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Temp Street Closing/Park Use Permit_OKMS_Speckled Perch FestivalCITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863- 763-9821 Fax 863- 763-1686 e-mail: permitCcDcityofokeechobee.com Park Use & Temporary Street Closing Permit Permit Number: 24-007 Date(s) of Event: March 9-10,2024 9:00 A.M. — 3:00 P.M. Permit Expiration: March 10, 2024 C@_ 11.59 P.M Purpose of Request: Speckled Perch Festival Property Owner: City of Okeechobee Address: 55 SE Third Avenue City: Okeechobee Applicant: Okeechobee Main Street Phone Number: 863-357-6246 Current Zoning: PUB Subdivision: City of Okeechobee Restrictions/Remarks: State: Florida Zip Code: 34974 Applicant's Address: 111 NE 2nd Street Address of Project: Parks 2, 3 & 4 FLU Designation: PF 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. 774ie" 2onde February 8, 20234 General Services Administrative Secretary Date Page 1 of 3 Revised 3/5/19 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax: 863-763-1686 PARK USE AND/OR TEMPORARY STREET/ SIDEWALK CLOSING PERMIT APPLICATION Date Received: 1 -22 - 2.62- Date Issued: A lication No: Z, UO ` Date(s) & Times of Event: March 9&10 9am-3pm Information: Organization: Okeechobee Main Street Inc. Mailing Address: I I I NE 2nd St. Okeechobee FL 34972 Contact Name: Jenna Stephens E-Mail Address: info(&okeechobeemainstreet.oriz Telephone: Work: 1 863-357-6246 Home: Cell: Summary of activities: A two day festival with Arts & Crafts vendors, food vendors, kids activities. Starting with a parade on Saturda OOKI rroceeus usage: Proceeds for this event go to the operations and continuing efforts of Okeechobee Main Street to enhance the downtown area as the heartbeat of the community. Please check requested Parks: Flagler Parks: ❑ City Hall Park ❑ #1 Memorial Park V #2 V #3 V #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 1" & 3d Tuesdays but subject to change) Address of Event: Parks 2,3,4 of Flager Park in Okeechobee Street(s) to be closed: SW 2nd, SW 3rd Ave & SW 4th Ave bt tw 2Q r) f` Orf- 4 et_f�) f6a fs Date(s) to be closed: March 8, 9, & 10 Time(s) to be closed:5pm on March 8 unitl 6pm on March 10 Purpose of Closing: Speckled Perch Festival & to allow vendors to se -up 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 re ug latory 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. — Q"K'a- ��I� A licant Signature Staff Review 01 /22/2024 Date •••'OFFICE USE ONLY**** Fire Department: Date: TU 1 2-�4 - (2r;r� '2 Z Building Official: Date: ti Public Works: Date: Police Department: Date: BTR Department: Date: l�� . City Administrator: Date: City Clerk: Date: NOTE: APPLICATION AND INSURANCE CERTIFICATE MUST BE COMPLETED AND RETURNED TO THE GENERAL SERVICES DEPARTMENT THIRTY (30) DAYS PRIOR TO EVENT FOR PERMITTING. Temporary Street and Sidewalk Closing submitted for review by City Council on Temporary Street and Sidewalk Closing reviewed by City Council and approved a-b-,Qq Date .2-_G y i Date CITY OF OKEECHOBEE FIRE DEPARTMENT 1 � , .. . APPLICATION FOR SPECIAL EVENT Avvlication Number: NAME OF EVENT: Speckled Perch Festival & Parade ADDRESS OF EVENT: Flagler Parks 2,3,&4 DESCRIPTION OF EVENT: Speckled Perch Festival & Parade with food, arts & crafts and kids activites Date Received: NAME OF SPONSOR ORGANIZATION: Okeechobee Main Street Contact Number before and during event OF RESPONSIBLE PERSON: (20$ 577 - 6528 RESPONSIBLE PERSON'S NAME Jenna Stephens DATE(S) AND TIME(S) OF EVENT: Date: March 8 Starting Time: 5:00pm Date: March 9&10 Closing Time: 7:00pm Starting Time: 9700am Closing Time: 6:00 pm ARE ANY ROADWAYS TO BE BLOCKED/CLOSED? yes LOCATION Will Emergency Apparatus (Fire and Ambulance) have access to area? yes IF NO, THEN (provide alternatives): WILL ELECTRICITY BE USED? YES 0� (circle) Locations: Provided By: WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES M (]N Type of Heating Equipment Used: -1 WILL A TENT BE ERECTED? (circle) YES (] NO Tent Manufacturer: Size fi ing 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 DEPARTMENT LIFE SAFET Y &FIRE SERVICES REQUIREMENTS: (See above) Tents/canopy fire rating certificate required. Npk Tent Size require life safety inspection (900 square feet or less then no permit is required) ,, pr Floor plan / seating / setup drawing required showing exits, etc. '�k7k Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) �t Fire extinguishers must have current tag, and be operational and readily accessible. Cooking requires LPG outside of tent pointing away from exposures. Electrical wiring exterior rated, not overloaded. Fire Services inspection required. CK Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: t*Firefighter/Inspector Amount: O Other: FIRE DEPARTMENT OFFICIAL (PRINT): SIGNATURE: ZRASN' Ca Sc.sJ"Y" Please call the FD at 863-467-1586 for any questions. Revised 11-6-19 Park # 2 OKMS Site Map State Rd 70 Tree Light Post 40 Power Park Tablr 19 `\ 0 • :0 212 2NN Park Ta bl es 209 208 207 206 205 C7 2041 F203IF202IF201 [ SI.N Park Street 1 • Highway 70 Park Street Park 3 Drawn by Joe Papasso 3/1/2020 = w 0 10 m Graphic Scale 1' = 20, 0 Legend B Bench Trash Can ® Picnic Bench p Light Pole .I Electric Outlets Water Spigot Shrubs v � ? Tree 422 Exhibitor Space M Y Highway 70 447 446 445 ®: 440 439 438 437 436 435 4341,43311 J 448 449 444 O O 0 0 441 0 451 ® 450 ® 430 442 443 453 429 o� N 7--1 454 Flap 452 '' Monument L41 � 455 414 415 425 426 � ■ 0 456 D 413 ® 424 0 0 412 0 0 416 417 423 H H 418 419 411 410 409 408 r M4JO6405 404 403T'402` 4011 Park Street Park 4 432 431 422 421 420 Drawn by Joe Papasso 3/l/2020 50 25 30 Graphic Scde ," = W Legend V ED Bench Trash Can ® Picnic Bench 0 Light Pole Q .1- Electric Outlets Water Spigot Shrubs Tree 422 Exhibitor Space 7t OKEEMAI-01 MBUCHANAN ,a►coRo CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 11/1/2/1/2023 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 Lawrence Insurance Agency, Inc. P.O BOX 549 Okeechobee, FL 34973 CONTACT NAME: PHONE FAX (A/C, No, Ext): (863) 467-0600 (A/c, No):(863) 4675142 _ ADDRESS: mariene@lawrenceins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Mt. Vernon Fire Insurance CO _ INSURED INSURER B: INSURER C. Okeechobee Main Street INSURER D: 111 NE 2nd Street 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYW POLICY EXP M DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ICLAIMS-MADE X OCCUR —J Directors & Officers X NBP255246OF 10/25/2023 10/26/2024 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP An one arson 5,000 $ PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JJECT El LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS- COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONE COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Peracadent _ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICER/MEMBER EXCLUDED? ECUTIVE ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 HOLDFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Okeechobee y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 55 S.E. 3rd Avenue Okeechobee, FL 34974 REPRESENTATIVE aAUTHORIZED ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD `INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: APR 2 9 2005 OKEECHOBEE MAIN STREET INC Ill NE 2ND ST OKEECHOBEE, FL 34974 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 65-0887929 DLN: 17053329002014 Contact Person: DEBRA JOHNSON IDf# 75126 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: September 30 Public Charity Status: 509(a)(1) Form 990 Required: Yes Effective Date of Exemption: November 22, 2004 Contribution Deductibility: Yes Advance Ruling Ending Date: September 30, 2009 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)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it .in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. During your advance ruling period, you will. be treated as a public charity. Your advance ruling period begins with the effective date of your exemption and ends with advance ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period, we will send you Form 8734, Support Schedule for Advance Ruling Period. You will have 90 days after Lhe end of ,your advance ruling period to return the completed form. We will then notify you, in writing, about your public charity status. Please see enclosed information for Exempt Organizations Under Section 501(c)(3) for some helpful information about your responsibilities as an exempt organization. Letter 1045 (DO/CG) 10/10/23, 11:42 AM Detail by Entity Name i Department of State / Division of Corporations / Search Records / Search by EntityNance / Detail by Entity Name Florida Not For Profit Corporation OKEECHOBEE MAIN STREET, INC. Filing Information Document Number N99000000045 FEI/EIN Number 65-0887929 Date Filed 01/05/1999 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/18/2000 Principal Address 111 NE 2nd Street OKEECHOBEE, FL 34972 Changed: 10/30/2020 Mailing Address 111 NE 2nd Street OKEECHOBEE, FL 34972 Changed: 01 /30/2013 Registered gent Name & Address Turgeon, Shade 111 NE 2nd St Okeechobee, FL 34972 Name Changed: 02/03/2022 Address Changed: 04/13/2021 Officer/Director Detail Name & Address Title President Griffin, Angie 313 SW Park Street OKEECHOBEE, FL 34974 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=OKEECH ... 1 /3 10/10/23, 11:42 AM Detail by Entity Name Title VP Heddesheimer, Marion P.O. Box 2338 OKEECHOBEE, FL 34973 Title Director, Arts and Culture Alliance Waldau, Bridgette 111 NE 2nd St Okeechobee, FL 34972 Title Treasurer, Interim Waldau, Bridgette 111 NE 2nd St Okeechobee, FL 34972 Annual Reports. Report Year Filed Date 2021 04/ 13/2021 2022 02/03/2022 2023 01/11/2023 Document Images 01/1112023 --ANNUAL REPORT View image in PDF format 02/03/2022 -- ANNUAL REPORT View image in PDF format 04/13/2021 —ANNUAL REPORT View image in PDF format 03/24/2020 — ANNUAL REPORT View image in PDF format 04/22/2019 --ANNUAL REPORT View image in PDF format 04/11/2018 -- ANNUAL REPORT View image in PDF format 03/15/2017 --ANNUAL REPORT View image in PDF format 03/16/2016 — ANNUAL REPORT View image in PDF format 01/12/2015 -- ANNUAL REPORT View image in PDF format 01/22/2014 -- ANNUAL REPORT View image in PDF format 01130/2013 — ANNUAL REPORT View image in PDF format 02/28/2012 -- ANNUAL REPORTView image in PDF format 04/29/2011 -- AN_NUAL REPORT View image in PDF format 02/01/2010--AN_NL AL REPORT View image in PDF format 03/24/2009 --ANNUAL REPORT View image in PDF format 03/22/2008 -- ANNUAL REPORT View image in PDF format 02/10,12007 -- ANNUAL REPORT View image in PDF format 02/03/2006 --ANNUAL REPORT View image in PDF format 04/28/2005 -- ANNUAL REPORT View image in PDF format 04/30/2004 -- ANNUAL REPORT View image in PDF format 01/2712003 -- ANNUAL REPORT View image in PDF format 07/08/2002 -- ANNUAL REPORT View image in PDF format https://search. su n biz. o rg/Inquiry/CorporationSearch/Search Resu ltDetai I? inq ui rytype=E ntityNa me&d irectionType=1 n iti al &search Na meOrder=0 KE ECH ... VENDOR REQUEST FORM CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-9821 Fax- 863-763-1686 e-mail: permit@cityofokeechobee.corn Status Information Ref. Sec. 2-290 Local Vendor Preference Local Business Other Sec. 2-282 Definitions: Local Business is a business located within the City/ County of Okeechobee VENDOR CONTACT INFORMATION: Company Name: Street Address: r o � �^ r- PO Box: City / State / Zip Code COMMODITY/SERVICE PROVIDED: (please list) ` c� �� - ✓ - �— l �j _ E-mail Address: Tax Id Number: 3 3uu 77 Tele. Number: Fax Number: This form MUST BE ACCOMPANIED WITH A W-9 if this is a new vendor setup. Rev. 03/,13/2023 kt