Public Safety & Welfare Committee
Regular MeetingVerona, WI · August 14, 2023
Minutes
CITY OF VERONA
PUBLIC SAFETY & WELFARE COMMITTEE
MINUTES
August 14, 2023
1. Call to order: Phil Hoechst called the meeting to order at 6:16 p.m.
2. Roll Call: Phil Hoechst and Evan Touchett were present. Also present: City Clerk Holly
Licht, Sergeant Matt Lovell and Police Chief Dave Dresser. Rye Kimmett was absent and
excused.
3. Public Comments: None
4. Approval of Minutes from the July 24, 2023 Public Safety and Welfare Committee
meeting
Motion by Touchett, seconded by Hoechst to approve the minutes from the July 24,
2023 Public Safety and Welfare Committee meeting. Motion carried 2-0.
5. Discussion and Possible Action Re: A special event application from Regan Vanden
Boogard, Sugar Creek PTO, for the Sugar Creek Fun Run on Saturday, October 7, 2023
This is the 7th year of the fundraising event for the Sugar Creek Elementary School PTO.
The course begins and ends at Sugar Creek Elementary. There will be roughly 300
participants. The Police Department will post no parking signs along the route. An
Officer will be on West Harriet at the entrance of the school. Volunteers will be posted
throughout the route. Staff recommends approval.
Motion by Touchett, seconded by Hoechst to approve a special event application from
Regan Vanden Boogard, Sugar Creek PTO, for the Sugar Creek Fun Run on Saturday,
October 7, 2023. Motion carried 2-0.
6. Discussion and Possible Action Re: A special event application from Rita Mortenson,
Verona Area High School, for the VAHS Homecoming Parade on October 13, 2023
This is the first year that the parade will be going around the outer road loop of VAHS.
An officer will lead the parade. It is expected that 40-50 units will participate in the
parade beginning at 4:15 p.m. and lasting roughly 45 minutes. Three intersections will
be blocked to prevent entrance from public roadways onto the parade route. VASD will
communicate will businesses impacted by the route.
Motion by Touchett, seconded by Hoechst to approve a special event application from
Rita Mortensen, Verona Area High School for the VAHS Homecoming Parade on October
13, 2023. Motion carried 2-0.
7. Discussion and Possible Action Re: A special event application from Ryan Richards,
World Triathlon Corporation, for Ironman Wisconsin on Sunday, September 10, 2023
The cycling portion of the Ironman Wisconsin Race will pass through Verona twice. The
first cyclist is expected to pass through the City around 8 a.m. and the last cyclist will
pass through around 5:00 p.m. There will be several road closures and multiple officers
directing traffic. Electronic sign boards will be placed on Main St. and E. Verona Ave.
prior to the race to notify motorists of the race. There are some concerns around CTH
PH and Shady Oak. Event organizers will be meeting with the county to discuss this
portion of the race.
Motion by Touchett, seconded by Hoechst to approve a special event permit. Motion
carried 2-0.
8. Discussion and Possible Action Re: A special event application from Majenta Stuntebeck,
FairShare CSA Coalition, for Bike the Barns on Sunday, September 17, 2023
The bike ride will begin and end in Verona, visiting various farms in county jurisdiction.
The applicant expects around 800 riders. It is not a race. The route includes Cross
County Rd., N. Nine Mound Rd., Northern Lights Rd., CTH PD, CTH M, Range Trail, and
the Badger Mill Creek Path. There are some concerns regarding the construction on CTH
PD and Shady Oak. The applicant will be working with the county to confirm that
portion of the route. Stop ahead signs will be posted on Cross Country at Hemlock and
Tamarack to help ensure bikes stop. Sergeant Lovell presented an alternate route due to
the construction in the area of CTH PD and Shady Oak.
Motion by Hoechst, seconded by Touchett to approve a special event application from
Majenta Stuntebeck, FairShare CSA Coalition, for Bike the Barns on Sunday, September
17, 2023 based on the route changes as presented by Sergeant Lovell. Motion carried 2-
0.
