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Small Business Saturday ���c'�/�F,oK pis l EFr,N CITY OF OKEECHOBEE ;�``, <A 55 SE THIRD AVENUE o OKEECHOBEE, FL 34974 - o��� Tele: 863-763-9821 Fax 863-763-1686 ,60 e-mail: permit(a,cityofokeechobee.corn 4.00/000. Park Use Permit Permit Number: 23-016 Date(s) of Event: November 25, 2023 Time: 9:00AM - 3:00PM Permit Expiration: November 25, 2023, @ 11 :59 P.M. Purpose of Request: Small Business Saturday Shopping event Property Owner: City of Okeechobee Address: 55 SE 3rd Avenue Okeechobee, FL 34974 Applicant: Chamber of Commerce of Okeechobee County Contact: Mariah Parriott Arana Applicant Phone Number: (863) 467-6246 or (863) 801-5324 Applicant Address: 55 S Parrott Avenue, Okeechobee, FL 34974 Current Zoning: PUB FLU: PF Subdivision: City of Okeechobee Restrictions/Remarks: • Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field inspection before event. • All debris must be removed within 24 hours of expiration date. 7 eftedet 7oncde October 25, 2023 General Services Administrative Secretary Date Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE fe of oKy- 55 SE THIRD AVENUE c4TN OKEECHOBEE, FL 34974 •LL �. Tele: 863-763-9821 Fax: 863-763-1686 :.� • ��•'� PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: 10-5-ag Date Issued: 0 -0l5-o1(7a3 Application No: a3_DI j,p Date(s) & Times of Event: r\lov• a5,,Ro 3 Q A-M-3 PM Information: ,,,,, Organization: z � 3 & (CC. C��` Q�l' " o ec CoL +td Mailing Address: 55 ab V'(),. Contact Name: 1\./Wt V E-Mail Address: ` R.P.-j 6 Cj ,0l,a • Telephone: Work: 0.07- LJ/, Home: ep-f&-t l/P Cell: &CA- s aL( Summary of activities: SrieA 113u S Stu d t j Cluis+-NaS SAY DO- for dt s? proffer-ten soreil S. Proceeds usage: nc)Frinceizcis Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park ❑ #2 \i #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 1st & 3rd Tuesdays but subject to change) Address of Event: Na. Street(s)to be closed: n/Z Date(s)to be closed: kr-N/ Time(s)to be closed: snta Purpose of Closing: kn. a Attachments Required for Use of Parks Attachments Required for Street/Sidewalk Closings ► Site Plan ► Site Plan V► 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. 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. S Applicant ignature Date ••"OFFICE USE ONLY"" Staff Review Fire Department: Date: 10 I E► 2 3 Building Official: Date: \ _ t G Z Public Works: Date: /0 ' -L3 Police Department: � , , Date: /v/0 E BTR Department: Date: 14 j,7 --S._, City Administrator: Date: A0 C 4.3 City Clerk: ir Date: io/449a5C3 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 /6. Date APPLICATION FOR SPECIAL EVENT Application Number: G2 1-01iv Date Received: 10-543 NAME OF EVENT: 3 � \bb J���SS 6l-0 J ADDRESS OF EVENT: DESCRIPTION OF EVENT: • NAME OF SPONSOR ORGANIZATION: C ',r (14- (161Y),P(Y'((k cA )Cry fr('J?' C � Contact Number before and during event OF RESPONSIBLE PERSON: 9 \- S3 '-I RESPONSIBLE PERSON'S NAME: DATE(S) AND TIME(S) OF EVENT: Date: Starting Time: c?'.Op \ Closing Time: a .O 1Y\ Date: Starting Time: Closing Time: ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? fb LOCATION Will Emergency Apparatus(Fire and Ambulance)have access to area? L3S IF NO,THEN(provide alternatives): WILL ELECTRICITY BE USED? (5:g5(] (]NO 0 (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED?(circle)YES (] 0� l Type of Heating Equipment Used: WILL A TENT BE ERECTED?(circle) YES li d i 44 Tent Manufacturer: Size fire rating posted: Tent have sides and how many? Are there Fire Extinguishers accessible and ready for use? (circle) Yes No """ATTACH SITE MAP OF EVENT LAYOUT ::::' FIRE SERVICES SHALL COMPLETE ITEMS BELOW: FIRE DEPARTMENT LIFE SAFETY&FIRE SERVICES REQUIREMENTS: (See above) O Tents/canopy fire rating certificate required. 0 Tent Size require life safety inspection (900 square feet or less then no permit is required) 0 Floor plan /seating/setup drawing required showing exits, etc. 0 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. 0 Electrical wiring exterior rated,not overloaded. 0 Fire Services inspection required. O Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: 0 Firefighter/Inspector Amount: Li Other: FIRE DEPARTMENT OFFICI L(PRINT): LT 1 0 1 o CJ �f SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 AC RL® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/4/2023 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 CONTACT NAME: Sandy Hines Pritchards And Associates PHONE FAX - 1802 South Parrott Avenue (A/C.No.Ext):(863)763-7711 (Arc.No): Okeechobee FL 34974 EAD-MAIL shines@pritchardsinc.com INSURER(S)AFFORDING COVERAGE _ NAIC INSURERA:Philadelphia Indemnity Insurance Co. 18058 INSURED BUSIDEV-01 INSURER B:Zenith Insurance Company 13269 Business Development Board Of Okeechobee County, Inc 55 S PARROTT AVE INSURER C: OKEECHOBEE FL 34972-2968 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1934854389 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y PHPK2567791 7/20/2023 7/20/2024 EACH OCCURRENCE $1,000,000 GE TO CLAIMS-MADE OCCUR PREMISES(EaENTED occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION Z134078207 3/3/2023 3/3/2024 X Mum EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 A Directors&Officers PHSD1801565 7/20/2023 7/20/2024 Aggregate $1,000,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) -Hammerick.Hause Trust Additional Insured: City of Okeechobee R.E.Hamrick Testamentary Trust Okeechobee,FL 34974 CERTIFICATE HOLDER CANCELLATION 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. R.E. Hamrick Testamentary Trust 55 SE 3rd Avenue AUTHORIZED REPRESENTATIVE Okeechobee FL 34974 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD c 4th Avenue I E 0 a \AOW 1 - ■ ■ V* SN:10 - E/ ■ -to - 8 :v*. a" Alt N 348 347 w w 10 w ® ♦® N 0 L..4,,/ (c_47 w ® /, o w o Fi.., 0 ini °° OO b w ti " P w w wcli P �1 ■ i c, v� ♦ �337I o :, W W ON r71 110 AD Lk.) La ( • 0 0 v 4Jifj . ® I _ 0 n . 40 4.1& U 10, imme c � I/1\ W fiT [0 7 � d N w x rn F+ ro o w O M&D Trading(4) 0 c. ■ '15' 357 3.0— H •�m I I c IS G D K 3rd Avenue Ed ii g' rn O _ ■ C t. CD m :� v, to r c! 5V��Q o I' 0 o go w54 - c 10/5/23,2:52 PM Detail by Entity Name DIVISION OF CORPORATIONS • Dgpartment of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation BUSINESS DEVELOPMENT BOARD OF OKEECHOBEE COUNTY, INC. Filing Information Document Number N10000011900 FEI/EIN Number 27-4426593 Date Filed 12/27/2010 Effective Date 01/01/2011 State FL Status ACTIVE Principal Address 55 S. Parrott Ave OKEECHOBEE, FL 34972 Changed: 01/30/2013 Mailing Address 55 S. Parrott Ave OKEECHOBEE, FL 34972 Changed: 01/30/2013 Registered Agent Name&Address Wise, L Paulette 55 S. Parrott Ave OKEECHOBEE, FL 34972 Name Changed: 02/02/2017 Address Changed: 01/30/2013 Officer/Director Detail Name&Address Title VP Burroughs,Terry 55 S. Parrott Ave OKEECHOBEE, FL 34972 Title S https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityNa me&directionType=1 nitial&searchNameOrder=BUS I N ES... 1/2 10/5/23,2:52 PM Detail by Entity Name Keller, Ken 55 S. Parrott Ave OKEECHOBEE, FL 34972 Title T Brown, Russ 55 S. Parrott Ave OKEECHOBEE, FL 34972 Title President Trent,Tabitha 55 S Parrott Ave Okeechobee, FL 34972 Annual Reports Report Year Filed Date 2021 01/26/2021 2022 02/07/2022 2023 02/06/2023 Document Images 02/06/2023--ANNUAL REPORT View image in PDF format 02/07/2022--ANNUAL REPORT View image in PDF format 01/26/2021 --ANNUAL REPORT View image in PDF format 02/11/2020--ANNUAL REPORT View image in PDF format 02/27/2019--ANNUAL REPORT View image in PDF format 03/02/2018--ANNUAL REPORT View image in PDF format 02/02/2017--ANNUAL REPORT View image in PDF format 01/25/2016--ANNUAL REPORT View image in PDF format 02/22/2015--ANNUAL REPORT View image in PDF format 01/22/2014--ANNUAL REPORT View image in PDF format 01/30/2013--ANNUAL REPORT View image in PDF format 02/16/2012--ANNUAL REPORT View image in PDF format 12/27/2010--Domestic Non-Profit View image in PDF format https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=1 nitial&searchNameOrder=BUST NES... 2/2 Patty Burnette From: Patty Burnette Sent: Friday, October 6, 2023 10:07 AM To: Mariah Parriott Cc: Keli Trimnal Subject: Application for Small Business Saturday Importance: High Good Morning Ms. Mariah. I am needing a copy of the nonprofit status for Chamber of Commerce of Okeechobee County / Business Development Board of Okeechobee County please for this application. Thank you Patty M. Burnette General Services Director City of Okeechobee 55 SE arc(Avenue Okeechobee, EL 34974 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 'Fax: (863) 763-1686 e-mail:pburnette@cityofo1eechobee.com website: www.cityofo(eechobee.com 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. i INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNATI, OH 45201 Employer Identification Number: DateMAY 1 2 2011 27-4426593 DLN: 17053102368021 BUSINESS DEVELOPMENT BOARD OF Contact Person: OKEECHOBEE COUNTY INC JEFFERY A CULLEN ID# 31215 C/O CHAMBER OF COMMERCE OF OKEECHOBEE Contact Telephone Number: 315 NW 4TH AVE (877) 829-5500 OKEECHOBEE, FL 34972 Accounting Period Ending: December 31 Form 990 Required: Yes Effective Date of Exemption: January 1, 2011 Contribution Deductibility: No Dear Applicant: We are pleased to inform you that upon review of your application for tax- exempt status we have determined that you are exempt from Federal income tax under section 501(c) (6) of the Internal Revenue Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Please see enclosed Publication 4221-NC, Compliance Guide for Tax-Exempt Organizations (Other than 501(c) (3) Public Charities and Private Foundations) , for some helpful information about your responsibilities as an exempt organization. Sincerely, Loi"G. Lerner Director, Exempt Organizations Enclosure: Publication 4221-NC Letter 948 (DO/CG) Keli Trimnal From: Keli Trimnal Sent: Thursday, October 26, 2023 12:50 PM To: INFO@OKEECHOBEEBUSINESS.COM Cc: Keli Trimnal; Patty Burnette; Permit Subject: Chamber of Commerce Permit No. 23-016 Attachments: 23-016 Small Business Saturday Chamber.pdf Hi Mariah, Please see attached Permit No. 23-016 for Small Business Saturday, Christmas shopping event. Keli Note: Please do not"reply all"to this email to avoid a potential Sunshine Law Violation. Regards, �Celi Trimnal, City of Okeechobee generaCServices, BuiCding&'Zoning Administrative Secretary 55 SE 3rd Avenue Okeechobee, EL.34974 Phone: (863) 763-3372 ext.9824 Direct: (863) 763-9824 Tax: (863) 763-1686 e-mail:ktrimna(6cityofokeechobee.com website:www.cityofokeechobee.com „,,, 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