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Christmas Parade Rule 14-65.0035(1)(c),F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040-65 TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTENANCE 12/11 Date: 10/24/2023 Permit No. 2023-F-191-00025 _a 3-0311- Governmental Entity Approving Local Government CITY OF OKEECHOBEE Contact Person THERESA FORDE Address 55 SE 3rd Avenue Okeechobee, Florida 34974 Telephone (863) 763-3372 ext. 9821_ Email permit@cityofokeechobee.com Organization Requesting Special Event Name of Organization Okeechobee Main Street Contact Person Jenna Stephens Address 111 NE 2nd Street Okeechobee, Florida 34972 Telephone (863) 357-6246 ext. Email info@okeechobeemainstreet.org Description of Special Event Event Title Christmas Parade Date of Event 12/9/2023 Start Time 6:00 PM (EDT) End Time 8:00 PM (EDT) Event Route (attach map) Detour Route (attach map) Law Enforcement Agency Responsible for Traffic Control Name of Agency Okeechobee City Police US Coast Guard Approval for Controlling Movable Bridge Not Applicable ❑ Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment to the public. Signatures of Authorization Event Coordinator Jenna Stephens Signature Jenna Stephens Date 10/24/2023 Law Enforcement Name/Title Donald Hagan/ Police Chief Signature Donald Hagan Date 10/24/2023 Government Official Name/Title Gary Ritter/ City Administrator Signature Gary Ritter Date 10/24/2023 FDOT Special Conditions FDOT Authorization Name/Title Selina Carroll / DISTRICT PERMIT COOF Signature Selina Carroll D�to 1 r)/2.412093 __J ty of Okeechobee Christmas Parade,12/9/2023 Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 mil Parade Route gimmg Detour Route rr Page 1 of 6 0 . . VP' — le v 44'. [ ,r . il ri Illir1W. , }� ... t S N •MP .. it �' „. ;z � N rr , >6 - N.Es3,`d>rS ►� r` , rr.... ,..... --mr-• '' . T • .,. . , „, . . , r,p Ir•Nr 1T6 if :::".gyr , • it 9� r ili r �_ • Y n '` V`' Oke,ec, 0 :'•Ville I Ae il s • �. w 111 ■ •V . . 41 ill �, l0 � . •. d� ;'r ;,�: e fx 1%,. • '° -i '1 •' .0 ! 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Email f!P/'YtT 0.i Organization Requesting Special Event Name of Organization OKeechcLA tv j(:i Contact Person i'.n.fACA 1�41S Address tit NE And St. O Le.ei .hchee Telephone(CAI 3)391 (4 Email (i'1�C e C V-e tC rrli;ht'c:_fri i'-t eet: LYn Description of Special Event • Event Title Date of Event i, -ceyi7r q ;Ab;1o) Start Time _l p.m. End Time �l/? Event Route(attach map) - 1 .1 .4 4-o vy t.,4+ - n Detour Route(attach map) tt((t v' f afalk, f t(j�,��, - \f'r_. Lt U&IJ L-i.t• (' Law Enforcement Agency Responsible for Traffic Control Name of Agency .14) US Coast Guard Approval for Controlling Movable Bridge Not Applicable Cl Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment to the public. Signatures of Authorization Event Coordinator 11-1,1'10 (44(*i-Q n ; Signature, ' - �C Date iDAL(1A/".)-13 Law Enforcement Name/Title - Signature % Date ,?' Government Official - At>tg f \ , Name/Title,- ��/ Signature Date 1p/j2 FDOT Special Conditions FDOT Authorization Name/Title Signature Date _J 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 4110 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 SI"day of Auoust„2003. • • James.E.Kirk,Mayor • ATTEST: . • • t .l I:4� :-`;% t.1:1:Ems. Lane Garniotea, City Clerk REVIEWED FOR LEGAL SUFFICIENCY: )k— Cook /Ct y Attorney IP Page2of 2 r • Patty Burnette From: Patty Burnette Sent: Thursday, November 2, 2023 1:11 PM To: info@okeechobeemainstreet.org Cc: Angie Griffin; Keli Trimnal; Permit Subject: RE: [EXTERNAL]RE: [EXTERNAL]COI Attachments: Approved permit from FDOT.pdf Importance: High Hi Jenna. Attached is a copy of the approval from FDOT for the Christmas Parade yea! Have a good day. Patty M. Burnette genera6Services Director City of Okeec(io6ee 55 SE 3ref Avenue Okeechobee, EL 34974 Phone: (863) 763-3372 ext. 982o Direct: (863) 763-982o Tax: (863) 763-1686 e-mail y6urnette@cityofokeecho6ee.coni we6site: www.cityofoL eecho6ee.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. From: info@okeechobeemainstreet.org<info@okeechobeemainstreet.org> Sent:Thursday, November 2, 2023 10:30 AM To: Patty Burnette<pburnette@cityofokeechobee.com> 1 Cc:Angie Griffin<angie@okeechobeemainstreet.org> Subject: [EXTERNAL]RE: [EXTERNALJCOI Good Morning, I spoke with Marlene at Lawrence's Insurance this morning. She is going to email you the certificate for FDOT. Please let me know if you do not get it. Have a great day! Jenna Stephens Executive Director Okeechobee Main Street Arts & Culture Alliance OKMS Phone: 863-357-6246 111 NE 2"d Street Okeechobee, Florida 34972 Email: info@okeechobeemainstreetorq OKMS Website: www.OkeechobeeMainStreet.org Arts Website: www.OkeechobeeArts.org Original Message From: "Patty Burnette" <pburnette®cityofokeechobee.com> Sent: Wednesday, November 1, 2023 3:30pm To: "info@okeechobeemainstreet.orq" <info@okeechobeemainstreet.orq> Cc: "Angie Griffin" <angie@okeechobeemainstreet.org> Subject: RE: [EXTERNAL]COI Thank you. Any luck with the one for FDOT for the parade? Patty 24 Burnette GeneraCServices Director City of Okeechobee 55 SE 34 Avenue Okeechobee, EL 34974 Phone: (863) 763-3372 ext. 982o Direct: (863) 763-9820 Tax: (863) 763-1686 e-mail:yburnette@cityofoIeechobee.com website: www.cityofoIeechobee.corn 2 ,'� •6r :_ A ter. ` �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. From: info@okeechobeemainstreet.org <info@okeechobeemainstreet.org> Sent: Wednesday, November 1, 2023 3:07 PM To: Patty Burnette<pburnette@cityofokeechobee.com> Cc: Angie Griffin<angie@okeechobeemainstreet.org> Subject: [EXTERNAL]COI Please find attached Main Street's updated Certificate Of Liability Insurance. Please let me know if you need anything else. Thank you! Have a great day! Jenna Stephens Executive Director Okeechobee Main Street Arts & Culture Alliance OKMS Phone: 863-357-6246 111 NE 2"d Street Okeechobee, Florida 34972 Email: info@okeechobeemainstreet.orq OKMS Website: www.OkeechobeeMainStreet.orq Arts Website: www.OkeechobeeArts.org 3 Rule 14-65.0035(1)(c),F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040-65 TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTENANCE Date: 10/24/2023 Permit No. Temp: 0233731 Governmental Entity Approving Local Government CITY OF OKEECHOBEE Contact Person THERESA FORDE Address 55 SE 3rd Avenue Okeechobee, Florida 34974 Telephone (863)763-3372 ext. 9821_ Email permit@cityofokeechobee.com Organization Requesting Special Event Name of Organization Okeechobee Main Street Contact Person Jenna Stephens Address 111 NE 2nd Street Okeechobee, Florida 34972 Telephone (863)357-6246 ext. Email info@okeechobeemainstreet.org Description of Special Event Event Title Christmas Parade Date of Event 12/9/2023 Start Time 6:00 PM(EDT) End Time 8:00 PM(EDT) Event Route (attach map) Detour Route (attach map) Law Enforcement Agency Responsible for Traffic Control Name of Agency Okeechobee City Police US Coast Guard Approval for Controlling Movable Bridge Not Applicable 0 Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event,free of litter and providing a safe environment to the public. Signatures of Authorization Event Coordinator Jenna Stephens Signature Jenna Stephens Date Law Enforcement Name/Title Donald Hagan/Police Chief Signature Donald Hagan Date Government Official Name/Title Gary Ritter/City Administrator Signature Gary Ritter Date FDOT Special Conditions FDOT Authorization Name/Title Signature Date 10/24/23,2:30 PM FDOT-One Stop Permitting Your application has been successfully submitted! Road 2023-F-191 - Closure: 00025 Project Name: Status: Submitted to FDOT Substatus: Submitted to FDOT Application Manage Permit 1 2 3 4 Submit Application A Other Attachments Name Attachment View Resolution No. 03-8 RESOLUTION 03-8.pdf View Resolution No. 04-03 RESOLUTION 04-03.pdf Permit Provisions The Permittee will assume all risk of and indemnify, defend, and save harmless the State of Florida and the FDOT from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event,free of litter and providing a safe environment to the public. https://osp.fdot.gov/#/ProcessType/660fd2e2-b1d5-455e-940f-a73901667e10/Process/710ba51c-0a5e-4e49-a7ce-b0a5012ba164 1/2 10/24/23,2:30 PM FDOT-One Stop Permitting I acknowledge the above terms: * Your application has been successfully submitted! Preview Permit Previous Withdraw One-Stop Permitting (OSP) Report technical problems to the Service Desk at 1-866-955-4357 For questions regarding your permit, please contact the appropriate office located on the Permit Office Locations page. Web Policies and Notices-Accessibility Statement https://osp.fdot.gov/#/ProcessType/660fd2e2-b1 d5-455e-940f-a73901667e10/Process/710ba51 c-0a5e-4e49-a7ce-b0a5012ba164 2/2 OCT O 9 2021 Rule'4-65.0035(1)(c),F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040-ES TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTENANCE /n� In�� 12/11 Date: p�/LIZ Permit No. - 3--oo4 Governmental Entity ,, Approving Local Government (b,1�\/ Q UKPerh0 bee-- Contact Person The eSa. ♦CO('CI c_. • Address 55 SE 3d ft✓ 1(10 ho k A 3 . 7� '- Telephone NO3_7(03— q$a � Email pe(,7t1 F P (L'�l/0 10 K?. c1 0 e .Can() . Organization Requesting Special Event Name of Organization &Kee( hC t Main Street- Contact Person nnct S-1 5 Address tl NE and Si". O LeeLhobee) E L 3t-lq-i a Telephone( pru3)391 '(0,91 (L Email 1 i(1f'C @ Ck.0 ec he bee mairystyert, or-9 Description of Special Event Event Title(hr(St'YY\US" IC�Y�t1d�, Date of Event tl'Le mjLr- "ILA 3 Start Time LOp rwa End Time bp on Event Route(attach map) (�eq i� y +o 44+1 Li 4-o 7 o West- to so 7th itif, Detour Route(attach map) e(l(,1,1-Cte Poia k. Fo See ctt#achid t"l OTj • Law Enforcement Agency Responsible for Traffic Control Name of Agency OlittealUou 11) fC� US Coast Guard Approval for Controlling Movable Bridge Not Applicable 0 Copy of USCG Approval Letter Attached ❑ Bridge Location The Permittee will assume all risk of and indemnify, defend and save harmless the State of Florida and the FDOT from and against any and all loss, damage,cost or expense arising in any manner on account of the exercise of this event. The Permittee shall be responsible to maintain the portion of the state road it occupies for the duration of this event, free of litter and providing a safe environment to the public. Signatures of Aut 'rizatton Event Coordinator ;e111"1Q ; - S Signatur r" Date _ ';i Law Enforcement ( --) Name/Title Signature -' �` Date 0/f//)' Government O ' (J Name/Title Signature Date /j2/o� FDOT Special Conditions • • FDOT Authorization Name/Title Signature Date INDEMNIFICATION AGREEMENT This AGREEMENT, by and between the CITY GOLF OKEECHOBEE, FLORIDA, (hereinafter "CITY") and O1(�� �� Qi )��u.ui Sf rf ld' (hereinafter "APPLICANT"), dated this CP41 day of { A c , c2C .3 WHEREAS, APPLICANT desires to hold or sponsor a special event, parade, festival, or other activity requiring the temporary closure of a state-controlled roadway in the City of Okeechobee, Florida, and therefore requires the execution and submission of an application for such temporary closure to the State of Florida Department of Transportation by the CITY pursuant to regulations of said Department, and WHEREAS, pursuant to Resolution No. 88-5 the CITY requires indemnification by any applicant for temporary road closure before the appropriate CITY officials may execute such application to the Department. NOW, THEREFORE, in consideration of the mutual obligations and covenants set forth hereafter, the parties agree as follows: 1. APPLICANT shall indemnify, protect, defend, and hold harmless the CITY from any and all losses, injuries, damages, or claims of any nature or type resulting directly or indirectly from the temporary road closure and the special event, festival,� parade, or other activity to be held on q ' day of ('Q►Yl)9P�' , a R Applicant shall further reimburse the CITY for any and all attorneys' fees, court costs or other legal costs incurred by the CITY as a result of any such losses, injuries, damages or claims. 