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Temp. Street Closing - Homecoming ParadeBute •4 G50035(t)( cl. f A 0 Date: July 12, 2016 STATE 00 FIARlr1A DEPARTMENT OF TRANSPORTATION TEMPORARY CLOSING OF STATE ROAD PERMIT Permit No. 050.040.05 MA :NI ENAUCE 12/11 Governmental Entity 08/0 /aotC Approving Local Government City Of Okeechobee Contact Person Patty- Burnette J,:. r,,:_ tJ .1,,rr Address 55 SE 3rd Ave J r t Telephone 863- 763 -3372 (ext. 2-1.8) Email _pbur-nette( cityofokeechobee.com • 1.._(, �`,". i,, .-eer 1rL:.. I •.Ct ... Organization Requesting Special Event Name of Organization Okeechobee High School Address 2800 Hwy 441 N Okeechobee, FL 34972 Contact Person Lauren Myers Telephone 863 -462 -5025 Email myersL @okee.k12.fl.us Description of Special Event Event Title OHS Homecoming Parade Date of Event October 20, 2016 Start Time 6:00 PM End Time 6:45 PM Event Route (attach map) Begin at SW 4th St to 441 N to 70 West to SW 7th Ave, ending at SW Park St. Detour Route (attach map) Law Enforcement Agency Responsible for Traffic Control Name of Agency Okeechobee City Police US Coast Guard Approval for Controlling Movable Bridge Not Applicable 11 Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment b the public. Signatures of Authorizati Event Coordinator Lauren Myers Signature Law Enforcemen Name/Title Government Official Name/Title 2 ,5)) •.V2 � 6z ,' =% i 2 Iz. i?5:•,t) Signature Cl Signature . ` Date ?�kr r FDOT Special Conttdfions FDOT Authorization Namertte Signature. Date 1) : r APROVED Prior to any work requiring lane closures, mobile operations or traffic pacing operations the contractor or perrnittee shall submit a request to the Department that includes the time, location, and description of work being performed. The lane closure request shall be submitted to the Department a minimum of 2 weeks prior to the proposed closure date and must be approved by the Department before work requiring the closure may begin within the FDOT Right of Way. https: / /Iris. dot.state.fl. us/ Traffic Control shall comply with the Federal Manual on Uniform Traffic Control Devices (MUTCD) and FDOT Design Standards 600 Serves _ '—"' FDOT Authorization Namertte Signature. Date 1) : r APROVED INDEMNIFICATION AGREEMENT This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA, (hereinafter "CITY”) and Okeechobee High School (hereinafter "APPLICANT"), dated this 20th day of October_, 2016. WHEREAS, APPLICANT desires to hold or sponsor a special event, parade, festival, or other activity requiring the temporary closure of a state-controlled roadway in the City of Okeechobee, Florida, and therefore requires the execution and submission of an application for such temporary closure to the State of Florida Department of Transportation by the CITY pursuant to regulations of said Department, and WHEREAS, pursuant to Resolution No. 88-5 the CITY requires indemnification by any applicant for temporary road closure before the appropriate CITY officials may execute such application to the Department. NOW, THEREFORE, in consideration of the mutual obligations and covenants set forth hereafter, the parties agree as follows: I. APPLICANT shall indemnify, protect, defend, and hold harmless the CITY from any and all losses, injuries, damages, or claims of any nature or type resulting directly or indirectly from the temporary road closure and the special event, festival, parade, or other activity to be held on 20th day of October , 2016 . Applicant shall further reimburse the CITY for any and all attoi neys fees, court costs or other legal costs incurred by the CITY as a result of any such losses, injuries, damages or claims. 2. If the APPLICANT is a corporation, partnership or other legal entity (other than an individual), APPLICANT shall attach hereto a duly executed resolution, partnership agreement or other document in legal form evidencing the authority of the officers of such entity to enter into this indemnification agreement. 