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OKMS Labor Day Festival - Park Use & Temp Street Closing
ec43. CITY OF OKEECHOBEE 7,101, 55 SE THIRD AVENUE o o; OKEECHOBEE, FL 34974 , Tele: 863-763-9821 Fax 863-763-1686 •1.�*7 1 4140/111' e-mail: permit(a�cityofokeechobee.com Park Use & Temporary Street Closing Permit Permit Number: 23-0'10 Date(s) of Event: September 4, 2023 Permit Expiration: September 4, 2023 Ca? 11:59 P.M. Purpose of Request: Labor Day Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee State: Florida Zip Code: 34974 Applicant: Okeechobee Main Street Applicant's Address: 111 NE 2nd Street Phone Number: 863-357-6246 Address of Project: Parks 3 & 4 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. i4deeci4 X2dtede August 2, 2023 General Services Administrative Secretary Date Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE ��`f o oKyy_z 55 SE THIRD AVENUE �,%44 °<0 OKEECHOBEE, FL 34974 Ito `- 2-1 Tele: 863-763-9821 Fax: 863-763-1686 = -:-Is„ �- `.. $ PARK USE AND/OR TEMPORARY STREET/ 11-t ,Jo'' SIDEWALK CLOSING D PERMIT APPLICATION ate Received: 7-/4-�3 Date Issued: �y-a_anj Ekpplication No: 3--Dkp Date(s) & Times of Event: Sep? 3 &Al2.1>I 5ef-up / a 5- pill Information: se pT (-/ F Es i 1-N1 A L. v 9 - 3 pm r ) 5anrzat nn: OKeee Ea. E' A' -tie-1- S/JC • Mailing Address: /// Ai , 4-;/ d^ St-• OCC�'et)j FL 3 L 9 oZ Contact Name: f}� ' G\I ' eC ies het l'Yl e R. E-Mail Address: l/\ 46, C o 'ht,j bEe r')4,N S r i eer, Cif:3 Telephone: Work: k3-3.57 - 6)Q.4-6 Home: Cell: f, 3-53a- 19_S? Summary of activities: I_Abe2 bA1 PesT/v R 1 if4-1\1 d PR eRI e to/1-6 cifq iars 4 CeM-- s pfi\c1 VA-P-1CO oco.cl \lCN))ol23, f)106r0, , ) /els ACCT in- es , A iece eJ e l-t- -k -I-he pob? c Proceeds usage: Pi eE d s 50 12 a . ,t j 6 t P_e e t RNjd / f'S/nl +he 0rIY4 Le�ho.1o�=e . piepjeCt Please check requested Parks: Fla$ler Parks: ❑ City Hall Park o #1 Memorial Park o #2 #3 X#4 o #5 o #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 TEMPORARY STREET AND SIDEWALK CLOSING INFORMATION (Street Closings require City Council approval. Meetings lst& 3rd Tuesdays but subject to change) kddress fEvvor: 1-jr11 toe PFJ< - fir c Ncchoh Street(s) to be closed: $OJ .3Rd, The, p S bEttuE,e i Pt3a ST- Date(s) to be closed: 501,i b 5'e ryt 3 ,,DO -4 - 11bJbi4 T ) Q 3 Time(s)to be closed: ►o�A .5e p4 3 C 5 co � Thu )i ft 5� L/() 5'CD F'/Yl Purpose omf Closing: N' op,_ s Food-t- 5 /V fl t 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 cif non-profit status ► Original signatures of all residents, property owners and business owners affected by the closing. ► State Food Service license if>3 days. 1 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 Depaitiiient 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 a, knowledge that I have read and completed this application, the attached Resolutions No.(s) 03-8 and 04-03, coi ccerning the use and the rules of using City property, that the information is correct, and that I am the dui. autJiorized agent of the o ganizati . I agree to conform with, abide by and obey all the nLies 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 Tr st if closing streets or sidewalks. rrii)lilit'Ls ' i' WAX Applicant Signature Date ••••OFFICE USE ONLY•••• Staff Review niz3 Fire Department: �liDate: IF ' l Building Official: Date: 7. 7.Z$ ti Public /Works: / „ • Date: 7-I g-22 Police Department: Date: 7 '7/j.0 BTR Department: .-te ,_______ Date: 77i 7 0011111. City Administrator: , Date: ?�l ?