2021-03-02 Ex 01Page � of 3
Revased 3/5/19
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I)ate Received:
Apt�lication No:
�fo�at���:
l�ailing Address:
Contact 1Vame:
E-Mail Address:
Work:
of activities:
CITY OF OKEEC�IO�E�
55 SE THIRD AVENUE
OI�ECHOBEE, FI� 34974
'Tele: �63-763-9�21 Fax: �63-763-1686
PA i7SE Al�D/OlZ T'ElViPOIZAIdY S'T E�'/
SIDEWALK CLOSING
PE�IIT APPLIC�°I'IOl�
Z- �.��-1 �ate Issued:
-- ?�;) � I�ate(s) & Times of Event:
` � �c� j�1�-1 � � � _ � -. -r : �,�
;�. �� nr� 5-��.�e �
,
►e ' �- �� �
i�= � G���C' IY� �C-' iY� f�} i r.i 5't l:�
���-: Home:
Please check requested I'a.�ks:
� � �
�� i
�
�ell:
Flagler Parks: ❑ City I�all Park ❑ #1 I�emorial Park � #2 � #3 �#4 ❑ #5 ❑ #5
[Park 3 is location of Gazebo. Parlc 4 is location o andstand]
(Ii other private property used fn con,�a�nc�aon vvith thas Park IJse Perffiit please p�oeide the address and
parcel nunaber below along witb noiar�ed ietter of authorization fro�n property or�vn�r)
Additional Addresses, if appflicable
Parcel II�:
Proceeds usa e:
-' L��-C� "�' d'� � � �. �; C')� '�9� r� I 3�1 Ly d�JC�'
� 1? -1-5 "��- � �L, �'�' J r�� � �" �� N �� I� � � c '+Pv� � �� l�
�S rl "� T�? E= f� ' N%ti �(>`l i71 ' 1'�i \
Page 2 of 3
Revised 3/5/19
TEMPORARY STREET At�D SIDEWALK CLOSING INFORMATION
(Street Closangs require City Council approval. Meetings 1St & 3rd Tuesdays but subject to change)
Address of Event:
;t(s) to be closed:
(s) to be closed:
:(s) ta be closed:
ose of Closin�: S
Attachments Required for Use of Parks
► Site Pla.n
�� 1� � ���� � � ; r� ��.�� h ����
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� u�� 1 L V. i-�n o►J 1 1 �c� r
�- -P-� A-1 l�t��i ��; Sr� � i � n ��.� 0�� �9 �
Attachments Required for Street/Sidewalk
► 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
► State Food Service License if > 3 day
► Notarized letter of authorization from
propertv owner, if annlicable.*
► Original signatures of all residents, property owners and
business owners affected by the closing.
► State Food Service License if > 3 days.
► State Alcoholic Beverage License, if applicable.**
* Required if private property used in conjuuction with a Paxk 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.
I�ote:
► Clean-up is required withi.n 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 msurance coverage and code compliance requirements of the City and other re ations
of oiher governmental re�xlatory agencies. The applicant will be responsible for costs associated with the event,
including damage of properly. 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 applica.nt shall be subject to
demand for, and payment of, all of the actual costs incurred by the Ciiy 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, wluch may be lawfully prescribed by the City Council of the City of Okeechobee, or its officers, for
the issua.nce
Certificate of Insurance must name City of Okeechobee as Additional Insured as well as R.E. Hamrick
Testamentary Trust if closing streets or sidewalks.
Signature
Staff Review
�`���'�I
Date
°•••OFFICE USE ONLY•o••
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
NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND
RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS PRIOR TO
EVENT FOR PERMITTING.
C�'TY OF C3FCEE�H���� ��I� L7EPA.�TME'aVT _ .
_ __ _- - -- — _ �
AI'PL,IC1�'TION FOR �PECIAL ����T'�`
Application Number:
NAME OF EVENT:
ADDRESS OF EVENT:
DESCRIPTIOI�I OF EVENT:
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Date Received:
��' � i I r; 4a �
��� �� �, .� r�N�� �-1
'; ��t� �=-o�� , �(� a-�
NAME OF SPONSOR ORGAIVIZATION: _����C� `�� �j C�' I Y'If�► N`'
�;���'�'c!:.:��� �'�:'���;���;� before nnd during event OF RESPO%lSI�LE PERSON:
,, ,,.
� ��
5�--�%��
DAT�(�) AIVD TIIVIE(S) OF EVEN7":
Date: ��.(�,�}� �� Starting Time: _ 5 d� t�� � Closing Time: � E:`C2` �f'Yl
Date: �,� jZ � 3, 1�- Starting Time: f.� �,�, ��� Closing Time: ,_
ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? ��S LOCATION
d.
Will Emergency Apparatus (Fire and Eimbulance) have access to area? �-� �
IF NO, THEN (proeide alternatives):
WILL ELECTRICITY BE USED? YES � � 0 0,(circle)
Locations:
Provided By:
WILL HF:ATING/OPEN FLAMES FOR FOOD BE PROVdDED? (circle) YES 0 � 0 �
Type of Heating Equipment Used:
WILL A TENT' BE �RECTED? (circle) YES � NO �
Tent Manufacturer: Size fire rating posted:
Tent have sides and how many?
Are there Fire Extinguishers accessible and ready for use? (circle) Yes No
�'� �'ATTACH SITE 1VIAP OF EVENT LAY4UT�` �''�
-� ��
="': `. J�� J -- "�'...: � � 1 �_�1� �'J ����_'....�''Frj:
FIRE DEPARTMEN'I' LIFE SAFETY & FIRE SERVICES REQUIREMENTS: (See above)
❑ Tents/canopy fire rating certificate required.
O Tent Size requiee life safety inspection (900 saguare feet or less then no permit es required)
❑ Floor plan / seating / setup drawing required showing e�ts, etc.
O Emergency access must be maintained. (REFERS TO VEHICLES AND EQUII'MENT}
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 DEPAR.'TMENi' OFFICII�L (PRIN'1�:
SIGNATURE: Please call the FD at �63-467-1586 for any questions.
Revised 11-6-19
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, Rule'4-65.0035(1)(c), F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
T�UIPORARY CLOSIiVG OF STATE ROAD PERPJIIT
Date: �- `�� ����r Permit No.
Governmental E
Approving Local Govemment C' C�'�G�',
Address JJ ,�-�- � 'f ��� ,��_ .'��r .�
Telephone�:�`'��' �- �S �- � • Email L
Organization
fVame of Organization � �- �
Address J,�� IV .�: • o� (iC� 5-}'(�--��T
Telephone �S�D��- �� � (n�� lv Email j
_ Descrip
Event Title 5'_`�"�1�11�C
Start Time � (� :C�f�m
Event Route (attach map)
850-040b5
MAINTENANCE
ivn
Contact Person � �C�'1 I\� �.� �,
uesting Special Event
� I Contact Person
n of Special EvenE
� Pr � Date of Evenf �) i� l�
s
Detour Route (attach map)
Name of Agency
Law Enforcement
US Coast Guard Approval for Co
Movable Brid
Not Applicable � �
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 againsf 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 litfier and providing a safe environment to the public.
Signatures of Au1
Event Coordinator P�1 �� ' � � iJ Signature
Law Enforcement , � �
Name/Title � , d� � �/�(fl1� Signature
Government Official
Name/Title G�i y,¢�,ti k„�s P z.� r� Signature
FDOT Special
te for Traffic Control
Date � - a�- ��%
Date r � � �
Date �/ �f/ ��r
b
FDOi Authorization
Name/Title Signature Date
INDEMNIFICATION AGREEMENT
This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA,
(hereinafter "CITY") and �����CC,���7��' �� I1�1 � I E�C.P��, �f�1�+
(hereinafter "APPLICAIVT"), dated this ��iay of _���, a�%�-1 .
WHEREAS, APPLICANT desires to hold or sponsor a special event, parade,
festival, or other activity requiring the temporary closure of a state-controlled
roadway in the City of Okeechobee, Florida, and therefore requires the execution
and submission of an application for such temporary closure to the State of Florida
Department of Transportation by the CITY pursuant to regulations of said
Department, and
WHEREAS, pursuant to Resolution No. 88-5 the CITY requires
indemnification by any applicant for temporary road closure before the appropriate
CITY officials may execute such application to the Department.
NOW, THEREFORE, in consideration of the mutual obligations and covenants
sef forth hereafter, the parties agree as follows:
1. APPLICANT shall indemnify, protect, defend, and hold harmless the CITY
from any and all losses, injuries, damages, or claims of any nature or type
resulting directly or indirectly from the temporary road closure and the
special event, festival, parade, or other activity to be held on ���-1 day of
/�I',-C! E ,�v �-1. Applicant shall further reimburse the CITY for any
and all attorneys' fees, court costs or other legal costs incurred by the
CITY as a result of any such losses, injuries, damages or claims.
2. If the APPLICANT is a corporation, partnership or other legal entity (other
than an individual), APPLICANT shall attach hereto a duly executed
resolution, partnership agreement or other document in legal form
evidencing the authority of the officers of such entity to enter into this
indemnification agreement.
3. Upon the APPLICANT complying with paragraph 2 above, the requirements
of Resolution No. 88-5 of the CITY, and any other reasonable requirements
of the CITY, the CITY shall cause the appropriate City officials to execute
the necessary forms to make application to the State of Florida,
Department of Transportation, for temporary road closure.
APPLICANT
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TITLE: I l 4'� � G�G �,i ���
CITY OF OKEECHOBEE, FLORIDA
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BY: .t„�._. • C, ,,
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TITL'E: Administrative Assistant �
General Services Department
FOR CITY USE ONLY
XX Proof of liability insurance
_Corporate resolution completed
XX Other requirements (specify) Indemnification A�reement
c-- :� � � f .1'� ' _ -
REVIEWED BY: `'' ; • ' � c._.. .� ,�L---�
TITLE: Administrative Assistant, General Services
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DATE: ' � " ��'� �
RESOLUTION NO. 20i9-i0
A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA; RESCINDING
� RESOLUTIOfV NO, 1986-5 AND NO. 2011-02 CONCERNIfVG TEMPORARY
CLOSING OF STATE ROADS FOR SPECIAL EVENTS; CREATING
PROCEDURES AND FORMS FOR SU6MISSION TO FLORIDA
QEPARTMENT OF TRANSPORTATION FOR STATE APPROVAL FOR
SUCH CLOSINGS; PROVIDING FOR CONFLICT; PROVID(NG FOR
SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the Florida Department of Transportat(on (FDOT) publishes promulgated rules
and procedures for an application to temporarily close State Roads for specfal events
in the Florida Administrative Code (FAC); and
WHEREAS, the Ciry of Okeechobee has prevlously 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, additfonal rules and procedures for the closing of State Roads for spectal
events; and
WHEREAS, the City, as well as other organizations, have historlcally sought ctosure of State
Road 70 and U.S. Highway 441/State Road ]5 to conduct parades and specfal events
for the citlzens of Okeechobee County, and continuing that tradition is in the best
interests of the Ciry and County.
NOW, THEREFORE, be it resolved before the Ciry Council for the City af Okeechobee,
Florida; that the Ciry 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 Offlcer for the Clty:
SECTION i: The City of Okeechobee, Florida hereby rescinds prlor Resolution No. 1988-5
and No. 2011-02, and creates procedures for temporary closings of State
Roads by this Resolution.
SECTION 2: This Resofution is created to conform to the current requ(rements of Ruies 14-
65.0035 and 14-65.0075, Florida Adminfstrative Code, whlch contatns 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 5tate Roads to the
FOOT, Clry 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 w(th approvals of pertinent Depafinent
Heads that would be Involved ln the event, if necessary.
b. Prior to an applfcatlon for the closfng of a State Road, City Staff must
determine whether the closing is necessary to conduct the speclal event.
c. The application for closure must be submltted on FDOT form 850-040-65
�� (rev.12/11) or as hereafter amended, and submit same to any FDOT area
operations office.
d. The Clty shall submit with the application form this duly executed Resolutton,
which authorizes City Staff to approve and subm(t the application for the
special event, along with:
Information from the City Admfnistrator, Chief of Police, or thetr
designee(s) requesting the closure whlch shall include the following, if
requested by the FDOT:
a. disclosing the date and time and duration of the closure.
ResowrioN No, 2019•10 Pqae 1 oF 2
b. a marked map indicafing the temporary detours to be utilized by the
public, and showing placement of appropriate signage; the stationing of
any Officers or flagmen; and Iocallons of cones or barriers necessary to
detour traffic in a sate and efficient manner.
e. The City Administrator, Chief of Police, or lhely designee(s) are authorized io
complete the application process and submit for the temporary closing ot a
State Road or Right-of-Way.
f. As a condition of the approval of a temporary road closure by the FDOT, the
sponsor of the special event shall obtain single event Ilability insurance In the
sum not less than ane million dollars ($1,000,000.00), or such other amount
as deemed necessary by the FDOT, naming the FDOT as additional lnsured,
and indemnlfy and hold harmless the FDOT from and against any claim,
demand, suit, personat inJury, or death. Any sponsor or organization
requesting a temporary road closure shall also execute an Indemniry
Agreement holding the City harmless. The pollcy obtained by the sponsor or
organization shall be considered primary coverage for any Ioss, and any self-
insurance by the City shall 6e considered to be secondary.
g. Nothing herein shall be construed as a waiver of (mmuniry or statutory
protection of Florida Statute Chapter 768 by the City of Okeechobee.
SECTION 4: All Resolutions or parts of Resolutlons in conflict herewith are hereby repealed.
SECTION 5: If any sectfon, subsection, sentence, clause, phrase or portion of this
Resolution, or application hereof, fs for any reason held invalld or
unconstitutlonal by any court of competent Jurisdiction, such portion or provision
and such holding shall not affect the validity of the remaining portlons or
applications here.
SECTION 6: This Resolution shalt take effect Immed(ately upon Its adoption.
INTRODUCED AND ADOPTED in Regular Session th(s 6�h day of AUqUSt, 2019.
. .
- .:�. � ,
ATTEST: • • ,;' .�;�" '
Lane aFniotea, . MC,'City Clerk
REVIEWED FOR LEGAL SUFFICIENCY:
__�__��IZ�o ,-��
John R. Cook, City Attorney
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Reso�urioN No. 2019-10 PA�E 2 OF Z