Loading...
2024-02-06 V. C. Speckled Perch Rd Closure, Exhibit 3• • Exhibit 3 02/06/2024 VOW Date Received: 1 -22 - 2C. Application No: 2-1- O C Information: 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 Issued: Date(s) & Times of Event: pm Organization: Okeechobee Main Street Inc. Mailing Address: I I I NE 2nd St. Okeechobee FL 34972 Contact Name: Jenna Stephens E-Mail Address: info(iDokeechobeemainstreet.org Telephone: Work: 1 863-357-6246 Home: Cell: Summary of activities: A two day festival with Arts & Crafts vendors, food vendors, kids activities. Startine with a parade on Saturda f Proceeds 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 ❑ # I Memorial Park id #2 id #3 il #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 V & 3rd Tuesdays but subject to change) Address of Event: Parks 2,3,4 of Flager Park in Okeechobee t Street(s) to be closed: SW 2nd, SW 3rd Ave & SW 4th Ave crf Cl i6n 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.** propertyowner, 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. u n U 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. A �Jicantgnature Staff Review 01 /22/2024 Date ••••OFFICE USE ONLY•••• Fire Department: Date: ` EU 2-9 Building Official: Date: Public Works: Date: Police Department: Date: BTR Department: Date: City Administrator: Date: r-• City Clerk: a r �y (l�,i 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-ail Date Date U CITY OF FIRE DEP,ARTI►"T APPLICATION FOR SPECIAL EVENT Application 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 before and during event OF RESPONSIBLE PERSON: (20g 577 - 6528 RESPONSIBLE PERSON'S 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: 9:00am 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 Pl NO . (circle) Locations: Provided By: —� WILL HEATING/OPEN FLAMES FOR FOOD BE PROVIDED? (circle) YES M LNJM Type of Heating Equipment Used: WILL A TENT BE ERECTED? (circle) YES M NO Tent Manufacturer: Size Ling 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 DEPARTMENT LIFE SAFETY & FIRE SERVICES REQUIREMENTS: (See above) �,kr Tents/canopy fire rating certificate required. Tent Size require life safety inspection (900 square feet or less then no permit is required) Floor plan / seating / setup drawing required showing exits, etc. hk Emergency access must be maintained. (REFERS TO VEHICLES AND EQUIPMENT) - Fire extinguishers must have current tag, and be operational and readily accessible. Pr Cooking requires LPG outside of tent pointing away from exposures. t Electrical wiring exterior rated, not overloaded. Fire Services inspection required. t Fire watch or inspector(s) REQUIRED? FIRE WATCH Amount: tU�yFirefighter/Inspector Amount: E Other: FIRE DEPARTMENT OFFICIAL (PRINT): :9Z\ Ca SaSy-," SIGNATURE: Please call the FD at 863-467-1586 for any questions. Revised 11.6-19 • • OKEEMAI-01 MBLICHANAN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYn 1111 /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 . No. EXty (863) 467-0600 FAX Noy(863) 4675142 ss: mariene@lawrenceins.com INSURERS) AFFORDING COVERAGE NAIC X INSURER A. Mt. Vernon Fire Insurance Co INSURED INSURER B: INSURERC: 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 USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INSRTYPE OF INSURANCE ADDL UBR POLICYNUMBER POLICY EFF POLICYEXP LIMITS L WV IMMIDD Y MMI OI YY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $ CLAIMS -MADE ❑X OCCUR X NBP256246OF 10/25/2023 10/25/2024 DAMAGE TO RENTED PREMISES (Ea occurrence 100r000 $ Directors & Officers X _MED EXP (Ant one son f 6,000 PERSONAL L ADV INJURY $ 11000,000 $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ __ POLICY [7] RRO- LOC JECT PRODUCTS -COMP/OP AGG _ __ _- OTHER. $ AUTOMOBILE LIABILITY fC0.Id.nBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person)$ BODILY INJUpRY (Per acebe_n0 f OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOSONLY AUI OS ONLY Pm arc d rill AMAGE _ $ -- $ UMBRELLA LIAR OCCUR I EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE $ DEC) I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY �FFICERMI�MBOEER EXCLUDED XECUTIVE NIA PER I I Cl STATUTE I I ERH E.L EACH ACCIDENT _ $ (Mandatory In NH) E.L_ DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below 7- DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 10/, 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 L:ANL:tLLA I IUN City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • • INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, Off 45201 Date: APR 2 9 Z005 OKEECHOBEE MAIN STREET INC III NE 2ND ST OKEECHOBEE, FL 34974 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 65-0887929 DLN: 17053329002014 Contact Person: DEBRA JOHNSON ID# 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 o£ 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 Che 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) s is 10/10/23. 11:42 AM Detail by Entity Name .org '_9f �n.,,of State / Divi$�pn. pf Ccrperatia;;s I Search Records / rch _F_rqiy fn J Detail by Entity Name Florida Not For Profit Corporation OKEECHOBEE MAIN STREET. INC. Filing Information Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Princ'nal Address 111 NE 2nd Street OKEECHOBEE, FL 34972 Changed: 10/30/2020 iling.Address 111 NE 2nd Street OKEECHOBEE, FL 34972 N99000000045 65-0887929 01 /05/1999 FL ACTIVE REINSTATEMENT 10/18/2000 Changed: 01 /30/2013 Registered Agent Name & Address Turgeon, Sharie 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/CorporationSearctVSearchResultDetail?inquirytype=EntityName&direcfonType=Initial&searchNameOrder=OKEECH ... 1 /3 0 0 10/10/23, 11 42 AM Detail by Entity Name https://s1 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 AnnuaLftpq-da Report Year Filed Date 2021 04/13/2021 2022 02/03/2022 2023 01/11/2023 Document Imag,iji, 01111,2023 --ANNUAL REPORT View image in PDF Formmat QZ!0312022 -- ANNUAL EEPORJT View image in PDF format 04113!21121 -- ANNUAL REPOR-r View iniage in PDF format 03/2412020 --ANNUAL REPORT View image in PDF forr mal 04/2212019 -- ANNUAL RZMRT View image in PDF format 04(11/zQ1j-ANNUAL REPORT View image in PDF format f13/1512017 -- ANNUAL REPORT `hew ;rage in PDF formal 03i1161201G —ANNUAL REPQRT View image in PDF format 01/12l2015 -- ANNUAL REPORT View image in POF format 01l22/2014—ANNU/\LBfPQRT View image in POF format 011:30f2013 --ANNUAL REPORT View image it PDF format Q2128/2012 -- ANNUAL REPOR [ View image In PDF format 84i29l2011 --ANNUAL REPORT View image in PDF format 02/01/2010 -- ANNUAL REPORT View image in POF format 03/2412009--ANNQALAQF 013j View image in POF format 0312212008 -- ANNUAL. REPORT View image in PDF format 02,1012007 -- ANNUAL REPORT View image in I•DF format 09103i2009 __ ANNUAL REPORT View image in PDF format Q4L2�12005 -- ANNEAL REPORT. View image in POF foi-17141. 04/3012004 --ANNUAL REPORT View image in PDF fOfnleit OV2712003 -- ANNUAL REPORT View image in PDF format 07/0 0<--ANNUAL REPORI View imaac in PDF format :arch. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetai I? inquirytype=EntityName&directionType=lnitial&searchNameOrder=OKEECH... 2/3