Loading...
Park Use Permit - Food Truck Event (3)CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863 - 763 -3372 ext. 9821 Fax: 863 - 763 -1686 e -mail: jdunham(a�cityofokeechobee.com Park Use Permit Permit Number: 013 Permit Expiration: May 11, 2017 11:59PM Purpose of Request: Food Truck Event Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Date(s) of Event: May 11, 2017 3:30pm- 9:30pm Applicant: Okeechobee Main Street Phone Number: 863 - 357 -6246 Current Zoning: P Subdivision: City of Okeechobee Restrictions /Remarks: All debris must be removed within 24 hours of expiration date. City water sources will not be utilized IMPORTANT REMINDERS Zip Code: 34974 Applicant's Address: 55 S. Parrott Avenue Address of Project: Park #3 FLU Designation: Public Fire Department Needs To Inspect All Food Trucks Please Call To Schedule At 863- 467 -1586 Main Street is responsible for removing all barricades, cones etc. from the street and placing them in the corner of the park to be collected after event. All street & sidewalks need to be open and clear of traffic control devices. Main Street is responsible for clean -up of all garbage from the event including emptying the trash cans in the park(s) used and placing clean trash can liners in cans after the event. Ea,t1-9 M. f3ur May 1,2017 General Services Coordinator Date '`4`� of -oKFcy _ r ,r.; °� ,u- i _ .-.11 — 6 �s -y am 0� � ;,,�� Page 1 of 3 Revised 11/4/16 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863 -763 -3372 ext. 217 Fax: 863 - 763 -1686 PARK USE AND /OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: "4/2-ii j 1 Date Issued: r) Application No: i 1- 0 • Date(s) & Times of Event: ( 51 ii 1 / / "7 5J jk` t) 1- `�/ (� 1)1)L Information: Organization: Okeechobee Main Street Mailing Address: 55 South Parrott Ave. Okeechobee, FL 34974 Contact Name: Brittany Garner E -Mail Address: brittany @okeechobeemainstreet.org Telephone: IWork: 8633576246 Home: Cell: 8632731842 Summary of activities: A food truck event in Okeechobee's downtown. An evening to enjoy great food with friends and family. This night will include a DJ, craft vendors, and foods of all kinds. Main Street will provide volunteers for trash clean up and Port A Lets in the North East corner of Park 3. The DJ will set up under the gazebo. Proceeds usage: Proceeds of this event will go to the operations and continuing efforts of Okeechobee Main Street to enhance the downtown area as the heartbeat of the community. Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 IN #3 ❑ #4 ❑ #5 ❑ #6 [Park 3 is location of Gazebo. Park 4 is location of Bandstand] (If other private property used in conjunction with this Park Use Permit please provide the address and parcel number below along with notarized letter of authorization from property owner) Additional Addresses, if applicable Parcel ID: Page 2 of 3 Revised 11/4/16 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings 1st & 3rd Tuesdays but subject to change) Address of Event: Street(s) to be closed: Date(s) to be closed: Time(s) to be closed: Purpose of Closing: arks Attachments Required for Street /Sidewalk Closings ® Site Plan ® Site Plan 1t- 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 and R.E. Hamrick Testamentary Trust as Additional Insured. ® Proof of non- profit status (IRS Determination Letter) ® Original signatures of all residents, property owners and business owners affected by the closing. ® State Food Service License if > 3 days. I® State Food Service License if > 3 days. ® Notarized letter of authorization from property owner, if applicable.* (- State Alcoholic Beverage License, if applicable. ** * Required if private property used in conjunction with a Park Use application. ** Alcoholic beverages can be served only on private property. Alcoholic beverages NOT ALLOWED in City Parks, City streets or City sidewalks. See additional note below. ❑ Please check if items will be sold on City streets /sidewalks. Each business will need to apply for a Temporary Use Permit 667 along with the Street Closing application. Note: P 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 ■ • - • - _ . - .. ired when closing a street for more than three (3) hours. * * *NO CITY WATER SOURCE WILL BE UTILIZED * ** App scan 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 arises 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 costs 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 cashier's check or 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 of this Park Use /Street Closing Permit. Page3 of3 Revised 11/4/16 I hereby acknowledge that I have read and completed this application, the attached Resolutions No.(s) 03 -8 and 04 -03, concerning the use and the rules of using City property, that the infoiination is correct, and that I am the duly authorized agent of the organization. I agree to conform with, abide by and obey all the rules and regulations, which may be lawfully prescribed by the City Council of the City of Okeechobee, or its officers, for the issuance Certificate of Insurance must name City of Okeechobee as Additional Insured as well as R.E. Hamrick Testamentary Trust if closing streets or sidewalks. ittikasq Applicant Signatur //1 /17 Date/ ) •••OFFICE USE ONLY•••• Staff Review Fire Department: Date: ! , Gtr - �i "l Building Official: 4 �,� G- Date: LI '2.17 Public Works: Police De . artment: BTR Department: EPAR: �-/ Date: 6 ^ /- 17 vim �/ Date: `� S h 7 vae % Os 14 Date: q : 'J / City Administrator: I Date: c(715/ /7 City Clerk: SAU h; i Date: t-6 I i/ J ri 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 N /1q Date Temporary Street and Sidewalk Closing reviewed by City Council and approved + ft Date • RESOLUTION NO. 03 -8 A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA TO ESTABLISH GUIDELINES FOR USE OF PUBLIC PARKS OR OTHER LANDS OWNED BY THE CITY OF OKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; OR THE 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 REQUIREMENT; 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 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. THAT 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 tV, 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 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. THAT 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. THAT 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 maybe 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'" day of Auqust„ 2003. Lane Gamiotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: o Cook, City Attorney Page 2 of 2 James. E. Kirk, Mayor 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 BY THE CITY OF OKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; PROVIDING FOR AUTHORITY TO REVIEW SUCH 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. THAT 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 regulations 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 limited to parades, or those which draw a large number of people, require significant incurring of costs Page 1 of 2 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 City. e. For activities in Flagler 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 16 "d day of March, 2004. " - .ATTEST:_' La " e• Gamete . , City Clerk r 2__ REVIEWED FOR LEGAL SUFFICIENCY: ��a2.JZ John R. Cook, City Attomey • Page 2 of 2 �7/ James. E. Kirk, Mayor 9 Exempt Organizations Select Check Page 1 of 1 Organizations Eligible to Receive Tax - Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax - exempt organizations that are eligible to receive tax - deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax - exempt organizations. Results are sorted by EIN. To sort results by another category, dick on the icon next to the column heading for that category. Clicking on that icon a second time will reverse the sort order. Click on a column heading for an explanation of information in that column. 1 -1 of 1 results Results Per Page 25 v OK « Prev I 1 -1 I Next (Doing Business As)._ a w 65- 0887929 Okeechobee Main St. Inc. Okeechobee FL United States « Prev I 1 -1 I Next » Return to Search https: / /apps.irs.gov /app /eos /pub78Search.do ?ein 1 =65- 0887929 &names= &city= &state= A11... 3/21/2017 2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# N99000000045 Entity Name: OKEECHOBEE MAIN STREET, INC. Current Principal Place of Business: 55 S. PARROTT AVE OKEECHOBEE, FL 34972 Current Mailing Address: 55 S. PARROTT AVE OKEECHOBEE, FL 34972 US FEI Number: 65- 0887929 Name and Address of Current Registered Agent: GARNER, BRITTANY N 55 S. PARROTT AVE OKEECHOBEE, FL 34972 US FILED Mar 15, 2017 Secretary of State CC1401408994 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: BRITTANY CARNER 03/15/2017 Electronic Signature of Registered Agent Officer /Director Detail : Title Name Address City- State -Zip: Title Name Address City- State -Zip: P GRIFFIN, ANGIE 313 SW PARK STREET OKEECHOBEE FL 34974 S BRAGEL, PAULETTE 55 SOUTH PARROTT AVENUE OKEECHOBEE FL 34972 Title Name Address City- State -Zip: Title Name Address City- State -Zip: VP HEDDESHEIMER, MARION P.O. BOX 2338 OKEECFIOBEE FL 34973 T SCHERRER, GARY 55 S. PARROTT AVE OKEECHOBEE FL 34972 Date 1 hereby certify that the information indicated on this report orsupplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that t am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 61/, Honda Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE:ANGIE GRIFFIN PRESIDENT 03/15/2017 Electronic Signature of Signing Officer /Director Detail Date OKEEMAI -01 SOHARE r A, . - - -- CERTIFICATE OF LIABILITY INSURANCE `--'' DATE 11 /14 /201 YY) 11114/2016 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 have ADDITIONAL INSURED provisions or 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 8r Parr 24 Commerce St. Baltimore, MD 21202 CONTACT NAME: PHONE FAX (ac, No, Ext): (410) 685 4625 (MC, No) :(410) 685 -3071 ADDRESS: 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 : 4025933977 INSURER C: 07/01/2017 INSURER 0 : S 1,000,000 INSURER E : INSURER F : X VERAGES 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 POLIC ES 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 SUER WVD POLICY NUMBER POLICY EFF (MMIDDIYYYYI POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 4025933977 07/01/2016 07/01/2017 EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 1,000,000 5 MED EXP (Any one person) 5 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JEC LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: S UTOMOBILE LIABILITY AUTOMOBILE COMBINED SINGLE LIMIT (Ea accident) S — _ ANY AUTO BODILY INJURY (Per person) S OWNED AUTOS ONLY AUTOS ONLY _ SCHEDULED AUTOS AUTOS ONLYY BODILY INJURY (Per accident) 5 PROPERTY acRidentDAMAGE S S — UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S OED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTH- ER OFFICER/MEMBER EXCLUDED? ECUTIVE (Mandatory In NH) Y / N N I A E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The R.E. Hamrick Trust is listed as an additional insu ed. The R.E. Hamrick Trust owns the property that Okeechobee Main Street occupies. CERTIFICATE HOLDER CANCELLATION R.E. Hamrick Trust 55 SE 3rd Avenue 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OKEEMAI -01 SFISHER A � �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYWY) 7128/2016 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: (HONK , Exth (410) 685 -4625 (A C, No); (410) 685 -3071 E-MAIL ADDRESS: 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 : 4025933977 INSURER C: 07/01/2017 INSURER D : 5 1,000,000 INSURER E: INSURER F : X 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 LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 4025933977 07/01/2016 07/01/2017 EACH OCCURRENCE 5 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5 1,000,000 MED EXP (Any one person) S 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X POLICY , PRO- JECT LOC PRODUCTS - COMP /OP AGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED RETENTION$ s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N / A PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) y / N E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mo a space Is requl ed) City of Okeechobee is named as Additional Insured. CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34874 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 ACGPRb CERTIFICATE OF LIABILITY INSURANCE `----- DATE(MMIDDIYYYY) 9/28/2016 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 Robins Insurance Agency, Inc 30 Burton Hills Blvd. Suite 300 Nashville TN 37215 CONTACT Small Business Unit PHONE Extt: (615) 665 -9200 0 No): (615)665 -9207 DDR EMAIL SS: bbacheQrobinsins . com AE INSURER(S) AFFORDING COVERAGE NAICit INSURERA:southern Owners Ins 10190 INSURED What's Cooking Inc DBA: Gourmet Truck Expo 200 SW 32nd Avenue Deerfield FL 33442 INSURER B : 03928331 Blanket Waiver subrogation INSURER C: 7/18/2017 INSURERD: S 1,000,000 INSURER E : INSURER F: X COVERAGES CERTIFICATE NUMBER:2016-17 MASTER COI • 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 LTR TYPE OF INSURANCE ADM. INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 03928331 Blanket Waiver subrogation 7/18/2016 7/18/2017 EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X OCCUR DAMAGE EMI S(E occurrence) PREMISES (Ea occurzence) 5 300,000 MED EXP (Any one person) $ 10, 000 PERSONAL &ADVINJURY $ 1,000,000 GEN'L AGGREGATE X POLICY X OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP /OPAGG $ 3,000,000 Hired & Non -Owned Aut $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 03928331 7/18/2016 7/18/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per ( ) $ PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y t N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate Holder is included as an additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION 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 Bruce Robins /BACH ACORD 25 (2014/01) INSO26 /mum) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Patty Burnette From: Brittany Carner <brittany@okeechobeemainstreet.org> Sent: Monday, April 24, 2017 10:29 AM To: Patty Burnette Subject: RE: Food Truck Permit From: Patty Burnette [ Sent: Monday, April 24, 2017 10:18 AM To: Brittany Carner Subject: RE: Food Truck Permit Patty Burnette From: Patty Burnette Sent: Monday, May 01, 2017 11:56 AM To: Herb Smith; David Allen; Bob Peterson (rpeterson @cityofokeechobee.com); 'Igamiotea @cityofokeechobee.com' Cc: Jessie Weigum (jweigum @cityofokeechobee.com); Donald Hagan Subject: Reminder for upcoming Food Truck Event Attachments: May 11th Food Truck Event.pdf Attached is a copy of the permit, application and site plan for the upcoming Food Truck Event being held May WI' in Park 3. Please schedule your staff as required or needed. Thank you, Patty PcM y M. 6 ►.w Hv genera(Services Coordinator City of Okeechobee 55 Southeast 3rcbgtvenue Okeechobee, EL 34974 Tek 863-763 -3372 Direct: 863 - 763 -Q82o `Fax: 863 - 763 -1686 e -mail pburnette@cityofokeechobee.com website: tivww.citjofokeechoiee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. 1 Patty Burnette From: Patty Burnette Sent: Monday, May 01, 2017 11:59 AM To: Brittany Carner (brittany @okeechobeemainstreet.org) Subject: Food Truck Event May 11th Attachments: 013 -Food Truck Invasion Downtown.pdf Good Afternoon Brittany. Attached is the permit for the next Food Truck Event. Have a good day, Patty Party M. raw ii-e;f-te, genera6Services Coordinator City of OQeecho6ee 55 Southeast 3rd Avenue Oheecfi.oLee, `FL 34974 `feh 863 - 763 -3372 Direct: 863-763-9820 Tax: 863- 763 -1686 e -maid y6u.rnette @city ofokeecho[ee.com wefsite: www.cityofoheec6o6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure.