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Temp. Use Permit-2017 Christmas Tree SalesCity of Okeechobee 55 S.E. 3rd Avenue Okeechobee, Florida 34974 (863) 763-9821 Temporary Use Permit Permit Number: 17-007 Date(s) of Event: Nov 18 — Dec 16, 2017 9AM -9PM Permit Expiration: December 16, 2017 11:59 A.M. Purpose of Request: Christmas Tree Sales Property Owner: Downtown Okeechobee LLC Address: 205 SW Park St. City: Okeechobee State: Florida Zip Code: 34974 Applicant: GFWC Okeechobee Junior Women's Club, Inc. Address: 1800 SW 3rd Avenue Phone Number: 863-634-6322 Address of Project: SW Park St, Lot 6, Block 167 Current Zoning: Commercial Business District (CBD) FLU Designation: Commercial (C) Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 48 hours of expiration date. Owner understands and agrees to the following: X Issuance of a permit may be subject to other conditions and time limitations. X Issuance of a permit is not authorization to violate public or private restrictions. X Failure to comply with applicable regulations may result in withholding future permits. X There may be additional permits required from other governmental entities. ce t" tha / ••• idll i(.4A)(1L A�L.1 ve examined this permit, it is correct and I will abide by its requirements. Iicant's Sig ture ministrative Secretary REF: .ORD.716, Temporary Structures Date CITY OF OKEECHOBEE General Services Department, Room 101 55 Southeast 3rd Avenue Okeechobee, FL 34974 e ___ 863-763-3372 ext. 217 Fax: 863-763-1686 • ,,,,,, - �T , a : ��,`` • DATE RECEIVED: (i 1 i 3 - DATE ISSUED: /' _ / 5 _ f 7�$``��'0.4.:`' APPLICANT II APPLICATION N0: DATE(S) OF EVENT: f � , • � (� � c 7 I GU,,t ' FEE:. $175.00 DATE PAID:4. o/ If Non-Profit/Civic Organization Telephone Numbers: Home: Work: �� "" TEMPORARY USE PERMIT APPLICATION URES (sEc 666 • cc w a Q, ((71L-`- 1T7 1 . / rte_ , • ♦.rYI • _...' Future Land Use Map Designation: U4 -J4 -i4/7-- (j)l"CurrentZoning Designation: C6 4 Legal Description of Property: 3-15: 37 - 35 - U6 (D - 611r-7 - 00 t,20 APPLICANT II Name of Property Owner(s): . J' -1,0 `4 .r11 < Poems L 1_ C Address: a(), S L f Glnic S"f' dA•c_c_th6-k:e e. Telephone Numbers: Home: Work: Mobile/CeIL:y�� o Pager: Name of Applicant: CSFW C L0 keezhcQ Jt-uoQ-- Worn ccti•5 ('�-t,ctro. atc_-- Address: I qC) 5C) 3(c1 fwLcc? Cklee_kcaki€, LL 3447ii_ Telephone Numbers: Home: Work: Mobile/Cali: 5q -6,52-L Pager: • cc w a Q, ((71L-`- 1T7 1 . / rte_ , • ♦.rYI • _...' Future Land Use Map Designation: U4 -J4 -i4/7-- (j)l"CurrentZoning Designation: C6 4 Legal Description of Property: 3-15: 37 - 35 - U6 (D - 611r-7 - 00 t,20 Address of Property: c ) 1 6zAk St‘)/),(',_ 2.-h ' ' ` 3 Please Explain Type of Use: Nti L4 i -la..O 0 '4-Q:L /, Briefly describe use of adloining property: North: F " ' a..-` 0..bi. * 3 East: 1 s -bp P • G� A + South: � Gini el, p I i�.wk �--41� West: �(,t.,�� c•' -'r) 's �- Other temporary structures subject to the following regulations: 1, Christmas tree, fireworks and similar seasonal sales operated, by a non-profit organization. 2. Carnival, circus, fair or other special event operated by a non-profit organization on or abutting their principal use. " 3. Commercial carnival, circus or fair in commercial or Industrial districts. • 4. Similar temporary structures where the period of use will not exceed 30 days a year. The applicant shall: 1. Submit proof of liability insurance, paid In full covering the period for which the permit is issued, In the minimum amount of $1,000,000.00 per occurrence. 2. Remove all debris within 48 hours of expiration of permit 3. Have notarized written permission of property owner, If applicant is notthe property owner. 4. Submit Sfte Plan * . 5. Submit State inspection Certificate(s) 6. S,rrrit State Annual Permit • fib , ,/ 1i1d d ' this a lication is for use by the hereby ce y that City o Ok= -chobe= an •• • son = • ,. / 0141. e/ . .o d e i>lformatlon on this application is correct. The Information nc u e in pp rocessing my request. False or misleading Information may be punishable by a fine of up to $600.00 up to thirty d s and may result in the summary denial of this application. • ture of Appllca • Date City Staff (Please review me application, attach commtalw UI ONowal VV.INLIV.W/. Date:• ')jig' 1ri Occupational and/or State License Verification: j,� Fire Department Approval: Fire 1,' fib , ,/ ' Date: 1(�, l7 Police Departm- •` - • •v w . Date: l/// 7 1 Public Works Department Appr• -I: r ( Da e: ii- Ili- 17 Building Inspector Appr• al: �eA • Date: Y 1l `t City Administrator Approval: Date: `Y Revised00a bJa Jackie Dunham From: Holly Mixon <hollymixon@gmail.com> Sent: Tuesday, November 14, 2017 9:20 AM To: Jackie Dunham Subject: Re: Application for Kim Hargraves Attachments: image001.png Hi Jackie, The GFWC Okeechobee Junior Woman's Club will be sponsoring Christmas Tree sales this year. Thank you! Holly On Tue, Nov 14, 2017 at 9:18 AM Jackie Dunham<jdunham(aicityofokeechobee.com> wrote: Holly, I wonder if you could kindly send me an e-mail stating that the GFWC is sponsoring the Christmas Tree Sales for One Stop Party this year at the vacant lot located next to Downtown Okeechobee, 205 SW Park Street? Since Kim has to name GFWC on the application it really should have your signature on it instead of hers but to get this moving along I will accept an e-mail. Thank you so much. X Ja ckd ei Dt vtha.vvv A clittim.i.strat'we. Secretary Cray of O1cR-echalyee. 55 SE Thi;rd/Avevu,te Oke-ecl-talyee/, FL 34974 863 -763-3372 (Madn�) 863 -763 -9821 (Durect) 863-763-1686 (Fax) j dunhamAcityofokeechobee. com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i Certificate of Flame Resistance '- FIRE Registered Fabric or Concern Number F-12123 Issued By: Trivantage, LLC 1831 North Park. Ave. Glen Raven, NC 27217 Date treated or manufactured: 09/16/2013 This is to certify that the, materials described below have been treated with a flame-retardant chemical or are inherently nonflammable. FOR: Trivantage, LLC CITY: Glen Raven Certification is hereby made that: (Check "a" or "b") (a) The articles described at the :bottom of this Certificate have been treated with aflame -retardant chemical. approved and registered by the State Fire Marshal and the application of said chemical was done in conformance with the laws of the. State of Califomia and the Rules and Regulations of the State. Fire Marshal. ADDRESS: 1831 North. Park Ave. STATE: NC 2721.7 Name 'of chemical. used: Chemical Registration #r Method of: application: (b) The articles described' atthe bottom of this' Certificate are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade Name of:flarne resistant fabric or material Used: RENTERS CHOICE la OZ Registration #: F-12123. The. Flame -Retardant Process Used Will Not Be Removed By Washing ALBERT E.JOHNSON VICE.PRESIDENT, BUS. DEVELOPME Name of. Applicator or Production Superintendent Title RCN # .100 968340.16:103 96834016.79 CUSTOMER ORDER NO. FRED/ ROAD SAL. CUSTOMER INVOICE NO. 266852 YARDS OR QUANTITY 1000.00 DESCRIPTION Renter's .Choice. Blackout 61" 16 -oz White (Standard Pack 100 Yards) ITEM NUMBER ;;968340.':: We hereby certify the above to accurately reflect the information. contained. within a"CERTIFICATE: OF FLAME. RESISTANCE" issued: to Trivantage, LLC from the registrant set forth above. A copy of the original Certificate of Flame Resistance is available upon request to Trivantage, LLC: and the registration information, set forth above is on record with the California State Fire Marshal:.. MAILING ADDRESS A 1 TENTS AND STRUCTURES 234 WEST 24TH ST HIAI..EAH. FL :33010 1 STOP -1 OP ID: ME '` R11 CERTIFICATE OF LIABILITY INSURANCE L....--- DATE(MMlDD7YYY1� 11/0212017 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 thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Pritchards & Associates, Inc. 1802 S Parrott Ave Okeechobee, FL 34974-6179 Kristina M. Morgan CONTACT Kristina M. Morgan PHONE FAX (Arc, No, Ext): 863-763-7711 (WIC, No): 863-763-5629 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC t INSURER A : Ohio Security 24082 INSURED 1 Stop Party Shop, LLC 319 SW Park Street Okeechobee, FL 34972 INSURERB: BKS57419072 INSURER C: 06/30/2018 INSURER D : $ 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 SUB' WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIY YY) LIMITS A X COMMERCIAL GENERAL LIABILITY BKS57419072 06/30/2017 06/30/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- 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 REIENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ¥ ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below f N 1 A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTJFICATE HOLDER CANCELLATION CITY -92 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 TI ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 STOP -1 OP ID: ME 4COR'0 CERTIFICATE OF LIABILITY INSURANCE 4.....,-11 DATE(MM/Y) !02!22017017 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 Pritchards & Associates, Inc.PHONE 1802 S Parrott Ave Okeechobee, FL 34974-6179 Kristina M. Morgan CONTACT NAME: Kristina M. Morgan FAX `AfiANo, Ex ): 863-763-7711 j (NC, No): 863-763-5629 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 1 INSURER A: Ohio Security INSURER B: 24082 INSURED 1 Stop Party Shop, LLC 319 SW Park Street Okeechobee, FL 34972 INSURER C BKS5741907206/30/2017 INSURER D : 06/30/2018 INSURER E : $ 1,000,000 INSURER F : $ 300,000 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. ILTSRR TYPE OF INSURANCE INSD SUBR POLICY NUMBER POLICY EFF (MMIDDIYWY) POLICY EXP (MMIDDlYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY BKS5741907206/30/2017 06/30/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (My one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER LIMIT APPLIES PRO JECT PER LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT accident) $ _(Ea 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 Y ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes. descnbe under DESCRIPTION OF OPERATIONS below / N N ! A PER STATUTE H- ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) CANCELLATION Downtown Okeechobee LLC 320 SW Park Street Okeechobee, FL 34972 DOWNT-2 ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE W1TH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _,_y 211142 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 STOP -1 OP ID: ME ACORO 2 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD1YYYY) 11/02/2017 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 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 Pritchards & Associates, Inc.PHONE 1802 S Parrott Ave Okeechobee, FL 34974-6179 Kristina M. Morgan CONTACT NAME: Kristina M. Morgan FAX (AIC No, Ext): 863-763-7711 (NC, No): 863-7635629 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 9 INSURER A : Ohio Security 24082 INSURED 1 Stop Party Shop, LLC 319 SW Park Street Okeechobee, FL 34972 INSURERB: 06/30/2017 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 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 A SD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDiYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILrtY BKS57419072 06/30/2017 06/30/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DR PRAMAGE EMISES RE cu�ence) $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENII_ AGGREGATE POLICY OTHER LIMIT APPLIES JE 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' LIABILITYY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERJMEMBER EXCLUDED? (Mandatory in NH) I1 yes, descnbe under DESCRIPTION OF OPERATIONS below / N N / A PER STATUTE OTH- ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY -92 Cityof 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 ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ->i-240/1 c /5 c(P N 1 6-01 1. MI?1pd PlgUQ s LEASE AGREEMENT This Lease Agreement ("Lease") dated this 7th day of November, 2017, by and between DOWNTOWN OKEECHOBEE, LLC, ("Landlord") and KIM HARGRAVES dba "ONE STOP PARTY SHOP", ("Tenant"). The parties agree as follows: PREMISES. Landlord, in consideration of the lease payments provided in this Agreement, leases to Tenant, VACANT COMMERCIAL LOT #6, BLOCK 167 OF THE CITY OF OKEECHOBEE, AS RECORDED IN PLAT BOOK 1, PAGE 10, PLAT BOOK 5, PAGE 5, Okeechobee, Florida 34972, consisting of approximately .162 ACRES. (the"Premises".) TERM. The lease term shall be for a minimum period of one (1) month. The lease term shall commence on November 16, 2017, and shall terminate on December 16, 2017. LEASE PAYMENTS. Tenant shall pay to Landlord the sum of $786.47 plus applicable sales tax ($55.05), with said payment being due in the sum of $841.51 upon execution of this Lease agreement. ADJUSTMENT OF TERM AND PAYMENT. Notwithstanding the lease TERM commencement and