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Temp. Street Closing/Park Use Permit - OKMS Annual Christmas FestivalPermit Number: 020 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 ext. 9821 Fax: 863-763-1686 e-mail: idunham(c cityofokeechobee.com Park Use Permit Permit Expiration: December 14, 2019 (5), 11:59PM Date(s) of Event: 12-13 & 14-2019 - 9AM-9PM Purpose of Request: OKMS Annual Christmas Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Applicant: Okeechobee Main Street Phone Number: 863-357-6246 Current Zoning: P Subdivision: City of Okeechobee Zip Code: 34974 Applicant's Address: 55 S. Parrott Avenue Address of Project: Park 3.4 FLU Designation: Public Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. Reminder: Main Street responsible for emptying trash receptacles and replacing with new liners per Public Works Director. Contact FD prior to event for inspections 863-467-1586. ,TackC�q Dccvthcuiv December 6, 2019 Administrative Secretary Date Page 2 of 3 Revised 3/5/19 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings 1St & 3`d Tuesdays but subject to change) Address of Event: i/lTlo'\, � 4 - Streets) to be closed CI o 5 i ►. t 0t. r..1, -J Date(s) to be closed:' C.•e.Arj-Q,Y' H P° rSt Time(s) to be closed: Vh 10 r►-� L Purpose of Closing: ry,cQ e%U Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan ► Copy of liability insurance in the amount of ► Copy of liability insurance in the amount of $1,000,000.00 $1,000,000.00 with the City of Okeechobee as with the City of Okeechobee and R.E. Hamrick Testamentary additional insured. Trust as Additional Insured. 0- Proof of non-profit status ► 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 leiter of authorization from ► State Alcoholic Beverage License, if applicable.** 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 TemporarX 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 regulatoragencies. 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 I of 3 Revised 3/5/19 CITY OF OKEECHOBEE y.°F•oKFFC 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 '° PARK USE AND/OR TEMPORAF,Y STREET/ • SIDEWALK CLOSIN(Y PERMIT APPLICATION Date Received: I I1-�,a-(C(Ct Fib I I Date Issued: /,R-(��--',V ADDlication No: I I -OAA I Date(s) & Times of Event: '?-C) 1cl Information: Organization: Q CCkh e, Mailing Address: C�-rrb 11,ge, Q o 1oee,, Contact Name: " S E -Mail Address: p p e2 I Work: I Home: I I Cell: I'lta"� OtA- 1 to W-rn I Summary of activities`-ildS I'wA VS OAAJ-�iyywuS -�-P� LvCx f"- `- 4'_ �4wk. Lt�L1l 'ipciuta, GL u— vui Gl_ YVtai�,e. h O( 6A- VendS 1'l'1.0 CL" -d i'V1-cvc ; �' ✓ McU�1 C e S `VK— G XrCts (> 1 . /�lQ�i�l.l J (-)-p((ACL -iG us Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 Vj#3 �d#4 ❑ #5 ❑ #6 [Park 3 is location of Gazebo. Park 4 is location of ]Aandstand] (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 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 urance must name City of Okeechobee as Additional Insured as well as R.E. Hamrick tary Tru f closing streets or sidewalks. i =- LF . . 1 �"'®romm, ••••OFFICE USE ONLY••• Staff Review Fire Department: Date: Building Official: Date: Public Works: Date: Police Department: Date: BTR Department: Date: City Administrator: City Clerk: 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 q - � Date Temporary Street and Sidewalk Closing reviewed by City Council and approved �) Date CITY OF OSEECHOBEE FIRE DEPARTMENT APPLICATION FOR SPECIAL EVENT lication Number: h-6/at NAME OF EVENT: ADDRESS OF EVENT: Date Received: (� ` �,-l`t (' ��"� ►CL. M Contact Number before and during event OF RESPONSIBLE PERSON: �-iLA-1 u -I -I U-1 . RESPONSIBLE PERSON'Ss=Sa��:�5 DATE(S) AND TIME(S) OF EVENT: Date: c- I I l Starting Time: M Closing Time: _ V)rvy oji— y Date: i L 1-1 ,1010 Starting Time: owl Closing Time: _t 0 to VVI Ch OSi Allo ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? LOCATION�C _ W'r'FI A UC Will Emergency Apparatus (Fire and Ambulance) have access to area? IF NO, THEN (provide alternatives): T WILL ELECTRICITY BE USED? YES M zNO ? (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES 0 Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES l] to [7 Tent Manufacturer: Size ty x i fire rating posted: Tent have sides and how many? a FTE Are there Fire Extinguishers accessible and ready for use? (circle) Yes No A'I l k D, **"ATTACH SITE MAP OF EVENT LAYOUT-*** FIRE SERVICES SHALL COMPLETE ITEMS BELOW: 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 less 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. O Cooking requires LPG outside of tent pointing away from exposures. O Electrical wiring exterior rated, not overloaded. O Fire Services inspection required. O Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: O Firefighter/Inspector Amount: O Other: FIRE DEPARTMENT OFFICIAL (PRINT): SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 Park # 3 QKIAS Site Map State Rd 70 Tree 40 Trash Can M Light Post Power Park Street —:::] dark t4 OKIAS Site !vlop State Rd ?Q Tree 4W M Trash Can Light Post Power 11 • 10, Gazebo 444 443 ParkTab les �c' Lig}�t Feet -110 Trash Can Bench ■/ an 413 412 411 1 410 40 Bench m mm en CO I 427 418 x11'1� x'19 Light Post 416 415 4i7 414 Park Tables FE U 1 1 404 -------- 402 Park Street 446 �42 44 5 Bench '428 Park Tables 42� *I Light Pat 425 \ 424 423 401 2019 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# N99000000045 Apr 22, 2019 Entity Name: OKEECHOBEE MAIN STREET, INC. Secretary of State Current Principal Place of Business: 0710899077CC 55 S. PARROTT AVE OKEECHOBEE, FL 34972 Current Mailing Address: 55 S. PARROTT AVE OKEECHOBEE, FL 34972 US FEI Number: 65-0887929 Certificate of Status Desired: No Name and Address of Current Registered Agent: POWERS, LYNDA M 55 S. PARROTT AVE OKEECHOBEE, FL 34972 US The above named entitysubmits this statement for the purpose of changing its registered office or registered agent, or both, In the Stahl of Florida. SIGNATURE: LYNDA M. POWERS 04/22/2019 Electronic Signature of Registered Agent Officer/Director Detail : Title PRESIDENT Title VP Name GRIFFIN, ANGIE Name HEDDESHEIMER, MARION Address 313 SW PARK STREET Address P.O. BOX 2338 City -State -Zip: OKEECHOBEE FL 34974 City -State -Zip: OKEECHOBEE FL 34973 Title SECRETARY Title TREASURER Name BRAGEL,PAULETTE Name AUSTIN, ASHLEY Address 55 S PARROTT AVE Address 55 S. PARROTT AVE. City -State -Zip: OKEECHOBEE FL 34972 City -State -Zip: OKEECHOBEE FL 34972 Date I hereby certify that the Information Indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal ailed as If made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: ANGIE GRIFFIN PRESIDENT 04/22/2019 Electronic Signature of Signing Officer/Director Detail Date nKFFC9Q no In- nnca A�c,_oRD CERTIFICATE OF LIABILITY INSURANCE DATE 11 /21!2019 1112112019 9 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 863-467-0600 ISU Lawrence Insurance Agency PO Box 549 Okeechobee, FL 34973 CONTACT Heath Lawrence PHONE 863 -467-0600 FAX 863 X167-5142 A1C, No, Ext): (A1C, No E-MAIL A DRESS. Heath Lawrence LIMITS A INSURERS AFFORDING COVERAGE NAIC # INSURER A: Mt. Vernon Fire Insurance Co �SUR D ceecFllobee Main Street ' INSURER B: INSURER C: 55 S Parrott Ave Okeechobee, FL 34974 DAMAGE TO RENTED 1,000,000 IS ES (Ea occurrence) 5 MED EXP (Anyoneperson) S 5,000 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NIIMRER: PP:VLcfnKI Iu1111AR1=R- 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 TYPEOFINSURANCE ADDL SUER POLICYNUMBER POLICY EFF POLICYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X NBP2552460 10/25/2019 10/25/2020 EACH OCCURRENCE 5 1,000,000 DAMAGE TO RENTED 1,000,000 IS ES (Ea occurrence) 5 MED EXP (Anyoneperson) S 5,000 X Directors 8r Offic PERSOIJAL & ADV INJURY S 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: pqPOLICY ❑ PE o- � LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS -COMP/OP AGG 5 Inc S OTHER: A AUTOMOBILE LIABILITY CO aBIINdED SINGLE LIMIT S 1,000,000 (EaANY BODILY INJURY Perperson) S AUTO NBP2552460 10/25/2019 10/25/2020 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident S X HIRED X NON O.V AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESSLIAB CLAIMS -MADE DED RETENTION S g WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N OTH- UTE F E.L. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A E.L- DIEEASE- EA EMPLOYE 5 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Christmas Fesitval and Lighted Parade City of Okeechobee & RE Hamrick Testamentary Trust is included and additional insureds with respect to the General Liability CERTIFICATE HOLDER CANCELLATION CTYOKEE SHOULD ANY OF THE ABOVE DESCRIEIED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Okeechobee RE Hamrick Testamentary Trust 55 S.E. 3rd Avenue Okeechobee, FL 34974`':%f AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD list From: I nfo Sent: Friday, December 6, 2019 10:56 AM To: Lynda Powers (lynda@okeechobeemainstreet.org) Cc: Mike Hamrick (mhamrick@manateelegal.com); Gil Culbreth (gil@gilberthasit.com) Subject: 020 -OKMS ANNUAL CHRISTMAS FESTIVAL Attachments: 020-OKMS Christmas Festival 2019.pdf Attached is your approved Park Use Permit and Street Closing Permit for the upcoming OKMS Annual Christmas Festival to be held December 13 & 14th. The streets to be closed will be SW 4th Avenue between North and South Park Street and closing will begin at 5pm on December 13th and run through 10pm on December 14th. 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) idunham@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