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Park Use Permit - Veteran Appreciation DayPermit Number: 017 CITY OF OKEECHOBEE 55 SE THIRD A VENUE OKEECHOBEE, FL 34974 Tele: 863 - 763 -3372 ext. 217 Fax: 863 - 763 -1686 e- mail: idunliar a citv-ofokees-hobee,co Park Use Permit /Street Closings Date(s) of Event: September 17, 2016 8AM -8PM Permit Expiration: September 17, 2016 11:59 A.M. Purpose of Request: Veteran Appreciation Day Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Applicant: The Warrior Center State: Florida Zip Code: 34974 Phone Number: 863 - 610 -3065 Current Zoning: P Subdivision: City of Okeechobee Applicant's Address: P.O. Box 1884 Address of Project: Parks 1 -4 FLU Designation: Public Restrictions /Remarks: All debris must be removed within 24 hours of expiration date. TGtokieJ General Services Secretary September 7, 2016 Date Page 1 of 3 CITY OF OKEECHOBEE 'A`�y�OF•047 i _ 55 SE THIRD AVENUE + +`r:� °��,� OKEECHOBEE, FL 34974 :LL �� Tele: 863 - 763 -3372 ext. 218 Fax 863 - 763 -1686 � • -;— ao++ PARK USE AND /OR TEMPORARY STREET/ ... '�-= •,;,;;�� SIDEWALK CLOSING PERMIT APPLICATION Date Received: 3 IC I Date Issued: '7 7 - i 4. Application No: t- i i Date(s) of Event: 117 Seitvi jeZ. aO /gyp 8qM - gat Information: Organization: 11:4E t /4eRta Cep Tax Exempt No: ,260s-3.75-; 09,7 /(5- Mailing Address: Fp 130x IQ'f Olccsclioge 3419 Contact Person: t b KeeFE- ( fl JE I. n; v c. ' l - 5 L ' i ° I E -Mail Address: -f' , , QR4 Tele hone: Work: Home: Cell: ,i , 7CdO Off¢. Summary of activities• A NfoR' V 4 ;� : sfeciies L,�E7 e.. � , 4,0kj None -. RLC.* *et-. C 342>ken t • I i , t, t') t. i i °' I. o i,,_.t' % r i % ' -± t, t° i, ` i i.i ii —i j t_ L. r }. t �, ! f�,'1 7 a ( (_L- ,I /4 i. e t" Proceeds usage: 30.) A s- ,mss- --Iz_ ve-rEt2i9ior Please check requested Parks: Flagler Parks: ❑ City Hall Park ytt#1 Memorial Park ld. #2 ye#3 A14 ❑ #5 ❑ #6 OR Address of event: it-/A 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: 3t4/ et°6 3",114h1102.404 i371,44 , A s,) PARK_ Date(s) to be closed: SePrroleck i9- "- do/ice Time(s) to be closed: $4 - SPo t Pur ose of Closin_: Attachments Required: b o tT- I e- rRiAlJ /ETy .1 ..► E 0 y t 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 $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 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. CERTIFICATE 0 - ' SURANCE MUST N , ► ' " CITY OF OKEECHOBEE AS ADDITIONAL INSURED. / '/. 0809 No.(s) 03- is correct, and obey all the or Applic. _nature a ••••OFFICE USE ONLY•••• Staff Review Fire Department: K--- (? Date: do AuJe a o 1 Building Official: .. Date: 6' (B' tk' Public Works: '� Date: g-1) ^/‘:7 p ; Police Department: // Date: g r/ 7.-/ BTR Department: 111),4_,xiard,',..0_, Date: ' l i ' I City Administrator: Date: City Clerk: 1 •i (4r L (,- Date: C)' 9 -skt. 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 i b / ( Date Lj 6" / (t- Date OKEECHOBEE \*, e 4,,,. VETERANS APPRECIATION DAY Saturday, September 17th', 2016 . 10am — 5pm Veterans Memorial Park THE PUBLIC IS WELCOME • Hear from professionals and Veterans about INVISIBLE WOUNDS that affect their lives. • Meet Organizations that provide resources to Veterans and their families. • Share in the camaraderie among fellow Veterans — Show appreciation for their service. • Live Music Entertainment, Food and Fun. For vendor information, to volunteer or sponsor please call Bobby Keefe (863) 610 -3065 or Jenny Vickers (863) 697 -8644. Sponsored by The Warrior Center, Inc. in collaboration with American Legion, Post 64. All proceeds will benefit our local Veterans through services provided by the sponsoring agencies. © 2016 The Warrior Center, Inc., a Florida non - profit. VETERANS MEMORIAL PARK a CD 2 4) a) Map data ©2016 Google a C0 4) 2 0 0 0 Map data ©20 FLAGLER PARK 4 r 1 I israbsvg *V Ming Atlitz at Min t — CZ 4044 4 1 O) LL 4: CD ..:, ,.... - a) z:: - - r .5:. .' :`,.... ,;.. :... ... .:, ,.... 00" .a•: :....,,.."1:(C:: — (/) (i) 0 _C 0 o ,...„ - ... to --,, ,- , - ...- -) .... 1. .-_-.. _ - tt. c... .t...- ...-: a) a) : ... ft 2.2 z(..) it: 0 c OF FLAME " "CERTIFICATE filed with the CidItornia true copy State Fire Marshal. ACORL CERTIFICATE OF LIABILITY INSURANCE WARRI -1 OP ID: S2 DATE (MM /DD /YYYY) 08/10/2016 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 Pritchards & Associates, Inc. 1802 S Parrott Ave Okeechobee, FL 34974 -6179 Lowell H Pritchard INSURED The Warrior Center, Inc. PO Box 1884 Okeechobee, FL 34973 -1884 CONTACT NAME: Sandy nines PHONE JC No Ext) 863 - 763 - 7711 L (A/c No)- 863- 763 -5629 E -MAIL _. -... - -- ADDRESS shines�a pritchardsinc.com INSURERS) AFFORDING COVER AGE INSURER A: Philadelphia Insurance Co INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : NAIC # COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION CITY -92 City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF INSURANCE PERTAIN, POLICIES. ADDLJSUBRT INSD LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP - - - - - - - - - -- - -- - I WVD POLICY NUMBER (MM /DD /YYYY) (MM /DD /YYYY) LIMITS INSRi LTR TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY X EV06568 08/10/2016 EACH OCCURRENCE DAMAGE (RENTED 08/10/2017 PREMISES (Ea occurrence) ,_ MED EXP (Any one person) PERSONAL & ADV INJURY . GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $ $ $ $ $ $ $ 1,000,000 100+000 0 CLAIMS -MADE X 'OCCUR GEN'L AGGREGATE LIMIT APPLIES PER. 1,000,000 3,000,000 3,000,000 -._I POLICY . PRO JECT LOC '` OTHER AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS '� AUTOS NON -OWNED HIRED AUTOS ., AUTOS ', '. COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) r PROPERTY DAMAGE (Per accident) j $ $ $ $ '. UMBRELLA LIAB I OCCUR EACH OCCURRENCE AGGREGATE $ $ $ —I EXCESS LIAB I I CLAIMS -MADE DED , I RETENTION $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N / A PER OTH- _ STATUTE _ ER E L EACH ACCIDENT - -- - - - - - -- - - E L DISEASE - EA EMPLOYEE E L. DISEASE - POLICY LIMIT $ _ $ -- -- - - ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? I (Mandatory in NH) I if yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addi City of Okeechobee is listed as Additional Insured. ional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY -92 City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jackie Dunham From: Jackie Dunham Sent: Thursday, August 11, 2016 9:18 AM To: David Allen; Lane Gamiotea; Marcos Montes De Oca; 'Chief Herb Smith (Chief Herb Smith)'; 'Fred Sterling (Fred Sterling)'; 'Sue Christopher (Sue Christopher)' Cc: Robin Brock Subject: Veteran's Appreciation Day Attachments: Vet Appreciation Day Park Use - Street Closing.pdf Good morning. I am attaching a copy of the Park Use Permit /Street Closing application which was received late yesterday afternoon for an upcoming event for September 17`x' in Parks 1 -4. I will send it with Patty to your next Staff Meeting for signatures and suggestions or comments. It will have to go to the next September 6th Regular City Council Meeting for approval of the street closings. Please note on their site plans they will be using 2 large tents for which I have the Certificate but they will also be using two bounce houses. I'm not sure what, if anything, is needed for approval of these. I was advised that Bobby Keefe is working with Waste Management to provide the porta lets as well as a dumpster. His site plan does indicate location of porta lets but not the dumpster. Please let me know if there is anything else required so I can advise him ASAP in order to have everything needed for approval. Thank you for your consideration. Jc ck e, Du/rata/1,n/ Ad ;m /strat'weiSe-cv-eta.ry C ty of Okee-cho-bee/ 55 SE Thi d/Avevuce' Okeechohee. EL 34974 Telex 863 -763 -3372 e'ct. 217 Fay 863-763-/686 jdunham@ cityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1 Jackie Dunham From: Jackie Dunham Sent: Friday, August 12, 2016 9:43 AM To: 'bobby @thewarriorcenter.org' Subject: Re: Veteran's Appreciation Day Permit Bobby, Jenny brought in the permit application and attachments on Wednesday. You did an excellent job on the site plans too! 'There's a few things I need though and thought if we could handle those before Monday, I can possibly get signatures from the Department Heads on Tuesday at their Staff Meeting. You gave me a location for the Porta Lets and I understand you were working with Teresa Chandler about trash dumpsters. You are supposed to provide dumpsters if you are closing streets for more than three hours. Can you give me clarification on where the dumpsters will be located in the parks? I also need to know where you are getting the bounce houses i.e. One Stop Party etc. Also if there is any information you can obtain about the bounce houses as far the UL for the electric. I'll have to wait until September 7t" for this to go to the City Council for approval of the street closings but I'Il get it all approved by the Department Heads beforehand. Thank you. Jackie/ Dun/ A dvn,;,i3Otra t"wei Sectretct, y CLty of Okeechobee/ 55 SE Thivd/Avevw.e- OIce-echo-bee, FL 34974 Tee-: 863 -763 -3372 ext 217 a a.: R63 -763-1686 jdunham @cityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1