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2023-01-17 V. C. Exhibit 1 Exhibit 1 1/17/2023 Pagel of 3 JAN 0 0 Revised 3/5/19 CITY OF OKEECHOBEE 0L�a of nkFF�o 55 SE THIRD AVENUE +� m, OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 o 0 PARK USE AND/OR TEMPORARY STREET/ ' SIDEWALK CLOSING PERMIT APPLICATION ' Date Received: I 1/6/2023 Date Issued: Application No: I , „...(in Date(s) &Times of Event: Feb.3-set up of the park and early arrivals Feb 4-Event Time-10 AM-5 PM Information: Feb 5-Event Time-10 AM- 3 PM Organization: Okeechobee Main Street, Inc. Mailing Address:111 NE 2nd St. Okeechobee, FL. 34972 I Contact Name: Bridgette Waldau E-Mail Address: art@okeechobeemainstreet.org or info@okeechobeemainstreet.org Telephone: Work: 863-357-6246 Home: I Cell: Summary of activities: art This is a jiiried and non juried art show that will include prize awards The Art Fest will also include food and entertainment such as a Battle of the Bands competition tentatively scheduled for Saturday February 4. The 8th Annual Taste of Okeechobee will be held in conjunction of the Art Fest on Saturday February 4 where local restaurants and businesses a chance to pair up in an outdoor setting along the sidewalks of downtown Park Street. Proceeds usage: Proceeds towards this event will go into the operations and continuing efforts of Okeechobee Main Stree: 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: Flagler Parks: o City Hall Park o#1 Memorial Park o#2 i #3 #4 o#5 o#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 1"&3`d Tuesdays but subject to change) Address of Event: Flagler Park#3 in Downtown Okeechobee Street(s)to be closed: SW 3rd Ave (70 to SW Park St)SW 4th Ave(70 to SW Park St) Date(s)to be closed: Friday February 3 - Sunday February 5 Time(s)to be closed: Friday February 3, 5 PM. Reopen Sunday February 5 at 4 PM Purpose of Closing: For pedestrian safety around the Art Fest venue and use for vendors. chalk art str -t painting. Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan ► Copy of liability insurance in the amount of ► Copy of liability insurance in the amount of$1,000,000.00 $1,000,000.00 with the City of Okeechobee as with the City of Okeechobee and R.E.Hamrick Testamentary additional insured. Trust as Additional Insured. 0-Proof of non-profit status ► Original signatures of all residents,property owners and business owners affected by the closing. ► State Food Service License if>3 days. ► State Food Service License if>3 days. ► Notarized 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. o 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 regulatory agencies. 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. aitrt G�-l�( 1/6/2023 Applicant, thr Date ••••OFFICE USE ONLY•••• Staff Review Fire Department: Date: Building Official: Date: Public Works: Date: Police Department: Date: BTR Department: Date: 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 Date Temporary Street and Sidewalk Closing reviewed by City Council and approved Date APPLICATION FOR SPECIAL EVENT Application Number: Date Received: NAME OF EVENT: 2023 Top of the Lake Art Fest ADDRESS OF EVENT: Flagler Park#3 DESCRIPTION OF EVENT: Art Festival with Artists, a Gallery Tent, Chalk Street Art, Student Art Zone, Battle of the Band, Music and Food NAME OF SPONSOR ORGANIZATION: C)kppr:hohep Maio Street Contact Number before and during event OF RESPONSIBLE PERSON: (86 -610-0044 or 357-6246 RESPONSIBLE PERSON'S NAME: Bridgette Waldau or Sharie Turgeon DATE(S)AND TIME(S)OF EVENT: Date: 2/4/2023 Starting Time: 10 AM Closing Time: 5 PM Date: 2/5/2023 Starting Time: 10 AM Closing Time: 3 PM ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? Yes LOCATION SW 3rri Ave- SW 4thAve Will Emergency Apparatus(Fire and Ambulance)have access to area? Yes IF NO,THEN(provide alternatives): WILL ELECTRICITY BE USED? YES 0 !$ Il (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED?(circle)YES El t NO Type of Heating Equipment Used: WILL A TENT BE ERECTED?(circle) sZYDgi NO E l Tent Manufacturer:Trivantage I t C Size 40 x 40 fire rating posted:Manufacture Certificate Attached Tent have sides and how many? Yes,3 Are there Fire Extinguishers accessible and ready for use?(circle) es 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: 0 Other: FIRE DEPARTMENT OFFICIAL(PRINT): SIGNATURE: Please call the FD at 863.467-1586 for any questions. Revised 11-6-19 <C-" * Certificate of Flame Resistance • . .�I� . t 1/4:1 : • ;67/.17 71 4 Issued 147 tift Trivan tag r, LLC Rogisetreft Fabric 1831 North Park Ave . or Concern Numb*, este toreted Ot mititira.:tsred F-12123 Gen Raven. NC 27217 0g/16/2013 171:3,,t:C-ctieNo•nXi(:Iv niH!iyurit,deSCo i ,brA t Pone t'#rr,Meer.r!Ndn:►(•!i•!••,..•Via•ii.rn rH!rr.•,li;..5:+t:rr.<�i>it T rivantage LLC t::Irl t'%I.. 1331 North Park Ave • ! ' Gten Raven .-cart NC 27217 :e•rn(vate. tet•iKI, ► I.,..t.: re; The artr_wK ei•e.t.tbett es the bottom e(this Cerzi✓_ete baud t kke,mated aMr;a liortr•itita:racrr fAr•rOw t1&NJ fa$ttate!f sy 1i+4'eaU1fQ;tie.Metstea!s(S;r irr,appl:tanegt tkt axki en,eatea:r.al ne:a ;Ct70.r,4,ett, w,ih +t. #04,0„Of the.fitatr:at tr i!:i:ema end the tKtk,e ishO kit:Rtiat;;etz V II*Stem fire M:a,af.x V:,.,e•:t Chem.U•1 Iced C,' r,x:.il I-'.e)pt.tt et.o.,• DM The d:•-•."•tet dptLe.tYn3 1[1 tt{r 1.4stoth{N NNt C.ttl,T•r_a!rt WO'.-.a 2e f,sW:.t ft:hr•4 ra::arf Ir R9tsr; ,.aSa±:c• 'Z` •ary►te,ui!a" WC( •#',a by tr,e$ht!a t<.e 1.1wfti* lu+-ix i:da Ira;:!, ►:10'4?o'tld�>te•eriht'a+:' ftf:>:,a rnoteaa:ecure RE 4TE RS CHOBCE t6 O2 aa�ttt ewe,r f'•12123 • The fl.tme ftetarttant Process Used W"Ji Not O.Removed Sy Washing ALBERT E.JOHNSON VtCF: PRESIDENT,BUS DEVELOPet1E L'a*ck ci•cot is l c4 P.o faction%,par:xsn'oot 1c._ RCN a 100 966340 16 103 960340 16 70 CUSTOMER ORDER NO. FRED t ROAD SAL CUSTOMER INVOICE NO ZeeZ, YARDS OR Ot{MNTITY 1000 00 DESCRtFTioU FRentot'(_Cttpif Bwraco;r,et"16.oz Matte(Standard Pa a 100 Yards), __...._._._.... • . . ...._................ ITEM NUMHER 968340 •tow teettt,Ct$1pq tat,a:i)vte t:;AcCiakttry r00041 trio rnt0...0S1004 i,rrertiro%14*Mrs,O'VFW tr:tCATE 1;1 ri.r26'x.Kt5$f31MCC'•i .e4 r 1.041.0401.02 t ty'I4,tt rtte,rff^p+atrfytt iet e0.9r,Jet.eniff A trap)of Mir o. snef Cwr-.:bcrrIk n4 ti its Perotta,rto.t,it4WL3.014,atf 'r e',t!e% e.*trva?aq!r 1 t.0 and Irk rr,q!OrrareeI i.'401,00r.Y!sM(tytt`fit? #ra ct,to co;war;the(;.Rtit:,,ra Steler•r.•S+t.vk'eL! A 1 TENTS AND STRUCTURES MAILING ADDRESS 234 WEST 24TH S'T H I PAt4 CI flft(! • TOP OF THE LAKE ART FEST MAIN GALLERY TENT - 40 X 40 _. 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'''''44;Alt4tPillfii' VegiltRATT2t4SIXerlOkte*, t4,V,I WIN', s:K Xt1.;#', ',,,'.4 ''''-tlitt:tat'S*--""s'''.4.1' 'A*''• el. 14"14,k1P-116;;,,;,:-.=ip--'.----54-:.'-'''...?"7,-'. -!--3'''':'2-!--...,!._-'''-='''::::::'''''''',..lt,: $•-.4.,tivii:r e.e --,_ ,trE,c-F-4,,,,zi.,-.5,:i22,;,..,..,, ---,--_,,,,,,,-,-,-,-,:.---..---,--..---,,,, °- .:,,,,,,,A*41,,,..2i,,,,,,Nimk,Avy.;.,.,itic -'4.0'...ve,-.......,.....' iill., '.1,..g:.. '' ",-40r,,,i...4.1..._:=:•,414:111011, i ..• k;;;,AAs.',... -,1&..4-'574. '11.,,R,`,N, .>:,m,..;>_t4 ,•04,4',IY&.-•''' Ot,izt,' '''i--,,A- liances Inc.ii; ;,12, =4.47,..- -- -... -- .10,...1,,.,-pon:s. pp . I 1, 1,-,kr- �.1 OKEEMAI-01 MBUCHANAN -4 �RE CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY) 11612023 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 CONTACTE NAM Lawrence Insurance Agency,Inc, PHONE FAX P.O BOX 549 IA.{Ic.NLo.Ext):(863)467-0600 I(Arc,No):(863)4675142 Okeechobee,FL 34973 J1 RESS:marlene@lawrenceins.com INSURER(S)AFFORDING COVERAGE NAIC M INSURERA:Mt.Vernon Fire Insurance Co INSURED INSURER B: Okeechobee Main Street INSURER C 111 NE 2nd Street INSURER D: Okeechobee,FL 34972 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. liNTp TYPE OF INSURANCE IADOLI SUan o BRi POLICY NUMBER I POLICY EFF POLICY EXP I INSD fMevDDIYYYYI IMM1VIN DYYYYI I LIMITS A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR X IDAMAGE TO RENTED N8P2552460E 10/25/2022 10/25/2023 pREMI$E�jEaoccurronce) s 100,000 X Directors&Officers Yperson) 5,000 (Any one MED EXP S PERSONAL&ADV INJURY S 1,000,000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 1,000,000 I X POLICY JECT LOC PRODUCTS-COMP/OPAGG S OTHER; Hired/Non Owned s Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT j.—_ Ea auident) S ANY AUTO BODILY INJURY(Per person) S t— OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AIJITOOS ONLY AUTOS ONLY (Por accident) y ._ 5 I S UMBRELLA LIAB —OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION PER ()TH- AWEMPLOYERS'LIABILITY .._ I STATUTE I., I ER PROPRIETOR/PARTNER/EXECUTIVEANY YIPRgRTNER YIN NjA E.L.EACH ACCIDENT I5 (Mandatory In NH) I E.L.DISEASE•EA EMPLOYEE S It yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE•POLICY LIMIT I S I DESCRIPTION.OFOPERATIONS I LOCATIONS I-VENICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) City of Okeechobee and RE Hamrick is included as additional Insureds with request to General Liability Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Okeechobee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 55 S.E.3rd Avenue Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD