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2021-08-17 Ex 01.� � � . `-� . , Date Received: Apnlication No: Information: Organization: ( Mailing Address: Contact Name: ) E-Mail Addi-ess: Tele hone: Work: 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 Issued: Date(s) & Times of Event: �j p�y� — �(?�� if- 1_3 %�- !L �,7U�1 1- K �- 1� .:3- � �/- � ��•�r_uL•ss� �c��r_��i � ' ' � �..0 � r ._ Cell: I .k�„ -�- � �,J-- Please check requested Parlcs: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 �#3 ❑ #4 ❑ #5 ❑ #6 [Park 3 is location of Gazebo. Park 4 is location of andstand] (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 TEMPORAI�Y STREET AND SIDEWALK CL05ING INFORMATION (Street Closings require City Council approval. Meetings lst & 3rd Tuesdays but subject to change) Address of Event: J � .5.- �. ,:�,Q� ,QUE? T t(s) to be closed: �,) s) to be closed: ec: - 4 (s) to be closed: ►se of Closin�: '! n _ �t- t3 / i�-tc � 1- ' � V (� i'Yl �L Q � ; � n �u i i�eo � �� 5� ' ��a j �_�, � �� V��.+�I Attachments Re uired for Use of Parks Attachments Re uired for Street/5idewalk ► Site Plan ► Site Plan ► Copy of liability insurance in the amount of ► Copy of liaUility 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 aronertv 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 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 re�ulations of other �overnmental re ulatory a e�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 Tru�t if closing streets or sidewalks. Signature Staff Review �-��-�� l Date ••••OFFICE USE ONLY•••• Fire Department: Date: Buildin Offcial: Date: Public Works: Date: Police De artment: Date: BTR De artment: Date: Ci Administrator: Date: City Clerk: Date: NOTE: APPLICATION AND INSURANCE CERTIFICAT� 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 Temporary Street and Sidewalk Closing reviewed by City Council and approved Date Date - • ,' ..l. C�]./�:[�Y�: CERiIFIC�►T'E OF LIABILITY I(VSURAN.CE DATE(h1�,UD�lYYYV) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEIZTIFICATE HOLDER. THIS CERTIFICATE DOES iVOT AFFIRMATIVELY OR NEGAYIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE�POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TNE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AIUD THE CERTIFICATE HOLDER. IMPORTAfVI': If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITlONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the 4erms and conditions of fhe polic�, certain policies may require an endorsement. A statement on this certificate does not confee ri hts to the certificate holder in lieu of such endorsemen4 s. PRODUCER 8B3-4F)%-0600 CONTACT H281`Il LaWf2f1C@ ISU Lawrence. Insurance Agency PHON= 863-467-0600 F� 863-467-5142 PO Box 549 ac, r�o, exe : ac, No : Okeechobee, FL 34973 E-n�Ai� Heath Lawrence ' FS. � • luciicoaic� ncrnornrar_ rrniconr_c ��nira Mt. Verno JUK U eec obee Main Sfree� 111 NE 2nd Street Okeechobee, FL 34972 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, i HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLU510NS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSR ADOLSUBR pOLICYEFF POLICYEXP I � LIM17ITS TYPEOFINSURANCE POLICYNUh7BER A X CO�dMERCIAL GENERAL LIABILITY • EACH OCCURRENCE 5 1,000�000 CLAIh15ddADE �OCCUR X NBP2552460C 10/25/2020 10l25/2021 pR�•1�A5ETORE�NTEDn� y ��p�0�0 h1ED EXP An one erson 5 3�000 X Dlrectors 8� Offic 1 000 000 PERSONAL & ADV INJURY 5 � � GEN'L AGGREGATE LI�Gff APPLIES PER: � 2�OOD�OOO � GENERALAGGREGATE S � POLICY ❑ PR�' � LOC II1C JECT PRODUCTS•COMPIOPAGG S OTHER: 5 A AUTOh70BILELIABIUTY COMBWEDSINGLELIPAIT 1�000�000 a aeciden 5 ANYAUTO NBP2552460C 10125/2020 10/25I2021 EODILYI�JJURY Per erson 5 OWNm SCHEDULED AIffOS ONLY AUTOS BODILY INJURY Peraccldent 5 X HIRED j( NON-OWNED PROPERIY DAh1AGE AUTOS ONLY AUTOS ONLY Per accidenl 5 5 UtdBRELLA LIAB 6CCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIh1S-MADE AGGREGATE 5 DED RETENTION S S WORKERSCOh9PEN5ATI0N PER RT�- AND EPdPLOYERS' LIABILITY Y/ N ANY PROPRIEfOR/PARTNeRIEXECUTIVE E.L EACH ACCIDENT 5 OFFICER/l.fEPdBEREXCLUDED? N/A (�lantlaton� In NH) E.L.DISEASE-EAEMPIOYE 5 IF yes, describe under � DESCRIPTION OF OPERAllONS belcw E.L. DISEASE- POLICY LIM111T S t DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, Additlonal Remarks Schedule, may ba attached if mare space Is requlredJ City of Okeechobee & RE Hamrick Testamentary Trust is included and additional insureds with respeci to the General Liability CTYOKEE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. RE Hamrick Testamentary Trust SS S.E. 3PC� AVEfIUe AUTHORIZEDREPRESENTATIVE Okeechobee, FL 34974 i�`-�� -------_- ACORD 25 (2D16/03) � O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Application Number: CITY OF OKEECHO�?�'E FIP;� .�EP�� 2'��%f'j��fl' A��.ICA'�"�O� �'�� C�AI. ��E�TT Date Received: NAME OF EVENT: ��GV f� �!-�' I� N �� t2 L� 1 ADDRESS OF EVENT: __�S �..�, � �� v � (}�C.L°.CC�.G'1 UJ�� , J— �. DESCRIPTION OF EVENT: Ut �l NAME OF SPONSOR ORGANIZATION: �CC�'� ��k � �v S CoF��ac-i Numb�i� before and during event OF RESPONSIBLE PERSON: (�� 5�� -��-�� RESPONSIBLE PERSON'S �� `��°�,�� A� o� ��cl�s h�� rnE �. DATE(S) AND TIME(S) OF EVENT: Date:,�� Starting Time: �'r.`� pf� Closing Time: Q�'Cr p��^� Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? �� LOCATION SL� �� A\'f �' �X��(�CNlU �G `� 5LU �(� �k Will Emergency Apparatus (Fire and Ambulance) have access to area? �� IF NO, THEN [provide alternatives): � WILL ELECTRICITY BE USED? YES �NO �(circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES � ONO ? Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES � NO 0 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 MAP OF EVENT LAYOUT'��'�'` ":IYiJ: CJ±� C V1�� Jrit�\jL.L ��1\.�IT'II �i�Ji: ll��'��'�J �r'r'� 4�E�: FIRE DEPAR"TMENT 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 theer no permit is required) O Floor plan / seating / setup drawing required showing exits, etc. O Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENI� 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 e�nerior 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 Okeechobee Main Street Dates for `Movie in the Park' events: 2021 October 9 November 13 December 10 2022 January 8 February 12 March 5 April 9 � � � G I� ,�,- - - �, � - = _ � :� �� _ _ �, �^ G,,� � - �� " :; �, � : ni s �� ci C �. � � ,� � J = U � Z � T . :��;; ..,. . , 1{19 f�li`i _ n � � U ti � �Q ..� ,_: u u �,� � c - � � rt: l� � n R, ro %\ - � U q n r' � �� F x � � J � ;; �D � ri� �' rt+ '� . G � AJ r � � _ � V'� � � C , �D � -1 . u � (�. C � � .. . . . _ •.;i5 �. _ rt : . �'"' ;� i � � [`"'� .- � '_' _ ,. � � - L-, [_ - G T �� v . N ` G> C� Q d � m � _ "%.t v� :i �e ``e✓ `j , J mJ CD Fn3 � � D U r � �� I^. � � V� �i. U �i `- ��'L �_ � _ � n � F � O�L' - r ;u c� l �. U � '� u � �c: �) I� �f� �� D � e i �� ? ! . �>>': r.M1r�i 'i � O O (I] � � Q1 U N RESOLUTlON NO. 03-8 � A RE50LUTIOM OF THE CI7Y OF OKEECHOBEE, FLORlDA TO ESTABLISH GUIDELINES FOR USE OF PUBLIC PARKS OR OTNER LANDS OWNED BY iNE CITY OF OKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLENT ORGANIZATIONS; OR THE GEPfERAL PUBLIC; PROVIDItJG FOR AU7HORITY TO REVIEW SUCN APPLICATIONS; PROVIDING FOR STANDARDS FOR REVIEW; PROVIDING FOR GUIDELINES FOR SUCH ORGANIZATIONS TO FOLLOW; PROVIDItdG IFOR INSURANCE REQUIREMENT; PROVIDING FOR AN EFFECTIVE DATE. WFIEREAS, there are located within the City of Okeechobee certain public parks and other areas owned by the Ciiy of Okeechobee that are intended for, and open for use by, the genera{ public, with certain restrictivns; and WHEREAS, these funetions range from large gatherings which attract many participants, to very small groups, which may or may not cause tra�c 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 oh ihe smalfer gatherings; NUW, THEREFORE, be it resolved and adopted by the City Council for the City of Okeechobee, Florida the following resolutfon: 1. THA7 permission for charitable or benevolent organlzations, or non profit groups, to engage in certain activlties in City parks or on City lands, is governed by A�ticle IV, Sections 14-141 to 14-149 of the City Code of Ordinances, which regulations and restrictions shall be considered by Generat 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 mast applicants for use of parks and public lands are charitable or civic groups, who stage targe 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 a�e also subject to the requirements of Article IV of the City Code. 4. THAT curcent regulations require the applicant for an event to procure liability insurance in ihe sum of $ 1 million; the cost of which is or may be prohibitive fior 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 liabillty insurance requirement shall be waived. The City reserves the � right to require the pariicipants to execute a hold harmless agreement, depending upon the nature and impact of the event. Page 1 of Z INTRODUCED AND e4DOPTED 4his 5"' day of Auqust., 2003. • - ' . . C`- � '•�:'. • - James. E. Kirk, Mayor ❑ A7TESi: . ' � � � - r-. � �. � � ,!��i.�t' c1. ; c�1:.1 �"E�.� Lane Gamiotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: �\ ��. Cook, City Attorney Page 2 of 2 RESOLUTION NO. 04-03 i A RESOLUTION OF 7HE CITY OF OKEECHOBEE, FLORIDA � SUPPlEMENTING RESOLUTI�N NO. 03-08; GUIDELINES FOR USE OF PUBLIC PARKS OR OTHER LANDS OWNED BY THE CITY OF bKEECHOBEE FOR CERTAIN CHARITABLE OR BENEVOLEWT 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 wiihin 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 ce�tain restrictions; and WHEREAS, these uses change from time 4o 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 requfres 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 meefing; and passed by majority vofe of the City Council; and properly executed by the Mayor or designee, as Chief presiding Officer for the City: 1. THAT permission for charitable or benevolent organizations, or non-profit groups, to engage in certain activities in Cify parks or on City lands, is govemed 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. 7HAT for any authorized use of ihe public parks or rights-of-way within ihe City, the following regulations shail be followed, as applicable: a. The organizatlon 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 ta a motor vehicle shall be parked along any street or avenue or public right-of-way, or in a mariced 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 ortrailer pa�lced in violation of this section may be towed by the City at the owners expense, who shall be liable for all towing and storage fees. c. Golf carts, 4-wheeiers or oiher vehicles not licensed for uss on public rights-of-way, will not be permitted on the Park grounds without prior written approval of the City Public Works Director or their designee. � d. Certain events, such as but not limifed to parades, or those which draw a large number of people, require significant incurring of costs Page 1 of 2 �:J � by the City, for traffic control, crowd control, fire safety, paramedic service, or general poiicing, 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 occurduring 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 addifional 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 ihe right of the City to deny their use. When generators or extension cords are used, fhe applicani shall cause a U.L. approved e�ension 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. �; • .�;' G . .'': ATTEST:. � ? . �. ;,•,, •;� �r.:: . 1 _ .t �.. // �. , La'e�Gamiote , CityClerk REVIEWED FOR LEGAL SUFFlCIENCY: John R. Cook, City Attomey Page 2 of 2 �i -• i,.._ � e.! �/ � %' James. E. Kirk, Mayor ,'