9. Discussion and Possible Action Re: A special event permit application and Temporary
Class “B” Fermented Malt Beverage and “Class B” Wine license from Michael Obrien,
Verona Wildcat Youth Hockey, for the Hometown Brewdown beer tasting event from 1
p.m.-6 p.m. on Saturday, September 23, 2023
This event is a craft beer fest with proceeds going to Verona Wildcat Youth Hockey. The
applicant is expecting 50 breweries to participate and around 1,000 attendees. The
hours of operation will be 1p.m-6 p.m. Organizers will be checking IDs and giving
wristbands to attendees. The fencing and layout are consistent with past years. There
will be a band, silent auction, games, and food for sale. Staff recommend approval
contingent upon receipt of the certificate of insurance.
Motion by Hoechst, seconded by Touchett to recommend that the Common Council
approve a special event permit application and Temporary Class “B” Fermented Malt
Beverage and “Class B” Wine license from Michael Obrien, Verona Wildcat Youth
Hockey, for the Hometown Brewdown beer tasting event from 1 p.m.-6 p.m. on
Saturday, September 23, 2023 contingent upon receipt of certificate of insurance.
Motion carried 2-0.
10. Discussion and Possible Action Re: A special event permit application and Temporary
Class “B” Fermented Malt Beverage license from Simeon Alder, Madison 56ers Soccer
Club, for the Madison 56ers Fall Invitational on September 8, 2023-September 10, 2023
Motion by Touchett, seconded by Hoechst to recommend that the Common Council
approve a special event permit application and Temporary Class “B” Fermented Malt
Beverage license from Simeon Alder, Madison 56ers Soccer Club, for the Madison 56ers
Fall Invitational on September 8, 2023-September 10, 2023, contingent upon operator
licenses issued for the event. Motion carried 2-0.
11. Discussion and Possible Action Re: Operator license denial hearing for Eugene Crisler
Chief Dresser state that he is recommending denial of the license due to the applicant’s
criminal history. Crisler stated that he is not the person reflected in his criminal history.
He is a community leader in Madison. He stated that his case did not include a minor.
Crisler added that denying his application would hinder his ability to provide for his
family. He stated that denying the application would violate his employment rights by
discriminating against him because of his criminal record. He is looking to work at
Cahoots. The committee took no action on the item.
12. Adjournment: Motion by Touchett, seconded by Hoechst to adjourn at 6:40 p.m. Motion
carried 2-0.
Respectfully submitted,
Holly Licht, City Clerk
Agenda
City of Verona
PUBLIC SAFETY AND WELFARE COMMITTEE
Monday, August 14, 2023 AT 6:15 PM
Council Chambers
VERONA CITY CENTER
111 LINCOLN STREET, VERONA, WI 53593
AGENDA
1. Call to order
2. Roll Call
3. Public Comments
4. Approval of Minutes from the July 24, 2023 Public Safety and Welfare Committee
meeting.
5. Discussion and Possible Action Re: A special event application from Regan Vanden
Boogard, Sugar Creek PTO, for the Sugar Creek Fun Run on Saturday, October 7, 2023
6. Discussion and Possible Action Re: A special event application from Rita Mortenson,
Verona Area High School, for the VAHS Homecoming Parade on October 13, 2023
7. Discussion and Possible Action Re: A special event application from Ryan Richards,
World Triathlon Corporation, for Ironman Wisconsin on Sunday, September 10, 2023
8. Discussion and Possible Action Re: A special event application from Majenta Stuntebeck,
FairShare CSA Coalition, for Bike the Barns on Sunday, September 17, 2023
9. Discussion and Possible Action Re: A special event permit application and Temporary
Class “B” Fermented Malt Beverage and “Class B” Wine license from Michael Obrien,
Verona Wildcat Youth Hockey, for the Hometown Brewdown beer tasting event from 1
p.m.-6 p.m. on Saturday, September 23, 2022
10. Discussion and Possible Action Re: A special event permit application and Temporary
Class “B” Fermented Malt Beverage license from Simeon Alder, Madison 56ers Soccer
Club, for the Madison 56ers Fall Invitational on September 8, 2023-September 10, 2023
11. Discussion and Possible Action Re: Operator license denial hearing for Eugene Crisler
12. Adjournment
Phil Hoechst, Chairperson
POSTED: Verona City Hall
Miller & Sons Market
Verona Public Library
City Web Page at: www.ci.verona.wi.us
Notice is hereby given that a quorum of the members of the City Council or other standing
committees of the City Council may be present at the meeting of the Public Safety and
Welfare Committee to gather information about a subject over which they have decision-
making responsibility. The City Council and any other standing committees will not take
formal action at this meeting.
IF YOU NEED AN INTERPRETER, MATERIALS IN ALTERNATIVE FORMATS OR OTHER
ACCOMODATION TO ACCESS THE MEETING, PLEASE CONTACT THE CITY CLERK AT 608-845-
6495 AT LEAST 48 HOURS PRECEDING THE MEETING. EVERY REASONABLE EFFORT WILL BE
MADE TO ACCOMMODATE YOUR REQUEST.
CITY OF VERONA
PUBLIC SAFETY & WELFARE COMMITTEE
MINUTES
June 26, 2023
1. Call to order: Phil Hoechst called the meeting to order at 6:45 p.m.
2. Roll Call: Phil Hoechst, Evan Touchett and Rye Kimmett. Also present: City Clerk Holly
Licht.
3. Public Comments: None
4. Approval of Minutes from the June 26, 2023 Public Safety and Welfare Committee
meeting
Motion by Touchett, seconded by Kimmett to approve the minutes from the June 26,
2023 Public Safety and Welfare Committee meeting. Motion carried 3-0.
5. Discussion and Possible Action Re: A change of agent request from Kwik Trip, Inc. d/b/a
Kwik Trip #837, located at 400 E. Verona Ave.
Motion by Touchett, seconded by Kimmett to recommend that the Common Council
approve a change of agent request from Kwik Trip, Inc. d/b/a Kwik Trip #837, located at
400 E. Verona Ave. Motion carried 3-0.
6. Adjournment: Motion by Hoechst, seconded by Kimmett to adjourn at 6:47 p.m. Motion
carried 3-0.
Respectfully submitted,
Holly Licht, City Clerk
PUBLIC SAFETY AND WELFARE COMMITTEE—2023-08-11
1. Discussion and Possible Action Re: A special event application from Regan Vanden
Boogard, Sugar Creek PTO, for the Sugar Creek Fun Run on Saturday, October 7, 2023
This is the 7th year of the fundraising event for the Sugar Creek Elementary School PTO.
The course begins and ends at Sugar Creek Elementary. There will be roughly 300
participants. The Police Department will post no parking signs along the route. An
Officer will be on West Harriet at the entrance of the school. Volunteers will be posted
throughout the route. Staff recommends approval.
Motion: To approve a special event application from Regan Vanden Boogard, Sugar
Creek PTO, for the Sugar Creek Fun Run on Saturday, October 7, 2023.
2. Discussion and Possible Action Re: A special event application from Rita Mortenson,
Verona Area High School, for the VAHS Homecoming Parade on October 13, 2023
This is the first year that the parade will be going around the outer road loop of VAHS.
An officer will lead the parade. It is expected that 40-50 units will participate in the
parade beginning at 4:15 p.m. and lasting roughly 45 minutes. Three intersections will
be blocked to prevent entrance from public roadways onto the parade route. VASD will
communicate will businesses impacted by the route.
Motion: To approve a special event application from Rita Mortenson, Verona Area High
School, for the VAHS Homecoming Parade on October 13, 2023.
