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Park Use Permit - The Gathering Praise & WorshipJackie Dunham From: Sent: To: Subject: Attachments: Jackie Dunham Tuesday, February 19, 2019 1:00 PM 'kingskidconnie@gmail.com' Revised Park Use Permit 001 -Gathering Praise & Worship.pdf Connie, I believe these are the dates you requested for your upcoming event. Please let me know if this is not correct or if anything else should change. Thank you. Jcuki e.Du.nha vw AciAttiAiti4trcWve.Secretary City of Okeechobee/ 55 SE Thied,Avevue/ Okeechobee', FL 34974 863 - 763 -33 72 (1 vv) 863-763-9821 (Direct) 863 -763 -1686 (lax) jdunham(acityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. i CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 X9821 Fax: 863-763-1686 e-mail: idunham(c�cityofokeechobee.com Park Use Permit Permit Number: 001. Date(s) of Event: Fcbruary 16, 2019 10AM 4PM Revised Date of Event: June 1, 2019 10AM — 4PM Permit Expiration: June 1, 2019 11:59PM Purpose of Request: The Gathering Praise & Worship Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Applicant: The Gathering Phone Number: 863-357-4418 State: Florida Zip Code: 34974 Applicant's Address: 1735 SW 24th Ave. Okeechobee, FL 34974 Address of Project: Park #2 Current Zoning: P FLU Designation: Public Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. The Public Works Director requests 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. Three tents being used are 20x40 without sides. Fire extinguishers will be on site. ,Tac (e' February 15, 2019 Administrative Secretary Date General Services Department CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 X9821 Fax: 863-763-1686 e-mail: idunham(d citvofokeechobee.com Park Use Permit Permit Number: 001 Date(s) of Event: February 16, 2019 10AM — 4PM Permit Expiration: February 16, 2019 11:59AM Purpose of Request: The Gathering Praise & Worship Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Applicant: The Gathering Phone Number: 863-357-4418 State: Florida Zip Code: 34974 Applicant's Address: 1735 SW 24th Ave. Okeechobee, FL 34974 Address of Project: Park #2 Current Zoning: P FLU Designation: Public Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. The Public Works Director requests 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. Three tents being used are 20x40 without sides. Fire extinguishers will be on site. �Ta ok4 ei January 15, 2019 Administrative Secretary Date General Services Department Page 1 of 3 Revised 3-21-17 CITY OF OKEECHOBEE ��4.0.0 F. 55 SE THIRD AVENUE z`" y°tR,; OKEECHOBEE, FL 34974 ' ' r `. Tele: 863-763-9821 Fax: 863-763-1686 `.:� PARK USE AND/OR TEMPORARY STREET/ .!.. ;,,; ���'' SIDEWALK CLOSING PERMIT APPLICATION Date Received: j /iiJjq Date Issued: 1- 15 -1 q Application No: /g.. .. pp / Date(s) & Times of Event: Z/ftp/ jq iTH 1O -- Yp m Information: Organization: jile Ca$(-/�Ay Mailing Address: 33 , ,,�, ? -AVC- r AE�co6E6, rt Contact Name: jnni e t,- cues E-Mail Address: krr Se,?b '.®uc-cde 9/n • Can - /_ Telephone: Work: x'6.3 .35`c - 4 41 g Home: Cell: -0. 'J 90'‘4Z ,p Summffy of activities: WO rate /1(1.-44t-e•-• ) // A /4( , Ato.i,ca,e a)-624„a4/0, tf-teLnY,4-01- dvit-u°-,,2 cam- . uc&le= t ti h2 itil9 Carl CNS;ISJ 6i.-V, CTS CT. i c= Ci•, - c_41 (Nal-ET-5 1LiA'/13�= /.r-SLD 1 P G,E.nt tEtiq-roe 5 1146a %T Proceeds usage: Please check requested Parks: Flagler Parks: o City Hall Park o #1 Memorial Park #2 o #3 o #4 o #5 ❑ #6 [Park 3 is location of Gazebo. Park 4 is to a ion 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 15t & 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: Attachments Required for Use of Parks 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: ► 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 regulations, the hereby 04-03, duly authorized issuance Ce ' T / (f acknowledge that I concerning the use and agent of the which may be lawfully cate of Insu . ce must entary-_y closi have read and completed this application, the attached Resolutions the rules of using City property, that the information is correct, and organization. I agree to conform with, abide by and obey all the rules prescribed by the City Council of the City of Okeechobee, or name City of Okeechobee as Additional Insured as well as R.E. Hamrick _ str -ts or sidewalks. ! /P7/9. No.(s) 03-8 and that I am the and its officers, for ♦ gib/ � - 'cant ', ignatu Date ••••OFFICE USE ONLY"" Staff Review Fire Department: .i , Date: / ticitzcfaq Building Official: G, Date: 1 `15's 11 Public Works:Date: / 1- / L1- /7 Police Department: 4% t Date: /-"---/9 BTR Department: I /0'' • Date: /1/5/19 City Administrator: Date: /7/, '7' City Clerk: i� Nit/ttiD*6- l Date: 1 _ i! aOR NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS EVENT FOR PERMITTING. Temporary Street and Sidewalk Closing submitted for review by City Council on Temporary Street and Sidewalk Closing reviewed by City Council and approved AND PRIOR TO Date 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 govemed 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 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. S. THEREFORE, for any application wherein it appears to the Department of General Services that the participants thereof may be 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 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 Flagter 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 16nd day of March, 2004. La , City Clerk REVIEWED FOR LEGAL SUFFICIENCY: John R. Cook, City Attorney • Page 2 of 2 f /:� James. . Kirk Mayor THEGAT 4WRO" CERTIFICATE OF LIABILITY INSURANCE �� DA01/10/2019Y) 01/10/2019 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 863-465-7155 Wells & Associates 309 U.S. 27 South NQaAC* Denise D. Doty PHONE 863-465-7155 FAX 863-699-1925 (A/C, No, Ext): i (AIC, No): Lake Placid, FL 33852 Denise D. Doty E-MAIL ddoty©wellsinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Ohio Security Insurance Co. 24082 INSURED The Gathering DBA Mike Brown Ministries International Inc.P.O.Box 220 Okeechobee, FL 34973 INSURER B: 10/31/2018 INSURER C : EACH OCCURRENCE INSURER D : PREMISES (Ea orrence) INSURER E : INSURER F : CLAIMS -MADE • 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 NSD SUBR MDIMM/DD/YYYYI POLICY NUMBER POLICY EFF POUCY EXP 1MWDD/YYYYI OMITS A X COMMERCIAL GENERAL LIABILITY Y BKS58138185 10/31/2018 10/31/2019 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea orrence) $ 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 15,000 & ADV INJURY $ 1,000,000 X Directors & OfficPERSONAL GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES 78-f PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABIUTY ANY AUTO OWNED AUTOSRE�ONLY AUTOS ONLY SCHEDULED AUTOS yy(� p AUTO O Y Ea accident)D SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per PROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTYY ANYAPROPRIETOR/PARTNER/EXECUTIVE (Mandatory EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below / N N/A PER OTH- STATUTE 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 H more space Is required) Churches or Other Houses Of Worship. Insured has a blanket additional insured CG8810. under the general liability. CERTIFICATE HOLDER CANCELLATION City of Okeechobee 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 INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 DateFEB 2 6 2007 : MIKE BROWN MINISTRIES INTERNATIONAL INC 1735 SW 24TH AVE OKEECHOBEE, FL 34974 DEPARTMENT OF THE TREASURY Employer Identification Number: 32-0074510--TAN 2-0074510TAN 1/ 1 T f1 DLN: f T 17053187011006 Contact Person: DONNA ELLIOT-MOORE Contact Telephone Number: (877) 829-5500 Accounting Period Ending: DECEMBER 31 Public Charity Status: 170(b) (1) (A) (i) Form 990 Required: NO Effective Date of Exemption: MARCH 27, 2003 Contribution Deductibility: YES ID# 50304 Dear Applicant: We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax `under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests,devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Information for Exempt Organizations Under Section 501(c)(3) for some helpful information about your responsibilities as an exempt organization. Letter 947 (DO/CG) Jackie Dunham From: Jackie Dunham Sent: Friday, January 11, 2019 8:50 AM To: Chief Herb Smith - City of Okeechobee (Chief Herb Smith); Chief Peterson; David Allen (dallen@cityofokeechobee.com); Jeffery C. Newell (jnewell@cityofokeechobee.com); Kay Matchett (kmatchett@cityofokeechobee.com); Kim Barnes (Kim Barnes); Lalo Rodriguez (Irodriguez@cityofokeechobee.com); Lane Gamiotea (Igamiotea@cityofokeechobee.com); Major Hagan; Stevie Cc: Patty Burnette; Lynda Powers (lynda@okeechobeemainstreet.org) Subject: Park Use Application I am in receipt of our first Park Use Application for 2019. The Gathering Church is wanting to have a Praise and Worship event in Park 2 on February 16th. There will not be any street closings. Please take time to stop by my desk to review and approve this application. Thank you. Note: Lynda, I am including you in this event because the previous Main Street Executive Director had agreed to help advertise for any events being held in the Parks. If this is no longer the policy please let me know. Jackde- D uvihavw AclAtim i4trcwNe. Secretary City of okeechelrne' 55 SE Th rd/Avevucei Okeechclyee,, FL 34974 863 -763-3372 (Wain.) 863 -763 -9821 (Direct) 863 -763 -1686 (Fav) idunham(a cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 1