G-1169 - 09/08/2020 - LICENSE -ALCOHOL - Ordinances ITEM 6.13.5
BOARD OF TRUSTEES MEETING
VILLAGF 01 SAMUEL E. DEAN BOARD ROOM
OAK B R� K BUTLER GOVERNMENT CENTER
c ?�t�y 1200 OAK BROOK ROAD
OAK BROOK, ILLINOIS
630-368-5000
AGENDA ITEM
Regular Board of Trustees Meeting
of
September 8, 2020
SUBJECT: An Amendment to Title 4,Chapter 1, Section 8A of the Village Code of the
Village of Oak Brook, Illinois Relative to the Number of Authorized Liquor
Licenses.
FROM: Charlotte K. Press, Village Clerk
Kathy Vonachen, Deputy Village Clerk
BUDGET SOURCE/BUDGET IMPACT: N/A
RECOMMENDED MOTION: I move to approve passage of Ordinance G-1169,
"An Ordinance Amending Title 4, Chapter 1, Section 8A of the Village Code of the
Village of Oak Brook, Illinois by Increasing by One to Thirty-three the Number of
Authorized Class A-1 Liquor Licenses
Background/History:
Surf s Up Dining Group,LLC d/b/a Surf's Up Bar and Grill has made an application to the
Village of Oak Brook for a Class A-1 Liquor License for their restaurant, Surfs Up Bar
and Grill is located at 100 Oakbrook Center, Space No. 533. The approval of this liquor
license will increase the number of Class A-1 liquor licenses in the Village of Oak Brook
from 32 to 33. All Village's liquor license ordinance requirements for a Class A-1 liquor
license have been submitted at this time.
The applicant has requested that this application be brought before you for your
consideration at the Village Board's regular meeting of September 8, 2020. Enclosed for
the Village Board's review is the Application for a Liquor License.
Recommendation:
The recommendation is for Passage of Ordinance G-1169,which increases the number of
Class A-1 liquor licenses by one. Provided that approval of all legal documentation and
ordinance requirements are met, the Local Liquor Commissioner Gopal Lalmalaui, will
issue a Class A-1 Liquor License to Surf s Up Bar and Grill located at 100 Oakbrook
Center, Space No. 533.
BOT 090820 AGENDA
Surf's Up Bar and Grill Page 1
TG
FOR OFFICE USE
Date Approved: VILLAGE:OF OAK BROOK
License#Issued: Cherlonc K.Pruss,Village Clerk
Fee Received: 1200 Oak Brook Road
Oak Brwk.IIIimis 60523.2255
(630)368-5036 Faz(630)368-5037
kvonachen ak-brook.or
APPLICATION FOR LIQUOR LICENSE
Application is hereby made to the Local Liquor Control Commissioner of the Village of Oak Brook for issuance
of a Village of Oak Brook liquor license,pursua it to the ordinances of the Village and laws of the State of Illinois.
