadowstone Community Secondary Plat To whom it may concern, Kimley-Horn received comments on November 20, 2024 from the CrossRoad Engineers and the City of Carmel Engineering Department regarding the project noted above. One of the comments noted was the following: Please provide waiver requests for ponds not meeting minimum size requirements. Top of banks shall be 2' above 100-YR elevations per HCSO standard details. Please revise. There is an approved drainage waiver for this project on the size of the wet detention basins being less than the 0.5 acres allowed. Given this requirement cannot be met, pond depth was increased to meet allowable release rate requirements. The reduced pond area forces the requirement above to need a waiver. The proposed wet detentions do not meet the specific Hamilton County Surveyor’s Office standard detail noted. Measuring from the 100-year elevation to the top of bank, wet basin 1 has 1.22’ and wet basin 2 has 1.47’. Additionally, there is greater than 2.5’ from the 100-year elevation of the ponds to the minimum finished floor elevations throughout the site. The proposed design meets the intent of the Hamilton County Surveyor’s Office standard detail noted. The approved drainage waiver on the size of the wet detention basins established the following: As a measure to deter any pedestrian traffic near the ponds, vegetation is being provided (trees and native grasses) as a barrier to this pond, with “DO NOT MOW OR SPRAY” signage surrounding the pond. This serves to prevent entry into the pond, aside from required maintenance. To ensure that the ponds will adequately retain water and function properly, a clay liner will be installed below the normal pool of each pond. Additionally, an appropriately sized aerator will be installed in each pond to promote the water quality of the ponds. The aerator will aid in the health of the pond by increasing circulation to reduce the chance of algae or other undesirable growth. For these reasons, we are sending this Waiver Letter to receive approval on this deviation from the Carmel Stormwater Technical Standards Manual. Sincerely, Kimley-Horn and Associates, Inc. Mike Timko, P.E. Kimley-Horn and Associates, Inc. Direct: 317-218-9566 | Mobile: 317-753-2412 mike.timko@kimley-horn.com kimley-horn.com 500 East 96th Street, Suite 300, Indianapolis, IN 46240 317 218 9560 November 25, 2024 City of Carmel Engineering Department 1 Civic Sq. Carmel, IN 46032 RE: PZ-2024-00149 SP Meadowstone Community Secondary Plat To whom it may concern, Kimley-Horn received comments on November 20, 2024 from the CrossRoad Engineers and the City of Carmel Engineering Department regarding the project noted above. One of the comments noted was the following: Per Section 104.02 of the STSM, the Minimum Flood Protection Grade (MFPG) of all structures fronting a pond or open ditch shall be no less than 2 feet above any adjacent 100-year regional flood elevations or 1 foot above local ponding, whichever is greater, for all windows, doors, pipe entrances, window wells, and any other structure member where floodwaters can enter a building. Per Section 303.07 of the STSM, the Lowest Adjacent Grade for all residential, commercial, or industrial buildings shall be set a minimum of 2 feet above the highest noted overflow path/ponding elevation across the property frontage. Abiding by the 2’ to MLAG requirement would force half of the buildings in the project area to be raised, generally by 1’. This would force driveway slopes to 12-16% slopes to the buildings with raised FFE’s. It would seem preferable to abide by a 1’ MLAG requirement in favor of more shallow driveways. There is defined emergency flood routing throughout the site, as shown in the plan sheets and drainage report. Water would not stack up to the MLAG elevation at any location and would first reach an overflow point. The proposed design meets the intent of the Carmel Stormwater Technical Standards Manual. For these reasons, we are sending this Waiver Letter to receive approval on this deviation from the Carmel Stormwater Technical Standards Manual. Sincerely, Kimley-Horn and Associates, Inc. Mike Timko, P.E. Kimley-Horn and Associates, Inc. Direct: 317-218-9566 | Mobile: 317-753-2412 mike.timko@kimley-horn.com kimley-horn.com 500 East 96th Street, Suite 300, Indianapolis, IN 46240 317 218 9560 November 25, 2024 City of Carmel Engineering Department 1 Civic Sq. Carmel, IN 46032 RE: PZ-2024-00149 SP Meadowstone Community Secondary Plat To whom it may concern, Kimley-Horn received comments on November, 2024 from the CrossRoad Engineers and the City of Carmel Engineering Department regarding the project noted above. One of the comments noted was the following: Per Section 302.06.1 of the STSM, detention facilities shall be designed in such a manner that a minimum 90% of the original detention capacity is restored within 48 hours from the start of the design 100-year storm. Please provide waiver request if this cannot be met. There is an approved drainage waiver for this project on the size of the wet detention basins being less than the 0.5 acres allowed. Given this requirement cannot be met, pond depth was increased to meet allowable release rate requirements. The reduced pond area forces the requirement above to need a waiver since it cannot be met for one of the wet basins. 90% of the original detention capacity is emptied after 48 hours in wet basin 2, yet this requirement cannot be not met for wet basin 1. Wet basin 1 functions only to slow down flow until reaching wet basin 2, which control releases into the existing Gray Oaks pond. The constructed outlet control structure will have a single 2” orifice which holds back flow such that 90% of the original detention capacity cannot be emptied after 48 hours. In the case of an emergency situation with a secondary storm starting at this 48 hour mark, the emergency spillway would be utilized for part of the second 100-year storm. The proposed design meets the intent of the Carmel Stormwater Technical Standards Manual. The approved drainage waiver on the size of the wet detention basins established the following: As a measure to deter any pedestrian traffic near the ponds, vegetation is being provided (trees and native grasses) as a barrier to this pond, with “DO NOT MOW OR SPRAY” signage surrounding the pond. This serves to prevent entry into the pond, aside from required maintenance. To ensure that the ponds will adequately retain water and function properly, a clay liner will be installed below the normal pool of each pond. Additionally, an appropriately sized aerator will be installed in each pond to promote the water quality of the ponds. The aerator will aid in the health of the pond by increasing circulation to reduce the chance of algae or other undesirable growth. For these reasons, we are sending this Waiver Letter to receive approval on this deviation from the Carmel Stormwater Technical Standards Manual. Sincerely, Kimley-Horn and Associates, Inc. Mike Timko, P.E. Kimley-Horn and Associates, Inc. Direct: 317-218-9566 | Mobile: 317-753-2412 mike.timko@kimley-horn.com GRANT AGREEMENT ThisGrant Agreement (hereinreferredtoasthe “Agreement”), entered intobyandbetween theCityofCarmel, Indiana (“City”or “Grantor”) andCarmelClayHistoricalSociety(“Grantee”), isexecuted pursuanttotheterms andconditions setforthherein. Inconsideration ofthosemutual undertakings andcovenants, thepartiesagree asfollows: 1. GrantAgreement. TheCityagrees togrant OneHundred Thousand Dollars ($100,000) the “Grant” or “GrantFunds”) totheGrantee. 2. UseofGrant Funds. TheGrantee agrees touseany andallGrant Funds inaccordance withtheprovisions contained withinthisAgreement. TheGrantee mayusethefundsfor thefollowing: a. Capital needs b. Additional programing andexhibits c. Freeadmission programs support 3. Conditions ofGrant. Thepayment ofthisGrantbytheCitytotheGrantee shallbemade inaccordance withthefollowing conditions: a. ThisAgreement shallbefullyexecuted andsignedbybothGrantee andGrantor. b. Granteerepresents andwarrants thatallinformation giventotheCitythroughout therequest ofthisGrantistrueandaccurate. Ifitisdetermined bytheCity thattheGrantFundshavebeenusedinviolation ofthis agreement, theGrantee shallimmediately return allGrantFundstotheCity. 4.Warranty ofNon-ProfitStatus. Granteeherebyrepresents andwarrants thatitisanot- for-profitentity, and, uponrequest, Granteeshallprovide theCitywithacopyof incorporation asanot-for-profitcorporation under statelaw. 5.Grantor’sRighttoRequest AuditorReview. Foraperiodofthree (3) yearsafterthe finalpayment offunds under thisAgreement, Granteeshall, attheCity’srequest: a. Makeallbooks, accountingrecords andotherdocuments available forthepurpose ofanauditbytheCity, theStateofIndiana, ortheirdesignees. Saidreview oraudit, ifrequested, shallbeperformed byaCertified PublicAccountant (“CPA”) whois neitheranemployee ofGranteenoramemberoftheGrantee’sBoardofDirectors; and b. submittoanauditorreviewbyanindependent CPA. 6. Year-EndReview. Granteeagrees toprovidetheCity, viaemail, withayear-endreport describing howthegrantwasusedandtheimpact ofthegrant. 1 7. Statutory Authority ofGrantee. Grantee expressly represents andwarrants thatitis statutorilyeligible toreceive thesemonies. TheGranteeagrees torepayallGrantFunds receivedunderthisagreement should alegaldetermination ofGrantees ineligibility be madebyanyCourtofcompetent jurisdiction 8. Governing Law; Lawsuits. ThisAgreement istobeconstrued inaccordance withand governedbythelawsoftheStateofIndiana, exceptforitsconflict oflawsprovisions. The parties agreethat, intheeventalawsuitisfiledhereunder, theywaive theirright toajury trial, agreetofileanysuchlawsuit inanappropriate courtinHamilton County, Indiana only, andagree thatsuchcourt istheappropriate venue forandhas jurisdiction oversame. 9.Relationship ofParties. Therelationship oftheparties hereto shallbeasprovidedforin thisAgreement. Neither Grantee noranyofitsofficers, employees, contractors, subcontractors, and/oragentsareemployees oftheCity. 10.Severability. IfanytermofthisAgreement isinvalid orunenforceable underanystatute, regulation, ordinance, executive orderorotherruleoflaw, such termshallbedeemed reformed ordeleted, butonlytotheextentnecessary tocomplywithsame, andthe remaining provisions ofthisAgreement shallremain infullforceandeffect. 11. Headings. Allheading andsections ofthisAgreement areinsertedforconvenience only anddonotformapartofthisAgreement norlimit, expand orotherwise alterthemeaning ofanyprovision hereof. 12. AdviceofCounsel. Thepartieswarrant thattheyhavereadthisAgreement andunderstand it, havehadtheopportunity toobtainlegaladviceandassistance ofcounselthroughout the negotiation ofthisAgreement, andenterintosamefreely, voluntarily, andwithout any duress, undue influence orcoercion. 13. EntireAgreement. ThisAgreement, together with anyexhibits attached heretoor referenced herein, constitutes theentireagreement between Grantee andCity withrespect tothesubjectmatterhereof, andsupersedes allpriororalorwritten representations and agreements regarding same. Signature pagetofollow 2 INWITNESS WHEREOF, theparties heretohavemadeandexecuted thisAgreement asfollows: Carmel ClayHistorical Society (Grantee) Signature PrintedName Title: Date: CityofCarmel (“Grantor”) By: Date: ATTEST: Date: 3 2/3/25 Ongoing Page 1 of 3 UNIFORM CONFLICT OF INTEREST DISCLOSURE STATEMENT State Form 54266 (R2 / 6-15) / Form 236 STATE BOARD OF ACCOUNTS Indiana Code 35-44.1-1-4 A public servant who knowingly or intentionally has a pecuniary interest in or derives a profit from a contract or purchase connected with an action by the governmental entity served by the public servant commits conflict of interest, a Class D Felony. A public servant has a pecuniary interest in a contract or purchase if the contract or purchase will result or is intended to result in an ascertainable increase in the income or net worth of the public servant or a dependent of the public servant. "Dependent" means any of the following: the spouse of a public servant; a child, stepchild, or adoptee (as defined in IC 31-9-2-2) of a public servant who is unemancipated and less than eighteen (18) years of age; and any individual more than one-half (1/2) of whose support is provided during a year by the public servant. The foregoing consists only of excerpts from IC 35-44.1-1-4. Care should be taken to review IC 35-44.1-1-4 in its entirety. 1.Name and Address of Public Servant Submitting Statement:_____________________________ ________________________________________________________________________________ 2.Title or Position With Governmental Entity: ___________________________________________ 3. a. Governmental Entity: __________________________________________________________ b.County: ______________________________________________________________________ 4. This statement is submitted (check one): a._ as a "single transaction" disclosure statement, as to my financial interest in a specific contract or purchase connected with the governmental entity which I serve, proposed to be made by the governmental entity with or from a particular contractor or vendor; or b._ as an "annual" disclosure statement, as to my financial interest connected with any contracts or purchases of the governmental entity which I serve, which are made on an ongoing basis with or from particular contractors or vendors. 5.Name(s) of Contractor(s) or Vendor(s): ______________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 6.Description(s) of Contract(s) or Purchase(s)(Describe the kind of contract involved, and the effective date and term of the contract or purchase if reasonably determinable. Dates required if 4(a) is selected above. If "dependent" is involved, provide dependent's name and relationship.): ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Joel M. Thacker 9755 Clover Court, Unit 103, Fishers, IN 46037 Fire Chief City of Carmel Hamilton ELITE Public Safety Consulting Carmel Fire Department contracts with ELITE on occasion to provide training to staff. Page 2 of 3 7. Description of My Financial Interest (Describe in what manner the public servant or "depen- dent" expects to derive a profit or financial benefit from, or otherwise has a pecuniary interest in, the above contract(s) or purchase(s); if reasonably determinable, state the approximate dollar value of such profit or benefit.): _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ (Attach extra pages if additional space is needed.) 8.Approval of Appointing Officer or Body (To be completed if the public servant was appointed by an elected public servant or the board of trustees of a state-supported college or university.): I (We) being the ______________________________________________________________of(Title of Officer or Name of Governing Body) ___________________________________________________and having the power to appoint (Name of Governmental Entity) the above named public servant to the public position to which he or she holds, hereby approve the participation to the appointed disclosing public servant in the above described contract(s) or purchase(s) in which said public servant has a conflict of interest as defined in Indiana Code 35- 44.1-1-4; however, this approval does not waive any objection to any conflict prohibited by statute, rule, or regulation and is not to be construed as a consent to any illegal act. _______________________________ ______________________________________ _______________________________ ______________________________________ _______________________________ ______________________________________ Elected Official Office 9. Effective Dates (Conflict of interest statements must be submitted to the governmental entity prior to final action on the contract or purchase.): _______________________________ ______________________________________ Date Submitted (month, day, year)Date of Action on Contract or Purchase (month, day, year) I serve on the ELITE Board of Directors. I do not receive any compensation for the position. I only receive compensation if I produce a work product. 01/30/2025 on going Page 3 of 3 10.Affirmation of Public Servant: This disclosure was submitted to the governmental entity and accepted by the governmental entity in a public meeting of the governmental entity prior to final action on the contract or purchase. I affirm, under penalty of perjury, the truth and completeness of the statements made above, and that I am the above named public servant. Signed: ________________________________ (Signature of Public Servant) Date: ________________________________ (month, day, year) Printed Name: __________________________ (Please print legibly.) Email Address: __________________________ Within fifteen (15) days after final action on the contract or purchase, copies of this statement must be filed with the State Board of Accounts by uploading it here https://gateway.ifionline.org/sboa_coi/ which is the preferred method of filing, or by mailing it to the State Board of Accounts, Indiana Government Center South, 302 West Washington Street, Room E418, Indianapolis, Indiana, 46204-2765 and the Clerk of the Circuit Court of the county where the governmental entity took final action on the contract or purchase. 01-31-2025 Joel M. Thacker jthacker@carmel.in.gov