/c ) • City Clerk: `# OH I a'�1 ' 0,—; Date: 1hfihog 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 8 _i-c&3 Date 'Temporary Street and Sidewalk Closing reviewed by City Council and approved 6 - C- 43 Date CITY OF OKEECHOBEE FIRE DEPARTMENT APPLICATION FOR SPECIAL EVENT Application Number: Date Received: NAME OF EVENT: LF)F 2iifl/VAL °(- PajacU[e ) _ ADDRESS OF EVENT: Ag)ek Pe a ct q - I(x� 7C DESCRIPTION OF EVENT: )� �-�s�tv� tit (Y u i� , �P---�s c C� - s c r J fbcd 1�c,.c �2s /-Y J/e P T J44- A t'Yl 6 -A 2TS N NAME OF SPONSOR ORGANIZATION: eon►�� @ Afl\J S -kee IT)'J Contact Number before and during event OF RESPONSIBLE PERSON: (j3 5 - )1-5 RESPONSIBLE! P�RSON'S NAME: �l'1A 1�1 oN e )e)me e DATE(S) AND TIME(S) OF EVENT: Date: Q-- `ai- a3 Starting Time: 9 OC ►9 01 Closing Time: 3 pr'Yl Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? YG.S LOCATION.5 i-U 3i ct ii'v'e/5w (110) f'se A�k be+t oQeN, 1-A\(f Will Emergency Apparatus(Fire and Ambulance)have access to area? '/(ES IF NO,THEN(provide alternatives): WILL ELECTRICITY BE USED? YES C B 0 0 circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED?(circle)YES F 19 NO (]�) Type of Heating Equipment Used: WILL A TENT BE ERECTED?(circle) YES CI NO IJ Tent Manufacturer: Size ire 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'`"* 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. Li Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) Li Fire extinguishers must have current tag and be operational and readily accessible_ Li Cooking requires LPG outside of tent pointing away from exposures. Li Electrical wiring exterior rated,not overloaded. Li Fire Services inspection required. Vnr match or inspector(s)REQUIRED? FIRE WATCH Amount: (___J Firefighter/Inspector Amount: Li Other: FIRE DEPARTMENT FFI L PRINT): SIGNATURE: -Please call theFD at 863-467-1586}or any questions. Revised 11-6-19 OKEEMAI-01 MBUCHANAN Acorro CERTIFICATE OF LIABILITY INSURANCE DATE1/6/2 D(YYYY) /6/2023 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 g$k,E'CT Lawrence Insurance Agency,Inc. PHONE 863 467-0600 FAX P.O BOX 549 (A/c,No,Ezt):( ) I(A/C No):(863)467-5142 Okeechobee,FL 34973 i ss:marlene@lawrenceins.com INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A: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 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 H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYY1 (MWDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 CLAIMS-MADE X OCCUR NBP2652460E 10/25/2022 10/26/2023 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurtence) $ X Directors&Officers MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE g 1,000,000 X POLICY j j LOC PRODUCTS-COMP/OP AGG $ OTHER: Hired/Non Owned $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidentl ____ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS wNE BODILYO INJURY(Per accident) $ ALTOS ONLY AUTOS ONLY (Per accident)acAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ I $ _ WORKERS COMPENSATION _.,.I_PER STATUTE I I OTH'..-_ AND EMPLOYERS'LIABILITY Y/N - ANY AFFICER/MEIMBOERREXCLUDED ECUTIVE N 1 A E.L.EACH ACCIDENT $ - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be 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 Cityof 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD O r" Em N any 4lq M; and 4u;MN an' g. co f ® 'O i I 1/3`L II 01 e ri H 4 ■ H i ■ e g op I ■ ■ II 'Z.GI 6.1 N y tilt/MS env 4lVn &AV WV MN DAV414MN y e e e e e I' 0 e ! •Y �. (Ae II I e ! 2 e ea co 1 ' m e I e , y e ■ 111 e t.i ;o � ! ■ I �aG i e � � , m 0 A V P)£MS any PJ£ Z:s i, antl PEE MN env PiE MN Patty Burnette From: Patty Burnette Sent: Wednesday, August 2, 2023 11:44 AM To: info@okeechobeemainstreet.org Cc: Keli Trimnal;Ashley Marshall Subject: Permit for Labor Day Festival Attachments: 23-010-LABOR DAY FESTIVAL.pdf Good Morning Ms. Marion. Please see the attached permit for the Labor Day Festival. The City Council approved the request for the temporary street closures at their meeting last evening. Regards, Patty .. Burnette generalServices Director City of Okeechobee 55 SE 3rd Avenue Okeechobee, 'FL 34974 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 'Fax: (863) 763-1686 e-maid i fokeechobee.coin webs ite: www.citi10 fokeechobee.coin r Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to the public and media upon request. Your correspondence via e-mail, text message, voice mail, etc., may therefore be subject to public disclosure. 1