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Park Use Permit - OKMS Christmas FestivalCITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 ext. 9821 Fax: 863-763-1686 e-mail: idunham@citvofokeechobee.com Park Use Permit Permit Number: 20-019 Date(s) of Event: 12-11 & 12-2019 — 5:00 A.M — 10:00 P.M. Permit Expiration: December 12, 2019 @ 11:59PM Purpose of Request: OKMS Annual Christmas Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Applicant: Okeechobee Main Street Phone Number: 863-357-6246 Current Zoning: P Subdivision: City of Okeechobee State: Florida Zip Code: 34974 Applicant's Address: 111 NE 2ND STREET 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 is responsible for emptying trash receptacles and replacing with new liners per Public Works Director., Contact FD prior to event for inspections 863-467-1586. Please continue to monitor Corona Virus — Covid 19 and adhere to state and local guidelines regarding large gatherings. Please contact the City (863) 763-9821 if your event is cancelled or rescheduled. (5aaP. Neu, November 30, 2020 Administrative Secretary Date -1— 20 2C Rule 14-65.0035(1)(c), F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040-65 TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTEN 1210E 1 Date: 11 /13/2020 Permit No. 2020-F-191-00017 Governmental Entity Approving Local Government CITY OF OKEECHOBEE Contact Person GAIL NEU Address 55 SE 3RD AVENUE OKEECHOBEE, Florida 34974 Telephone (863) 763-9821 ext. Email gneu@cityofokeechobee.com Organization Requesting Special Event Name of Organization OKEECHOBEE MAIN STREET Contact Person ANGIE GRIFFIN Address 111 NE 2ND STREET OKEECHOBEE, Florida 34972 Telephone (863) 357-6246 ext. Email ANGIE@OKEECHOBEEMAINSTREET.ORG uescription or speciai went Event Title CHRISTMAS PARADE Date of Event 12/12/2020 Start Time 6:00 PM (EST) Event Route (attach map) Detour Route (attach map) End Time 8:00 PM (EST) Law Enforcement Agency Responsible for Traffic Control Name of Agency CITY OF OKEECHOBEE US Coast Guard Approval for Controlling Movable Bridge Not Applicable 0 Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment to the public. Event Coordinator GAIL P NEU Date 11 /13/2020 1 Date 11 /13/2020 Date 11 /13/2020 FDOT Authorization Name/Title Selina Carroll / DISTRICT PERMIT COOF Signature Selina Carroll _uEte 11/13!202n -_� �C_,G I I - i -Ly'JLL1 Rule ^4•§5.0035(1)(c). F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040£5 TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTENANCE p j 12111 Date: F `i-�LC%_.J Permit No. Governmental Entity pproving Local Government., ' T ,' a ' 'f� Contact Person /3R. } � Jdress pis" rcup �'i t .' .t -e-e- , `.(' `, � I e MIephone �L`��' %�a �-� 7 ' .Z % Email i'!f'.6.i�ei T"- Organization Requesting Special Event ame of Organization iiN ' iL STBE 1 Contact Person ddress 1? 1 n d s P� -Cfe 1�cn h, Ix- e EL 3 07 �lephone -?In - , `�� - (� �� q.10 Email �}l�(a 1 Did (z �il✓1 �'' ' l�)�/� l/ti S l f�� � 1 �,�G1 uescrlipnon of special Event Event Title oHAtb`E Date of Event T)c�c Start Time End Time n Event Route (attach map) �&tl (? bi �P— 0 6c— j Detour Route (attach map) Law Enforcement Ageqry Responsible for Traffic Control I Name of Agency US Coast Guard Approval for Controlling Movable Bridge of Applicable z, opy of USCG Approval Letter Attached ❑ ridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment to the public. Sidnatures of Authorization. event uclaruinator _ICI LJV_/-i—F I YY 5) nature L.J 9 -- � L _ Date Law Enforcement Name/Title i� 'o ,�� ,�?i�'7 Signature Date Government Official Name/Title Signatur — Date FDOT S ecial Conditions FDOT Authorization Name/Title Signature Date RESOLUTION NO. 2019-10 A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA; RESCINDING RESOLUTION NO. 1988-5 AND NO. 2011-02 CONCERNING TEMPORARY CLOSING OF STATE ROADS FOR SPECIAL EVENTS; CREATING PROCEDURES AND FORMS FOR SUBMISSION TO FLORIDA DEPARTMENT OF TRANSPORTATION FOR STATE APPROVAL FOR SUCH CLOSINGS; PROVIDING FOR CONFLICT; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the Florida Department of Transportation (FDOT) publishes promulgated rules and procedures for an application to temporarily close State Roads for special