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Park Use Permit - Russ Duncan Kick OffCITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 ext. 217 Fax: 863-763-1686 e -mail: jdunham(@,cityofokeechobee.com Park Use Permit Permit Number: 011 Date(s) of Event: April 3, 2016 11:30AM- 3:OOPM Permit Expiration: April 3, 2016 11:59 A.M. Purpose of Request: Russ Duncan Campaign Kick -off Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: 1 -Stop Party Shop Phone Number: 863 - 467 -4900 Current Zoning: P Subdivision: City of Okeechobee Applicant's Address: 319 SW Park St. Address of Project: Park 4 FLU Designation: Public Restrictions /Remarks: All debris must be removed within 24 hours of expiration date. *Memo attached regarding political rallies and similar events held in City Parks _Ta ck i ht.i•,;, IA( (,,-1 Page 1 of 3 CITY OF OKEECHOBEE af• 55 SE THIRD AVENUE ' OKEECHOBEE FL 34974 w Tele: 863- 763 -3372 ext. 218 Fax: 863- 763 -1686 OAT PARK USE AND /OR TEMPORARY STREET/ �-�, ° SIDEWALK CLOSING PERMIT APPLICATION Date Received: J- t_ fC3 Date Issued: , i / t: Application No: jl, - e I Date(s) of Event: :l , \ : tt'tl,' it 3;-+ - 3 to Information: Organization: 1- '0i-e.? "=t , } 3� �, Tax Exempt No: Mailing Address: 13 Vk ',;;,,�_• Z�tti_ ,1 •� � ,-Y .A \) e- ‘ c ); Contact Person: E- tail Address: I 1- y, , , , wl- - -; Telephony: Work: t's'■,-- ; , V,t, i • t { tt.i, Home:1 Cell: Summary of activities: /ti At.' >'� 7 )):�,(c (l.lit /�il�/�,I �`�.� l f %,,art" C iC� rr± ' 1 Mt! ∎ri + \G IL ^f )(1 jI-11,<<_,(L L,t)(/ its/-)ff /+ i t `L - . 1 >i 1 .. ,. / 1 J 1 < i � i ! / T l // ��., `�� e..,,;r /4., k. 'r�t.',x,3� -4 �t ttt rc #, j,,� it, Ai, > / //r(1 L.., l! 1/� e / 5 < Ic r ')/ ,. k ,s i t Lw- ✓/ i.AC 1, L / c 4 C, 1. 1 Proceeds usage: .-Jf •P iLi ,c,i(/ :,t /6. / /tJ X 11 /�, - lI - t // 1 //r /)L b/'( Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 ❑ #3 #-t r #5 ❑ #6 OR Address of event: Parcel ID: Page 2 of 3 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (If not using Park(s), provide event address) Street Address City State Zip Code Street(s) to be closed: Date(s) to be closed: Time(s) to be closed: Purpose of Closing: --„f-'' r--'' Attachments Required: Charitable Function Temporary Street and Sidewalk Closing • Site Plan • Original signatures of all residents, property owners and business owners affected by the closing. • Copy of liability insurance in the amount of • Copy of liability insurance in the amount of 51,000,000.00 with the City of Okeechobee as 51,000,000.00 with the City of Okeechobee as additional insured. additional insured. • Proof of non - profit status • If any items are being sold on City streets or sidewalks, a Temporary Use Permit (TUP) must be •Letter of Authorization from Property Owner attached for each business. TUP can be obtained from the General Services Department. • State Food Service License, if applicable. • State Food Service License, if applicable. ■ State Alcoholic Beverage License, if applicable. (Alcoholic beverage can be served only on private property. No alcoholic beverages are allowed on City property, this included streets and sidewalks.) Note: • Clean -up is required within 24 hours. • No alcoholic beverages permitted on City property, streets or sidewalks. • No donations can be requested if any type of alcoholic beverages are served on private property /business unless you possess a State Alcoholic Beverage License. Please note there are inside consumption and outside consumption licenses. You must have the appropriate license(s). • The Department of Public Works will be responsible for delivering the appropriate barricades. ■ Dumpsters and port -o -lets are required when closing a street for more than three (3) hours. Applicant must meet any insurance coverage and code compliance requirements of the City and other regulations of other governmental regulatory agencies. The applicant will be responsible for costs associated with the event, including damage of property. By receipt of this permit, the applicant agrees and shall hold the City harmless for any accident, injury, claim or demand whatever arising out of applicant's use of location for such event, and shall indemnify and defend the City for such incident, including attorney fees. The applicant shall be subject to demand for, and payment of, all of the actual cost incurred by the City pertaining to the event including, but not limited to, Police, Fire, Public Works or other departmental expenses. The City reserves the right to require from an applicant a cash or cashier's check advance deposit in the sum approximated by the City to be incurred in providing City services. Any such sum not incurred shall be refunded to the applicant. Page 3 of 3 I hereby acknowledge that I have read and completed this application, the attached Resolutions 08 and 04 -03, concerning the use and the rules of using City property, that the information that I am the duly authorized agent of the organization. I agree to conform with, abide by and rules and regulation, which may be lawfully prescribed by the City Council of the City of Okeechobee, its officers, for the issuance of this Charitable Function Permit. CERTIFIC E OF I .URANCE MUST NAME CITY OF OKEECHOBEE AS ADDITIONAL INSURED .v No.(s) 03- is correct, and obey all the or • ' p cant Signat. re,_ Da e ••••OFFICE USE ONLY•••• Staff Review Fire Department: Buildin' Official: Public Works: Police De artment: S- Date: 3 ; WitrAtillWalft Date: 5'1 • 110 WM. Date: % - %[;, 1 / � Date: IITR De artment: II, ' (� 1,: , ! Date: / Cit Administrator: Date: City Clerk: ( '! ( _/ ` / %, `i ; , Date: NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS EVENT FOR PERMITTING. Temporary Street and Sidewalk Closing submitted for review by City Council on Temporary Street and Sidewalk Closing reviewed by City Council and approved AND PRIOR TO Date Date la CD BOUNCE HOUSE SIDE WALKS z w I Patty Burnette From: Sent: To: Subject: Kim Hargraves <okeeparty@)hotmail.com> Monday, March 07, 2016 1:14 PM Patty Burnette Bounce house specs 13 x 13 commercial grade bouncehouse staked with 16in stakes on all four corners, runs with one blower at 110v, it will be run to closest electrical outlet and any exposed cords will be taped down. Bouncehouse will not be used during event if winds exceed 20 mph. Sent from my iPad Customer Order# Jose Invoice Number 40566566 Item Number 968340 RENTERS CHOICE 61" 160Z Description BLACKOUT WHITE Quantity 200.000 YD (;R VI_ NIT \ Control /Lot # Lirtifiratr of , Ftamr arsistattrr REGISTERED ISSUED BY 132 133 NSTe- Q�.•o! "(ffo�E`� �/1 •• \t t • ` *' r *�;,, %,� 2 IP' �'�� iii �4� APPLICATION TRI VANTAGE, LLC CONCERN NO. 1831 NORTH PARK AVENUE Date Work Performed F -12123 I GLEN RAVEN, NC 27217 -1100 2/11 /2013 1,.RE1P I This is to certifi that the materials described below have been /lance - retardant treated (or are iuhcrentlr son /lonrmablei FOR A-1 TENTS & STRUCTURES 234 WEST 24TH ST HIALEAH FL 33010 Certification is hereby made that: (Check "a" or "b ") I (a) The articles described at the bottom of this Certificate haye been treated with a flame retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the law of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used Chem. Reg No Method of application X (b) The articles described at the bottom hereof are made from a flame- resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame- resistant fabric or material used RENTERS CHOICE Reg. No. F -12123 TRI VANTAGE, The Flame - Retardant Process Used WILL NOT Be Removed By Washing LLC E.. • \ICE PRESIDENT. BUS. DFVFI OP1-IFNT -Vame ot.Prodoo No, ,, i<;,. Customer Order# Jose Invoice Number 40566566 Item Number 968340 RENTERS CHOICE 61" 160Z Description BLACKOUT WHITE Quantity 200.000 YD (;R VI_ NIT \ Control /Lot # Control /Lot # 132 133 968340 968340 16 16 I•••" -C Oif CERTIFICATE OF LIABILITY INSURANCE 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 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). PRODUCER Cossio Insurance Agency PO Box 188 Simpsonville, SC 29681 (864) 688 -0121 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: Kimberly R. Hargraves dba 1 Stop Party Shop & Catering 319 Southwest Park Street Okeechobee, FL 34972 UAib 3/4/2016 Contact Name: Larry Cossio ;Phone 864 -688 -0121 Fax 864 -688 -0138 (A/C, No, Ext): (A/C No) IE -Mail: alex @cossioinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: United States Fire Insurance Company 21113 INSURER B: INSURER C: INSURER ID: INSURER E: COVERAGES CERTIFICATE NUMBER: USP185197 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 TYPE OF POLICY ADDL 11 SUBR ! POLICY NUMBER POLICY EFF POLICY EXP r LIMITS I LTR INSR WVD (MM /DD/YY) (MM/DD/YY) COMMERCIAL GENERAL LIABILITY General Aggregate Limit $2,000,000 CLAIMS MADE X!! OCCUR § Products and Completed Operations $2,000,000 Personal and Advertising Injury Limit $1,000,000 ,! Each Occurrence Limit $1,000,000 A % SRPGP- 101 -0415 6/16/2015 6/16/2016 Fire Damage Limit - Any One Fire $300,000 ' GEN'L AGGREGATE LIMIT APPLIES PER Medical Expense Limit $5,00$0 0 ! X POLICY .I PROJECT _ 'LOC - Deductible Limit 1 OTHER AUTOMOBILE LIABILITY ANY AUTO Ir ALL OWNED -- SCHEDULED !AUTOS -- AUTOS HIRED AUTOS - 1 NON -OWNED __J AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per Person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA UAB OCCUR EXCESS LIAR I CLAIMS -MADE DED ; RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A PER OTH- STATUTE ER Accidental Death & Dismemberment $10,000 Maximum ible Benefit Amount $10,000 Accident Medical U5458181 6/16/2015 6/16/2016 Deduct $0 li DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Party Equipment Rentals Operations located at 319 Southwest Park Street Okeechobee, FL 34972. Verification of Insurance Only CERTIFICATE HOLDER: The City Of Okeechobee 55 S.E. 3rd Avenue 1 Okeechobee, FL 34974 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEL IVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD © 1988 -2014 ACORD CORPORATION. All rights reserved. March 10, 2016 MEMO Re: use of city parks The question has been posed, may a candidate for public office request the use of a portion of the city park to hold a rally, at which time political speeches would occur, in conjunction with preparation and serving of food, such as a bbq. The city parks are open for free public use, pursuant to the original 1914 plat and park dedication, which use has not been contested by the previous owners, Hamrick Trust. It has always been the position of the city that the public may request use of park areas for any legitimate purpose, although permitting commercial use has been a contested issue from time to time. In relation to public participation in government, FS 768.295 states in part: "The intent of the legislature is to protect the right in Florida to exercise the rights of free speech in connection with public issues and the right to peaceably assemble ". It is my opinion then, that a political candidate may reserve a portion of the park for holding a political rally, as an absolute right to assemble and exercise free speech as guaranteed by Amendment 1 of the US Constitution. In accordance with previous restrictions however, we should prohibit charging fees, or fund raising in the park or solicitation of campaign funds in this specific instance. Jcook City Attorney Jackie Dunham From: Sent: To: Subject: Attachments: Jackie Dunham Friday, March 11, 2016 11:10 AM 'cowmanduncan @yahoo.com' Park Use Permit Political Rally Memo.pdf; 011 -Russ Duncan Campaign Kick - off.pdf Attached is your approved permit to hold your event in the park on April 3rd Jackkie Du, ham+, A dm ratwe' S ecv eta.ry City of Okeecho-he& 55 SE Th r'd'Ave- i'tue Okeechobee, FL 34974 TeLe!: 863 - 763 -3372 ext. 217 Fay 863 -763 -1686 jdunham a cityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure.