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Temp Street Closing - FBC Fall FestivalPage 1 of 3 Revised 3-21-17 CITY OF OKEECHOBEE OF•Okt;y 55 SE THIRD AVENUE ,/�``.y % 4V M `� 14 z :LL , i `=�r--c' <A,„1,.. I,t 1•'' OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: lo - y-18 Date Issued: /0-17 -/ Si Application No: /? - pp 9 Date(s) & Times of Event: /a .. , -, g M A4 - 9�,�fy Information: Organization: First Baptist Church of Okeechobee - Mailing Address:401 SW 4th Street, Okeechobee, FL 34974 Contact Name: Melanie Rooks, Director of Recreation and Childrens Ministry E -Mail Address: melanie@fbcokee.org Telephone: Work: 467-7625 (ROCK) Home: Cell: 772-633-9777 Summary of activities: Fall Family Festival outside activates such as booths with games. music. bounce house/inflatable slides/similar inflatables Will have candy and other types of goodies/refreshments. Parking will be at the ROC, the main church campus and the Mission House. Festival will be held on the recereation fields located south of the ROC and west of the main campus. The festival is to provide an alternative to going door-to-door trick or treating, focusing on children in grades 5 and younger. See attached map indicating the portion of 4th Street requesting to be closed, the recreation field, the ROC and the parking areas. There is power at the fields for the inflatables and temporary lights will be provided. Rest rooms are located at the ROC. We are requesting barricades for 4th Street, as well as City Police Officers to assist with pedestrian traffic across SW 5th Avenue/ Proceeds usage: There is no charge to attend or to participate in any of the activities. FBC is a non-profit organization. Please check requested Parks: Flagler Parks: � City Hall Park o #1 Memorial Park o #2 o #3 o #4 o #5 o #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 310 SW 5th Avenue, Okeechobee, FL 34974 & block south of this address Parcel ID: ROC: 3-15-37-35-0010-01800-0010 02; rEC fIELD: —1880-0040, -01880-0010 -01880-0070 & -01880-0110 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: Open field South of 310 SW 5th Avenue, Okeechobee, FL 34974 Street(s) to be closed: SW 4th St between 5th & 6th Avenues and any part of 5th Ave as Police Dept deems necessary for safety Date(s) to be closed: Wednesday, October 31, 2018 Time(s) to be closed: Approximately 3:OOpm to 9:OOpm Purpose of Closing: Pedestrian crossing from the ROC (parking and rest rooms) to the recreation field Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan See attached ► 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.See attached Proof of non-profit status (IRS Determination Letter) ► Original signatures of all residents, property owners and business owners affected by the closing. N/A ► State Food Service License if > 3 days. ► State Food Service License if > 3 days. _ N/A ► Notarized letter of authorization from property owner, if applicable.* ► State Alcoholic Beverage License, if applicable.** N/A * 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: ► 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 naive City of Okeechobee as Additional Insured as well as R.E. Hamrick Testamentary/�Trustif closing streets or sidewalks.` ''1 kij d...•�� K -,-/j a- 41 w 2, 2 01 g Applicant Signature Date ••••OFFIC SE ONLY•••• Staff Review 0 Fire Department: (/ / Date: Of oG'7'..20/e Building Official: / Date: 1 i7.4 • `$ Public Works: Date: '9 Police Department: Date: /P ---5--/e9 BTR Department: /'i7fl '`!./i7Ulw Date: l0 - i? City Administrator: Date: (c 7 Y City Clerk: 411Ak_iaiiti ` --Lis_,. Date: D- /k_ /8 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 /d// , // $' Date Temporary Street and Sidewalk Closing reviewed by City Council and approved l0 I/ Ill Date Go')gle Maps Frif Au 0 : art% a t 44 t: geld • Recreation Field FBC Mission House Parking r -+ FBC Main CampusYi5'td1 °7 dd 3 FBC Parking r FBC Parking ' °' � � + ' 'I'-;1.1!;* i pia 4 FBC Parking d'.