events in the Florida Administrative Code (FAC); and WHEREAS, the City of Okeechobee has previously adopted Resolutions setting forth some of these procedures; and WHEREAS, it has been requested by the FDOT that the City update, and adopt by Resolution, additional rules and procedures for the closing of State Roads for special events; and WHEREAS, the City, as well as other organizations, have historically sought closure of State Road 70 and U.S. Highway 441/State Road 15 to conduct parades and special events for the citizens of Okeechobee County, and continuing that tradition is in the best interests of the City and County. NOW, THEREFORE, be it resolved before the City Council for the City of Okeechobee, Florida; that the City presented at a duly advertised public meeting; and passed by majority vote of the City Council; and properly executed by the Mayor or designee, as Chief Presiding Officer for the City: SECTION 1: The City of Okeechobee, Florida hereby rescinds prior Resolution No. 1988-5 and No. 2011-02, and creates procedures for temporary closings of State Roads by this Resolution. SECTION 2: This Resolution is created to conform to the current requirements of Rules 14- 65.0035 and 14-65.0075, Florida Administrative Code, which contains the rules and procedures to follow when applying for temporary closing of State Roads for special events. SECTION 3: That when the City seeks to apply for a temporary closure of State Roads to the FDOT, City Staff must adhere to the following: a. Any special event shall be approved by the City Administrator and Chief of Police, or designee(s) in advance with approvals of pertinent Department Heads that would be involved in the event, if necessary. b. Prior to an application for the closing of a State Road, City Staff must determine whether the closing is necessary to conduct the special event. c. The application for closure must be submitted on FDOT form 850-040-65 (rev.12/11) or as hereafter amended, and submit same to any FDOT area operations office. d. The City shall submit with the application form this duly executed Resolution, which authorizes City Staff to approve and submit the application for the special event, along with: Information from the City Administrator, Chief of Police, or their designee(s) requesting the closure which shall include the following, if requested by the FDOT: a. disclosing the date and time and duration of the closure. RESOLUTION No. 201910 PAGE 1 OF 2 b. a marked map indicating the temporary detours to be utilized by the public, and showing placement of appropriate signage; the stationing of any Officers or flagmen; and locations of cones or barriers necessary to detour traffic in a safe and efficient manner. e. The City Administrator, Chief of Police, or their designee(s) are authorized to complete the application process and submit for the temporary closing of a State Road or Right -of -Way. As a condition of the approval of a temporary road closure by the FDOT, the sponsor of the special event shall obtain single event liability insurance in the sum not less than one million dollars ($1,000,000.00), or such other amount as deemed necessary by the FDOT, naming the FDOT as additional insured, and indemnify and hold harmless the FDOT from and against any claim, demand, suit, personal injury, or death. Any sponsor or organization requesting a temporary road closure shall also execute an Indemnity Agreement holding the City harmless. The policy obtained by the sponsor or organization shall be considered primary coverage for any loss, and any self- insurance by the City shall be considered to be secondary. g. Nothing herein shall be construed as a waiver of immunity or statutory protection of Florida Statute Chapter 768 by the City of Okeechobee. SECTION 4: All Resolutions or parts of Resolutions in conflict herewith are hereby repealed SECTION 5: If any section, subsection, sentence, clause, phrase or portion of this Resolution, or application hereof, is for any reason held invalid or unconstitutional by any court of competent jurisdiction, such portion or provision and such holding shall not affect the validity of the remaining portions or applications here. SECTION 6: This Resolution shall take effect immediately upon its adoption. INTRODUCED AND ADOPTED In Regular Session this 6th day of August, 2019. ATTEST:. Lane amiotea, MC, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: John R. Cook, City Attorney Dowling R. rd, Jr., Mayor RESOLUTION NO. 2019-10 PAGE 2 OF 2 City of Okeechobee Parade Placing of all barricades, cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans, Index 102-600 Parade Route Page 1 of 1 Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: _ _ p Gu I Date Issued: -- Application No: Date(s) & Times of Ev^^4: Fi�iyYbet. f / ice: C1J arn Information - Organization: o e a f n(' Mailing Address: !/ 1 t T O H h C L S 4 7 Contact Name: ia^19 I E P—1 f / 1-i E-Mail Address: L & C Ce CC Q b e 1p Y11l4 IN Ok v Telephone: Work: .3 4(n Horne: Cell: Summary of activities: Igo Please check requested Parks: 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 I" & 3`d Tuesdays but subject to change) Address of Event: be& Streets to be closed: ' 1' d /4V E iv .D 5 v Dates to be closed: D Pe e t-6 Times to be closed: 05 P.M -beC I I tL po:--i L- lip PM CN Purpose of Closing: -- v S Attachments Required for Use of Parks Attachments Reauired 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. ►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 letter 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. ❑ 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 regglations of other governmental re story a eg ncies. 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 True( if,*sing streets or sidewalks. Applicant Signature Date ""OFFICE USE ONLY•••• Staff Review Fire Department: Date: /F- 9 Building Official: Date: lJ •j 2c� Public Works. Date: Police Department: Date: BTR Department: ' ' �2; Date: - -� City Administrator: Date: City Clerk: Date:1-0 U 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 Date Temporary Street and Sidewalk Closing reviewed by City Council and approved Date Application Number: APPLICATION FOR SPECIAL EVENT Date Received: NAME OF EVENT: 1' f !b (_, j S I l- A S ADDRESS OF EVENT: DESCRIPTION OF EVENT: NAME OF SPONSOR ORGANIZATION: Contact Number before and during event OF RESPONSIBLE PERSON:3 577- - (v C-) 4 ('0 PiyQie- DA ) AND TIMES) OF EVENT: Date: c, II . 00ao Starting Time: Or)-) — Closing Time: Date: —I- )eC, I o� ; �, Starting Time: j(h Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? � LOCATION Will Emergency Apparatus (Fire and Ambulance) have access to area? IF NO, THEN (provide alternatives): WILL ELECTRICITY BE USED? YES 0 NO (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES 0 • NO Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES 0 Tent Manufacturer: Size fir re ating posted: Tent have sides and how many? Are there Fire Extinguishers accessible and ready for use? (circle) Yes No ***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 FFIC (P : G Gam/ ��G,T SIGNATURE:�Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 will him, N,I 5thiSt NE Sth-St NW th Sw at — i E4 St ,. .t 44i�_ tt 40 -All ! {, tit 1 1 NV3rd�*,Sl'.-.. NE 3rd-St am =� =_. `'ssit2..t..��".,V2n St NE2nd�St . _ ..�. 'Untitle,d PI cema kz Okeec obvi'ee Parr � F r cn � . 4 ,, . dill r • .,o ;31� •: rlt�►St S ' , • re Ez ► � , rip _. � . � ,,,,�,� . p �.,� ° z - SW 2•• t � o Q G'E 2n t. p_ t d st - t rci 3S�iS f � � � S W+ S E,3 rdS j s. 44t�t F t S ` �J� /-St t. a El�. F �lagman „ - - SW-`ith-St _ SErSth-St—� Ora tr j � ,mt � � ® ' ice•.: '..IIIlMi1MG w —1994 z Cl'�l.�rk. r�,a.,�,at ihfn/nin -c,n 3 3 cl ni onnnn tic,I, . 1 ..i,.... ' RESOLUTION NO. 04-03 • A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA SUPPLEMENTING RESOLUTION NO.03-08; GUIDELINES FOR USE OF PUBLIC PARKS OR OTHER LANDS OWNED BY THE CITY OF OKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; PROVIDING FOR AUTHORITY TO REVIEW SUCH APPLICATIONS; PROVIDING FOR STANDARDS FOR REVIEW; PROVIDING FOR GUIDELINES FOR SUCH ORGANIZATIONS TO FOLLOW; 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 uses change from time to time, and problems arise by certain uses that are not anticipated, but should be the subject of regulation and control by the City of Okeechobee for the safety and welfare of its citizens, and which requires supplementing existing rules as necessary; NOW THEREFORE, it is resolved before the City Council for the City of Okeechobee, Florida; presented at a duly advertised public meeting; and passed by majority vote of the City Council; and properly executed by the Mayor or designee, as Chief presiding Officer for the City: THAT permission for charitable or benevolent organizations, or non-profit groups, to engage in certain activities in City parks or on City lands, is governed 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 authorized use of the public parks or rights -of -way within the City, the following regulations shall be followed, as applicable: a. The organization or permit holder, or their designee, shall be responsible to completely clean up the public area used by the permit, within two days of completion of the event, unless otherwise designated in the permit- b. No trailers unattached to a motor vehicle shall be parked along any street or avenue or public right-of-way, or in a marked parking spot, unless the right-of-way is closed for the event, not otherwise blocked off by the City. No other motor vehicles or trailers will be allowed to park or remain on the Park grounds unless prior written approval is obtained from the City Public Works Director or their designee, or such vehicle or trailer is participating in an event such as a permitted activity or car show. Any motor vehicle or trailer parked in violation of this section may be towed by the City at the owner's expense, who shall be liable for all towing and storage fees. C. Golf carts, 4-wheelers or other vehicles not licensed for use on public rights -of -way, will not be permitted on the Parts grounds without prior written approval of the City Public Works Director or their designee. d. Certain events, such as but not limited to parades, or those which draw a large number of people, require significant incurring of costs 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 Flagler 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 16"d day of March, 2004. -'!.'ATTEST:.: : 1-666-Gamiote3; City Clerk REVIEWED FOR LEGAL. SUFFICIENCY: John R. Cook, City Attorney Page 2 of 2 L� James. E. kirk, Mayor 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 governed 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. 5. 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 P INTRODUCED AND ADOPTED this E! day of August., 2003. . ' ATTEST: ' Lane Gamiotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: 4& Cook, City LAttorne�y-- Page 2 of 2 James. E. Kirk, Mayor -� OKEEC29 ACo/21f� CERTIFICATE OF LIABILITY INSURANCE l► - OP ID- MR DATE(MMIDDIYYYY) 11/04/2020 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 endorsements . PRODUCER 863-467-0600 ISU Lawrence Insurance Agency PO Box 549 Okeechobee, FL 34973 Heath Lawrence CONTNA ACT Heath Lawrence PHONE 863-467-0600 FAX 863-467-5142 Alc, No Ext : A/C, No E-DMAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Mt. Vernon Fire Insurance Co byeueR D KecFhobee Main Street 111 NE 2nd Street Dkeechobee, FL 34972 INSURERB: INSURERC: INSURER D: INSURER E : 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 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 ADDLSUBR POLICYNUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X NBP2552460C 10/25/2020 10/25/2021 EACH OCCURRENCE $ 1,000,000 DAMASETOE RENTED $ 1,000,000 MED EXP (Anyoneperson) $ 5,000 X Directors & Offic PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ inc $ _ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUTOS ONLY NBP2552460C 10/25/2020 10/25/2021 1COMBcidentSINGLE LIMIT Ea $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident $ PROPERTY accidenDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ Mandatory In NH) EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below NIA A PER OTH- U E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Okeechobee & RE Hamrick Testamentary Trust is included and additional insureds with respect to the General Liability City of Okeechobee RE Hamrick Testamentary Trust 55 S.E. 3rd Avenue Okeechobee, FL 34974 CTYOKEE 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 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD