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Temp. Street Closing - Labor Day ParadePLO ••t•6S coaNI Xc}. F.A.0 STATE GE FLORIDA DEPARTMENT OF TRANSPORTATION �, 'TEMPORARY CLOSING OF STATE ROAD PERMIT Date:\ l�L. 16 rQL i ! Permit Na. 2017 -F -191 -7 Approving Local Government Address n 3i :E1 Governmental Entit 550.04085 RWNrENANCE 12171 c,c.1' Contact Person L iZ, 34 7 n 1 es Telephone Mai. t (D5- 531 Email Organization Requesting Special Event Name of Organization F).-g• A. I. ('lt tb J14)(1_, Contact Person�i'i'1 ,{ .NtShop Address Lc ��_� I -`! Telephone (1(r -�.CI -ei-gq Email _ )d to {' G'\%l-(•t� 2iY-1 t I ") 1C( i'Y1 ft �..1 • Event Title ' nd escripti+ of Special Event L , - Date of Event ���(� '� t' ll i t 4; 7r Start Time L- 30 ,Ai-r) End Time / 1 ' 3U 40Y1 Event Route (attach map) e ,1I cc U'�l�l i nt •f'.' Detour Route (attach map) Name of Agency Law Enforcement Agency Responsible for Traffic Control I 41 Of: ()heUI bL US Coast Guard Approval for Controlling Movable Bridge Not Applicable [;( 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 Toss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shalt 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 to the public. Event Coordinat•r Law Enforcement Name/Title �'',s�/ '� ,mac%. £i�'i / `7f c. c/- /Signature • / Govemment Official Namerrtle -try I P •y2 Signature Si • natures of Auth 41111111M11111111T0111 Lion Signature FDOT Special Con its Date 0 Date 7///? Date °/ - Traffic Control shall comply with the, Federal _ Manual on Uniform Traffic Control Devices (MUTCD) and FDOT Design Standards 600 Series. FDOT Authorizat• Name/Title Signet Kevin T. Morrisey, District Permit Engineer Rude ?4.65.0035(1Xc), F.AC. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION TEMPORARY CLOSING OF STATE ROAD PERMIT Date: jLnt'a � 17 7 Approving Local Government Contact Person Governmental Entit Permit No. 850 - 040-65 MAINTENANCE 12/11 ,DKecc55 SE-- � ) DKeccho e.e r-t 54 97+ 7 + Telephone (6(.670- 70 551 Email / )l }a Yyj et) MINIM es Organization Requesting Special Event Name of Organization . y_�A ! �L/( ) no. /� , Contact PersoiTl I lf&6,%j shop Address 10-1U0 3t fi / "r9` 70J L�'l eo I'�1nb o c.�`7 1 Telephone (5t0,5-(901 4 q q O Email t (� hold l�" ( 0011/-) Event Title z Start Time 30 Am End Time Event Route (attach map) escripti • • of S • ecial Event ISTEMINIENFAINIMr oi/adiRutft Date of Event Detour Route (attach map) Name of Agency LYELaw E force ent Agency Responsible for Traffic Control LJ ∎Vitaff US Coast Guard Approval for Controlling Movable Bridge Not Applicable 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 Toss, 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 to the public. Event Coordinat Si • natures of Autho„, -. tion Law Enforcement Name /Title of : // /fL QOE!' ?/ ?cci_JSignature Government Official NamefTitle wry Gs; 4 ,fT,©2 Signature Signature FDOT Special Co s : itions Date Date 7///2 Date FDOT Authorization I Name/Title Signature Date INDEMNIFICATION AGREEMENT This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA, (hereinafter "CITY ") and I t-: i U b y 1 rlee (hereinafter "APPLICANT "), dated this 13 day of J l 1 r . , ,)O) 7 . 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 s • ecial event, festival, parade, or other activity to be held on JO day of rnboe- , &O) -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.. TITLES a, I- BY: 3a e ► e, b I.l, h k Ary TITLE: 6L-_-- C `cila R y FOR CITY USE ONLY ✓Proof of Liability insurance Corporate resolution completed /Other requirements (specify) - DEJ - Lt ■ rcemc� 1 BY: ETC J� e w� k AM TITLE: 6<= MC= i A R. Li DATE: A OC RC® CERTIFICATE OF LIABILITY INSURANCE 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 MARCUM & ASSOCIATES PO BOX 400 Okeechobee, FL 34973 DATE(MM/DD /YYYY) 7/19/2017 INSURED COVERAGES B.R.A.T. Club, Inc. 10700 Highway 70 East Okeechobee, FL 34972 863 - 801 -4996 CONTACT NAME James Marcum PHONE 863 467 -0331 PHONE NO.Ext): ) I � tk,)_ (863) 763 -5678 E -MAIL ADDRESS: admin@mymarcum.com INSURER(S) AFFORDING COVERAGE NAIC INSURER A Mount Vernon Fire insurance Company 26522 INSURER B INSURER C INSURER D INSURER E INSURER F: 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 