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Temp Street Closing - FBC Fall Family FestivalPermit Number: 017 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 e-mail: Lunham(a�cityofokeechobee.com Street Closing Permit Date(s) of Event: October 31, 2019 5:30PM — 7:30PM Permit Expiration: October 31, 2019 11:59PM Purpose of Request: Fall Family Festival Property Owner: First Baptist Church of Okeechobee Address: 310 SW 5th Ave (Ball field south of the ROC) City: Okeechobee 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 5t" Ave./The Rock 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 to enable safety for children crossing between the two areas. If needed by PD's discretion also the 400 Block of SW 5th Ave. Streets to be closed between 3:OOPM and 9:OOPM. Jackie Dunham October 16, 2019 Administrative Secretary Date Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE 'ft „of-ok,,Cy 55 SE THIRD AVENUE `��°�� OKEECHOBEE, FL 34974 •u- 41 Tele: 863-763-9821 Fax: 863-763-1686 `_6 = /°/ PARK USE AND/OR TEMPORARY STREET/ '--=.y,0:0' 0 SIDEWALK CLOSING PERMIT APPLICATION Date Received: /44, /, ,; Date Issued: j C , u - ( Application No: i 4 -.. a 7 Date(s) & Times of Event: 10/31/2019, 5:30 to 7;30 PM Information: Organization: First Baptist Church of Okeechobee, Childrens Ministry Mailing Address: 401 SW 4th St, Okeechobee, FL 34974 Contact Name: Melanie Rooks, Director of Recreation & Children's Ministry E -Mail Address: melanie@fbcokee.org Telephone: Work: 467-7625 (ROCK) Home: Cell: 772-633-9777 Summary of activities: Fall Family Festival outside activities such as booths with games music bounce house/inflatable's. Candy and other types of refreshments such as cold water, soft drinks, hotdogs, chips, popcorn, snow cones, and/or cotton candy. Parking will be at the ROC (located North ot the ball field), the main church campus & Mission House (located to the East ot the ball field). I he Festival and all free, to door to door trick trcating, focusing in 5th activities arc and provides a safc alternative going or on children gradcs and younger. The electrical power at the field for the inflatable's & temporary lights will be provided and overseen by Joel Bass of Bass Electric. Rest rooms are located inside the ROC. Barricades are requested for use at both ends of 4th Street, as well as an invitation to the Police and Fire Department's to have a booth on site within the ball fields, and a request for assistance to assist with pedestrian traffic SW 5th Avenue. across Proceeds usage: NIA - Please check requested Parks: N 1 k 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: Ball Field south of the ROC 310 SW 5th Ave Street(s) to be closed: SW 4th St, between SW 5th & 6th Avenue's; if needed & at the Police Dept's discretion: the 400 block of SW 5th Ave Date(s) to be closed: October 31, 2019 Time(s) to be closed: 3:00 to 9:00 PM Purpose of Closing: Pedestrian crossing into the Fall Festival Attachments Required for Use of Parks Attachments Re uired for Street/Sidewalk Closings ► Site Plan . ' ► Site Plan 17 ► 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. nliP ► State Food Service License if > 3 days. —P. ► State Food Service License if > 3 days. MI A- ► Notarized letter of authorization from State Alcoholic Beverage License, if applicable.** 0-Nj property owner, 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 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 name City of Okeechobee as Additional Insured as well as R.E. Hamrick Testamentary Trust if closing streets or sidewalks. MDQ:adg4)* Ra eina 9/20/2019 Applicant Signature Date ••••OFFICE USE ONLY"" Q,� Staff Review rp.isk, 4 ' Fire Department: k,»�P�y (- �ov. � a° b��1 �1�" n4 r ,,sLAS).- Date: 1:154&p _,20/0 �� 1.9 Building Official: \c' Date: 4.73.1.5 Public Works: 0)-d _ Date: -1 Police Department: /444 _ ter; Date: �► \ BTR Department: '(\AM., Date: 3u 19 is City Administrator: Date: / / „)/dilSa/10.4 d2. City Clerk: / ' I 1 L f ►' 0,04 Date: 0211/aa/c 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 %G! /5//4 Date Temporary Street and Sidewalk Closing reviewed by City Council and approved /et i 5//4 Date APPLICATION FOR SPECIAL EVENT Application #: 1 CI - U (1 Date Submitted: 9/20/2019 PerrffillE Name Of Event: Fall Festival (1st Baptist Okeechobee Children's Ministry) Address Of Event: Ball Field located south of the ROC 310 SW 5th Ave Description Of Event: Fall Festival in our ball field with game booths, free candy & refreshments. Inflatable's will be set up by the rental company & operated with multiple adult supervisors. Tents will not be larger than a 10 x 10. Name Of Sponsor/ Organization: First Baptist Church of Okeechobee Contact Number before/during event OF RESPONSIBLE PERSON: Melanie Rooks 467-7625 or 772633-9777 Date(S) And Time(S) Of Event: Date: 10/31/2019 Starting Time: 5:30 PM Closing Time: 7:30 PM Date: Starting Time: Closing Time: Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? YES LOCATION SW 4th ST between 5th & 6th Avenue's IF Will Emergency Apparatus (Fire and Ambulance) have access to area? Yes NO, THEN EXPLAIN (provide alternatives): WILL ELECTRICITY BE USED? Locations: In the center of the ball field YES RENO 0 Provided By: Joel Bass Electric WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? YES l 1 $O14 Type of Heating Equipment Used: ,, / YES ® NO ❑ No I 'ThQ I /0 X /ci (- Size ire rating posted: l� f 19 - WILL A TENT BE ERECTED? Tent Manufacturer: / 1/1%. - Tent have sides and how many? ***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) r Te e uire life safety inspection (900 square feet or less then no permit is required) O Floor elan / seating / setup drawing required showin • exits, etc. mergency access must ee matntatnee '1 FERS TO VEHICLES AND EQUIPMENT) CWFire extinguishers must have current tag, and be operational and readily accessible. riseServices inspection requirerampos,ea ectrical wiring exterior rated, not overloaded. — �/G �` ± C (�t7�r `p BSc Fire Services inspection required. E4—_Fire_ur O —Fi ghterfhsspector`Ameunt :. .'- FIRE DEPARTM SIGNATURE: AL (PRINT): QS Other; -2N1\ 1 i Please call the FD at 863-467-1586 for any questions. Temp • Closing SW 4th ST between 5th & 6th Av ■ FBC Mission House Parking FBC Main Campus Parking FBC Okeechobee Fall Festival, Temporary Street Closing Oct. 31, 2019 Event time: 5:30 to 7:30 PM, Street Closing from approximately 3:00 to 9:00 PM. The portion of the street to be temporarily closed is SW 4th ST between 5th and 6th Avenues for pedestrian safety. Should the Police Dept find it necessary, the portion of SW 5th Avenue between the ball field and FBC main campus may need to be temporarily closed. ► Barricades are being requested to close off 4th Street from Public Works. 0 -The Fire and Police Departments are encouraged and invited to participate by having a booth/tent within the ball field during the event. ► Requesting the Police Department to assist with traffic at the intersection of 4th Street and 5th Avenue during the event. 9/20/2019 Detail by Entity Name D:vlsIoN OF CORPORATIONS I H`/l jr)si of (jr, )1) j2 'V t :;frile numb if bmte ),anent 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 search.sunbiz.org/I nquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=1 nitial&searchNameOrder=Fl RSTBAPTIST... 1/3 9/20/2019 Title SD Detail by Entity Name 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 2017 04/19/2017 2018 03/12/2018 2019 04/22/2019 Document Images 04/22/2019 -- ANNUAL REPORT View image in PDF format 03/12/2018 -- ANNUAL REPORT View image in PDF format 04/19/2017 -- ANNUAL REPORT 03/09/2016 -- ANNUAL REPORT 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 03/22/2012 -- ANNUAL REPORT 04/27/2011 — ANNUAL REPORT 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 image 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 View image in PDF format View image in PDF format J View image in PDF format View image in PDF format View image in PDF format View image in PDF format 04/16/2004 -- ANNUAL REPORT View image in PDF format search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=F I RSTBAPTIST... 2/3 FIRSB-1077 JHECKMAN ,4 RO CERTIFICATE OF LIABILITY INSURANCE iii..___--- DATE (MM/DD/YYYY) 9/26/2019 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 CONTACT NAME: PHONE FAX (A/c, No, Ext): (800) 200-7257 (ac, No):(866) 608-0600 ADDRESS: 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 : INSURER D : INSURER E : � $ 1,000,000 INSURER F : 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 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 (MM/DD/YYYYI POLICY EXP IMMIDD/YYYYI LIMITS A COMMERCIAL GENERAL. UABILITY1,000,000 EACH OCCURRENCE � $ 1,000,000 CLAIMS -MADE OCCUR 1423-828 12/1/2017 12/1/2018 PREMISES (?EREoTuErreD nee) MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY J 1,000,000 _$ 3,000,000 _$ 3,000,000 $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY jP& LOC PRODUCTS - COMP/OP AGG OTHER: AUTOMOBILE LUIBILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ AUITOSONLY AUTOSULED BOODILYINJUpRY(Per accident) $ AUT�3 ONLY YY AUUTOS ONLD (Peri acatlent) AMAGE $ _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE _$ $ DED RETENTION $ WORKERS COMPENSATION PEROTH- ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ QFFICERIMEMBER EXCLUDED? (Mandatory in NH) N /A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Please see the attached CG 2026 stating The City of Okeechobee and R.E. Hamrick Testamentary Trust is named additional inssured for the event on 10/31/2019 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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) R.E. Hamrick Testamentary Trust and City of Okeechobee 55 SE 3d Avenue Okeechobee, FL 34974 Email or Fax#: jdunham@cityofokeechobee.com Fall Festival on October 31, 2019 @ 310 SW 5th Avenue 5:30PM - 7:30PM 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 Jackie Dunham From: Jackie Dunham Sent: Wednesday, October 16, 2019 11:02 AM To: melanie@fbcokee.org Cc: Gil Culbreth (gil@gilberthasit.com); 'Mike Hamrick (mhamrick@manateelegal.com)' Subject: Approved Street Closing October 31st, 2019 Attachments: 017-FBC Fall Family Festival (Street Closing).pdf Attached is your approved Street Closing Permit for the First Baptist Church's upcoming Fall Family Festival to be held October 31st, 2019. The street(s) requested to be closed are SW 4th Street between SW 5th & 6th Avenue and if needed the 400 block of SW 5th Avenue. This is for the safety of the pedestrians who will be crossing those streets during the event. The City of Okeechobee wishes you much success with this year's festival. Jackie Dunham Administrative Secretary City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 863-763-3372 (Main) 863-763-9821 (Direct) 863-763-1686 (Fax) jdunham@cityofokeechobee.com cityofokeechobee.com WEBSITE: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this e-mail may be subject to public disclosure. 1