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Temp. Street Closing - FBC Easter Egg HuntCITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 e-mail: /dunham(c�citvofokeechobee.com Street Closing Permit Permit Number: 006 Permit Expiration: April 20, 2019 11:59PM Purpose of Request: Children's Ministry Easter Eqq Hung Property Owner: First Baptist Church of Okeechobee Address: 401 SW 4th Street City: Okeechobee Date(s) of Event: April 20th, 2019 8AM - Noon State: Florida Zip Code: 34974 Applicant: FBC of Okeechobee Applicant's Address: 401 SW 4th St., Okeechobee, FL 34974 Phone Number: 863-467-7625 Address of Project: 310 SW 5th Ave & open field south Current Zoning: RMF FLU Designation: Single Family Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date Temporarily closing SW 4th Street between 5th & 6th Avenues. J7tGk v Apra/ 17, 2019 Administrative Secretary Date ``<4.0 kk,$.yo �� t `.o ?� , • --.4„.$��'�� Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE 55 SE THIRD AVENUE cam. OKEECHOBEE, FL 34974 r; Tele: 863-763-9821 Fax: 863-763-1686 ;�•'� PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: y / Lg [/ C Date Issued: -/ 1-j q Application No: i q1 ...06(., Date(s) & Times of Event: Sat fpr a0, aO tq e Am 4o Moon Information: Organization: Fuss, p }i5} (►jhrJ 4 Oke.ehc* ,- Mailing Address: 1401 $t.\ 4.44, 6t-,, (Dgptc halt± FL 3yq'14 Contact Name: POct unit rikooks 1 Nyecis oke Mtl Lw s n u idil or Laine �czrvklbfta,Yolilr E-Mail Address: tyvtkaAtQ,� C�01�2,e., ors) e(7l ��tit (Ke,vyl Telephone: JJ Work: l4-(Q1- il(pas Horne: Cell: Summary of activities: 1-losi-i.n a e.h1 Idjens rnLYvs Ras+t.r Egg H-uit P. Io �OAm I6r Ei er 'I bU & a . 1-j'1 (,%JW Ise CVYJ n9 (r Pei, Mad. -b -(-tin or ct rte a1'os.� U-kt por-hon of 6c0 4 S-freef betwe 5(u +, om L augnto -Por 4-fl tSa -h� ehL[cirrr1 Crass u49 �h2 .of +r + From 4-v�e C ID our' -�r�f iNall -Pi Jd. Proceeds usage: Flo ONctAge_ Please check requested Parks: IQ i.k. 5 i AE C i' e4-0 S i x.l L, ilEepeLEST atLL- y' Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 ❑ #3 ❑ #4 ❑ #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 3/5/19 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings 1st & 3rd Tuesdays but subject to change) Address of Event: 31b SI J 51-�AU'L 4" Opo- �. (Pe i. VeAteir")-11)%kt 4.5o 4 h Street(s) to be closed: SU) 441,"4,''Ir w.ei4. 5' w e, tp Avec, Date(s) to be closed: S "`."'� a.OtOl�,,I Time(s) to be closed: Q. •)pr© y_klykat1L . E5 op& #0 Korth t Purpose of Closing: l,I(IJi12inS (Y1C.n15 EcoAeh L5.3 H-iu 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 ► Original signatures of all residents, property owners and business owners affected by the closing. OA, t,,,, p,,,, ,/ �� ► State Food Service License if > 3 days. 0 ► State Food Service License if > 3 days. i\ - 1, ► 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 3/5/19 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 organization. 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 wall as R.E. Hamrick Testamentary Trust if closing streets or sidewalks. M 10.11Q. 40XL 1413)J019 No.(s) 03-8 and that I am the and its officers, for Applicant Signature Viet l@UQ Date ••••0 E USE ONLY•••• Staff Review 0 Fire Department: Date: Date:.4 AD/Q 4 .19 i `�� Building Official: Public Works: Date: % -1/-6 r�r,� / ,� �. Police De s artment: /bL Date:.''-1 Date: 9 1� � LT - t1-/9 BTR Department: "Ad ,.1/-/ City Administrator: IRV Date: l rf City Clerk: 1iI VO,Ukkir+1..A.-Date: 14 (f{-'c9ci • 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 41-i i,-.161' Date ' t -1 (. - d 1 Date ._W 2ND ST J w: 1N'i�l meg SS- 14111•••-1 E skit SW )RD ST t 3 1 Temporarily close this part of SW 4th St * between 5th & 6th 40 E, Ave's on Stip, Apr 20, 2019 ' 8 AM to Noon Field Area FBC Main Campus I e FBC parking SW 6TH SR - - • NIA 0 rf Syv 7TH ST Excerpt of City Map with First Baptist the portion of the street requesting to Should any tents be used they will be than 10' x 10'. Church property identified, and temporarily close. small portable ones, no larger Requesting temporary barricades from Public Works. Zr—Dc. DEPT. C.o - 0A;(,,‘ 1d4L —i d l= � �� C14 ;GI: .; Application #: % 1 -00(e Name Of Event: APPLICATION FOR SPECIAL EVENT Date Submitted: 4-4-1 qi Permit #: mpor(u 64-rt2 Q 4 N.i0ai oy ! pts+ Church Address Of Event: 3Iv (,ID 5 AUt(T)u R°e) c4.�(Jd 4o `i -he. 50c6 Description Of Event: - P/hacbiovA monis ftai Liag fi I env6r( �kosc C (-� q k VC -14\U 4 ,( Poi 5 4 C6 Q,(¢Cnc.cki Name Of Sponsor/Organization: F66- Contact 6cContact Number before/during event OF RESPONSIBLE PERSON: al - JO.a i e PrOe sr 407- rne.2 J Date(S) And Time(S) Of Event: Date: (i(' <90, j q Starting Time:iN '3A(Y\ Closing Time: (J pp r ov la pfn Date: Starting Time: Closing Time: Date: Starting Time: Closing Tim`e:� I y, ' ' ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? `/ Ii LOCATION ,SG) `i S''- b l W it 5' f (0'k rC J e C, Will Emergency Apparatus (Fire and Ambulance) nave access to area? ,Q IF NO, THEN EXPLAIN (provide alternatives): WILL ELECTRICITY BE USED? YES 1 1 NO' Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? YES 1 1 NOS Type of Heating Equipment Used: WILL A TENT BE ERECTED? Tent Manufacturer: YES ❑ NO Size fire rating posted: Tent have sides and how many? Departrner1' below to assist ***ATTACH SITE MAP OF EVENT LAYOUT*** The following items to be completed by Fire Department only FIRE DEPARTMENT LIFE SAFETY & FIRE SERVICES REQUIREMENTS: (See above) O Tents/canopy fire rating certificate required. O Tent Size require life safety inspection (900 square feet or gess then no permit is required) O Floor plan / seating / setup drawing required showing exits, etc. O Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) O Fire extinguishers must have current tag, and be operational and readily accessible. 0 Cooking requires LPG outside of tent pointing away from exposures. 0 Electrical wiring exterior rated, not overloaded. O Fire Services inspection required. 0 Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: 0 Firefighter/Inspector Amount: 0 Other: FIRE DEPARTMENT OFFICIAL (PRINT): SIGNATURE: Please call the FD at 863-467-1586 for any questions. DIVISION OF CORPORATIONS T It/ LiV1::10.0 of rg P0 f.v.fr an co/licit!! .:rt t• ujFj rich i litS11? Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation FIRST BAPTIST CHURCH OF OKEECHOBEE, INC. Filing Information Document Number 718538 FEI/EIN Number 59-0948707 Date Filed 05/18/1970 State FL Status ACTIVE Principal Address 401 S.W. 4TH ST. ATTN: BEVERLY SHURLEY OKEECHOBEE, FL 34974-4240 Changed: 04/03/2001 Mailing Address 401 S.W. 4TH ST. ATTN: BEVERLY SHURLEY OKEECHOBEE, FL 34974-4240 Changed: 04/03/2001 Registered Agent Name & Address LEVINS, THOMAS C 8511 S.W. 2ND STREET OKEECHOBEE, FL 34974 Name Changed: 05/01/2008 Address Changed: 05/01/2008 Officer/Director Detail Name & Address Title TD TURBEVILLE, JOI C 2198 N.E. 54th Trail OKEECHOBEE, FL 34972 Title SD WHITE, ROBERT D 1888 N.W. 3RD LANE OKEECHOBEE, FL 34972 Title PD LEVINS, THOMAS C 8511 S.W. 2ND STREET OKEECHOBEE, FL 34974 Title VP GILLIS, TIM 1910 N.E. 54TH TRAIL OKEECHOBEE, FL 34972 Title Director Caves, Robert 815 SE 9th Court Okeechobee, FL 34974 Annual Reports Report Year Filed Date 2016 03/09/2016 2017 04/19/2017 2018 03/12/2018 Document Images 03/12/2018 — ANNUAL REPORT View image in PDF format 04/19/2017 -- ANNUAL REPORT View image in PDF format 03/09/2016 — ANNUAL REPORT View image in PDF format 06/08/2015 -- ANNUAL REPORT View image in PDF format 04/21/2014 -- ANNUAL REPORT View image in PDF format 03/20/2013 -- ANNUAL REPORT View image in PDF format 03/22/2012 -- ANNUAL REPORT View image in PDF format 04/27/2011 -- ANNUAL REPORT View image in PDF format 05/03/2010 -- ANNUAL REPORT View image in PDF format 10/16/2009 — ANNUAL REPORT View image in PDF format 03/19/2009 -- ANNUAL REPORT View ii -nage in PDF format 05/01/2008 -- ANNUAL REPORT View image in PDF format 05/23/2007 -- ANNUAL REPORT View image in PDF format 05/17/2006 -- ANNUAL REPORT View image in PDF format 04/26/2005 -- ANNUAL REPORT View image in PDF format 10/25/2004 — ANNUAL REPORT 04/16/2004 -- ANNUAL REPORT 04/07/2003 -- ANNUAL REPORT 05/13/2002 -- ANNUAL REPORT View image in PDF format View image in PDF format View image In PDF format View image in PDF format A1C -C)./2 D FIRSB-1077 GCODY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/4/2019 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 Church Asset Management, Inc. 1500 Wall St. Saint Charles, MO 63303 INSURED First Baptist Church of Okeechobee 401 SW 4th St Okeechobee, FL 34974 CONTACT Glenda Cody JamPHONE (A/C, No, Ext): 4261 DRIEss: gcody@Itcam.com IFAX (A/C, No): INSURER(S) AFFORDING COVERAGE INSURER A : GuideOne Mutual Insurance Company INSURER B: INSURER C : INSURER D : INSURER E : INSURER F : NAIC # 15032 • 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 SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP /DDYYY) (MM /Y LIMBS A X COMMERCIAL GENERAL LIABILITY 1423-828 12/1/2018 12/1/2019 EACH OCCURRENCE 1,000,000 $ DAMAGE S ( -sr RENTED occurrence) RAM $ 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY _$ 1,000,000 $ 3,000,000 GENERAL AGGREGATE GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- PER: LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ AUTOMOBILECOMBINED LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS AUOTOS ONLY SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) BODILY $ PROPERTY pAMAGE Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE ERH 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) Evidence of Insurance for Easter Egg Hunt on April 20, 2019 Event: Picnic, youth activities to include - hunting eggs, bounce house, and baseball Address: 509 SW 4th Street, Okeechobee, FL 34974 Approxiamately 500 attendees See Attached Form CG2026, Additional Insured - Designated Persons or Organization 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. AUTHORIZED REPRESENTATIVE //C2 / '. ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jackie Dunham From: Lane Gamiotea Sent: Thursday, April 04, 2019 1:23 PM To: Jackie Dunham; Herb Smith; Robert Peterson; David Allen; Jeff Newell; Kay Matchett; Kim Barnes; Lalo Rodriguez; Donald Hagan; Steve Weeks Cc: Robin Brock; Patty Burnette Subject: RE: FBC Street Closing Application 4-20-19 I put the correct date (Apr 20); but put the wrong day of the week, it will be on Saturday, not Sunday, time frames & all other info is correct on the application. Thanks, and apologies for any confusion! -LG From: Jackie Dunham Sent: Thursday, April 04, 2019 12:54 PM To: Herb Smith; Robert Peterson; David Allen; Jeff Newell; Kay Matchett; Kim Barnes; Lalo Rodriguez; Lane Gamiotea; Donald Hagan; Steve Weeks Cc: Robin Brock; Patty Burnette Subject: FBC Street Closing Application 4-20-19 I am in receipt of a new street closing application request from the First Baptist Church. The requested date of closing is 4-20-19. I have attached the application to expedite the review process. Please stop by my desk to sign your approval of this request as soon as possible. This request will need to go to the next City Council Meeting scheduled for 4-18-19 for approval. Thank you. Jackie. i u ata vw A�rcW.veiSecretary Cttyofolceechob-oe. 55 SE ThirdiAvev aep Okeechabf.e,, FL 34974 863 -763 -33 72 (Ma i vi.) 863 -763 -9821 (Direct) 863-763-1686 (Fags.) 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 NAMED INSURED : First Baptist Church of Okeechobee POLICY NUMBER: 1423-828 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Entity: City of Okeechobee and R.E. Hamrick Trust 55 S.E. Third Avenue Okeechobee, FL 34974 Event: Easter Egg Hunt Dates: Saturday April 20, 2019 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 Jackie Dunham From: Sent: To: Cc: Subject: Attachments: Jackie Dunham Wednesday, April 17, 2019 8:38 AM Melanie Rooks (melanie@fbcokee.org) Gil Culbreth (gil@gilberthasit.com); Mike Hamrick (mhamrick@manateelegal.com) Approved Street Closing 4-20-19 006-FBC Easter Egg Hunt (Street Closing).pdf Attached is your approved Street Ck sing Permit for the Easter Egg Hunt you are hosting on Saturday, April 20`h, from 8AM to Noon. The City of Okeechobee wishes you much success in your upcoming event. Jackie, Dw'tham v A dAnimiistrarove.Secretcwy C(ty of Okeechai 55 SEThtrd/Avevuze. Okeechobee, EL 34974 863-763-3372 (M2.14vv) 863 -763 -9821 (Direct) 863 -763 -1686 (Fctx) 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