termination dates defined above, the lease term shall be increased on a per diem basis, measured by the number of days prior to November 16, 2017, if any, that Tenant places personal property on the Premises, including but not limited to the erection of a tent or the storage or stocking of personal property or goods, on the Premises. The lease term shall also be increased on a per diem basis, measured by the number of days after December 16, 2017, if any, that Tenant's personal property remains on the premises, including but not limited to its tent or other personal property, and any waste generated by Tenant's use of the Premises. The per diem rate for days utilized as described herein, shall be $25.37, plus applicable sales tax ($1.78), and shall be payable upon Tenant vacating the Premises. LIABILITY INSURANCE. Tenant shall maintain public liability insurance in total aggregate sum of at least SA00010100. DCS Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force. INDEMNITY REGARDING USE OF PREMISES. Tenant agrees to indemnify, hold harmless, and defend Landlord from and against any and all losses, claims, liabilities, and expenses, including reasonable attorney fees, if any, which Landlord may suffer or incur in connection with Tenant's use of the Premises. DANGEROUS MATERIALS. Tenant shall not keep or have on the Premises any article or thing of a dangerous, inflammable, or explosive character that might substantially increase the danger of fire on the Premises, or that might be considered hazardous by a responsible insurance company, unless the prior written consent of Landlord is obtained and proof of adequate insurance protection is provided by Tenant to Landlord. Page 1 of 2 DEFAULTS. Tenant shall be in default of this Lease, if Tenant fails to fulfill any lease obligation or term by which Tenant is bound. Subject to any governing provisions of law to the contrary, if Tenant fails to cure any default in rent within three (3) days, (or any other obligation within thirty (30) days), after written notice of such default is provided by Landlord to Tenant. Landlord may thereafter take possession of the Premises without prejudicing Landlord's right to damages. In the alternative, Landlord may elect to cure any default and the cost of such action shall be added to Tenant's financial obligations under this Lease. Tenant shall pay all costs, damages, and expenses suffered by Landlord by reason of Tenant's defaults. ATTORNEYS FEES. In any dispute arising from enforcement of this Lease, party shall be entitled to its reasonable attorney's fees and costs incurred. ASSIGNABILITY/ SUBLETTING. Tenant may not assign or sublease any Premises without the prior written consent of Landlord. NOTICE. Notices under this Lease shall not be deemed valid unless in writing, hand delivery or U.S. mail, as follows: LANDLORD: DOWNTOWN OKEECHOBEE, LLC 123 SW PARK STREET, OKEECHOBEE, FL 34972 LANDLORD: DOWNTOWN OKEECHOBEE, LLC By: DEVIN MAXWELL Its: Managing Member TENANT: KIM HARGRAVES 319 SW PARK STREET, OKEECHOBEE, FL 34972 T TENANT: ONES OP P ,1,1L. : y M • j '' ' • VES SHOP Page 2 of 2 the prevailing interest in the and served by 2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# N15000000595 May 02, 2017 Entity Name: GFWC OKEECHOBEE JUNIOR WOMAN'S CLUB, INC. Secretary of State CC9194309615 Current Principal Place of Business: 1800 SW 3RD AVENUE OKEECHOBEE, FL 32974 Current Mailing Address: 1800 SW 3RD AVENUE OKEECHOBEE, FL 32974 FEI Number: NOT APPLICABLE Certificate of Status Desired: No Name and Address of Current Registered Agent: TIJERINA, ALEXANDRA E 1800 SW 3RD AVENUE OKEECHOBEE, FL 34974 US 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: ALEXANDRA ELISE TIJERINA 05/02/2017 Electronic Signature of Registered Agent Officer/Director Detail : Title VP Title PRESIDENT Name MIXON, HOLLY Name TIJERINA, ALEXANDRA Address 1800 SW 3RD AVENUE Address 1903 SW 22ND TERRACE City -State -Zip: OKEECHOBEE FL 34974 City -State -Zip: OKECHOBEE FL 32974 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that 1 am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617. Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: ALEXANDRA ELISE TIJERINA PRESIDENT 05/02/2017 Electronic Signature of Signing Officer/Director Detail Date