3. Upon the APPLICANT complying with paragraph 2 above, the requirements of Resolution No. 88-5 of the CITY, and any other reasonable requirements of the CITY, the CITY shall cause the appropriate City officials to execute the necessary foi ins to make application to the State of Florida, Department of Transportation, for temporary road closure. APPLICANT CITY OF OKEECHOBEE, FLORIDA BY: Lauren Myers TITLE: Assistant Principal OHS BY: TITLE: , FOR CITY USE ONLY ZrProof of liability insurance Col porate resolution completed DOther requirements (specify) 11-?- 1 `') 41, t:_■-.21- L ‘- BY: V TITLE: DATE: 7 1,4 -4 iV MG 1J �rx At{ HLO1, "1 M Aiduio) ii 4s i ACORO FLORSCH -04 WILSONLR DATE (MM /DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/26/2016 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 EPRESENTATIVE OR PRnrn IRFR AND THE CERTIFICATE HOLDER. R 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 Willis Administrative Services Corporation DBA Willis Pooling c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 CONTACT Willis Towers Watson Certificate Center NAME: HOO,Nr o, Ext): (877) 945 -7378 FAX No): (888) 467 -2378 E-MAIL ADDRESS: certificates @willis.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Florida School Boards Insurance Trust D2772 INSURED Okeechobee County School District Attn: Renee Geeting 700 SW Second Avenue Okeechobee, FL 34974 INSURER B INSURER C : INSURER D : 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 TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS LTR A X COMMERCIAL GENERAL LIABILITY FSBIT16CAS7 -1 07/01/2016 EACH OCCURRENCE $ 1,000,000 07/01/2017 DAMAGE TO RENT-ED PREMISES (Ea occurrence) $ Included $ Excluded CLAIMS-MADE X � OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ Included $ GEN'L GENERAL AGGREGATE AGGREGATE LIMIT APPLIES 1 PRO- PER: LOC PRODUCTS - COMP/OP AGG $ Included POLICY I I JECT I OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ — PROPERTY DAMAGE kPer accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE . EACH OCCURRENCE $ , AGGREGATE $ $ DED I RETENTION $ i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ` (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 1 PER OTH- STATUTE I 1 ER E.L. EACH ACCIDENT $ 1 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1� $ DESCRIPTION Evidence 441 /70 one OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) of Coverage, Okeechobee High School Home Coming Parade October 20, 2016. Parade route will begin at 441 and SW 4th Street and proceed to the intersection, turn west on 70. End at SW 7th Avenue. Department of Transportation named the certificate holder for liability insurance in the amount of million dollars. For the General Liability policy, General Aggregate is Unlimited. CERTIFICATE HOLDER CANCELLATION 801 North Broadway of Transportation way Aver i Avenue 801 North Broadway Avenue iBartow, FL 33831 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 , f) P k.�c- t _ Annnn nnoono ft 1"1/11.1 All rnh +c rn rvari ,��� ��� ACORD 25 (2014/01) The ACORD name and Joao are reaistered marks of ACORD Jackie Dunham From: Jackie Dunham Sent: Tuesday, August 02, 2016 9:09 AM To: kevin.morrisey @dot.state.fl.us Subject: Annual Homecoming Parade and Annual Christmas Parade Attachments: Annual Homecoming Parade.pdf; Annual Christmas Parade.pdf Good morning Kevin. I am attaching two parade permits for your review and approval. The Homecoming Parade will be in October. The Christmas Parade obviously will be in December but I thought perhaps you could handle it now too. Thank you for your assistance. Jc kie2 ('7u rthcwti AdmiA iii trat'we/Sec etowy C►y ofOkeeth o-b-e.e/ 55 SE 7h6rd. 4 ve v e' Off, FL 34974 7"ele': 863 -763 -3372 ext. 217 Fax,: 863-763-1686 j.dunhamrXcityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. Jackie Dunham From: Sent: To: Cc: Subject: Attachments: Jackie Dunham Thursday, August 11, 2016 8:09 AM ' myersl @okee.k12.fl.us' Lt. Hagan (opddonaldhagan @yahoo.com) Homecoming Parade 2016 Homecoming Parade 2016.pdf Attached is the approved Homecoming Parade permit from FDOT. c .ckie, Dwnhouvvv Air ectvve, Secreta-ry city ofOiceetholyee, 55 SE I Y.1yd Ave4tu e, Okeecholyee., FL 34974 Tele: 863-763-3372 e t. 217 Fc(44/.: 863-763-1686 _jdunham!ik tvofokeechobee com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure.