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Park Use Permit - TC Motorcycle RunCITY OF OKEECHOBEE 55 SE THIRD A VENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 ext. 217 Fax: 863-763-1686 e -mail: jdunham cityofokeechobee. com Park Use Permit /Street Closings Permit Number: 012 Permit Expiration: April 9, 2016 11:59 A.M. Purpose of Request: Treasure Coast Motorcycle Run Property Owner: City of Okeechobee Address: Park #4 City: Okeechobee State: Florida Applicant: Okeechobee County Sheriff's Office Phone Number: 863 - 763 -3117 Current Zoning: P Subdivision: City of Okeechobee Date(s) of Event: April 9, 2016 Zip Code: 34974 Applicant's Address: 504 NW 4th Street Address of Project: Park #4 FLU Designation: Public Restrictions /Remarks: All debris must be removed within 24 hours of expiration date. Tac,k' General Services Secretary April 6, 2016 Date Page 1 of 3 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 ext. 218 Fax: 863-763-1686 PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: Application No: Date Issued: Date(s) of Event: 1(4 April 9, 2016 Information: Organization: 19th Judicial Circuit IVIailing Address: 504 NW 4th Street Contact Person: Joan Johnson E-Mail Address: jjohnson@okeesheriff.com Tele hone: Tax Exempt No: Work: (863)763-3117 1 Home: f Cell: l (863)634-0727 Summary of activities: Treasury Coast Motorcycle Rally for the 19th Judicial Circuit Victim's rights' coalition Proceeds usage: 7 t_ Please check requested Parks: Flagler Parks: n City Hall Park n #1 Memorial Park D 42 o 113 El #4 o 115 a #6 Address of event: Parcel ID: OR Page 2 of 3 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (If not using Park(s), provide event address) N/A N/A N/A N/A Street Address City State Zip Code Street(s) to be closed: 100 BLK SW 4TH AVE(BETWEEN 70 & WS PARK ST. I)ate(s) to be closed: April 9, 2016 Time(s) to be closed: 5.0 hours Purpose of Closing: use to park motorcycles Attachments Re' aired: Charitable Function Temporary Street and Sidewalk Closing > Site Plan > Original signatures of all residents, property owners and business owners affected by the closin. > Copy of liability insurance in the amount of $1,000,000.00 with the City of Okeechobee as additional insured. > Copy of liability insurance in the amount of $1,000,000.00 with the City of Okeechobee as additional insured. > Proof of non -profit status *Letter of Authorization from Property Owner > if any items are being sold on City streets or sidewalks, a Temporary Use Permit (TUP) must be attached for each business. TUP can be obtained from the General Services D _partment. > State Food Service License, > State Alcoholic 'leverage property. No alcoholic beverages Note: > Clean -up is required within > No alcoholic beverages > No donations can be requested property/business unless consumption and outside » The Department of Public > Dumpsters and port -o -lets if applicable. > State Food Service License if applicable. License, if applicable. (Alcoholic beverage can be served only on private are allowed on City property, this included streets and sidewalks.) 24 hours. permitted on City property, streets or sidewalks. if any type of alcoholic beverages are served on private you possess a State Alcoholic Beverage License. Please note there are inside consumption licenses. You must have the appropriate license(s). Works will be responsible for delivering the appropriate barricades. 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 08 and 04 -03, concerning the that I am the duly authorized rules and regulation, which may its officers, for the issuance of CERTIFICATE OF INSURANCE INSURED. 'c) `{ - ( read and completed this application, the attached Resolutions No.(s) 03- use and the rules of using City property, that the information is correct, and agent of the organization. I agree to conform with, abide by and obey all the be lawfully prescribed by the City Council of the City of Okeechobee, or this Charitable Function Permit. MUST NAME CITY OF OKEECIIOBEE AS ADDITIONAL / t, _ Applicant Signature Date li ****OFFICE USE ONLY"" Staff Review Fire Department: Date: Date: ■ , Azite, awl _ 3'I • / , Building Official: C. a - ice. Public Works: ---- Date: 3 ` /4-! b Police Department: r y .� -(! Dater BTR Department: % II `(- ,Kiiti,')-✓' Date: Date: Date: ` )` j-2 - City Administrator: City Cleric: ,r ;, ,� v, +;��'> NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS PRIOR TO EVENT FOR PERMITTING. Temporary Street and Sidewalk Closing submitted for review by City Council on /11); , ., `J ri4 2ci is i Date Temporary Street and Sidewalk Closing reviewed by City Council and approved 1.71M, i. 5a1., , c r t, Date APRIL 5. 2016 - REGULAR MEETING - PAGE 4 OF 5 COUNCIL ACTION - DISCUSSION - VOTE > ° a) o 9 _0 m O U •> >. T N 0 CO W c -c co L • c I- O m 01 c0 a3= W O �? a) • 0 O EL N a °C as W W O2SE) ,; CO 3 O m I a! = U a' Q Q. = m 0) 0 0 O U < _ • Z Z a) O 0 0 a`) N a) 7 O Pb E • O . 'a . C . 