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Temp. Street Closing - Speckled Perch FestivalS^nc rE^wzux.o=/c.^��ux TEMPORARY CLOSING OF STATE F7(]/\[} PERMIT ,a^ax«�« Date: 1 ) L > r Permit N o _[12:;��--'F ' 1S*-1: -2l Govprnmental EoUty Approving /' � 8f 116 be eL= Contact Person Address -E> .C3 -E 3n A^o r lkoMO kuLee. F) ?Dt1 CI 7 L _ Telephone ~�-- �-16?-,'?L---1 Eum z (J4011ncn/l�' �"r/ o Kee // nubee .�c/r -- Organization Requesting Special Event d1~.1 L Contact Pe/sun � _ - __- _____�__-'________-______ | Telephone Email ~�4~~~ ^0 `.'i(of'' //2 cyll � - �--- : Description of Special Event Event Title ��v� �1/�~k Date Start Time l��C�Z�l EnU|ima //(�ii,i ~ ^ - Event Route (attach map) 38 /0°/ W'I Detour Route (attach map) Law Enforcement AqoncyRospoouib|vforTmfUcContvo| Numuof Agency // ()+- <)k'asc/)( �p� US Coast Guard Approval for Controlling Movable Bridge Not Applicable [] Copy of USCG Approval Letter Attoched Li Brkigo Location e Permtee will assume all nsk of and ndernnif'y, defend nd save harrnss the State ot Ftorida and the FOOT (rom 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 af itter and providing a safe environment to the public. Signatures of Autl orization Event Coordinator /au')�� Signature +� - C Date /� ',-_-_^ �a�_ o"-'m""." , /v/°� Nano/7Wa rv�z�'�r� /�������^) '/z�+'` Signature Date ^/__ Government Official ---..z.,...- /.� NamdTiUe'«+�v//�~r�/�°�- �,��+`�,',�Onm�� ' Date 9�/�/ /� ''^� TmfhoConUo|shd|complywkhFedend0a000|o/UnifonnTnaffioCon\ooiOevices(KJUTCD) onUFDOTDeuiln Standards 600 Series. Signature Date INDEMNIFICATION AGREEMENT This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA, (hereinafter "CITY ") and 04e-c/C %f C(/t,r 5 +f F (hereinafter "APPLICANT "), dated this 11 day of Mu fr CV) , 2 017 . 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: 1. 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 ) I day of r1 hi,r , ) 1 . Applicant shall further reimburse the CITY for any and all attorneys' 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 forms to make application to the State of Florida, Department of Transportation, for temporary road closure. APPLICANT CITY OF OKEECHOBEE, FLORIDA BY: /4H-kU/'j/li avvayl C , TITLE: / C(i+ I !/e, 0 I }' eC ) BY: n TITLE: General Services Assistant FOR CITY USE ONLY )0 Proof of liability insurance Corporate resolution completed XX Other requirements (specify) Indemnification Agreement REVIEWED BY: TITLE: DATE: General Services Assistant I- 7 17 ml on Uniform Traffic Control Devices y���-�H/}A�� ��/ /l��/���� . ^-,-^.. _ (3E E. . --..`` ~'` isilUT[n) and FOOT Desixu Standards 6O0Series. t-! • . .:ilil r. "..!1 11-1 • ;1 ,a ∎I 1 Lii4e, G • 0 14 j a 1 1'i ii' • 1`,`, . rft A' /1 i to ilf• u: f- i Y ; ST, 'r• c Q ✓t .rst-''� i o • t NAY tl 1 1- .t, it e'x ct 1 ..3,- ,a:c.�,.,,,,,,,...„—'1„,„,_.„„1„ I a 1"`i � -.- ._ Ti 1\l t f`t •,•j CC :11111 .. Parade Route. Street procced to Begin ut447 and SVV/ W OKEEMAI -01 SFISHER A`C,,,�R� CERTIFICATE OF LIABILITY INSURANCE DA 7/28/2016 ) 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 Maury, Donnelly & Parr 24 Commerce St. Baltimore, MD 21202 CONTACT NAME: PHONE 410 685 -4625 FAX IA/c, No, Ext): ( ) (ruc, No): 410 685 -3071 ( ) A ADD DREDRE SS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Transportation Insurance Services, Inc 20494 INSURED Okeechobee Main Street 55 S. Parrott Avenue Okeechobee, FL 34972 INSURER B: 07/01/2016 INSURER C : EACH OCCURRENCE INSURER D : INSURER E : CLAIMS -MADE INSURER F : OCCUR 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 VMTH 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 4025933977 07/01/2016 07/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGETO RENTED PREMISES (Ea occurrence) 1 000 , $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES RO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ 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 NIA PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Department of Transportation p p 801 North Broadway Avenue Bartow, 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 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, February 09, 2017 3:03 PM To: David Allen; Major Hagan; Lt. Bernst; Herb Smith; Lane Gamiotea Cc: Jessie; Patty Burnette Subject: Speckled Perch Parade 3 -11 -17 Attachments: Speckled Perch Parade '17.pdf Attached is the approved permit from FDOT for the upcoming Speckled Perch parade on March 11th beginning at 10AM. Please mark your calendars and notify your staff accordingly. Ja ck%e Dwrata.4 w AciAmi44.14tratiNe.Socrotoury City of Okeechobee' 55 SE 71 rd' 4 vevu ae' Off, EL 34974 Teie:' 863-763-3372 extt. 217 863-763-/686 j dunham( cityofokeechobee.com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i