�••"�i c. "'Y..w •_'.,5..' =°d '. '�.' ! 1�A AIA • tfe'tabit., �+ se:>' . fav;�s 44.4 4... .. , . •t:., r �1-Jl. . �_ :_J-_. _ ... f, ` ..Yl.::..,... �i.9":., '.,i"ia�a: Lrk7t t:. nr',_.? Imagery 02017 Google, Map data ©2017 Google United States 100 ft - —_ f 6C O e-etiobex, Temnoriry Sfree-/- Cf"oseig ,bplrM' o6 Wed) CO-. 31, aol 6, 3:06 a vo Pnn raniiy Vie. Creon F e -/d 5ocdh 0' P.Q. 3/0S/(15 m A -venin. &LrrL&d&, v Pah tt 1 /Or -Gid be yo/aced �Sf ft e - Gt Y- li►L-��Gh-d.R-t! @�t,� �� 5 n. a �0-n, SO � �ti 10q -h 4vfl u,2.5 07 -0, -(ccs S- open on Wu. 1i c ti'A) 113rJ6 Gt -Q win isL ikto 1-11A6,c=IZ T7.4-4JJ /0K/t9 FIRSB-1077 GCODY i ACORO" CERTIFICATE OF LIABILITY INSURANCE �� DATE 10/15/2018 10/1512018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Church Asset Management, Inc. 1500 Wall St. Saint Charles, MO 63303 CONTACT Glenda Cody 1JAME: AAHONE No, Ext): 4261 FAX, No): ioDRIE$s,gcody@Itcam.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : GuideOne Mutual Insurance Company INSURER B : 15032 INSURED First Baptist Church of Okeechobee 401 SW 4th St Okeechobee, FL 34974 INSURER C : 1423-828 - INSURER D : 12/01/2018 INSURER E : $ 1,000,000 INSURER F : $ 1,000,000 $ 10,000 EVISION 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 WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP IMMIDDIYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY 1423-828 - 12/01/2017 12/01/2018 EACH OCCURRENCE $ 1,000,000 NMSEOEEONccTuErrDQce) $ 1,000,000 $ 10,000 CLAIMS -MADE OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ AUTOMOBILECOMBINED LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY SINGLE LIMIT �Ea c_Olit $ 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 PROPRIIETOR/PARTNER/EXECUTIVEN Mandatory In NH) EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below Y / N / A STATUTEPER ETH 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) Certficate Holder Is shown as Additional Insured regarding: Fall Fest on Wednesday, October 31, 2018 509 SW 4th Street Okeechobee FL 34974 There will be food, and kld games with approxlametely 1,000 In attendance Cityof Okeechobee and R.E. Hamrick Trust 55 S.E. Third 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. AUTHORIZEDTHy�/REPRESENTATIVE d ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. Ail rights reserve. The ACORD name and logo are registered marks of ACORD Jackie Dunham From: Melanie Rooks <melanie@fbcokee.org> Sent: Tuesday, October 02, 2018 9:37 AM To: Jackie Dunham Subject: First Baptist Church Fall Festival Good morning, Requesting to have SW 4th Street between 5th and 6th Avenues on 10/31/18 closed from 3pm to 9pm for First Baptist Church annual Fall Festival for the community. Also, do or can we get barricades from the city for this event? We thank you for considering this request. Melanie Rooks Director of Children and Recreation Ministry First Baptist Church Okeechobee 772-633-9777 cell 863-467-7625 office 1 Jackie Dunham From: Jackie Dunham Sent: Wednesday, October 17, 2018 1:11 PM To: Melanie Rooks (melanie@fbcokee.org) Cc: Gil Culbreth (gil@gilberthasit.com); Mike Hamrick (mhamrick@manateelegal.com) Subject: FBC Fall Family Festival Street Closings Please be advised at the regular City Council Meeting held 10/16/18 your requested street closing was approved. The street closing on the Agenda read as follows: Consider a Temporary Street Closing application submitted by First Baptist Church of Okeechobee for a Fall Family Festival on October 31, 2018 from 3:00 p.m. to 9:00 p.m., closing SW 4th Street between SW 5th and SW 6th Avenues and any part of SW 5th Avenue as the Police Department deems necessary for safety. Wishing you a successful and safe event. JackieVw'tha rni Awa OveiSe.cretcwy Cray of Okeechobee 55 SE Th rd/Avonue. Okeecholyee., FL 34974 863-763-3372 (Ma.wv) 863 -763-9821 (Direct) 863 -763-1686 (Fax) jdunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1