Eduation Foundation of Okeechobee Jail & Bail MAY - 4 2023
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1 Page 1 of 3 I
Revised 3/5/19 i
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CITY OF OKEECHOBEE
��'. "'-- 55 SE THIRD AVENUE
OKEECHOBEE, FL 34974 a • Tele: 863 763-9821 Fay: 863-763-1686
=`� '� PARK USE AND/OR TEMPORARY STREET/
I�04
SIDEWALK CLOSING
N�
PERMIT APPLICATION
j Date Received: / /3 I Date Issued: 5/i 1
1 Application No: I Date(s) &Times of Event: 2 /.7J �S
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r�y,im--it
Information:
Organization: (j,e-e G `G�a ,,,e_c Co,-- —01-7 ',-��1 Q A4,-c_,._
Mailing Address: �p 47, "Vb� (--- .eye - C w_le .. t; „ , -k_
Contact Name: r--,,J J�_ _ n/4-S L-
E-Mail Address: �j•,�e-S Lt o ) U/� ,- S1i�4 (# e• el.s.,
Telephone:
I Work: I "? 7 •7 _5//7 X-S4,V, Home: I I Cell: I 3 -G36i-5/U67
Summary of activities:
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Proceeds usage:, ,�� ,�/�, , ,
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 lst&3rd Tuesdays but subject to change)
3o C( c�reSs
Address of Event: �
Street(s)to be closed: � /l/ � !ti/(�.l' �2G�1.�
Date(s)to be closed: /�{�f d ( - (�JJ(,�- (�l.d
Times) to be closed: l-�
Purpose of Closing:
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 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 cl sing streets or sidewalks.
s If/ ,23
Applicant Sinature r Date /
••••OFFICE USE ONLY••••
Staff Review
f
Fire Department: 4 • 5 `Date ��2
pp
Building Official: ♦��� Date: .c-S•Z 3
Public Works: j A ! -___ Date: S-- /D- 2
Police Department: z 7 Date: 0NJ
BTR Department: ,. II () Date: '�-/c ` - -
City Administrator: v Date: S�/S �-'
City Clerk: K-ZW 1 0 OA., Date: 5-/ 0,3
NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND
RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY(30)DAYS PRIOR TO
EVENT FOR PERMITTING.
IQ
Temporary Street and Sidewalk Closing submitted for review by City Council on /a
Date f
Temporary Street and Sidewalk Closing reviewed by City Council and approved ��I+
Date
APPLICATION FOR SPECIAL EVENT
Application Number: / Date Received:
NAME1c '
AME OF EVENT: � �
ADDRESS OF EVENT:
DESCRIPTION OF EVENT: ��/ t `.J (../i„,vAl L
vii4A
E OF SPONSOR ORGANIZATION:Contact Number before and during event OF RESPONSIBLE PERSON: ( )
RESPONSIBLE PERSON'S NAME: /1--'
DATE(S) AND TIME(S) OF EVENT:
Date: `/ /G// S Starting Time: 9'AV.7 Closing Time: /�,—y7
Date: Starting Time: 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 Ea t$NO® circle)
Locations:
Provided By:
WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED?(circle)YES(J N$ O
Type of Heating Equipment Used:
WILL A TENT BE ERECTED? (circle) NO t l
Tent Manufacturer: Size fire rating posted:
Tent have sides and how many? r /-1 4iI ,7p?,
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)
n 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: C. Other:
FIRE DEPARTMENT OFFI IAL(PRINT): J S\ C��� cli S
SIGNATURE: 1 Please call the FD at 863-467-1586 for any questions.
Revised I1-6-19
1„) bing
Veterans Park
Address: NW Park St Okeechobee, FL
Website: ittps://www.cityofokeechobee.com/parks-recreation.html
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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 ORGANiATIONS;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 email groups,which mayor 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 restrk3ions 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 taldng 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
INTRODUCED AND ADOPTED this day of Auoust„ 0(13.
• -.•
• - • - James.E.Kidc,Mayor
•
AITEST: • -
r
i.
4fiCklbeC--•
Lane Gemlotaa,City Cleric
REVIEWED FOR LEGAL SUFFICIENCY:
c\isejt(7.1*
Cook.City Attorney —
•
•
Page 2 of 2
IIIMINMENimmmor
•
RESOLUTION NO. 04-03
• A RESOLUTION OF THE CITY OF OKEECHOBEE, FLORIDA
SUPPLEMENTING RESOLUTION NO.03-08;GUIDEUNES 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
APPUCATIONS; 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 property 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 traders 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,'rIghts-of-way,vilU 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
by the City,for traffic control,crowd control,fire safety, paramedic
service,or general poking,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 Ftagler 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 1e day of March,2004.
•' ' Or sw• lC /
• • j James. Kirk,Mayor
' 1 ATTEST:
•
r
La e• • .City Clerk
REVIEWED FOR LEGAL SUFFICIENCY:
(6)L_
John R.Cook.City Attorney
•
Page2of 2
Keli Trimnal
From: Jack Nash <jnash@okeesheriff.com>
Sent: Thursday, May 4, 2023 11:50 AM
To: Keli Trimnal
Subject: Re: Permitting -Jail and Bail May 20th
Attachments: Jail & Bail.pdf
Park 3 is on the 19th (Friday< not the 20th, sorry. If I need to hand walk anything through let
me know. I appreciate the help.
Jack Nash, Cpl.
Community Liaison,Sr. Public Information Officer& Recruiting
Okeechobee County Sheriffs Office
504 NW 4th St.
Okeechobee, Fl., 34972
(863) 763-3117-Office Ext. 5018
(800) 357-9868-Toll-Free
(863) 357-5337- Fax
United States Marine Corps.-Veteran
111
lstBn,7th Mar.Div. 9th Mar.Hq.Co,3rd Mar.Div.
Weapons Company-CAAT Weapons Co.-TOW Plt.
o.rso
1111+6
Special Response Team
Entry&Advanced Tactical Rifle
From: Keli Trimnal<ktrimnal@cityofokeechobee.com>
Sent:Thursday, May 4, 2023 11:43 AM
To:Jack Nash<jnash@okeesheriff.com>
Cc: Keli Trimnal<ktrimnal@cityofokeechobee.com>
Subject: [EXTERNAL] RE: Permitting-Jail and Bail May 20th
That's pushing it, but I've jumped thru smaller hoops.... Q the quicker I can get everything, make sure
you send me a sketch (can be by hand) but it's to show them where the event is happening and where
your tents are etc... is there a need for electric, what park are you asking for???
From:Jack Nash<jnash@okeesheriff.com>
Sent:Thursday, May 4, 2023 11:04 AM
To: Keli Trimnal<ktrimnal@cityofokeechobee.com>
Subject: Re: Permitting-Jail and Bail May 20th
1
Thanks, Kell!
Ill get it over to you. I downloaded it - Will it be an issue being its two weeks out?
Sorry - never had this happen before
1N
Jack Nash, Cpl.
Community Liaison, Sr. Public Information Officer& Recruiting
Okeechobee County Sheriff's Office
504 NW 4th St.
Okeechobee, Fl., 34972
(863) 763-3117-Office Ext. 5018
(800) 357-9868-Toll-Free
(863) 357-5337 - Fax
United States Marine Corps.-Veteran
litwf P
lstBn,7th Mar.Div. 9th Mar.Hq.Co,3rd Mar.Div.
Weapons Company-CAAT Weapons Co.-TOW Plt.
a.cs.o
418+41
Special Response Team
Entry&Advanced Tactical Rifle
From: Keli Trimnal<ktrimnal@cityofokeechobee.com>
Sent:Thursday, May 4, 2023 11:01 AM
To:Jack Nash<jnash@okeesheriff.com>
Cc: Keli Trimnal<ktrimnal@cityofokeechobee.com>
Subject: [EXTERNAL] RE: Permitting-Jail and Bail May 20th
It's always been in effect, but never enforced, now that Code Enforcement has been under the pistol,
(persay)we've had to make the community more aware of the permitting process. It usually takes a month
for us to get on the agenda, have City Council approve it and then the application is signed off by multiple
departments to include the now County Fire Department.
Name of event: Jail and Bail
Date of event: May 20th, 2023
What time is the event?
Is there a need for street closures?
Proof of Insurance with the City of Okeechobee as the holder; I believe S.O. just makes a phone call for
that and they can email it to you to go with the application.
2
Answer these questions and I'll send you over an application or you can download it from
www.cityofokeechobe.com
Keli
From:Jack Nash <jnash@okeesheriff.com>
Sent:Thursday, May 4, 2023 10:14 AM
To: Keli Trimnal <ktrimnal@cityofokeechobee.com>
Subject: Permitting-Jail and Bail May 20th
We are setting up the "Jail and Bail" and have never needed to fill out any paperwork for a
Sheriff's Office Event I have been a part of.
Can you tell me if this has changed and, if so, what is needed for the May 20th, 2023, event?
I want to make sure we are good to go. We are setting up our tent as a makeshift "Jail" and
will have table chairs and a small gate to act as a jail cell inside the tent.
Thanks,
Jack
Jack Nash, Cpl.
Community Liaison,Sr. Public Information Officer& Recruiting
Okeechobee County Sheriff's Office
504 NW 4th St.
Okeechobee, Fl., 34972
(863) 763-3117-Office Ext. 5018
(800) 357-9868-Toll-Free
(863) 357-5337- Fax
United States Marine Corps.-Veteran
w..
lstBn,7th Mar.Div. 9th Mar.Hq.Co,3rd Mar.Div.
Weapons Company-CAAT Weapons Co.-TOW Plt.
acs.o
4144
Special Response Team
Entry&Advanced Tactical Rifle
IMPORTANT NOTICE Please be advised that e-mail is not a secure form of communication and should not be used to
communicate personal information. Okeechobee County Sheriffs Department will never send an e-mail message
requesting confidential information. E-mail should not be considered a reliable means of conducting business. This e-
mail and the attachments may contain legally privileged confidential information. It is intended solely for the use of the
addressee. If you are not the intended recipient, any reading, dissemination, copying, or other use of this message or its
3
attachments is prohibited. If you have received this message in error, please notify the sender immediately and delete
this message and all copies.
IMPORTANT NOTICE Please be advised that e-mail is not a secure form of communication and should not be used to
communicate personal information. Okeechobee County Sheriffs Department will never send an e-mail message
requesting confidential information. E-mail should not be considered a reliable means of conducting business.This e-
mail and the attachments may contain legally privileged confidential information. It is intended solely for the use of the
addressee. If you are not the intended recipient, any reading, dissemination, copying, or other use of this message or its
attachments is prohibited. If you have received this message in error, please notify the sender immediately and delete
this message and all copies.
IMPORTANT NOTICE Please be advised that e-mail is not a secure form of communication and should not be used to
communicate personal information. Okeechobee County Sheriffs Department will never send an e-mail message
requesting confidential information. E-mail should not be considered a reliable means of conducting business. This e-
mail and the attachments may contain legally privileged confidential information. It is intended solely for the use of the
addressee. If you are not the intended recipient, any reading, dissemination, copying, or other use of this message or its
attachments is prohibited. If you have received this message in error, please notify the sender immediately and delete
this message and all copies.
4
PARTICIPATION AGREEMENT
I. PARTICIPANT INFORMATION
Sheriff/Participant's Name: Sheriff Noel Stephen
County: Okeechobee County Sheriffs Office
Participant's Address: P.O. Drawer 1397
Okeechobee, FL 34973
Participant hereby makes formal application for membership to and participation in the
FLORIDA SHERIFFS RISK MANAGEMENT FUND,to be effective 12:01 AM,on October 1, 2022
I. PARTICIPANT SELF INSURANCE BENEFITS
Participant applies for self-insurance benefits through the following programs:
X FLORIDA SHERIFFS SELF INSURANCE PROGRAM:
LAW ENFORCEMENT LIABILITY
X FLORIDA SHERIFFS SELF INSURANCE PROGRAM:
PUBLIC OFFICIALS LIABILITY
X SHERIFFS AUTOMOBILE RISK PROGRAM:
AUTOMOBILE LIABILITY
X SHERIFFS AUTOMOBILE RISK PROGRAM:
PHYSICAL DAMAGE
X FLORIDA SHERIFFS WORKERS'COMPENSATION SELF
INSURANCE PROGRAM
Participant agrees that the specific self insurance benefits of each program are
identified in the Coverage Declarations issued on an annual basis and for which a
contribution is paid.
•,.
III. TERMS AND CONDITIONS
If this application is accepted by the Board of Managers of the FLORIDA SHERIFFS RISK
MANAGEMENT FUND(hereafter,the"FSRMF"),or its authorized representatives,for the purpose of
approving membership and participation in the FSRMF,Participant does hereby agree as follows:
To accept and be bound by the provisions of the FSRMF Agreement,or any amendments or revisions
thereto.
To abide by the rules,regulations,and resolutions adopted by the Managers of the FSRMF for the
administration of the FSRMF,and to conform to the terms of the agreements they have entered into,or
may hereafter enter into,with any authorized Administrator or Agent.
I intend to participate as a Member of FSRMF for at least a three-year period as long as service is
acceptable and any contribution increases are reasonable and justified by the FSRMF's and/or
Participant's experience;however,my participation will continue for at least one year from the effective
date of execution of this document,so as not to affect the FSRMF and its participants adversely. Should I
desire to cancel my participation in the FSRMF, I will give written notification of such cancellation,such
written notice to be not less than sixty(60)days prior to the effective date of cancellation.
My contributions to the FSRMF will be established by the FSRMF. I agree to make payment of any such
contributions when due utilizing one of the then effective payment options established by FSRMF.
Failure to pay said contributions when due may constitute a breach of contract and may be grounds for
termination of this Agreement by the FSRMF.
I am entering into this Agreement as S -'`� of my county,with the intention of providing self insurance
benefits hereunder f• : .•aunty Sh; " s Office.All agreements and assurances made in this
Agreement are m• apac. .nd that capacity only.
By: ./OP C.- 1Date: i 1 04/121
Sheriff Noel Step/n
Okeechobee County Sheriffs Office
The above is hereby approved as a Participant of the FSRMF.
C :-?;; -41 Fi:64-2-C.O'Li
By: Date:October Is',2022
FLORIDA SHERIFFS SELF INSURANCE PROGRAM
LAW ENFORCEMENT LIABILITY COVERAGE DECLARATIONS
Certificate Number: 23-FSRMF-47
Covered Member: Okeechobee County Sheriff's Office
Principal Address: P.O. Drawer 1397
Okeechobee, FL 34973
Annual Agreement Period October 1,2022 Expiration Date: October 1,2023
LEL Reinsurance Retroactive Dates: First Million: October 1, 1985
Second Million: October 1, 1988
Third Million: October 1, 1998
Deductible: $0.00
This declarations page is issued to the covered member named above,to identify the annual agreement period as well as the limits of coverage afforded.All terms,limits,definitions,
regulations,conditions,exclusions,and limitations of the applicable self insurance coverage agreement which actually affords coverage by virtue of participation in this self insurance
program by this participating covered member apply.This declarations page does not increase,amend,or modify the coverage otherwise provided under the applicable self insurance coverage
agreement attached hereto.The limits set forth under this agreement apply only to the extent that excess limits are collectable from reinsurers covering this agreement.In consideration of
the payment of the contribution and in reliance upon the statement in the declarations and the application for coverage hereunder and subject to the insurance agreements,definitions,
exclusions,and conditions of this self insurance coverage agreement,the limits of liability afforded for the annual agreement period are as follows:
Law Enforcement Liability $5,000,000 Per Occurrence
$10,000,000 Annual Aggregate
Sublimits:
Contracts/Agreements $1,000,000 Per Person,Per Occurrence,Annual
Aggregate
Jail Deficiencies Defense Costs/Legal Expenses $100,000 Per Occurrence
Property Damage to Structures $50,000 Per Occurrence
Claim by Family Member/Household Member $25,000 Per Any One Person
Firearms Training $1,000,000 Per Person,Per Occurrence,Annual
Aggregate
Subtotal
Multi-Program Discount $185,188.51
Total Annual Contribution ($12,963.20)
$172,225.31
•
Signed:
��``�y OF'okF7�ti L
CITY OF OKEECHOBEE
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• Ala, 55 SE THIRD AVENUE
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OKEECHOBEE, FL 34974
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s ao��• Tele: 863-763-9821 Fax 863-763-1686
IP'. 791 " e-mail: permit�cityofokeechobee.com
Park Use Permit
Permit Number: 23-008 Date(s) of Event: May 19, 2023 9AM-1 PM
Permit Expiration: May 19, 2023 @ 11:59 P.M.
Purpose of Request: Jail & Bail Event for the Okeechobee Sheriff's Office
Property Owner: City of Okeechobee
Address: 55 SE 3RD Ave
City: Okeechobee State: Florida Zip Code: 34974
Applicant: Jack Nash Applicant's Address: 504 NW 4TH ST, Okeechobee, Fl
Phone Number: 863-763-3117 Address of Project: Park 3
Current Zoning: PUB FLU Designation: PF
Subdivision: City of Okeechobee
Restrictions/Remarks:
• All debris must be removed within 24 hours of expiration date.
• Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field
inspection before event.
11Qit 4 May 16, 2023
General Services Administrative Secretary Date