2. If the APPLICANT is a corporation, partnership or other legal entity (other than an individual), APPLICANT shall attach hereto a duly executed resolution, partnership agreement or other document in legal form evidencing the authority of the officers of such entity to enter into this indemnification agreement. 3. Upon the APPLICANT complying with paragraph 2 above, the requirements of Resolution No. 88-5 of the CITY, and any other reasonable requirements of the CITY, the CITY shall cause the appropriate City officials to execute the necessary forms to make application to the State of Florida, Department of Transportation, for temporary road closure. APPLICANT CITY OF OKEECHOBEE, FLORIDA -��BY: TITL Zeerel Ul�V e Thin Y 2Cl 0� TITLE: Administrative Assistant, General Services Department FOR CITY USE ONLY XX Proof of liability insurance _Corporate resolution completed XX Other requirements (specify) Indemnification Agreement REVIEWED ee► TITLE: Administrative Acsiatarrf, General Services DATE: it) // `/2 City of Okeechobee Christmas Parade,12/9/2023 Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 mii Parade Route Detour Route Page 1 of 6 ill ‘i7 + +v _ r w al. 19 r:_-,, F li * �'4..411.1_,.:, , .• 1 , , w i ! ` r ) # so 1,16 ye a ---..- et rylitio 1 S � 3 -' J E f f .Y _ a,t,, a'.lib . _ Lam• ` \ !n..: eR.: ,- ��-- ' 't-..-. - , 4 .. 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I_ '� Od ' �1 c�!0:111.11 '=a � $ • h r . * R �. i 200 Feet ` tip, ` 3, a 4.=iyj �ji a. a ilv s ' '104 r y•�► .�k ' 11,,1 ti 74 - s ,� , t.Jy t: �'1 —. la���r�I `I '(�L ,M• � p�H . .. ✓', 1.. . 1 Ahead 4 I o=ed - r 1 _ -01 `� 4Google Earth" 4 t e .. ; _ 1 19941 '.idL_: 1l1..'t 1. 1 c • n OKEEMAI-01 MBUCHANAN .acoRo° CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY) 11/2/2/2/2023 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 N�MPCT Lawrence Insurance Agency,Inc. P.O BOX 549 (vc°O,"r o,Ea}:(863)467-0600 I FAX No):(863)467-5142 Okeechobee,FL 34973 ��SS:marlene@lawrenceins.com INSURER(S)AFFORDING COVERAGE NAIL S 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 POUCIES 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 POUCIES 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR NBP2552460F 10/25/2023 10/25/2024 DMGEESEao De nce) $ 100,000 X Directors&Officers MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY ja LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS�� ONLY AUTOSSp EE BODILY INJURY{Per accident) $ AUTOS ONLY ,_.AUUTOS ONLYY PROPERTY ac de accident) ) $ UMBRELLA LIAB _OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/M MBER EXCLUDED? (Mandatory n H} 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) Florida Department of Transportation is included as an additional insured with respect to the General Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF, Florida Department of Transportation ACCORDANCE WITH THE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN 801 N Broadway Ave Bartow,FL 33831 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM BLANKET ADDITIONAL INSURED ENDORSEMENT Section II — LIABILITY, C., Who Is An Insured is amended to include as an insured any person, entity or organization that is: 1. A franchisor under a franchise agreement with the Named Insured as franchisee relating to"your work"; or 2. A licensor under a license agreement with the Named Insured as licensee relating to "your work"; or 3. A co-owner with the Named Insured in premises used for"your work"; or 4. A majority owner with a controlling interest in the Named Insured but only with respect to liability arising out of such owner's (i) financial or operational control of the Named Insured; or (ii) ownership, maintenance or use of premises leased or occupied by the Named Insured for purposes of"your work";or 5. A mortgagee, assignee or receiver of the Named Insured relating to"your work"; or 6. A lessor, or an agent of a lessor, under a lease agreement with the Named Insured as lessee relating to"your work"; or 7. A grantor of a permit to the Named Insured as permitee relating to"your work". However, if the grantor of a permit is a federal, state or local government or political subdivision,there is coverage under this endorsement only for liability arising from: a. The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or b. The construction, erection or removal of elevators; or c. The ownership, maintenance or use of any elevators covered by this insurance; or 8. A lessor of equipment leased to the Named Insured relating to"your work"; or 9. A contributor, benefactor, or supporter who provides financial assistance to the Named Insured in connection with"your work". but only to the extent the Named Insured is required to add such person, entity or organization as an additional insured to this policy under a written contract, written permit or written agreement relating to"your work". Such person, entity or organization is an insured only with respect to liability for "bodily injury", "property damage" or"personal and advertising injury"that is caused, in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf in connection with "your work" while such written contract, written permit or written BP 145 NPP(06-10) Page 1 of 2 agreement is in effect. EXCLUSIONS There is no coverage under this endorsement for loss or expense, including but not limited to the cost of defense for "bodily injury", "property damage" or "personal and advertising injury": 1. That occurs after all of"your work", including materials, parts or equipment furnished in connection with "your work" and performed under a written contract, written permit or written agreement has ended; or When that portion of"your work" out of which the"bodily injury", "property damage" or "personal and advertising injury" arises and performed under a written contract, written permit or written agreement has been put to its intended use by any person(s) or organization(s); whichever occurs first. 2. Arising directly or indirectly from construction or demolition operations of any kind performed by you. 3. Caused or alleged to be caused by the sole negligence of an additional insured under this endorsement. 4. Arising out of"your work" performed for a federal, state or local government or political subdivision under a written permit; or 5. Included within the"products-completed operations hazard". CONDITIONS Coverage provided by this endorsement will be excess over any insurance available to any additional insured under this endorsement unless a written contract,written permit or written agreement specifically requires that coverage under this endorsement is primary. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. BP 145 NPP(06-10) Page 2 of 2 a4;/) ?It : WAX Patty Burnette 16° 1 ( I From: info@okeechobeemainstreet.org Sent: Wednesday, October 25, 2023 10:07 AM To: Patty Burnette Cc: Angie Griffin Subject: [EXTERNAL]RE: [EXTERNAL]RE: Park Use permit for Christmas Festival Good Morning, I spoke with our insurance company this morning. They advised me that it should be ready in 24/48 hours. As soon as they let me know that it is updated I will bring the certificate over to you. Please let me know if we need anything else. Have a great day! Jenna Stephens Executive Director Okeechobee Main Street Arts & Culture Alliance OKMS Phone: 863-357-6246 111 NE 2"d Street Okeechobee, Florida 34972 Email: info@okeechobeemainstreet.org OKMS Website: www.OkeechobeeMainStreet.org Arts Website: www.OkeechobeeArts.org Original Message From: "Patty Burnette" <pburnette@cityofokeechobee.com> Sent: Tuesday, October 24, 2023 1:35pm To: "info@okeechobeemainstreet.org" <info@okeechobeemainstreet.org> Cc: "Keli Trimnal" <ktrimnal@cityofokeechobee.com> Subject: RE: [EXTERNAL]RE: Park Use permit for Christmas Festival Hi Jenna. Just following up on the insurance certificate needed for FDOT for the parade permit. Information is below. Thank you Patty M. Burnette general Services Director City of Okeechobee 55 SE 34 Avenue Okeechobee, Ti 34974 1 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 Tax: (863) 763-1686 e-mall yLurnette@cityofo1eecholee.com wehsite: www.citiofoleecho6ee.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. From: Patty Burnette Sent: Thursday, October 12, 2023 9:26 AM To: info@okeechobeemainstreet.org Subject: RE: [EXTERNAL)RE: Park Use permit for Christmas Festival Good Morning and of course. Patty qvl. Burnette general Services Director City of Okeechobee 55 SE 3rd-Avenue Okeecho6ee, TL 34974 Phone: (863) 763-3372 ext. 982o Direct: (863) 763-982o Tax: (863) 763-1686 e-mail y6uniette@cityofoleecho6ee.com we6site: www.cityofo1eecholee.coni 2 .1 • .)- 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. From: info@okeechobeemainstreet.orq <info@okeechobeemainstreet.orq> Sent: Thursday, October 12, 2023 9:25 AM To: Patty Burnette<pburnette@cityofokeechobee.com> Subject: [EXTERNAL]RE: Park Use permit for Christmas Festival Good Morning, I have been out of the office for the past two days. Can I come by today and pick up our application I will fix what you need from us. Jenna Stephens Executive birector Okeechobee Main Street Arts & Culture Alliance OKMS Phone: 863-357-6246 111 NE 2"d Street Okeechobee, Florida 34972 Email: info@okeechobeemainstreet.orq OKMS Website: www.OkeechobeeMainStreet.orq Arts Website: www.OkeechobeeArts.org Original Message From: "Patty Burnette" <pburnette@cityofokeechobee.com> Sent: Tuesday, October 10, 2023 11:50am To: "info@okeechobeemainstreet.org" <info@okeechobeemainstreet.org> Cc: "Keli Trimnal" <ktrimnal@cityofokeechobee.com> Subject: Park Use permit for Christmas Festival Good Morning Ms. Jenna. I reviewed the Park Use/Temporary Street Closing and Parade Permit Applications you submitted. Regarding the Park UselTemporary Street Closing Application: 1. What are the times for the event? Nothing is indicated on page 1 of the application but on the Fire permit application 10 Am to 9 PM is listed. 2. On page 2 of the application under times to be closed do you mean for it to be December 8th starting at 5 PM to December 9th at 9 PM? December 10th is listed. 3 3. We will need a site plan for all the Parks being used, I believe you are wanting to use Parks 2, 3, and 4? Site plan provided is only for Parks 3 and 4. Also the site plan needs to include where like the train would be and the music as well as the individual booths/tents. 4. Will need an updated General Liability Insurance Certificate after 10/25/23. You may just email to me. Regarding the Parade Permit Application: 1. Will need a certificate of General Liability Insurance in the amount of at least 1 million dollars listing the Florida Department of Transportation as Additional Insured. Their address for the Certificate Holder part is 801 N. Broadway Avenue, Bartow, FL 33831 Please let me know if you have any questions. Thank you Patty M. Burnette general-Services Director City of Okeechobee 55 SE 34 Avenue Okeechobee, El 34974 Phone: (863) 763-3372 ext. 982o Direct: (863) 763-9820 Tax: (863) 763-1686 e-maik yburnette@cityofokeechobee.com website: tiv%7w.cityofokeechobee.coni r .Z J. 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. 4