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Park Use Permit-2017 Labor Day FestivalO ce_ 14frw Cc . )F OKEECHOBEE THIRD A VENUE CHOBEE, FL 34974 Tele: 863-763-3372 ext. 9821 Fax: 863-763-1686 e-mail: jdunham(c�cityofokeechobee.com Park Use Permit Permit Number: 017 Date(s) of Event: September 3`d & 4th, 2017 8AM-9PM Permit Expiration: September 4, 2017 11:59PM Purpose of Request: Labor Day Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Okeechobee Main Street Phone Number: 863-357-6246 Current Zoning: P Subdivision: City of Okeechobee Applicant's Address: 55 S. Parrott Avenue Address of Project: Parks 2, 3, and 4 FLU Designation: Public Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. Reminder: Main Street responsible for emptying trash receptacles and replacing with new liners per Public Works Director. ,jack4;&l7uunnham/ August 16, 2017 Administrative Assistant Date Gtech. Lit .,41 �� �'^ ��L'v, `� `'v' j rri..�.G��es n.�-�-c ��' .06„LA.4 Pte- - z J-, a''�--_ • - `_� •'� "' „ , 0 Page 1 of 3 Revised 3-21-17 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 C Tele: 863-763-9821 Fax: 863-763-1686 PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: 7 - 31- 17 Date Issued: b - 1 5 -1 `7 Application No: j 7 - p 11 Date(s) & Times of Event: xPT 3, moi 7 — SEPT Lt, ..o , 7 Information: Organization: 04,eeche, be olhi N S+ eet- Mailing Address: SS S . PA 2i2.o Pwe . ( EC°hdbep I FL, 3.4_q3-, Contact Name: Obip-1-`1 j An it E-Mail Address: ] C pkeeehp ee i 1 N S -i ee , 0(� Telephone: Work: %3- 353- (pat-EtO Home: Cell: gie3 • (�23 • ,l,0 Summary of activities: Li- b �Tl v1,A) 1e 11 tr uaes L t e MONO Pt \/A121 &- Oc CI_Ai- ) F d and VPdo2At d A -cPee One. Shrew (s c.AelX) �c�Q =1r -t C-r 54.1ou wt DOT 1,xc&c=D lox/0 -I 7 (- Proceeds usa e: f012 'til►S diet 4 gj +he c s1 1aNs A-1Jd "INU1N_�j o s recls t:ecrhobec,r)ptio_silzeeal -}p e hR1`)&0 C U JtOWni A2eA RS-J E e012-1-tent n-)- Cog- ODi'1rnuNwt Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park '�-#2 ' #3 $ #4 9. 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: 614 3 aR ln D li7Zi AUL �ilCl.L t I GJF,Cj(( / Anil S R�'67A��L rr%S Date(s) to be closed: _Sep-leo-1 et , act 3 - . -1-eathelz 4, 90 l3 Time(s) to be closed: Purpose of Closing:TO 4i!bW Ser op of VeNAO_-S ANd USe of 5/R_:ef5 Attachments Required for Use of Parks I Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan ► 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. ► 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. o 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: O. 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 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. Page 3 of 3 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 information 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. Y GV \ -.-- \ --? \ \ --) Applicant i nature Date ••••OFFICE USE ONLY•••• Staff Review Fire Department: 0 1 Date: OA ALpys t7 Building Official: / l• Date: E:3•(•, 7 Public Works: --SZ-__1 /^ _ Date: 1 0 Police Department: 2 Date: �/Z / 7 BTR Department: 1 / / Date: / /09' City Administrator: Date: X:7/2— Clerk: le-City I f i AO bu, Date: g--' -17 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 8 - 1 5 - 1 1 Date Temporary Street and Sidewalk Closing reviewed by City Council and approved e - 1 5 " / 7 Date Sept. 3 & (Sun. & Mo In Hagler Parl on St. Rd. 70 10:OOam - 3:01 Parade Monc 10:00 am is and Crafts — Activities Handcrafted Go. Music N BBQ _Old -Fashioned FUN Also Featuring! Sunday Dkeechobee RC Assoc. Presentation! Monday vise in the Park Car Show! MOWS Corporate Sponsors Big Lake Cancer Center eBlood 1 Quail Creek Plantation Feed Co. 1 Seminole Brighton Casino For more information contact Main Street at 863-357-6246 o visit www.okeechobeemainstreet Flagler Park - Google Maps Google Maps Flagler Park LeA100(r-DckL fez -1/4 https://www.google.com/maps/place/Flagler+Park/@27.243 81,-80.8346833,709m/data=! 3 m... Okeechobee County Proprty. xffi_ Drivers L cense:0pice it v62ndtSt "4 Cotcast Service'Center 17.1 %h otz Draft. se ParkTSt Advance Au,o Parts �MP,�arkrSt _ sepMjkf iSu s`'" D Park. St- ; • _� SW Paiki St Chamberiof Commerce �j of OkeechobeerCountytW . Joey s Supre ue.c- -- Zia X511'^ SElPat k2-[ SW'2rid'St Ima ery ©2017 Goo Map data ©20 7 Google United States 200 ft •-pc(j )c_c{- ? vL3 } v k a N 1 of 4 7/21/17, 12:03 PM cr)S- '�6gr - . cr 1 .e yet Park #3 340 339 338 341 312 313 k IQ (1dc State Road 70 Subject to change. 337 336 335 334 333 w 332 331 326 324 323 a 318 315 317 321 320 311 310 309 308 307 306 305 304 303 302 301 Park #4 State Road 70 I Dentai I — I i ree Lanitai rawn 457-456 455 - 452 451 - 449 448-444 421 417-41S Raraar PPP! Fctata Park StrPPt ACORO OKEEMAI-01 SFISHER CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/10/2017 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 & Parr 24 Commerce St. Baltimore, MD 21202 INSURED Okeechobee Main Street 55 S. Parrott Avenue Okeechobee, FL 34972 CONTACT NAME: PHONE (A/C, No, Ext): (410) 685-4625 E-MAIL ADDRESS: FAX (A/c,No):(410) 685-3071 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Transportation Insurance Services, Inc INSURER B : 20494 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 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 SUBR WIND VD NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP D/ (MM/DYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X 4025933977 07/01/2017 07/01/2018 DAMAGETORENTED PREMISES (Ea occurrence) 1,000,000 $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jEeT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LWBILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ $ $ OWNED AUTOS ONLY AURRTEE SCHEDULED AUTOS BODILY INJURY (Per accident) �� AU WS ONLY _ ANUTOS ONLY (Perr acEcident�AM AGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER STATUTE OTH- ER AND EMPLOYERS LIABILITYY/ ANY PROPRIETOR/PARTNER/EXECUTIVE N E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is an Additional Insured. CANCELLATION Cityof Okeechobee and R.E. Hamrick TestamentaryTrust 55 SE 3rd Ave, Oke 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 Exempt Organizations Select Check Page 1 of 1 IRS Exempt Organizations Select Check Exempt Organizations Select Check Home 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, click 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 EIN Lelia! Name (Doing Business As) 65-0887929 Okeechobee Main St. Inc. Retum to Search Results Per Page 25 V OK City Okeechobee State .Country FL United States « Prev I 1-1 1 Next . Deductibility Status PC « Prev I 1-1 I Next « https://apps.irs.gov/app/eos/pub78Search.do?ein 1=65-0887929&names=&city=&state=Al1... 7/31/2017 Jackie Dunham From: Jackie Dunham Sent: Monday, July 31, 2017 3:51 PM To: Chief Herb Smith - City of Okeechobee (Chief Herb Smith); Chief Peterson; David Allen (dallen@cityofokeechobee.com); Kim Barnes (Kim Barnes); Lane Gamiotea (Igamiotea@cityofokeechobee.com) Cc: Patty Burnette Subject: Labor Day Festival and Street Closing Attachments: Labor Day Festival & Street Closing.pdf Attached is the application for the upcoming Labor Day festival in Parks 2-4. This will go to City Council for approval on August 15`h. A car show will be in Park 2 which was approved by David Allen. I was advised tents will not be larger than 10x10. If there are any changes Main Street is to advise. Basically it will be just food vendors, craft vendors and the car show. Please stop by to sign if you have no issues. I need to get this to Robin by Friday, August 4th for her agenda packets. Thank you. Jackie Du#n.ha nv Adtratwe' Secretary City of Okeechobee' 55 SE Thi,rd'Averwue Okeechobee, FL 34974 863 -763 -3372 (Main) 863-763-9821 (Direct) 863-763-1686 (Fa.40 jdunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i Jackie Dunham From: Jackie Dunham Sent: Wednesday, August 16, 2017 2:10 PM To: Jonathan (Jonathan@okeechobeemainstreet.org) Subject: Labor Day Park Use Permit Attachments: 017 -Labor Day Festival.pdf Please see the attached, approved permit and street closings for the upcoming Labor Day Festival. Best of success in your event. Jacki,e/DE44,thamv AciwamiAtrative.Secretary C Oxy of 0 keechv(yee. 55 SE Third'AvevvuA.e, OkeechtYlyee., FL 34974 863 -763 -3372 (Mad yv) 863-763-9821 (Dtrect) 863 -763 -1686 (Fair) j dunham(ai citvo fokeechob ee. 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: Sent: To: Subject: Jackie Dunham Wednesday, August 16, 2017 2:17 PM mhamrick@manateelegal.com; gil@gilberthasit.com Upcoming Approved Street Closings This is to advise you that at the August 15th, 2017 City Council Meeting the Council approved the closing of SW 3rd and 4th Avenues between North and South Park Street for the annual Labor Day Festival being held in Flagler Parks 2, 3 and 4. This event is being sponsored by Okeechobee Main Street. Jackt e Du.r ho v Ad471,14.14tra 'wee Secretary Cray otos 55 SE Thdrd/Avevute Okeechobee., FL 34974 863 -763-3372 (14ct vt.) 863 -763 -9821 (D%rect) 863-763-1686 (Fa40 jdunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i