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C'J -6 m a) O m G + c C O a) U E-a a) O O W 0) a) '> m o U c 0) a) 7, a) 0 w 42 Z w E Z E 0 c < U -0 N 0 0 V) 0--0 w m Z a) 0 CO -C2 m 0 m U c0 W Z LLI RESOLUTION NO. 04 -03 A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA SUPPLEMENTING RESOLUTION NO 03-08; GUIDELINES FOR USE OF PUBLIC PARKS OR OTHER LANDS OWNED 13Y THE CITY OF OKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; PROVIDING FOR AUTHORITY TO REVIEW SI ICII APPLICATIONS; PROVIDING FOR STANDARDS FOR REVIEW; PROVIDING FOR GUIDELINES FOR SUCH ORGANIZATIONS TO FOLLOW; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, there are located within the City of Okeechobee certain public parks and other areas owned by the City of Okeechobee that are intended for, and open for use by, the general public, with certain restrictions; and WHEREAS, these uses change from time to time, and problems arise by certain uses that are not anticipated, but should be the subject of regulation and control by the City of Okeechobee for the safety and welfare of its citizens, and which requires supplementing existing rules as necessary; NOW THEREFORE, it is resolved before the City Council for the City of Okeechobee, Florida; presented at a duly advertised public meeting; and passed by majority vote of the City Council; and properly executed by the Mayor or designee, as Chief presiding Officer for the City: 1. TLIAT permission for charitable or benevolent organizations, or non profit groups, to engage in certain activities in City parks or on City lands, is governed by Article IV, Sections 14 -141 to 14 -149 of the City Code of Ordinances, which regulations and restrictions shall be considered by General Services whenever an application or request for use of public areas is made, and followed accordingly. 2. THAT for any authorized use of the public parks or rights -of -way within the City, the following regu lations shall be followed, as applicable: a. The organization or permit holder, or their designee, shall be responsible to completely clean up the public area used by the permit, within two days of completion of the event, unless otherwise designated in the permit. b. No trailers unattached to a motor vehicle shall be parked along any street or avenue or public right -of -way, or in a marked parking spot, unless the right -of -way is closed for the event, not otherwise blocked off by the City. No other motor vehicles or trailers will be allowed to park or remain on the Park grounds unless prior written approval is obtained from the City Public Works Director or their designee, or such vehicle or trailer is participating in an event such as a permitted activity or car show. Any motor vehicle or trailer parked in violation of this section may be towed by the City at the owner's expense, who shall be liable for all towing and storage fees. c. Golf carts, 4- wheelers or other vehicles not licensed for use on public rights -of -way, will not be permitted on the Park grounds without prior written approval of the City Public Works Director or their designee. d. Certain events, such as but not lirnited to parades, or those which draw a large number of people, require significant incurring of costs Page 1 of 2 d. Certain events, such as but not limited to parades, or those which draw a large number of people, require significant incurring of costs by the City, for traffic control, crowd control, fire safety, paramedic service, or general policing, which often requires adding personnel, and incurring overtime labor expense. For any such event, the City may require the organization or permit holder to be responsible for these additional costs, including property or personal injury damages that may occur during the event. There will be a mandatory inspection meeting between the Public Works Director or their designee and a representative from the permit holder prior to and after each event. Any additional expenses as stated above, will be billed to the organization or permit holder, who shall pay such sum to the Cily. e: For activities in Hagler Park, the use of generators for power is encouraged, as electric outlets are limited and subject to the right of the City to deny their use. When generators or extension cords are used, the applicant shall cause a U.L. approved extension cord of proper gauge to be safely attached, and routed so as to not interfere with any pedestrian path, or in such area as may pose a risk of harm to the public or other participants. INTRODUCED AND ADOPTED this 16th day of March, 2004. ATTEST: Lane Gamiotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: :John R. Cook, City Attorney Page 2of2 James. E Kirlc, Mayor RESOLUTION NO. 03 -8 A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA TO ESTABLISH GILIDETANES FOR USE OF PUBLIC PARKS OR OTHER LANDS OWNED BY THE CITY OF OKEECIIOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; OR TIIE GENERAL PUBLIC; PROVIDING FOR AUTHORITY TO REVIEW SUCH APPLICATIONS; PROVIDING FOR STANDARDS FOR REVIEW; PROVIDING FOR GUIDELINES FOR SUCH ORGANIZATIONS TO FOLLOW; PROVIDING FOR INSURANCE REQUIREMEN'T;'PROVIDINC FOR AN EFFECTIVE DATE. WHEREAS, there are located within the City of Okeechobee certain public parks and other areas owned by the City of Okeechobee that are intended for, and open for use by, the general public, with certain restrictions; and WHEREAS, these functions range from large gatherings which attract