3. Discussion and Possible Action Re: A special event application from Ryan Richards,
World Triathlon Corporation, for Ironman Wisconsin on Sunday, September 10, 2023
The cycling portion of the Ironman Wisconsin Race will pass through Verona twice. The
first cyclist is expected to pass through the City around 8 a.m. and the last cyclist will
pass through around 5:00 p.m. There will be several road closures and multiple officers
directing traffic. Electronic sign boards will be placed on Main St. and E. Verona Ave.
prior to the race to notify motorists of the race. There are some concerns around CTH
PH and Shady Oak. Event organizers will be meeting with the county to discuss this
portion of the race. Staff recommend approval continent upon receipt of insurance.
Motion: To approve a special event application from Ryan Richards, World Triathlon
Corporation, for Ironman Wisconsin on Sunday, September 10, 2023 contingent upon
receipt of certificate of insurance.
4. Discussion and Possible Action Re: A special event application from Majenta
Stuntebeck, FairShare CSA Coalition, for Bike the Barns on Sunday, September 17,
2023
The bike ride will begin and end in Verona, visiting various farms in county jurisdiction.
The applicant expects around 800 riders. It is not a race. The route includes Cross
County Rd., N. Nine Mound Rd., Northern Lights Rd., CTH PD, CTH M, Range Trail, and
the Badger Mill Creek Path. There are some concerns regarding the construction on CTH
PD and Shady Oak. The applicant will be working with the county to confirm that
portion of the route. Stop ahead signs will be posted on Cross Country at Hemlock and
Tamarack to help ensure bikes stop.
Motion: To approve a special event application from Majenta Stuntebeck, FairShare CSA
Coalition, for Bike the Barns on Sunday, September 17, 2023.
5. Discussion and Possible Action Re: A special event permit application and Temporary
Class “B” Fermented Malt Beverage and “Class B” Wine license from Michael Obrien,
Verona Wildcat Youth Hockey, for the Hometown Brewdown beer tasting event from
1 p.m.-6 p.m. on Saturday, September 23, 2022
This event is a craft beer fest with proceeds going to Verona Wildcat Youth Hockey. The
applicant is expecting 50 breweries to participate and around 1,000 attendees. The
hours of operation will be 1p.m-6 p.m. Organizers will be checking IDs and giving
wristbands to attendees. The fencing and layout are consistent with past years. There
will be a band, silent auction, games, and food for sale. Staff recommend approval
contingent upon receipt of the certificate of insurance.
Motion: To recommend that the Common Council approve a special event permit
application and Temporary Class “B” Fermented Malt Beverage and “Class B” Wine
license from Michael Obrien, Verona Wildcat Youth Hockey, for the Hometown
Brewdown beer tasting event from 1 p.m.-6 p.m. on Saturday, September 23, 2022,
contingent upon receipt of insurance.
6. Discussion and Possible Action Re: Special event permit application and Temporary
Class “B” Fermented Malt Beverage license from Simeon Alder, Madison 56ers Soccer
Club, for the Madison 56ers Fall Invitational on September 8, 2023-September 10,
2023
The Madison 56ers will be selling beer at Reddan Soccer Park during their fall
invitational. The premised area will be fenced with a single layer with one in/out point.
Club members will be checking IDs. The applicant is requesting an officer on Saturday
for traffic control. Staff recommend approval contingent issuance of operator licenses
for the event.
7. Discussion and Possible Action Re: Operator license denial hearing for Eugene Crisler
Chief Dresser has recommended denial of an operator license for Eugene Crisler for
reasons set forth in the letter of denial.
Motion: Recommend that the Common Council deny an operator license for Eugene
Crisler.
Old PB
City of Veron Ironman Map
• First Time Entering Verona
o Entering on Whalen Rd from Fitchburg
o Right on M (Main St)
o Left on Locust Dr
o Right on Bruce St
o Left on Paoli St
o Right on Valley Rd leaving Verona
• Second Time Entering Verona
o Entering on Shady Oak Ln
o Left on PD
o Right on Northern Lights Rd
o Left on Cross County Rd
o Right on Main Street (Hwy M)
o Left on W Verona Ave
o Right on Old PB
o Right on Whalen Rd
o Right on M (Main St)
o Left on Locust Dr
o Right on Bruce St
o Left on Paoli St
o Right on Valley Rd leaving Verona
Date: 5/26/2023
CITY OF CR#: ___ Account #: 100-44910
VERONA
APPLICATION FOR A SPECIAL EVENT/NEIGHBORHOOD EVENT PERMIT For Parades, Runs,
Walks, Bicycle Events, Triathlons, Festivals, Neighborhood Events, etc. *All required application materials
must be submitted at least 45 days prior to the event. Failure to meet this requirement may result in the denial of the application
pursuant to Section 7‐7‐1(h) of the City of Verona Code of Ordinances* Application Fee:
$150.00 + any additional fees
Non-Profit Organization: $50.00 + any additional fees
REQUIRED INFORMATION
Please include the following information/materials regarding the event with your application:
• A copy of the applicant’s Driver’s License
• Route map and description and/or map of event layout
--------------------------------------
• Certificate of Insurance – at least 30 days prior to event
APPLICANT INFORMATION
Name: Majenta E Stuntebeck
Phone:
Address:
Driver License #:
DOB:
Email:
AGENCY/ORGANIZATION INFORMATION
Name: FairShare CSA Coalition
Phone: 608-226-0300
Address: 211 S Paterson St. Suite 280 Madison, WI 53703
If this is a non-profit organization, please provide your EIN number for verification: 27-2588129
EVENT INFORMATION
Name of Event: Bike the Barns
Type of event: Fundraiser Bike Ride (Bicycle Event)
Event date(s): September 17th, 2023
Event time(s): 8:30AM-4:30PM
Set up Start Time: 6AM
Tear Down End Time: 9PM
(Application Continues on Reverse)
Last updated
Date:________________
Initials:_______________
Informational Questions No Yes Notes
1 Was a Special Event Permit previously approved in x
times past for this event?
2 Will there be outdoor amplified sound? x Additional application required.
3 Will alcohol be sold, served or consumed? x Additional licenses may be
required.
4 Are you requesting any City streets to be closed to traffic? x See Below*
5 Will your event use County, State or US Highways? x If yes, please provide a map
clearly marking the highways
that will be used. Additional
permission from the County is
required.
6 Will park, conservancy land, or trails be used? If so, have x Contact Parks Department:
you reserved a park, pavilion, or any other city facilities 845-6695
for the event? If using park facilities, the
application will not go before
the Public Safety Committee
without Parks Department
approval.
7 Will items or services be sold or given away at this event? x If yes, please attach a list of
types of items or services.
8 Does this event involve a plan for tents, stages, x Include on event layout map.
inflatable bounce houses or temporary structures?
9 Does your event include the use of fireworks, x Must receive written approval
rockets, lasers, other pyrotechnics, or open flame? from Fire Chief or his designee.
608-845- 9401
10 Do you plan to provide portable toilets at your event? x
11 Will your event have dedicated coverage by an x
Emergency Medical Provider?
12 Is this a race or timed event where participants need x If traffic control is desired, a
the right of way on City streets? police officer is required, per
WI Law.
13 Will there be a clear path of travel (min. 18’ wide) x
for emergency vehicles throughout your event?
14 Does your event include running or biking that will need x Posting of No Parking signs by
a dedicated lane of travel on City streets? PD will be needed and billed to
event.
*If you answered YES to street closures, please attach a map/diagram of the portion(s) of street you wish
to have closed for your event. Please include street names and as much information as possible.
If you are NOT intending to close any City Streets, or request the right of way, but intend to use City Streets,
you will share the street with vehicular traffic and agree to abide by all traffic laws. Failure to comply with
traffic laws will result in the immediate termination of all event activities.
*Applicant Initial Here:
EVENT CONTACTS
PLEASE LIST NAMES, LOCATIONS AND CELL PHONE NUMBERS OF ON‐SITE EVENT CONTACT PERSONS
NAME DOB LOCATION AT TIME ON‐SITE CELL PHONE
as shown on ID EVENT (Ex: Race (Ex: 10 a.m. to
Start, Supply Tent 2 p.m.)
etc.)
Tess Romanski Variable 7:30AM-7PM
Majenta Stuntebeck Crossroads Community 7:30AM-7PM
Farm
Clare Stoner Variable 7:30AM-7PM
Fehsenfeld
APPLICATION PROCEDURES
1. Application and all required materials shall be submitted to the City Clerk a minimum of 45
days prior to the event. (Section 7‐7‐1(h) of the City of Verona Code of Ordinances)
2. Upon verification of the application the City Clerk shall submit the application to the Police Chief for
further review.
3. The applicant will be contacted by the Police Department Staff to review event route and the
need for on‐ site police officers or City staff at the event.
4. The applicant is subject to a background check.
5. All police traffic control/city staff time incurred shall be billed to the applicant upon the completion
of the event.
6. The applicant may be required to attend a Public Safety and Welfare Committee meeting
and/or a Common Council meeting at which the event application will be reviewed for
approval.
7. Once the application is approved by the appropriate official(s) the permit will be issued.
APPLICANT SIGNATURE
PLEASE READ CAREFULLY BEFORE SIGNING
I understand the application and event requirements and agree to adhere to all applicable federal, state, and
municipal laws in addition to the requirements on the application. I agree to pay any invoices received from the
City of Verona for staff time at the event within 30 days of the invoice date. I understand that failure to adhere to
any application requirements or any federal, state or municipal laws involving the event will result in the denial of
the application or immediate termination of the event. The violation of federal, state or municipal laws will be
subject to applicable fines and penalties.
Majenta Stuntebeck
Applicant Signature Date 06/07/2023
Once application is approved, the permit will be issued to applicant via email.
A copy of the permit must be available at event for conformation.
OFFICE USE ONLY
PLEASE DO NOT WRITE ON THIS PAGE
CHIEF OF POLICE
Date Received by Police:
The event application has been reviewed and the following issues need to be
addressed:
Meeting with Applicant: Yes • No • If YES, Date of Meeting:
Barricades needed? Yes • No •
Traffic Control/Officers Needed:
CIB Information:
CERTIFICATION OF APPLICATION BY CHIEF OF POLICE:
Approved • Denied •
Signature of Chief of Police Date
MUNICIPAL CLERK
Application Received Date: 45 Day Application Requirement Met: YES • NO • Date Submitted to Police on: All
required documents submitted: YES • NO • Items Still
Required:__________________________________________________________________________ PUBLIC
SAFETY & WELFARE COMMITTEE: Date of meeting: __ APPROVE • DENY • COMMON COUNCIL: Date of
meeting: __ APPROVE • DENY •
Signature of Municipal Clerk: Date:
Copy provided to applicant: Yes • No • Date:
Copy provided to: EMS: Yes • No • | Fire: Yes • No • | PD: Yes • No • | PW: Yes • No •
FAIRSHA-01 NEECA1
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 7/28/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT Cary Neess
PRODUCER NAME:
Baer Insurance Services, Inc. PHONE FAX
(A/C, No, Ext): (608) 830-5817 (A/C, No): (608) 830-5877
9701 Brader Way, Suite 101 E-MAIL
Middleton, WI 53562 ADDRESS: caryn@baerinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Secura Insurance Companies 22543
INSURED INSURER B :
Fair Share CSA Coalition, Inc INSURER C :
211 S Paterson Street, Suite 280 INSURER D :
Madison, WI 53703
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
1,000,000
CLAIMS-MADE X OCCUR
X 20CP003393696 9/15/2023 9/19/2023 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
100,000
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
2,000,000
POLICY PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
2,000,000
OTHER:
LIQUOR LIABILIT $
1,000,000
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Verona ACCORDANCE WITH THE POLICY PROVISIONS.
111 Lincoln St
Verona, WI 53593
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Items Sold or Given Away at Event
Items Sold
§ Customized athle/c apparel
§ Team and individual player pictures
§ Ke8le corn
§ Coffee and pastries
§ Cra: beer (in fenced off area; see descrip/on below)
§ Miscellaneous food items and beverages through concessionaire (Pizza Ranch)
Items Given Away
§ Food and beverages for tournament officials and referees
§ Award T-shirts for champions and finalists (by age group and gender)
Beer Tent: Hours of Opera=on, Temporary Class B Licenses
The beer tent will be open on Friday evening (5-9pm) and Saturday evening (4-9pm). The
beverages will be served by members of the club’s Board of Directors and they will be applying
for temporary Class B Licenses.
In addi/on to the individuals serving the malt beverages, at least one addi/onal member of the
board of directors is monitoring entry and exit of patrons.
The a8ached map illustrates the area where beverages are sold and consumed.
Request for Police Services (September 9, 2023, 9:30am – 3:30p only)
We are reques/ng traffic management at the intersec/on of Cross Country Rd and the
entrances to Reddan Soccer Park and Badger Prairie Park on Saturday, September 9, 9:30am –
3:30pm.
The purpose is to manage traffic flow associated with three le: turns in order to minimize back-
ups:
1. Le: turn from EB Cross Country Rd into Reddan Soccer Park
2. Le: turn from WB Cross Country Rd into Badger Prairie Park
3. Le: turn from Reddan Soccer Park onto EB Cross Country Rd
See a8ached map for a stylized illustra/on.
MADI56E-01 JRAATZ
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 7/20/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT Jonell Raatz
PRODUCER NAME:
TRICOR, LLC - Madison PHONE FAX
(A/C, No, Ext): (608) 208-1189 2102 (A/C, No):
2001 W Beltline Hwy E-MAIL
Ste 201 ADDRESS: jraatz@tricorinsurance.com
Madison, WI 53713
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : West Bend Mutual Ins Co 15350
INSURED INSURER B :
Madison 56ers Soccer Club Inc INSURER C :
Attn: Susan Sprecher
PO Box 28 INSURER D :
Oregon, WI 53575 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
1,000,000
CLAIMS-MADE X OCCUR 1076422 4/20/2023 4/20/2024 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
300,000
MED EXP (Any one person) $
10,000
PERSONAL & ADV INJURY $
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
2,000,000
POLICY PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
2,000,000
OTHER: $
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO 1076422 4/20/2023 4/20/2024 BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
PROPERTY DAMAGE
X HIRED
AUTOS ONLY X NON-OWNED
AUTOS ONLY (Per accident) $
$
A UMBRELLA LIAB OCCUR EACH OCCURRENCE $
1,000,000
EXCESS LIAB CLAIMS-MADE 1076422 4/20/2023 4/20/2024 AGGREGATE $
DED RETENTION $ $
1,000,000
A WORKERS COMPENSATION PER
STATUTE
OTH-
ER
AND EMPLOYERS' LIABILITY
Y/N 1076423 4/20/2023 4/20/2024 100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
100,000
If yes, describe under 500,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Coverage applies only to the extent provided by the policy and subject to all of the policy terms, conditions, exclusions, endorsements and all applicable
laws.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Verona ACCORDANCE WITH THE POLICY PROVISIONS.
111 Lincoln St
Verona, WI 53593
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Sec. 7-2-30 Operator's License Required.
(a) Operator's Licenses; Class "A", Class "B", or "Class C" Premises. Except as provided under Sec.