POLICY EFF POLICY EXP ADDL. assn SUER YND POLICY NUMBER X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY OTHER: PRO- JECT I I LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAB EXCESS LIAR NBP2550342F (MMIDD /YYYY) 08/04/2017 (MM /OOIYYYY) 08/04/2018 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL B ADV INJURY GENERAL AGGREGATE LIMITS S 1,000,000 s 100000 $ 5,000 5 1,000,000 $ 2,000,000 PRODUCTS - COMPIOP AGG s 1,000,000 SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accden1) PROPERTY DAMAGE (Per accident) E $ OCCUR CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY °ROPRIETDRiPARIYER,EXECt1 HUE OFFICER,MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bee EACH OCCURRENCE AGGREGATE V/N N/A PER STATUTE OTH- ER E1. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 2017 Labor Day Parade E L DISEASE - POLICY LIMIT more space is required) CERTIFICATE HOLDER CANCELLATION Florida Department of Transportation 801 North Broadway Avenue Bartow, FL 33831 Fax: 863 - 763 -1686 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 AC ORD 25 (2013/04) ©1988 -2013 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3- r. '1 LI rAlyrft. eattle•IIII4t . 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Bernst PITS: View /Edit Permit Locations Page 1 of 1 FDDT Permit Information Tracking System User ID: MT110LB Help /MainXPermit LogY2017 -F -191 -7 (Road Closing)XTrackingYLocationsXCommentsXDocuments, Rmv S.R. # CountylCode Sect Subsect Begin MP End MP In RCI? GIS ❑ SR 70 OKEECHOBEE 191 070 000 9.069 9.489 Yes Q New v 'Enter New Location manually or Select from RCI 1 Save Cancel Pin 0MARRO WISIMMOn Questions or Comments? Contact Service Desk Web Policies and Notices Accessibility Statement You might need Word Viewer or Adobe Reader to view file downloads http: / /webapp01. dot. state. fl. us / permitinformationtrackingsystem /PITSDocumentList.asp 7/19/2017 Jackie Dunham From: Jackie Dunham Sent: Thursday, July 13, 2017 12:23 PM To: kevin.morrisey @dot.state.fl.us Cc: Lt. Bernst Subject: Upcoming Annual Labor Day Parade Attachments: Labor Day Parade Application.pdf I am attaching a copy of the application from the BRAT Club here in Okeechobee, Florida requesting street closure for the annual Labor Day Parade to be held on September 4th, 2017. They will need to update their Certificate of Insurance after 8 -4 -17 and I will send that to you as soon as I have it. Please let me know if you need anything in addition to this. Thank you. Jackie Du.nha/iw A cimai ni strat'we Secretary Cray of Okeechobee 55 SE Thi,rd/Avenue' Off, EL 34974 863 -763 -3372 (Mates) 863-763-9821 (DLrect) 863 -763 -1686 (Fca4w) idunham@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: Benton, Lori <Lori.Benton @dot.state.fl.us> Sent: Thursday, July 13, 2017 4:39 PM To: Jackie Dunham Subject: RE: B.R.A.T. Club Inc. Parade Jackie, I work for Kevin, I replaced David Smith. As for the MOT, I don't know how long it has been required (since I have only been in this position a few months), but it is part of the requirements for the permit per the Florida Administrative Code 14- 65.0035 (See below). Permitting will be going online next month and if the proper documents are not included, your permit will be rejected. We are trying to prepare everyone for what is coming by making sure to let you know in advance so there are no surprises. Once you have the MOT, most likely it will not change and you can use it for each parade. 14- 65.0035 Temporary Closing of State Roads Other Than Limited Access Facilities. (1) Procedures for Temporary Closing of State Roads Other Than Limited Access Facilities. The temporary use and closing of state roads for the purpose of special events, not related to construction, reconstruction, maintenance or emergency purposes, may be accomplished as follows: (a) A special event may be permitted by the appropriate local governmental authority. (b) Prior to temporary closure of a state road for a special event, the local governmental authority which permits the special event must determine whether a temporary closing of the road is necessary for the event and obtain prior written approval from the Department unless excepted as defined in subsection 14- 65.0025(1), F.A.C. (c) A Request for Temporary Closing /Special Use of State Road, Form 850 - 040 -65, 02/92, shall be submitted by the responsible official of the local governmental authority to the District Secretary, or designee, naming the sponsoring officials; stating that local law enforcement officials will manage all the details involved in administration of the event; and stating that as between the Department and the local governmental authority, to the extent permitted by Florida law, the local governmental authority will assume full responsibility for any liability claims arising from, or based on, the activities of the event. (d) The local governmental authority shall include with this request: 1. A certified copy of an excerpt from the minutes of a duly scheduled meeting, or duly executed resolution, of the governmental authority authorizing the special event. The governmental authority may, by resolution, designate a position within that body (Mayor, City Manager, etc.) to authorize and sign for the body; 2. A marked map, indicating the temporary detours to be utilized by the public; and showing the placement of appropriate signs; stationing of any officers or flagmen; and locations of barricades and cones necessary to detour the traffic in a safe and efficient manner; 3. A description of the provisions made for the temporary rerouting of traffic; and 4. Approval from the United States Coast Guard District Commander authorizing the opening or closing of any movable bridge within the geographical limits of the event during the time period of the road closure. (e) Prior to authorizing the temporary road closing, the Department shall review the proposed detour route to ensure that traffic volume will be handled and routed safely and efficiently. (f) Such closing of the state road shall not be for commercial use, except that any portion of a state - maintained roadway may be used for special events and special use as defined in paragraphs 14- 65.0025(2)(f) and (2)(g), F.A.C., of this rule chapter, together with such commercial activities necessarily related to such events. Nothing in this rule chapter shall be construed to authorize such special events on the interstate highway system, toll roads, or other limited access facilities. (2) Procedures Subsequent to Approval of Request for Temporary Closing of State Roads Other Than Limited Access Facilities. The Department will return a copy of Form 850 - 040 -65 indicating approval or disapproval to the submitting applicant. Upon receipt of a copy of Form 850 - 040 -65, Request for Temporary Closing /Special Use of State Road, 02/92, signed by a District Secretary of the 1 Department, or designee, the responsible official of the local governmental authority shall notify the applicant for the special event whether preparation for and execution of the special event may or may not proceed. (3) Form to Request Temporary Closing or Special Use of State Road. Copies of Form Number 850 - 040 -65, Request for Temporary Closing /Special Use of State Road, 02/92, is hereby incorporated by reference and made a part of this rule chapter. Copies of this form may be obtained by contacting any Department District Maintenance Office. Specific Authority 334.044(2), 337.406(1) FS. Law Implemented 316.003, 316.006(1), 316.008, 337.406 FS. History —New 1- 19 -89, Amended 4- 15 -92, 7 -1 -92, 12- 31 -96. We will help walk you through the new permit process once it goes live, around August 11th Please let me know if you have any other questions. :j;. ;/ . 21761t District Permits Coordinator FDOT 801 N. Broadway Ave. Bartow, FL 33830 (863) 519 -2319 From: Jackie Dunham [mailto:jdunham @cityofokeechobee.com] Sent: Thursday, July 13, 2017 2:39 PM To: Benton, Lori Subject: RE: B.R.A.T. Club Inc Parade I have requested something from the Police Department but we have never had to provide this in the past. Are you taking over for Kevin Morrisey? Jackde, DGmhami/ A cl n vugvatweiSecveta vy C6ty of Okeechobee, 55 SE T 2rd/Avevute' Okeechobe.ei, FL 34974 863 -763 -3372 (Moulin) 863 -763 -9821 (DiArect) 863 -763 -1686 (fa4o) j dunham(acityofokeechobee. com Website: http: / /www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 2