In support of said application,the following is submitted:
CLASS: FEE:
EXTENDED HOUR FOR CLASS A-1 LICENSE ONLY: Yes U No[I ADDITIONAL FEE: 500.00
Corporate Name: Stay Chicago Inc Phone#: 773 216 5626
Business Name: Surfs Up Dining Group LLC Phone#:
Establishment Name: Surfs Up Bar and Grill Phone#:
Corporate Address:
Street Address 817 Ogden Unit 3317 Fax#:
City/State/Zip Lisle IL 60532 E-Mail Address:
Contact Name: Reginald Vincent Harris Contact Title: President
Phone#: 773 216 5626 E-mail address: vincent(a)harrisprivatefundina.com
Establishment Address:
Street Address Oakbrook Shopping Center store#533 Fax#:
City/State/"Lip Oakbrook IL 60523 E-Mail Address: vincent@harriprivatefundi
Contact Name: Reginald Harris Contact Title: President _
Phone#: E-mail address:
State of Illinois Liquor License Number: r Expiration Date:
List each specific location within this I) 0 V,(\A- 0+ Q
establishment where alcoholic 2) (Ala
liquor is being offered for retail sale: 3)
4)
5)
6)
Ownership of Premises: Owned ® For initial application,provide proofof ownership(e.g.title policy)
Leased �✓ If leased,provide copy of lease for full period of license and provide the
following information:
Name of Lessor: Oakbrook Shopping Center LLC
Address of Lessor: Oakbrook Shopping Center
City,State&Zip: Oakbrook 11 605 3
TYPE OF BUSINESS: El Corporation B Individual/Sole Proprietorship [2 Limited Liability Co.El Partnership
Length of time in business:8 years Character of business:The is a seafood/chicken restaraunt
Oncentharrisprivatefu nding.com
LIQUOR LICENSE APPLICATION 5.12
Page I ofv
VILLAGE OF OAK BROOK
Charlotte B.Pruss.Village Clerk
120D Oak Brook Road
Oak Brook,Illinois 60523-2255
(630)368-5036 Fax(630)368.5037
kvonachen soak-brook.org
INDIVIDUAL/SOLE PROPRIETORSHIP: Are you a resident of Oak Brook ®Yes 0 No
Other than an Individual/Sole Proprietorship this section must be completed by an authorized agent of
the applicant
This applicant,other than an Individual/Sole Proprietorship,was organized,formed,or incorporated under the laws of the
Statc of Illinois on the day of October_.
If applicant was not organized,formed or incorporated in the State of Illinois,is applicant a foreign business qualified
under one of the following to transact business in Illinois 93 Yes ❑No Please check which one:
Illinois Business Corporation Act 8111inois Revised Uniform Limited Partnership Act
Illinois Secretary of State [)Illinois Revised Uniform Partnership Act
Other than an IndividuallSole Proprietorship is this business qualified pursuant to one of the following to transact business
in Illinois D Yes 93 No Please check which one:
n Illinois Business Corporation Act 011inois Revised Uniform Limited Partmership Act
❑Illinois Secretary of State M Illinois Revised Uniform Partnership Act
Registered Agent:
Namc: Reginald Vincent Harris Telephone#: -
Street Address Fax#:
City/State/7ip -- E-Mail Address: vincent@harrisprivatefunc
QUALIFICATIONS:
0 Yes M No Does the applicant,the manager or any person or entity listed as Officer,Shareholder,Member,
Manager or Partner possess a current Fedcral wagering and gaming device stamp?
(Ifyes,provide details on reverse side)(or on an addendum)
❑Yes ED No Has a federal wagering stamp been issued by the federal government for the current tax period
for the premises for which a license is sought?
(Ifyes,provide details on reverse.side)
❑Yes El No Has applicant,the manager or any person or entity listed as Officer,Shareholder,Member,
Manager or Panner ever been convicted of a violation of any Federal or State law conceming
the manufacture,possession or sale of alcoholic liquor,or forfeited their bond for failure to
appear in court to answer charges for any such violation?
(Ifyes,provide date,offense,jurisdiction and case number on reverse side)
❑Yes ❑No Has applicant made application for similar or other liquor license on premises other than
described in this application?
LIQUOR LICENSE APPLICATION 05-12 Page 2 ofQ
VI L I.A(,F.Or OAK BROOK
Charlotte Charfouc K.Pruss.Village Clerk
1200 Oak Brook Road
Oak Brook.Illinois 60523-2255
(630)369-5036 Fav(630)368-5037
kvonachc @oak-brook org
(IJyes,provide disposition ofsuch application on reverse.ride)
0 Yes E No Has any liquor license issued to the applicant ever been revoked or suspended?
(IJ yes,provide date,reason and jurisdiction on reverse side)
❑Yes No Has applicant,the manager or any person or entity listed as Officer,Shareholder.Member.
Manager or Partner ever been convicted of a gambling offense in violation of Section 28-3 of
the Criminal Code of the State of Illinois(720 ILCS 5.28-1,et seq.),as heretofore or hereafter
amended,or as proscribed by a statute replaced by any of the aforesaid statutory provisions?
(/f yes,provide dote,offense,jurisdiction and case number on reverse side)
❑Yes No Has applicant.the manager or any person or entity listed as Officer.Shareholder,Member,
Manager or Partner ever been convicted of a felony?
❑Yes Q✓ No Has applicant,the manager or any person or entity listed as Officer,Shareholder,Member,
Manager or Partner ever been convicted of being the keeper of,or is keeping,a house of ill
fame?
Yes No Has applicant,the manager or any person or entity listed as Officer,Shareholder,Member,
Manager or Partner ever been convicted of pandering or other crime or misdemeanor opposed
to public decency and morality?
INDIVIDUALS:
For each Person,Owner,Partner,Officer,Director,Member and Stockholder holding directly or beneficially
more than 5%ofstock in the business please provide the following information.
Position Held Within Organization %ofstock
i.e.Owner,Managing Partner,general partner,shareholder, owned or
Name officer(name office held) membshp
interest
Reginald V Harris President 100
LIQUOR LICENSE APPLICATION 05.12 Page 3 ofe)
V I LLAGE OF OAK BROOK
Charlone K.Pruss,Village Clerk
1200 Oak Rr k Road
Oak R—k,Illi-i,60533-2255
(630)368-5036 Fax(630)368-5037
kvonwc (Roak-brookor
FOR EACH OF THE INDIVIDUALS LISTED PLEASE PROVIDE THE FOLLOWING INFORMATION:
Name: Reginald Harris Phone number:#-
Address: Date of Birth: -
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business: President
0 Yes ❑No Are you a citizen of the United States? ❑Yeso
❑No Are you a Naturalized Citizen.
Ifyou are a naturalized citizen give date and city ofnaturalization:__
Court in which(or law under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
❑Yes []No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
If you area naturalized citizen give date and city of naturalization:
Court in which(or law under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth_
Drivers License Number: #
Position held with above named business:
[]Yes ❑No Arc you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
If you are a naturalized citizen give date and city of naturalization:
LIQUOR LICENSE APPLICATION 05-12 Pxge4 of9
VILLAGE OF OAK BROOK
Charlene K.Prum Village Clerk
1200 Oak Brook Road
Oak Brook.Illinois 60523-2255
(630)368.5036 Fax(630)368-5037
kvonacheii@oak-brwk.org
Court in which(or law under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
❑Yes ❑No Are you a citizen of the United States? [:]Yes ❑No Are you a Naturalized Citizen?
Ifyou are a naturalized citizen give date and city of naturalization:
Court in which(or law under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
❑Yes ❑No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
Ifyou are a naturalized citizen give date and city of na/ura/ization:
Court in which(or law under which)you were naturalized__ _
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business
❑Yes ®No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
Ifyou area naturalized citizen give dare and city q/-naturalization: __
Court in which(or law under which)you were naturalized
LIQUOR LICENSE APPLICATION 05-12 Page 5 0f9
VILLAGE or OAK BROOK
Charlotte K,Prose.Village Clerk
1200 Oak Brook Road
Oak Brook,Illinois 60523-2255
(630)368-5036 Fax(630)368-5037
kvonachenrrv-oak-brook.arg
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
[]Yes ❑No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
Ifyou are a naturalized citizen give dale and city gfnaturalizalion:
Court in which(or lam,under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
[]Yes ❑No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
If you are a naturalized citizen give date and city gfnaturalization:
Court in which(or law under which)you were naturalized
Name: Phone number:#
Address: Date of Birth:
City/State,Zip Place of Birth:
Drivers License Number: #
Position held with above named business:
❑Yes ❑No Are you a citizen of the United States? ❑Yes ❑No Are you a Naturalized Citizen?
if you area naturalized citizen give date and city of naturalization:
Court in which(or law under which)you were naturalized
LIQUOR LICENSE APPLICATION 0542 Page 6 of 9
VILLAGE OF OAA BROOK
Charlolle A.Pruss.Village Clerk
1200 Oak Brook Road
Oak Brook.Illinois 60523-2255
(630)368-5036 F.(630)368-5037
kvona,henl2Loak-brook.org
Name of person operating as General Manager ofthe premises: Vail Hallmann
Name of person operating as Liquor Manager of the premises:
A Manager Application Form must be submitted for the individuals named above. An initial application must
also include completed fingerprint card.
RESTRICTIONS:
a. No liquor license shall be issued to any person for premises upon which theatrical or other live
performances, which include the types of conduct enumerated in Sections 3-55 of Chapter, 3 shall
constitute the entertainment offered to the patrons thereof. This prohibition includes,but is not limited
to,any entertainment, fashion show or other presentation which may include any person in a nude or
semi-nude state,including,but not limited to,servers,hosts,hostesses,dancers,singers, models or other
performance artists,or role playing interactions.
b. No liquor license shall be issued to any person for premises upon which a men or women's club is
located.
INSURANCE REQUIREMENTS:
a. Certificate ofgeneral liability insurance with limits of not less than$1,000,000 combined single limit
or$1,000,000 per occurrence and per aggregate naming the Village of Oak Brook as a party insured
issued by an insurance company licensed to do business in Ute State of Illinois having a"Best'- rating
acceptable to the Village. The effective period of such insurance coverage shall coincide with the period
the liquor license is in effect.
b. Policy of liquor liability insurance by a responsible insurance company authorized and licensed to do
business in the state insuring such applicant in the amount of not less than one million dollars
($1,000,000).
SUBMITTALS:
In addition to this application Ibrm the following must be submitted:
Annual Fee plus Extended Hour Fee if Applicable
�
'�✓ ��Cr.ifi�are of Insurance
! 1Liquor License Manager Application Form
1F—V]Lease-If premises not beneficially owned by Applicant
-=-Proof of completion of the Illinois Department of Alcohol and Substance Program by all
facility managers and employees as is necessary.
LIQUOR I.ICF.NSF APPI-ICAI ION 05-12 Pae,7,FQ
VILLAOF OF OAK BROOK
Charlonc K.Pruss.Villagc Clerk
1200 Oak Brook Road
Oak Brook.Illinois 60523-2255
(630)368-5036 Fax(630)3bR-5037
k vnnachcnrmak-b,wk.or_e
=Proof of completion of attendance by all facility managers and employees as is necessary
of a Alcohol Awareness Training Program conducted by the Oak Brook Police
Department.
Initial Applicants must also provide:
=Proof of ownership of premises(e.g.title report)
=Floor Plan,as required for any premises to be licensed for sale of alcoholic liquor for
consumption on the premises,drawn to scale,and with sufficient detail to depict types of
seating,location of bars and other design features.(Submit twelve(12)copies of Floor
Plan and Menu.)
EZIompleted fingerprint cards for each Corporate Officer,General Manager and Liquor Manager
=Employee liquor handling training manual describing the specific procedures of the
applicant to monitor operations to insure no incidences of underage drinking.
Applicant understands and agrees that additional information and material may be required during the
processing of this application related to applicant's qualifications, the information provided herein,
including attachments,and the class of license involved. Applicant agrees to provide such additional
information and material and that failure to do so may delay the processing of this application or result
in its denial.
Applicant understands that no liquor license shall be issued to any person:
(a) for premises upon which theatrical or other live performances which include the types of conduct
enumerated in Section 3-55 of Chapter 3 of The Oak Brook Village Code. This prohibition includes,
but is not limited to,any entertainment, fashion show or other presentation which may include any
person in a nude or semi-nude state,including,but not limited to,servers,hosts,hostesses,dancers,
singers,models or other performance artists,or role playing interactions.
(b) for the sale at retail of any alcoholic liquor within one hundred (100) feet of any church,school,
hospital, home for the aged or indigent persons or for veterans, their spouses or children or any
military or naval stations.
(c) for premises upon which a mens or women's club is located.
In the event Applicant is made aware that any information or document submitted, as part of this
application process is inaccurate or incomplete. Applicant agrees to immediately notify the Village and
provide appropriate corrections. Applicant understands and agrees to provide such additional
information and material,and that failure to do so may delay the processing of this application or result
in its denial.
I.I(1WR I.(CENSE AI'I'I I(ATION 05-12 Iatc A of 9
VILLAGE OF OAK BROOK
Charlotte K.Pruss,Village Clerk
1200 Oak Brook Road
Oak Brook.Illinois 60523-2255
(630)368-5036 Fax(630)368-5037
kvoracheo@oak-brook org
ATTESTATIONS:
I Reginald V Harris , the President of the above licensee, hereby certify under oath,
that the foregoing application is true and correct and all information previously submitted on the original
application, including the floor plan, has not changed. I further understand that any incorrect or fraudulent
statement made in this application constitutes grounds for immediate suspension and/or revocation of the liquor
license herein sought.
The undersigned,does further state as follows:
That the undersigned is empowered to prepare and sign this application on behalf of the applicant.
That the undersigned has reviewed this application,and all attachments and submittals,and that the information
contained herein is true and accurate.
That the undersigned,on behalf of the Applicant,acknowledges and agrees that a false statement knowingly
made in this application shall bar the Applicant from further consideration and the application shall be denied.
That the undersigned is not disqualified to receive a liquor license by reason of any matter or thing contained in
the laws of this state,or the ordinances of the Village.
That the undersigned will not violate any of the laws of the State of Illinois,or of the United States,including but
not limited to the Americans With Disabilities Act, or any ordinances of the Village in the conduct of the
applicant's place of business.
APPLICANT Surfs Up Dining Group LLC
BY:
Signature
Print Name Reginald V Harris
Title President
LIQUOR LICENSE APPLICATION 05-12 Pag,9.f9
VILLAGE OF OAK BROOK
Charlene K.Pruss.Village Clerk
1200 Oak Brook Road
Oak Bmnk.Illinois 60523-2255
(630)368-5036 Fax(630)368-5037
kvonachen@,oak-brcok.org
ATTESTATIONS:
1 Reginald V Harris , the President of the above licensee, hereby certify under oath,
that the foregoing application is true and correct and all information previously submitted on the original
application, including the floor plan, has not changed. I further understand that any incorrect or fraudulent
statement made in this application constitutes grounds for immediate suspension and/or revocation of the liquor
license herein sought.
The undersigned,does further state as follows:
That the undersigned is empowered to prepare and sign this application on behalf of the applicant.
That the undersigned has reviewed this application,and all attachments and submittals,and that the information
contained herein is true and accurate.
That the undersigned,on behalf of the Applicant,acknowledges and agrees that a false statement knowingly
made in this application shall bar the Applicant from further consideration and the application shall be denied.
That the undersigned is not disqualified to receive a liquor license by reason of any matter or thing contained in
the laws of this state,or the ordinances of the Village.
That the undersigned will not violate any of the laws of the State of Illinois,or of the United States,including but
not limited to the Americans With Disabilities Act, or any ordinances of the Village in the conduct of the
applicant's place of business.
APPLICANT Surfs Up Dining Group LLC
BY:
Signature
Print Name Reginald V Harris
Title President
LIQUOR LICENSE APPLICATION 05-12 Page 9 nrQ
VILLAGE OF OAK BROOK
Kathy Vonachen,Admin Asst
!• 1200 Oak Brook R-
Oak Brod*.Illinois 60523-2255
(630)368-5036 Fax(630)368.5037
---
clerk@oak-brook.org
LIQUOR LICENSE
MANAGER APPLICATION
Corporate Name: —g{0./1 Ch l G aL I D Jt L .
Business Name: Sy✓T S UID oLIVo" ad M p Lit-C..
Establishment Name: SUhlyc U10 (y&tl % (gYIII
Stiect Address I 00 0atLb✓U01L Ce,%- ✓ Phone#: swim
Applicant Phone ti:
Name: �IQht55� M. 0ti11wto,- e-mail(wk)VthtLrA+A IMV,lSpyJ/A
Home �wnallwy.CoN
Address: Date of Birth: —
City/State,Zip Place of Birth: -
Drivers License M e
Position held with above nae named business: Crt CKe,6-r.(
[A Yes ❑No Are you a citizen of the United States? ❑Yes [rNo Are you a Naturalized Citizen?
if you are a naturalized citizen give date and city of naturalization:
Court in which(or law under which)you were naturalized
❑Yes Ef No Do you possess a current Federal wagering and gaming,device stamp?
(Ifyes,provide details on reverse side)
❑Yes Z No Have you ever been convicted of a violation of any Federal or State law concerning the
manufacture,possession or sale of alcoholic liquor,or forfeited their bond for failure to appear
in court to answer charges for any such violation'?
(Ifyes,provide date,offense,jurisdiction and case number on reverse side)
❑Yes allo Have you ever been convicted of a gambling offense in violation of Section 28-3 of the
Criminal Code of the State of Illinois(720 ILCS 5.28-1,et seq.),as heretofore or hereafter
amended,or as proscribed by a statute replaced by any of the aforesaid statutory provisions?
(Ifyes,provide date,offense,jurisdiction and casenumber on reverse side)
❑Yes Eallo Have you ever been convicted of a felony'?
❑Yes Q No Have you ever been convicted of being the keeper of,ar is keeping,a house of ill fame?
❑Yes Q'No Have you ever been convicted of pandering or other crime or misdemeanor opposed to public
decency and morality?
LIQUOR LICENSE MANAGER APPLICATION FORM 081213 Pagc 1 of 2
VILLAGE OF OAK BROOK
Kathy Vanachen.Admin Asst
1200 Oak Brook Road
Oak Baaok.Illinois 60523-2255
(630)368.5036 Fax(630)368-5037
clerk@oak-brook.org
❑Yes Q No Have you ever been convicted of a drug-related offense?
(If yes,provide date,offense,jurisdiction and case number on reverse side)
❑Yes gNo Have you pled guilty to or were you ever been convicted ofdriving under the influence,Class
A misdemeanor?
If yes,indicate on reverse side date of guiltj,plea or date of conviction and ifsaspension given,
date ofcompletion ofsnspension.
Q Yes ❑No Have you successfully completed a State-licensed alcohol seller/server education program?
If yes,please provide a copy of the Certificate of Completion. If no,please contact theIllinois
Liquor Control Commission to inquire about training.
Liquor Handling Experience—Please provide name and address of any other liquor establishment in which you
have been employed or owmed an interest.
Tr-ve 4",o Vi4vk%e-% 414W l;-C4_n4e.Rquc s♦• /�I tS Phrt++1u AZ
Ion oath state that I will not violate any of the ordinances of the Village of Oak Brook or the laws of the State of
Illinois or the United States of America in the operation of the place of business described herein,that 1 have read
and understand the Oak Brook liquor control ordinances and that the statements herein are true and correct.
Signature
LIQUOR LICENSE MANAGER APPLICATION FORM 050119 Page 2 ort
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ACCMD CERTIFICATE OF LIABILITY INSURANCE DATE IYMND YYWI
I`N / 09/03/2020
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(Des)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 s ch endorsemen s.
PRODUCERNAMECT'_ Abe Terele
Abe GT B Associates.Inc. "r Nom,,,,. (312)738-1384 :M,Not: (312)738-1465
1024 West Fry Street Mess. a m@abegensurance.com
Suite 102 INSUREAMI AFFORDING COVERAGE NAIc F
Chicago IL 60842-5871 MWJ S A:NATIONWIDE INS OO OF AMER 25453N
INSURED INSIMBt B: _ _ -
Slay Chicago Inc INSURER c:
DBA Surfs Up Dining Group LLC INSURER D: _
533 Oak Brook Center
Oak Brook,IL 60523 R 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.
TYPE OF INSURANCE P r POUGr r�MICYY SLOPoMvYI LVaIIs
X,COMMERCIAL GENERAALL LIABHJYY EACH OCCURRENCE E 1.000.000
CIAIMSJAAOE Jl OCCUR PREY $ 300,000
NED up(AIL,—;NnFo,j S
A _ ACP 3200186166 0110212020 0910212021 PERSONALaAaJwJURY S 1,000.000
GENL AGGREGATE LAST APPLEGR
S PER- GENERAL AGGREGATE $ 1.000.000
X POLICY O JE�CT El lOC PRODUCTS-COMP/OPAGG S 1.000.000
OTHER' $
AUTOAN)9AE LIA6ARY Etl-V ML_ � S
I ANY AUTO BODILY INJURY IPM DiI I $
OWNED (SCHEDULED BODILY IWURY IPM aWOWLI) S
AUTOS ONLY AUTOS
HIRED NO.-c—ED PROPERTY DAMAGE
AUTOS ONLY IAUTOSONLY fPer S
$
UMBRELLA LMB OCCUR EACH OCCURRENCE 3
EX
CESS LMB CAMS-MME 'AGGREGATE 3
OED RETEMION S
WORKERS COMPENSATION ORH•
AND EMPLOYERS LIABILITY -
ANYFROPRIETORIPMiNEREAECUIIVE TIN El EACH ACCIDENT E..
OFFIOERMEMBERE%CLUDEDT MIA
(YPASIN"MNM) E.L DISEASE-EA EMPLOYE $
x yynn 4YcnW u F ---
OFSCRIPTION aOPERATIONS OMS« E.L dS615E-POLICY LIMIT E
Liquor Liability
A ACP3200186166 O910212020 0910212021 51,000,000
I
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 1a1,AealtlonM RAmMYA SCNPaVIA mry M MYCNPV N mon WKa N rswlr.sl
Village of Oak Brook is listed as a State/Government Entity as an additional insured.
CERTIFICATE HOLDER CANCELLATION
B14OULD ANY OF THE ABOVE DESCRIBED POLIOS BECANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Village of Oak Brook ACCORDANCE WITH THE POLICY PROVISIONS.
1200 Oak Brook Rd. AUTHORUED REPRESENTATIVE
Oak Brook IL 60523
®1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statment on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the
issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively
or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
ACORD 26(2001/08)
ENDORSEMENT
SCOTTSDA.LE INSURANCE COMPANY` NO,
ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE
FORMINGA PART OF NAMED INSURED AGENT NO,
POLICY NUMBER (12:Ih A.M.STANDARD TIME)
CPS7234628 08/31/2020 STAY CHICAGO, INC. 34001
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE FORM
SCHEDULE
Name of Person(s)or Organization(s):
VILLAGE OF OAK BROOK 1200 OAK BROOK RD OAK BROOK IL 60523 UNITED STATES
(If no entry appears above,information required to complete this endorsement will be shown in the Decla-
rations as applicable to this endorsement.)
WHO IS AN INSURED(Section II)is amended to include as an additional insured the person(s)or organ-
izations)shown in the Schedule,but only with respect to liability for"bodily injury,""property damage,"
"personal and advertising injury"or"injury"caused,in whole or in part,by your acts or omissions or the
acts or omissions of those acting on your behalf:
A. In the performance of your ongoing operations;or
B. In connection with your premises owned by or rented to you.
AUTHORIZED REPRESENTATIVE DATE
Includes copyrighted material of ISO Properties,Inc.,with its permission
Copyright,ISO Properties,Inc.,2004
GLS-225s(4-08) Page 1 of 1
SPACE #533
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EXHIBIT A-1 OAKBROOK CENTER
OAK BROOK, IWNOIS
THE VILLAGE OF OAK BROOK
COOK AND DUPAGE COUNTIES, ILLINOIS
ORDINANCE
2020-LC-AL-G-1169
AN ORDINANCE AMENDING TITLE 4, CHAPTER 1 , SECTION
8A OF THE VILLAGE CODE OF THE VILLAGE OF OAK
BROOK, ILLINOIS BY INCREASING BY ONE TO
THIRTY-THREE THE NUMBER OF AUTHORIZED CLASS A-1
LIQUOR LICENSES
GOPAL G. LALMALANI, Village President
CHARLOTTE K. PRUSS, Village Clerk
JOHN BAAR
PHILIP CUEVAS
MICHAEL MANZO
MOIN SAIYED
EDWARD TIESENGA
ASIF YUSUF
Village Board
Published in pamphlet form by authority of the
President and the Board of Trustees of the Village of Oak Brook
on this the 8th day of September, 2020
ORDINANCE 2020-LC-AL-G-1169
AN ORDINANCE AMENDING TITLE 4,CHAPTER 1,SECTION 8A
OF THE VILLAGE CODE OF THE VILLAGE OF OAK BROOK,ILLINOIS
BY INCREASING BY ONE TO THIRTY-FIVE
THE NUMBER OF AUTHORIZED CLASS A-1 LIQUOR LICENSES
WHEREAS,Title 4,Chapter 1,Section 8A(4-1-8A)of the Village Code of the Village of Oak Brook
authorizes certain numbers of liquor licenses and the number of such licenses issued for each class of
license may be increased or decreased from time to time by ordinance approved by the President and
Village Board due to changes in ownership of licensed premises,the creation of a new and deserving
business enterprise,or the abandonment,revocation,surrender or other termination of an existing license;
and
WHEREAS,the President and Board of Trustees of the Village deem it advisable and in the best
interest and in furtherance of the general welfare of the citizens of the Village that the Village Code of the
Village of Oak Brook be amended to increase the number of Class A-1 liquor licenses and to enable the
Local Liquor Control Commissioner to issue a new Class A-1 license to Surfs Up Dining Group LLC,dibla
Surf's Up Bar and Grill,100 Oakbrook Center,Space No.533,Oak Brook,Illinois.
NOW,THEREFORE,BE IT ORDAINED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF OAK BROOK,DU PAGE AND COOK COUNTIES,ILLINOIS as follows:
Section 1: That Section 8A of Chapter 1 (Liquor Control) of Title 4 (Business and License
Regulations)(4-1-8A)of the Village Code of the Village of Oak Brook,Illinois be amended by deleting the
table of licenses in its entirety and replacing it with the following table:
Class Of License Application Fee Annual License Fee Number Issued
A-1 $2,000.00 $2,750.00 3233
A-2 2,000.00 2,750.00 0
A-3 2,000.00 2,750.00 1
A-4 2,000.00 2,750.00 1
B 2,000.00 2,750.00 16
C 2,000.00 2,200.00 1
D 2,000.00 2,200.00 3
E 2,000.00 4,950.00 7
F No Fee $50 per event Not Applicable
G No Fee No Fee 1
H No Fee No Fee 1
1 2,000.00 2,750.00 2
J 2,000.00 500.00 0
K 2.000.00 2,750.00 0
L 2,000.00 2,750.00 1
M 500.00 3
N 2,000.00 2,750.00 1
Section 27 That this ordinance shall be in full force and effect from and after its passage,
approval and publication as required by law.
Additions are hold and do ubl -and rlin d'a^�^•1^^^^•�^•^^••�-•^• -
Ordinance 2020-LC-AL-G-1169
Amending Title 4,Chapter 1,
Section 8A Relative to Liquor
Licenses Page 2 of 2
Section 3: That all ordinances or parts thereof in conflict with the provisions of this ordinance are hereby
repealed to the extent of such conflict.
APPROVED THIS 8th day of September,2020.
Gopal G.Lalmalani"
Village President
PASSED THIS 8th day of September,2020.
Ayes: Trustees Baer,Cuevas,Manzo,Saiyed,Tiesenga and Yusuf
Nays: None
Absent: None
GE�F 041r ATTEST:
a �
�® ® Charlotte K.Pruss
c r
CIO Clerk
COUNTY
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