125.32(3)(b) and Sec. 125.07(3)(a)10, Wis. Stats., no premises operated under a Class "A", Class
"B", or "Class C" license or permit may be open for business unless there is upon the premises the
licensee or permittee, the agent named in the license or permit if the licensee or permittee is a
corporation, or some person who has an operator's license and who is responsible for the acts of
all persons serving any fermented malt beverages to customers. An operator's license issued in
respect to a vessel under Sec. 125.27(2), Wis. Stats., is valid outside the municipality that issues it.
For the purpose of this Section, any person holding a manager's license under Sec. 125.18, Wis.
Stats., or any member of the licensee's or permittee's immediate family who has attained the age
of eighteen (18), shall be considered the holder of an operator's license. No person, including a
member of the licensee's or permittee's immediate family, other than the licensee, permittee or
agent, may serve fermented malt beverages in any place operated under a Class "A", Class "B", or
"Class C" license or permit unless he or she has an operator's license or is at least eighteen (18)
years of age and is under the immediate supervision of the licensee, permittee, agent or a person
holding an operator's license, who is on the premises at the time of the service.
(b) Use by Another Prohibited.
(1) No person may allow another to use his or her Class "A" or Class "B" license or permit to sell
alcohol beverages.
(2) The license or permit of a person who violates Subsection (b)(1) above shall be revoked.
State law reference(s)—Secs. 125.17 and 125.32, Wis. Stats.
Sec. 7-2-31 Issuance or Denial of Operator's License.
(a) The City Clerk, or his/her designee, may issue an operator's license, which license shall be granted
only upon application in writing on forms to be obtained from the City Clerk to persons eighteen
(18) years of age or older. Operator's licenses shall be operative only within the limits of the City.
(b) All applications are subject to an investigation by the Chief of Police and/or other appropriate
authority to determine whether the applicant to be licensed complies with all regulations,
ordinances and laws applicable thereto. The Police Department shall conduct an investigation of
the applicant including, but not limited to, requesting information from the State, surrounding
municipalities, and/or any community where the applicant has previously resided concerning the
applicant's arrest and conviction record. Based upon such investigation, the Chief of Police shall
recommend, in writing, approval or denial of the application.
(1) If the Chief of Police recommends approval of the application, the Chief of Police shall provide
the recommendation to the City Clerk, or his/her designee, who may issue the operator's
license per subsection (a) above.
(2) If the Chief of Police recommends denying the application, the Chief of Police shall provide, in
writing, the reasons for such recommendation to the applicant and shall inform the applicant
of his/her right to a hearing before the Public Safety and Welfare Committee. The Chief of
Police also shall provide a copy of the recommendation to the Public Safety and Welfare
Created: 2023-04-25 05:59:28 [EST]
(Supp. 2-23)
Page 1 of 2
Committee. The application shall be placed on the agenda for the next Public Safety and
Welfare Committee meeting. If the applicant chooses, the applicant may appear at the Public
Safety and Welfare Committee meeting and respond to the recommendation of the Chief of
Police. The Public Safety and Welfare Committee shall recommend approval or denial of the
application to the Common Council.
(c) If the Common Council approves the granting of an operator's license after receiving a
recommendation from the Public Safety and Welfare Committee, the City Clerk, or his/her
designee, shall issue the license. Operator's licenses approved by the City Clerk, or his/her
designee, under subsection (a) or approved by the Common Council under this subsection (c) shall
be issued and numbered in the order they are granted and shall give the applicant's name and
address and the date of the expiration of such license.
(d) If the Common Council denies the granting of an operator's license, the City Clerk, or his/her
designee, shall, in writing, inform the applicant of the reason or reasons for the denial. An
applicant who is denied an operator's license may apply to circuit court for review of the decision
pursuant to the procedure set forth in the Wisconsin Statutes.
(e) Consideration for the granting or denial of an operator's license shall be based on the qualifications
for a license set forth in the Wisconsin Statutes.
(Ord. No. 11-809, § 1, 10-24-11; Ord. No. 20-966, § 1, 6-8-20 )
Created: 2023-04-25 05:59:28 [EST]
(Supp. 2-23)
Page 2 of 2
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