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Park Use Permit - Memory Flags Child Abuse VictimsPermit Number: 003 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 e-mail: jolunham(e4citvolbkeechobee.com Park Use Permit Date(s) of Event: April 12th thru April 19th, 2019 Permit Expiration: April 19, 2019 11:59PM Revised Dedication April 17, 2019 at 5:30pm Purpose of Request: Memory Flags Child Abuse Victims Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: C.A.S.T.L.E. (clopresto(castletc.orq) Applicant's Address: P.O. Box 12908 Ft. Pierce, FL 34979 Phone Number: 772-465-6011 X225 Address of Project: City Hall Park Current Zoning: P FLU Designation: Public Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date Public Works will mark sprinkler heads with blue flags to enable you to locate them. They will also advise our lawn maintenance contractor to mow prior to your weeklong event. 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. jw k4 e' February 12 2019 Administrative Secretary Date Page 1 of 3 Revised 3-21-17 CITY OF OKEECHOBEE o"'��+ 55 SE THIRD AVENUE '��`�'0f ' �% °t,,; OKEECHOBEE, FL 34974 '" ; Tele: 863-763-9821 Fax: 863-763-1686 = S'* PARK USE AND/OR TEMPORARY STREET/ lit_F . 00 SIDEWALK CLOSING PERMIT APPLICATION Date Received: � -..30-/ / Date Issued: - i - 9 Application No: /q --(9V.5 Date(s) & Times of Event: Ii -1:1 - I'1 AJA -I i - / 9 i ;CAr om tri 31 PM P:J di. /G / 9 Information: .. AQUI ; Sc .6 b !� ; c ca i ; a (� le. 4-i --i is u -C Ti Organization: m s TL E0_,e,• ;-4-GE-i t 46 0 4 l (' Mailing Address: ?. 0 . no)4. / 2.908 ro ry PiEp_e.e , FL 3/979 f Contact Name: (/ ,,J o v Leo p E-- ro E -Mail Address: C L o P RES Q C aS rL E/ C. 6 )C-7 Telephone: Work: 7-72-4/4,5-&o// x225 Home: Cell: Summary of activities: r Jc-c? 6 R y F/ EGA Fi nes Pk /9(' F/1 n"r e//i 2/2O /9 _ / . FLY Fok /4PPROX'IMATED/ vIVE Obi ---K (&JA/r/L L///9/2O/9J. r,❑/TH D 471WCpr/o/./ CEPEP7o/IY. -r0 ii' -/.(E. PLfiC_F 4 ///6_,A2oif /q7- 5:30P. or IR--7sC , LA0 /c_i9Tz- 77.) OS /i A./He-RE-:-fiAlV 313%rbAhEA'S /ii eR1C/.177L W. 3Y3,rc-rR PRE i.C9Cf9iZT -To ,)Vo/t 0_p101)-�/I�'G, i-Pon1 FLAG PoL,�=5. 4,4/!) s f l Fvt ct-rit. c Proceeds usage: Please check requested Parks: Flagler Parks: i 4 ity Hall Park o #1 Memorial Park o #2 ❑ #3 ❑ #4 ❑ #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 Parcel ID: itf Page 2 of 3 Revised 11/4/16 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings 1s` & 3rd Tuesdays but subject to change) Address of Event: Street(s) to be closed: N / /4 Date(s) to be closed: A(/ (-- Time(s) to be closed: n(l m 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. IP -Proof of non-profit status (IRS Determination Letter) ► Original signatures of all residents, property owners and business owners affected by the closing. lor 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. Page3 of 3 Revised 11/4/16 I hereby acknowledge that I have read and completed this application, the attached Resolutions 04-03, concerning the use and the rules of using City property, that the information is correct, and duly authorized agent of the organisation. I agree to conform with, abide by and obey all the rules regulations, which may be lawfully prescribed by the City Council of the City of Okeechobee, or 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. ,/,,YL-dv LoP.Ao_eldo i /(7,..51/4,90 / No.(s) 03-8 and that I am the and its officers, for Applicant' Signature Date Staff Review USE ONLY•••• ••••OFF CE Fire Department: LDate: Date: 09Fels tope ) • 31 • 1 l Building Official: Public Works: Date: 1 —3/— 0 Police Department: Date: Z/ � /7 BTR Department: 12fK.a- Date: /5/' / 9 City Administrator: ��---- :4 Date: Date: �/ 7/ S1- A City Clerk: b 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 Jackie Dunham From: Sent: To: Cc: Subject: Attachments: Jackie Dunham Tuesday, February 12, 2019 2:34 PM CLopresto@castletc.org David Allen; Kay Matchett (kmatchett@cityofokeechobee.com) Permit for Memory Flags 003 -CASTLE Memory Flags.pdf Attached is your approved permit