many participants, to very small groups, which may or may not cause traffic control problems, and vary in intensity; and WHEREAS, current regulations require the same liability insurance coverage for any such group authorized to gather in the parks or on city lands, which creates a hardship on the smaller gatherings; NOW, THEREFORE, be it resolved and adopted by the City Council for the City of Okeechobee, Florida the following resolution: 1. TIIAT permission for charitable or benevolent organizations, or non profit groups, to engage in certain activities in City parks or on City lands, is governed by Article IV, Sections 14 -141 to 14 -149 of the City Code of Ordinances, which regulations and restrictions shall be considered by General Services whenever an application or request for use of public areas is made, and followed accordingly. 2. TIIAT for any permit or permission granted by the Department of General Services for such activities on public lands, such permit shall be also executed by the City Administrator, prior to such event taking place. 3. TIIAT most applicants for use of parks and public lands are charitable or civic groups, who stage large events and attract many people. However, smaller groups for prayer meetings; weddings; boy and girl scouting; and similar type events are also authorized in parks and in public places, but are also subject to the requirements of Article IV of the City Code. 4. TIIAT current regulations require the applicant for an event to procure liability insurance in the sum of 1 million; the cost of which is or may be prohibitive for smaller and more informal groups. 5. THEREFORE, for any application wherein it appears to the Department of General Services that the participants thereof may be 100 or fewer persons, the liability insurance requirement shall be waived. The City reserves the right to require the participants to execute a hold harmless agreement, depending upon the nature and impact of the event. Page 1 of 2 INTRODUCED AND ADOPTED this 5 th day of August„ 2003. ATTEST: Lane Gamiotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: John Cook, City Attorney Page 2 of 2 Jatnes. E. Kirk, Ma_yor SW 5th Ave SW 4th Ave A um Annual Motorcycle Ride for Rights 191h Judicial Circuit Vidims 011 Ap ril 9,2016 Kick stands up by 9am Police escort Sign -ups begin at 7:30am and leave from St. Lucie Co. Sheriff's Office Additional Stops: • Port St. Lucie Police Department • Treasure Coast Harley Davidson • Martin Co.(Indiantown) sub station • Ending at Flagler Park Okeechobee X15.00 per person-illcludes BBQ Ind For more information contact Joan Johnson (863) 763 -3117 or you may register at www.okeesheriff.org /event All proceeds to benefit the 19th Judicial Circuit victims of crime F • r TertrfYfttte !T1amE IIe� hEGISTir RED ft PPLI • We hereby certify this to be a true copy of the original "CERTIFICATE OF FLAME RES$ETANCE" Issued to us, "original copy" of which bas been Mod with the CoMorn*. Stale Fir* Marshal. :1,h«by Lori Walker ACOR130 CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 3/14/2016 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 INSURED Florida Sheriffs Risk Management Fund P.O. Box 12909 Tallahassee, FL 32317 Okeechobee County Sheriff's Office 504 NW 4th Street Okeechobee, FL 34972 CONTACT Apryl Evans, ARM NAME: PHONE 850-320-6880 ext. 6903 1 (A/c No EXt Ip c, No). 850 - 320 -6939 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE t NAIL 6 FLORIDA SHERIFFS SELF - INSURANCE PROGRAM INSURER A_ INSURER B : INSURER C_ INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: REVISION NUMBER: v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, j I LIMITS INSR TADDL',SUBR TYPE OF INSURANCE i INSR WVD POLICY NUMBER POLICY EFF I POLICY EXP (MM /DDIYYYY) I (MM /DDIYYYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE _ OCCUR i,' !i ,, GEN'L AGGREGATE LIMIT APPLIES PER ', POLICY I J ST ■ LOC EACH OCCURRENCE $ $_ $ $ $ $ $ DAMAGE TO RENTED I r PREMISES�Eaa occurrence) MED EXP (An one person) y p 1 I PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP /OP AGG 1 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY li I $ ANY AUTO AUTOS i AUTOS ! BODILY INJURY (Per person) $ accident $ ALL OWNED NON-OWNED i ! ! BODILY INJURY (Per HIRED AUTOS 'L_. AUTOS 'i ', ,, !,_Ter- accident) - PROPERTY DAMAGE UMBRELLA LIAB 'OCCUR , EACH OCCURRENCE $ 1'I, EXCESS LIAB CLAIMS -MADE : AGGREGATE $ DED ' RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N / A , i WC STATU- OTH- ' TORY LIMITS ER _, E.L. EACH ACCIDENT �- E.L. DISEASE - EA EMPLOYEE _._. $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? NH) (Mandatory in If yes, describe under DESCRIPTION OF OPERATIONS below ':[ E.L. DISEASE - POLICY LIMIT $ A Special Events Liability 16- FSRMF -47 10 -1 -15 10 -1 -16 51,000,000 Per Occurrence 11550,000 Per Occ. Damage to Rented Premises 51,000 Any One Person Medical Expenses DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Event 11th Annual Motorcycle Ride for Rights Date' April 9. 2016 Location. Okeechobee County CERTIFICATE HOLDER and Additional Insured City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34974 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD