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OCA Field Day - Temp Steet ClosingCITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 X9821 Fax. 863-763-1686 e-mail: pneu @cityofokeechobee.com STREET CLOSING PERMIT Permit Number: 22-004 Permit Expiration: February 18, 2022 Purpose of Request: Field Day Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Date(s) of Event: February 18, 2021 8:00 a.m. — 2:30 p.m. State: Florida Zip Code: 34974 Applicant: Okeechobee Christian Academy Applicant's Address:701 S Parrott Avenue . Okeechobee, FL 34974 Phone Number: 863-763-3072 Address of Project: SE 2"d Avenue — (SE 6t" Street thru SE 7tn Street Current Zoning: P FLU Designation: Public Subdivision: City of Okeechobee Restrictions/Remarks: All debris must be removed within 24 hours of expiration date. 6-lailp1yet1t Administrative Secretary General Services Department February 3, 2022 Date t _I I 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: Date Issued: Application No: Date(s) & Times of Event: Friday, February 18, 2022 8am-2:30pm Information: ' Organization: Okeechobee Christian Academy Mailing Address: 701 S. Parrott Ave, Okeechobee, FL 34974 Contact Name: Melissa King E-Mail Address: Melissa.King@OkeechobeeChristianAcademy.org I I Work: I863-763-3072 I Home: I I Cell: I I summary of activities: Students will participate in Field Day and will need to cross back and forth all day. rroceeas usage: Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #I 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't & 3rd Tuesdays but subject to change) Address of Event: 701 S Parrott Ave Street(s) to be Closed: SE 2nd Ave from SE 6th Street to SE 7th Street Date(s) to be closed: Friday, February 18, 2022 Time(s) to be closed:8:00am-2:30pm Purpose of Closing: Safety of children crossing the street 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. ►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 regulations of other governmental regulatoryagencies. 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. Applicant Signature Staff Review 1 /12/2022 Date 7do� USE ONLY•••• Fire Department: Date: Building Official: Date: ' 2�• 2�. Public Works: Date: Police Department: ; ' Date: / ;7 BTR Department: Date: / 3� City Administrator: Date• �� City Clerk: Date: 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 Temporary Street and Sidewalk Closing reviewed by City Council and approved .:),) I 1 .0-0 -1- a.. Date CD- I - 'P-0 Date IS AltI'l .1 6 t I NosirlC3 he rf- ovee-C-110&,6 cllvisfiaA Amd'emn rf) n- Christ Folluxship 0 Okeechobee Field r:,. (-) 1. 11 St 0 + Good Care Boarding Horr — ACC)R O® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/31/2021 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 CONTACT Christine Dewey NAME: JDA Insurance Group PHONE (561) 296-0373 FAX (561) 828-0997 AIC No Ext : A/C, No): 120 N. Federal Hwy., #301 E-MAIL christine@thejdagroup.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Lake Worth FL 33460 INSURERA: Philadelphia Indemnity Insurance Company 18058 INSURED Insurance Company of the West INSURER B : p y 27847 Okeechobee Christian Academy, Inc. INSURER C : 701 South Parrott Ave INSURER D : INSURER E : Okeechobee FL 34974 INSURER F : COVERAGES CERTIFICATE NLJMRFR CLZ1831UU816 DD11ICIr%KI Kuln/IDCD. 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 LTR TYPE OF INSURANCE AUULSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 a CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 A Y PHPK2268175 07/01/2021 07/01/2022 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 %� JE0 3,000,000 POLICY1:1 LOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS PHPK2268175 07/01/2021 07/01/2022 BODILY INJURY (Per accident) $ X HIRED H NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESSLIIAB PHUB765957 07/01/2021 07/01/2022 DED I X RETENTION $ 10,000 Prod ucts-Comp/OpAgg $ 1,000,000 WORKERS COMPENSATION xi AND EMPLOYERS' LIABILITY y / N STATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA WFL 5042021 03 07/02/2021 07/02/2022 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below Professional Liability Each Claim $1,000,000 A PHPK2282925 07/01/2021 07/01/2022 Aggregate $1,000,000 Retention $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Re: With respect to field day events for the school The City of Okeechobee and R.E. Hamrick Testamentary Trust is named as an Additional Insured under the General Liability policy evidenced herein. The City of Okeechobee R.E. Hamrick Testamentary Trus 55 SE 3rd Ave Okeechobee 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 FL 34974-2903 I� U 1'J88-ZU15 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Gail Neu From: Melissa King <melissa.king@okeechobeechristianacademy.org> Sent: Wednesday, January 12, 2022 12:10 PM To: Gail Neu Subject: Request for Street Closing on 2/18/2022 Attachments: Field Day closing 01222022.pdf Good afternoon and Happy New Year! Please find attached our request for a street closing on 2/18/2022 to be added to the next City Council meeting. Thank you so much. Mrs. Melissa King Principal 863.763.3072 Office [H] Sender notified by Mailtrack [Hi Please be advised: The content of this email is confidential and intended for the recipient specified in the message only. It is strictly forbidden to share any part of this message with any third party, without written consent of the sender. If you received this message by mistake, please reply to this message and follow with its deletion, so that we can ensure such a mistake does not occur in the future. 1 wo 1w .1 ..... ...... ................ ........ imiti mNmsm- . .......... . .......... .......... .. .......... ..... ...... ...... .. EN irx co"im 0,11 i 4 J i . . ...... ... ...... ..... ..... ........... .............. ......... 1 xi -PT .......... .... . ........ \NI a 00% , PON mot , .......... CD If CD Gail Neu From: Jamie Ward <jamiemccoinward@gmail.com> Sent: Wednesday, January 12, 2022 1:43 PM To: Gail Neu Subject: Re: Rock Solid Christian Academy 5k Love Run Attachments: httpsmail-attach ment.googleusercontent.comattachmentu0sview=att&th= 1775efdae72fdfbf&attid=0.1 &disp=attd&safe=1 &zw&saddb.pdf Hi Gail, The ladies at Rock Solid said they turned in the permit papers filled out Monday. Please find the attached file showing the race map and circled is the road we are wanting to have closed for the race. Race day is Saturday, 12 2022 from 8am-12pm. Approximately 150 runners. Race starts at 8 so I would need road coned off early that morning. At least by lam. Please let me know if you need anything further. Jamie Ward On Monday, January 10, 2022, Gail Neu <gneu@citvofokeechobee.com> wrote: Yes, that will be fine. Thanks--Gail— From: Jamie Ward <iamiemccoinward@gmail.com> Sent: Friday, January 7, 2022 10:45 AM To: Gail Neu <Rneu@citvofokeechobee.com> Subject: Re: Rock Solid Christian Academy 5k Love Run Thank you Gail! I will send over the completed forms next Monday. Regarding the map, will the one you made for me last year work if I highlight the street that we are wanting to close? Thank you, 1 CITY OF OKEECHOBEE 55 SE THIRD A VENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax 863-763-1686 e-mail: gneu@citvofokeechobee.com Park Use Permit Permit Number: 22-005 Permit Expiration: FEBRUARY 6T" @ 11:59 P.M. Date(s) of Event: FEBRUARY 41" — 6t", 2022 Purpose of Request: 16TH ANNUAL TOP OF THE LAKE ART 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 Restrictions/Remarks: State: FLORIDA Zip Code: 34974 Applicant's Address: 111 NE 2ND STREET Address of Project: Park 3 and surrounding City St FLU Designation: Public 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. ALL DEBRIS MUST BE REMOVED WITHIN 24 HOURS OF EXPIRATION DATE. *CONTACT FIRE DEPARTMENT FOR FINAL FIELD INSPECTION BEFORE EVENT BY CALLING 863-763-9796 TO SCHEDULE. fi /", neiu EBRUARY 2 General Services Administrative Secretary Date 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: I UltD17j)TtT5�5ate Issued: Application No: I Date(s) & Times of Event: Feb. 4 - set up o t e par an early arriva s reo 3 - event i ime - iu am - :) pm Information: Feb 6 - Event Time - 10 am -'Inm Organization: Okeechobee Main Street, Inc Mailing Address: I I I NE 2nd Street, Okeechobee, FL 34972 Contact Name: Bri gette Wa au E-Mail Address: art@okeechobeemainstreet.org or info@okeechobeemainstreet.org Telephone: Work: 1 863-357-6246 Home: Cell: Summary of activities• 2022 16th Annual Top of the Lake Art Fest will include booth art gallery, children's art area sand schulture &chal art. This is a 'uried & non-'uried art show that will include prize awards. The Art Fest will also include food and entertainmet "Art in Mortion" will be presented by dance studio Grace Place all day on Feb. 5th. The 7th Annual Taste of Okeechobee will be held in conjunction of the Art Fest on Feb. 5 where local restaurants and busineses a chance to pair up in an outdoor setting along the sidewalks of downtown Park Street. Saftey practices will be in place, in compliance with Covid-19 protocols. Proceeds usage: Proceeds towards this event will go into the operations and continuing efforts of Okeechobee Main Street to enhance the downtown area through the arts, creating a positive economic impact for Okeechobee and making the downtown Main Street as the heartbeat of the community. Please check requested Parks: Park 3 will be the venue's main venue of the event, along with the 300 block street on SW Park Street Flagler Parks: ❑ City Hall Park ❑ # 1 Memorial Park ❑#2 EX #3 11#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" & 3r`t Tuesdays but subject to change) Address of Event: Flager Park #3 in Downtown Okeechobee Street(s) to be closed: SW 2 Ave.,70 to SW Park St.; SW 3 Ave., 70 to SW Park Street; 300 Block - SW Park Street, 2 Ave- Ave. Date(s) to be closed: Friday, February 4 - Sunday, February 6, 2022 Time(s) to be closed: Friday, Feb 4, 5 pm; Reopen Sunday, Feb 6 at 4 pm. Purpose of Closing: For pedestrian saftey around the Art Fest venue and use of Park Street for vendors, Chalk Art Street Painting and Entertainment stage. 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. ► 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.* fi Required it 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 regulations of other governmental regulatoryagencies. 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. A 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 str etT or sidewalks. 1/7/2022 A p icant igna re Date • + USE ONLY•••• Staff Review / Fire Department: Date - Building Official: Date: Public Works: Date: Police Department: Date: BTR Department: �% . -W?'1 ~ICJ Date: City Administrator: Date: City Clerk: �IV Date: 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 Temporary Street and Sidewalk Closing reviewed by City Council and approved Date Date is MAIN SIREE1 Business Name Signature Print Name Date Zippy's Addington Satellite (41C kid( 1 > I Big Tasty r The Outpost and Staffords Salon COUntry Boutique Custom Graphic's e. Don's Appliance 1 Stop Party Shop Vim ` W ra VeS 1 (7Ida- ns V 04160 - - D 01 By signing this document you understand that the 300 block in lza",".Fur fron�y,ur business will be closed to traffic Friday February 4ch Starting at S:OOpm until Sunday February 6 at 4:OOpm Okeechobee Main Street's 2022 Top of the Lake Art Fest Street Closure Friday, February 4 at 5pm - Sunday, February 6 at 4pm �.. �.. y aS a"�"'��•"+'�"+e•++, • /.l:f/�j CIS x� ,.a '^�F+w�„" r —r �_ �..r-_",y __ ��', 4 .,��:iwtrp'* ,�i •'i'� i :aa� '� / '' ,e�, � a i.•MPm �i`. i+Yp� #,�'��-a,�y, +`x�� "Sf...:[ This section of SW 4th Avenue This section of Closed t`�'>q! r �yF�•, $i �r�r• �d r ` f,' SW 3rd Avenue ' y )i _ "r Closed r Need closed for , pedestrandian pootection r' ' »Tv 40'x 40'Tent ,��' �,.+ " �..� oX40'rent Need closed for t+ pedestrian protection i overflow off x yob v �,�✓✓✓/ ►�!'S�tY ` .. and/or �r artists or vendors r N . / /� �" i overflow of Gallery Tent (40x40), Main Artist Booths,�,� - .�� `';:� artists or vendors Children's Art Activities, Sand Sculpture and r " ��! + Kids Zone - Emerging Artist Tent (10 x 20) ' 7J AW ' �r � _• • � +'mod. _ F . t *. � �-+. ` s, Sta e DJ —Entertainment Chalk Art Area J LJ g and c�*»rsr,�a cmnrs cz t�mrrr cn �� Performance Area �' Non- Art and Food Vendors will be placed on SW Park Street (South side) Street beteen SW 4th Ave and SW 3rd Avenue Closed MTT 0 APPLICATION FOR SPECIAL EVENT Application Number: NAME OF EVENT: 2022 Top of the Lake Art Fest ADDRESS OF EVENT: Flagler Park # 3 Date Received: DESCRIPTION OF EVENT: Art Festival with Artists Gallery Tent, Chalk Street Art, Student Art Zone, Sand Sculpture, Music and Food. NAME OF SPONSOR ORGANIZATION: Okeechobee Main Street Contact Number before and during event OF RESPONSIBLE PERSON: (863 610-0044 or 863-697-1105 RESPONSIBLE PERSON'S NAME: Bridgette Waldau or Angie Griffin DATE(S) AND TIME(S) OF EVENT: Date: 2/5/22 Starting Time: 10 am Date: 2/6/22 Starting Time: 10 am Closing Time: 5 pm Closing Time: 3 Pm ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? yes LOCATION SW 2nd, SW 3rd & 300 Block Street of Park Street Will Emergency Apparatus (Fire and Ambulance) have access to area? Yes IF NO, THEN (provide alternatives): WILL ELECTRICITY BE USED? YES 0 NO M (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES M PLO, Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) ES NO ❑a Tents rented through One Stop Party, Okeechobee Tent Manufacturer: _Trivantage LLC Size-40 x 40- fire rating posted: Manufacture Certicficate Attached Tent have sides and how many? - 3 sides will be down -Front will be o ened Note: 40 x 20 tent will also be used - Are there Fire Extinguishers accessible and ready for use? (circle) Yes No all sides will be opened. ,'.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 TOP OF THE LAKE ART FEST MAIN GALLERY TENT - 40 X 40 .o FIRE EXTINGUISHER • TENT POLES ENTIRE FRONT WILL BE OPEN SIDES OF TENT WILL HAVE CLEAR PLASTIC DECORATIVE WINDOWS Certificate of Flame Resistance Trii-s.j w, LLC 1831 Nottfi Park Ave Glen Raven NC 272109 7 D*t# tmsft"� at r"anufactum f:-12123 .11 12013 ph a 's gL, -VM#V Met MO. wA*ngft JO&COtbod twark beer tm~. *4h a 1 x'!Rw I Z- Its ft,a. Trivantage LLC ,:'I kp I N' 1831 North Park Ave Gten Raven NC 27217 '% "Ib*p 'h'al CrI.K0 a "w t: st" 40ft- of rso cvmftaft "*"been Vesiod by V* SW@ F wv Marshal " Vw appkc~ cvr vad oywri(w rural dr-ne w »rkw' & COWO-A& aftd " Rwws w4 ReguWons & tho Swo F -* Merist-,so ids iji '00'S'Wed 41 Rri--0013 OV 'h* 9X&44 I- x o Of RENTERS CHOICE 16 OZ The FI*mw4tefttd*m Pmc*" uo" W41 No ft ROMO"d By W"hing ALBIER T E JOHNSON VICE PRESIDENT, BUS DEVELOPME Tr" 1� 4,03 068340 16 79 OR QUANTITY i 000 00 OESCRIMON Rjq" �,.Cho" r _p4wqk 16-oz White (Standard Pac* 100 ITEM NUMBER 9613340 NO 'erclt-v tfl* &IK'" 1-' iKCW_&!#bf rV'#IVU QW "'UY-MMKIVI cf.)rUw*.d twtlm a "r-tRTIf , C.A T F OF 'l.AJVE RES;5'ANCF f"t^ ol"p -Ovsoanl W Sat(tr 4t.0" A Cofy.4yp fho C�,� Con# 'C8% mp, *w. A I TENTS AND STRUCTURES v; � -ING AWRESS 234 WEST 24TH ST HIAI FAN V I 'A VW) 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 11 INTRODUCED AND ADOPTED this 5'^ day of August., 2003. James. E. Kirk, Mayor ATTEST:. Lane Ga.miotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: 4dCook, ZUKyAttorney-- Page 2 of 2 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: 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 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 Park 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 U 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 Flagter 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 16nd day of March, 2004. ATTEST:. La'e-Gamiote , City Clerk REVIEWED FOR LEGAL SUFFICIENCY: John R. Cook, City Attorney Page 2 of 2 James. E. Kirk, Mayor OKEEC29 ACORD CERTIFICATE OF LIABILITY INSURANCE DATEMM/ 11/01/2021 Y) 021 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 Co NTACT Heath Lawrence ISU Lawrence Insurance Agency NAM PO Box 549 (AIC,,NNo. EXt2: 863-467-0600 (aAiC, No 863-467-5142 Okeechobee, FL 34973 E-MAIL : Heath Lawrence ___ INSURERISI AFFORDING COVERAGE - NAIC # INSURER A Mt . Vernon Fire Insurance Co_ Oy ueRcWE INSURER B keechobee Main Street 111 NE 2nd Street INSURER C; Okeechobee, FL 34972 INSURER D: INSURER E: INSURER F: rnvronr��c KCVIJIUIV INUIVTbt:K: 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. INSRTYPE OFINSURANCE ADDLSUBR POLICY NUMBER r POLICY EFFOL LTR PICYEXP LIMITS A i. X COMMERCIAL GENERAL LIABILITYWvo 1,000,000 CLAIMS -MADE X occuR EACH OCCURRENCE $ DAMAGE TO RENTED - X NBP2552460D 10/25l2021 10125/2022 1,000,000 PREMISES (Ea occurrence). $ DlreCiOfS B4OfFC person).... $ _._. 5,000 PERSONAL & ADV INJURY $ 1,006,000 �GEN'L AGGREGATE LIMIT APPLIES PER: X PRO-l GENERAL AGGREGATE $ 2,000,000 —� POLICY .PRO- LOC JECT I,PRODUCTS�COMP/OP AGG $ Inc .. OTHER. .._... -. $ A AUTOMOBILE LIABILITY ( Caaccid DSINGLELIPAIT 1,000,000 ANY AUTOOWNED NBP2552460D 1O/25/2D21 1D/25/2022 I $ - -,, J SCHEDULED AUTOS ONLY AUTOS : BODILY BODILY INJURY (Per persons $ ' X HIRFD X NON -OWNED AUTOS ONLY �. AUTOS ONLY BODILY INJURY (Per accident) § PROPERTY DAMAGE _ .. (Per accident) § $ UMBRELLA LIAB OCCUR LEACH OCCURRENCE EXCESS LIAR — CLAIMS -MADE �_.—_- AGGREGATE. _ _.. - $ DED 7—RETENTIONWORKERS AND EMPLOYE SEL ABILIITY YIN N PER 1OTH- ., . STATUTE. ',. FR ANY PROPRIETOR/PARTNER/EXECUTIVE __--- IN/ ) ' OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ---- )E.L.,EACH ACCIDENT -$ If yes, describe underDISEASE_• EA EMPLOYEE § DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT'S i 'Ti DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. maybe attached if more space is required) City of Okeechobee is listed as additional insured with request to General Liability Coverage 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 55 S.E. 3rd Avenue AUTHORIZED REPRESENTATIVE Okeechobee, FL 34974 ^ � 4f n[J rl �� rona crno+ 1968-ZU15 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Gail Neu From: Bridgette Waldau <art@okeechobeemainstreet.org> Sent: Sunday, January 9, 2022 1:40 PM To: Gail Neu Cc: Angie Griffin; Sharie Turgeon Subject: OKMS Top of the Lake Art Fest Pemit. Attachments: OKMS 22_Art Fest Permit Request.pdf Gail, Attached is the permit request with the additional tent information required. This is the whole packet so you can disregard what I sent you Friday. Thanks again for your help. If you need anything else, let me know. Bridgette Waldau Arts & Culture Alliance Director / Okeechobee Main Street OF OKEECHOBEE COUNTY Okeechobee Main Street Arts & Culture Alliance OKMS Phone: 863-357-6246 111 NE 2nd Street Okeechobee, Florida 34972 Email: artPokeechobeemainstreet org Arts Website: www.OkeechobeeArts.ore OKMS Website: www.OkeechobeeMainStreet.org