for this year's flying of the memory flags in the City Park. If you have any questions please let me know. Ja ck i e Du.v►.ha m. Acimi. %ratweSecr'etcu y City of Olceechob-ee. 55 SE Thi: drAvevu,ce Okeechab-ee,, FL 34974 863 -763 -33 72 (Ma.i.vv) 863-763-9821 (D(. -ect) 863-763-1686 (Jot ) 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 Jackie Dunham From: Jackie Dunham Sent: Tuesday, February 12, 2019 2:45 PM To: CLopresto@castletc.org Subject: Revised Park Use Permit for Memory Flags Attachments: 003 -CASTLE Memory Flags.pdf See attached. Jc ck e. Du,ytha wv Aclvni44i4rtrat iveiSecretarry cccy ofo7coochalYee. 55 SE Th;,rd Avevu,+.e, OkeecholYeei, FL 34974 863 -763 -3372 (Maivv) 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 1/25/2019 Detail by FEI/EIN Number DIVISION OF CORPORATIONS r,I'/SJr JO[(� y J i i /ra lam— 0/1 tofflritd 3311t of Firlrida website Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by FEI/EIN Number Florida Not For Profit Corporation EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF THE TREASURE COAST, INC. Filing Information Document Number 756175 FEI/EIN Number 59-2094472 Date Filed 02/03/1981 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 07/16/2013 Event Effective Date NONE Principal Address 3525 W MIDWAY RD FT PIERCE, FL 34981 Changed: 01/30/1997 Mailing Address P 0 BOX 12908 FT PIERCE, FL 34979 Changed: 04/23/1998 Registered Agent Name & Address Rollins, Jeffrey 715 Delaware Ave Fort Pierce, FL 34947 Name Changed: 01/30/2018 Address Changed: 01/30/2018 Officer/Director Detail Name & Address Title Past President Marraffa, Lynette 2833 SE Eagle Dr Port St. Lucie, FL 34984 http://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=Fei Number&directionType=Initial&searchNameOrder=5920944727... 1/3 1/25/2019 Title VP Warns, Madeleine 9045 One Putt Place Port St. Lucie, FL 34986 Title vp Snyder, Rachel 51 SW Flagler Ave 209 Stuart, FL 34994 Title President Rollins, Jeffrey 715 Delaware Ave Fort Pierce, FL 34950 Title Secretary Haddox, Kelley 3812 SE Fairway W. Stuart, FL 34997 Title Director Bailey, Jake 9700 Reserve Blvd. Port St. Lucie, FL 34986 Title Treasurer McKee, Phyllis 8918 First Tee Road Port St. Lucie, FL 34986 Title Director Wallach, Marilyn 5230 St. Andrews Island Dr Vero Beach, FL 32967 Title Director Lawrence, Todd 817 Beachland Blvd. Vero Beach, FL 32963 Title Director Detail by FEI/EIN Number Cunzo, Kim http://search.sunbiz.org/I nquiry/corporationsearch/SearchResultDetail?inqu irytype=FeiNumber&directionType=Initial&searchNameOrder=5920944727.. 2/3 i • R 1/25/2019 1081 Alcantarra Blvd Port St. Lucie, FL 34953 Title Director Hooker, Deborah 401 NW 6th St Okeechobee, FL 34972 Annual Reports Report Year 2016 2017 2018 Document Images Detail by FEI/EIN Number Filed Date 02/03/2016 01/18/2017 01/30/2018 01/30/2018 -- ANNUAL REPORT 01/18/2017 -- ANNUAL REPORT 02/03/201 01/16/201 01/13/201 6 -- ANNUAL REPORT 5 -- ANNUAL REPORT 4 -- ANNUAL REPORT 07/16/2013 -- Amendment 02/04/2013 -- ANNUAL REPORT 01/05/2012 -- ANNUAL REPORT 01/04/2011 --ANNUAL REPORT 01/07/2010 -- ANNUAL REPORT 01/15/2009 -- ANNUAL REPORT 05/01/2008 -- ANNUAL REPORT 04/30/2007 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 01/13/2006 -- ANNUAL REPORT View image in PDF format 03/10/2005 — ANNUAL REPORT View image in PDF format 03/09/2004 -- ANNUAL REPORT 01/10/2003 -- ANNUAL REPORT 02/05/2002 -- ANNUAL REPORT 01/30/2001 -- ANNUAL REPORT 01/29/2000 -- ANNUAL REPORT 03/01/1999 -- ANNUAL REPORT 04/23/1998 -- ANNUAL REPORT 01/30/1997 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 02/07/1996 -- ANNUAL REPORT View image in PDF format 02/01/1995 -- ANNUAL REPORT View image in PDF format �rl'1 Tient of :itata, C)IVr::1Or1 of -p http://search.sun biz. org/Inquiry/co rporationsearch/Search Resu ItDeta il? i nq u i rytype=Fei Nu tuber&di rectionType=1 nitial&sea rch N a meOrder=5920944727... 3/3 Internal Revenue Service Date: November 2, 2006 EXCHANGE CLUB CTR FOR PREVENTION OF CHILD ABUSE OF TREASURE COAST FKA SCAN AMERICA OF THE TREASURE 3525 W MIDWAY RD FT PIERCE FL 349814962 Dear Sir or Madarn: Department of the Treasury P. O. Box 2505 Cincinnati, OH 45201 Person to Contact Kim A. Chambers 31-07674 Customer Service Specialist Toll Free Telephone Number: 877-829-5500 Federal Identification Number: 59-2094472 This is in response to your request of November 2, 2006, regarding your organization's tax-exempt status. In January 1982 we issued a determination letter that recognized your organization as .exempt from federal income tax. Our records indicate that your organization is currently exemptunder section 501(c)(3) of the Internal Revenue Code. Our records indicate that your organization is also classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(vi) of the Internal Revenue Code., Our records indicate that contributions to your organization are deductible under section .170 of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code. If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely, liaistAtiLz'Aii44) Janna K Skufca, Director, TELE Customer Account Services Crl COVERAGES CERTIFICATE NUMBER: VISION 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 SUBR WVD POLICY NUMBER POLICY EFF IMMIDD/YYVY) POLICY EXP IMMIDD/YYYY) - LIMITS A X COMMERCIAL GENERAL LIABILITY INSURED The Exchange Club Center for the Prevention of Child Abuse of the Treasure Coast, Inc. dba CASTLE PO Box 12908 Fort Pierce, FL 34979 INSURER C : PHPK1797913 03/26/2018 03/26/2019 EACH O CURRENCE $ 1,000,000 INSURER F : CLAIMS -MADE X OCCUR DMG 5 O(REoNccTuErrD nce) $ 100,000 EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NONOS -OWNED AUT PHPK1797913 03/26/2018 03/26/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEB RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe 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 $ A A Professional Liab Sexual Abuse PHPK1797913 PHPK1797913 03/26/2018 03/26/2018 03/26/2019 03/26/2019 1,000,000 /3,000,000 1,000,000 /2,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Okeechobee is an additional insured ATIMA per form CG2026 7104. EXCHA-5 OP ID: JD ,d►coRLT CERTIFICATE OF LIABILITY INSURANCE 4........--- DATE(MMIDDIYYYY) 05/08/2018 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 Stapleton Insurance & Risk Mgt PO Box 1118 Sylvania, OH 43560 Craig Kachmarik, CIC CONTACT NAME: PHONE FAX INC, No, Extr419-882-0016 (AC, No): 419-882-3911 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia losurance Company INSURER B : 23850 INSURED The Exchange Club Center for the Prevention of Child Abuse of the Treasure Coast, Inc. dba CASTLE PO Box 12908 Fort Pierce, FL 34979 INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 CITYOF5 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD Important Information for Exempt Organizations 000001D DB/29/14 DEPARTMENT OF REVENUE Consumer's Certificate of Exemption] Issued Pursuant to Chapter 212, Florida Statutes DR -14 R. 04/11 85-8012614831C-1 09/30/2014 09/30/2019 .501. (C) (3)� O FiGAN IZQI;TI ON Certificate Number This certifies that Effective Date EXCHANGE CLUB CENTER FOR THE PREVENTION OF t'.HILD ABUSE OF THE TREASURE COAST INC 3525 W MIDWAY RD • FORT PIERCE FL 34981-4962 Expiration Date empfiori Cate§b1Y- - is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented, tangible personal property purchased or rented, or services purchased. DEPARTMENT OF REVENUE DR -14 R. 04/11 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (F.A.C.). 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property (Rule 12A-1.070, F.A.C.). 5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options, select "Registration of Taxes," then "Registration Information," and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480, Tallahassee, FL 32314-6480. Jackie Dunham From: Cindy Lopresto <CLopresto@castletc.org> Sent: Thursday, January 31, 2019 10:13 AM To: Jackie Dunham Subject: RE: Sprinklers for irrigation in City Hall Park Good morning Jackie, That will be great!! Thank you soon much!! From: Jackie Dunham[mailto:ldunham@cityofokeechobee.com] Sent: Thursday, January 31, 2019 8:58 AM To: Cindy Lopresto <CLopresto@castletc.org> Subject: Re: Sprinklers for irrigation in City Hall Park I spoke with our Public Works department today. They assured me they will mark the sprinkler heads in the City Park with blue flags so you can readily see where they are located before setting the flags. They will also make sure the grass is mowed prior to your week event. Hope this will suffice. Thank you. JackLe Du.nha.nv A cima4ni4etrotrove,Secretary aty of Olc.eecha-lx-e 55 SE Third,AvevuA.& OkeechalYee,, FL 34974 863 -763 -3372 (Madw) 863 -763-9821 (Direct) 863 -763-1686 (j 0E4 j dunhamAcityo fokeechobee. coin 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: Cindy Lopresto <CLopresto@castletc.org> Sent: Monday, January 28, 2019 1:44 PM To: Jackie Dunham Subject: RE: Signed Park Usage Form Attachments: CASTLE Memory Field Okeechobee 2019.pdf Hi Jackie, What a nasty weather weekend, huh?! I've attached a simple site plan using google earth as the platform. If you have any question, please let me know. Also will there be any sprinklers/irrigation systems that we need to work around? Best Regards, Cindy °Presto Executive Administrative Assistant Group Program Assistant CASTLE Fort Pierce, FL 34979 772-465 — 603.3. ext. 225 CLopresto(@castletc.orq Learn More about CASTLE at www.castletc.org Follow Us on Facebook: https://www.facebook.com/castletc/ Follow Us On Twitter: @Castletc Shop Amazon? Give back to CASTLE using Amazon Smile and Selecting CASTLE as your charity of choice: https://smile.amazon.com/gp/chef/dashboard/ref=nav youraccount vas vwractioNc LE From: Jackie Dunham[mailto:idunham@citvofokeechobee.com] Sent: Friday, January 25, 2019 3:54 PM To: Cindy Lopresto <CLopresto@castletc.org> Subject: RE: Signed Park Usage Form Thank you. Have a great weekend. 1 Jackie Dunham From: Jackie Dunham Sent: Wednesday, January 30, 2019 11:14 AM To: Kay Matchett (kmatchett@cityofokeechobee.com) Cc: David Allen Subject: FW: Signed Park Usage Form Attachments: CASTLE Memory Field Okeechobee 2019.pdf Kay please see the attached e-mail. Each year CASTLE flys memory flags in our City Hall Park. This year they are asking for locations of any sprinkler heads in order to make sure the flags are not damaged. I need David's input for this. Thank you. Jackie Dtknha wv A dNvum.i atratwe' S ecretcury C ray of o keechai 55 SE Th.Lvd/Avevute- Okeechabeei, FL 34974 863-763-3372 (Marvv) 863-763-9821 (D(ect) 863 -763 -1686 (law) jdunham@citvofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. From: Cindy Lopresto [mailto:CLopresto@castletc.org] Sent: Monday, January 28, 2019 1:44 PM To: Jackie Dunham Subject: RE: Signed Park Usage Form Hi Jackie, What a nasty weather weekend, huh?! I've attached a simple site plan using google earth as the platform. If you have any question, please let me know. Also will there be any sprinklers/irrigation systems that we need to work around? Best Regards, Cindy LoTresto Executive Administrative Assistant Group Program Assistant 1 CASTLE Fort Pierce, FL 34979 772-465 — 6oa.i ext. 225 CLopresto(a�castletc.orq Learn More about CASTLE at www.castletc.org Follow Us on Facebook: https://www.facebook.com/castletc/ Follow Us On Twitter: @Castletc Shop Amazon? Give back to CASTLE using Amazon Smile mid Selecting CASTLE is your charity of choice: https://smile.amazo:r,coma/,gyp/chef/dashboard/ref=nay your ocount vis CA E •rucftl4G41 FARIKT1Nt; From: Jackie Dunham [mailto:jdunham@cityofokeechobee.com] Sent: Friday, January 25, 2019 3:54 PM To: Cindy Lopresto <CLopresto@castletc.org> Subject: RE: Signed Park Usage Form Thank you. Have a great weekend. Jackie, Dunha.vw Ad;vninistra 'weSecretary Cay of Okeechobse. 55 SE Th d'Avevt,uei Off, FL 34974 863 -763 -3372 (Mau,) 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. From: Cindy Lopresto [mailto: CLopresto@ castletc.orol Sent: Friday, January 25, 2019 12:49 PM To: Jackie Dunham Subject: RE: Signed Park Usage Form Yes, those are the dates the flags will fly and the date/time of the dedication ceremony, which lasts approx. an hour at most with flag placement (4.12.19) & removal (4.19.19). I will have the person placing the signs draw up a simple site plan & submit that to you on Monday. That is great news about the fee! 2 T. Thank you so much! From: Jackie Dunham [mailto:idunham@cityofokeechobee.comj Sent: Friday, January 25, 2019 12:39 PM To: Cindy Lopresto <CLopresto@castletc.org> Subject: RE: Signed Park Usage Form Hi Cindy. There is no cost for this application. For the dates and times of the event, is that the same information as listed under Summary of activities? Also would you please email a simple site plan of where the flags will be placed in the park. Thank you so much. Patty Ja.ckie'D1444.11.ami. Ad4144-A Lstratwe-Secretary C(xyofOlceecholyee, 55 SE ih+.rd.Avegwte. Okeecholv.e,, EL 34974 863-763-3372 (Mai,w) 863-763-9821 (D%rect) 863 -763 -1686 (law) j dunham(&,,cityo fokeechob ee. com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. From: Cindy Lopresto[mailto:CLopresto@lcastletc.orq] Sent: Friday, January 25, 2019 11:56 AM To: Jackie Dunham Subject: Signed Park Usage Form Happy Friday Jackie! I've attached the Park usage form for Okeechobee City Hall Park & I am putting one in the mail to you as well. Our insurance company will fax you the required insurance form. Does this cost anything? When would we know if we are allowed to use it? Thank you! Best Regards, Cindy LoPresto Executive Administrative Assistant Group Program Assistant CASTLE 3 Fort Pierce, FL 34979 772-465 — 6oii ext. 225 CLopresto(a)castletc.org Learn More about CASTLE at www.castletc.org Follow Us on Facebook: https://www.facebook.com/castletc/ Follow Us On Twitter: @Castletc Shop Amazon? Give back to CASTLE using Amazon Smile and Selecting CASTLE as your charity oiiF :choice: https://smnfleamazon.com/gp/chef/dashboard/ref=nav y:wluriccoaunrt ya TLAt tf[i�G 4,CATLE 4 ALCOR® EXCHCLU-04 CERTIFICATE OF LIABILITY INSURANCE KSOUTHWARD DATE (MMIDDIYYYY) 03/08/2019 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 Stapleton Insurance & Risk Mgt P. O. Box 1118 Sylvania, OH 43560-0118 CONTACT NAME: PHONE INC, No, Ext): (419) 720-6446 ria, Ne):(419) 882-3911 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Philadelphia Insurance Company 23850 INSURED The Exchange Club Center for PO Box 12908 Fort Pierce, FL 34979 INSURER B : INSURER C INSURER D : INSURER E : INSURER F : • REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SE 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. AUTHORIZED REPRESENTATIVE cukouiDaAL ACORD 25 (2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS INDICATED. CERTIFICATE EXCLUSIONS IS TOvCERTIFY THAT THE POLICIES NOTWITHSTANDING ANY MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH REQUIREMENT, PERTAIN, POLICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY (MMIDD/YYYY) EFF POLICY jMM/DDIYYYYI EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $ CLAIMS -MADE X OCCUR PHPK1797913 03/26/2019 03/26/2020 DAMAGE PREMISES TO RENTED (Ea occurrence) 100,000 $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY IJECT LOC PRODUCTS - COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED (Ea accident) SINGLE LIMIT 1,000,000 $ ANY AUTO PHPK1797913 03/26/2019 03/26/2020 BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X NON -O ONLDY PROPERTY (Per accident) DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION STATUTE TUTE H- ER AND EMPLOYERS' LIABILITY YIN E ECUTIVE ANYIPROPRIE OR E.L. EACH ACCIDENTOF $ EXRLNER N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A A Professional Sexual Abuse Liab PHPK1797913 PHPK1797913 03/26/2019 03/26/2019 03126/2020 03/26/2020 1,000,000 1,000,000 DESCRIPTION City OF OPERATIONS / LOCATIONS / VEHICLESACORD of Okeechobee is an additional insured 101, Additional Remarks Schedule, maybe attached if more space is required) ATMA per form CG2026 7/04. CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SE 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. AUTHORIZED REPRESENTATIVE cukouiDaAL ACORD 25 (2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD