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Temp Street Closing_OKMS_Labor Day 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 21 Date: 7/24/2024 Permit No. 2024-F-191-00045 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 MARION HEDDESHEIMER Address 111 NE 2ND STREET OKEECHOBEE, Florida 34972 Telephone (863) 357-6246 ext. Email INFO@OKEECHOBEEMAINSTREET.ORG Description of Special Event Event Title LABOR DAY FESTIVAL AND PARADE Date of Event 9/2/2024 Start Time 10:00 AM (EDT) End Time 11:00 AM (EDT) Event Route (attach map) Detour Route (attach map) Law Enforcement Agency Responsible for Traffic Control Name of Agency CITY OF OKEECHOBEE 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 MARION HEDDESHEIMER Signature MARION HEDDESHEIMER Date 7/23/2024 Law Enforcement Name/Title DONALD HAGAN /CHIEF OF POLICE Signature DONALD HAGAN Date 7/23/2024 Government Official Name/Title GARY RITTER/CITY ADMINISTRATOR Signature GARY RITTER Date 7/23/2024 FDOT Special Conditions Maintenance of traffic shall conform to FDOT Design Manual (FDM), The Manual on Uniform Traffic Control Devices(MUTCD)and the 2023/2024 Standard Plans Index 102-600 FDOT Authorization Name/Title Selina Carroll/ DISTRICT PERMIT COOF Signature Selina Carroll n_te 7/2Ai202a_ __ 1 P- 2LI -DO2 Rule'4-650035(1)(c).F.AC. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION B50-040415 TEMPORARY CLOSING OF STATE ROAD PERMIT MAINTENANCE ' t 17/11 Date: 4.2`f Permit No.2O2 4 F 19 I- Qf S Governmental Entity Approving Local Government Contact Person Address _ . - Telephone • Email Woe 1�� Organization Requesting Special Event r1," Name of Organization ()Kt?P.b 1 bee �1)Ai►)1 Sl 1 T Contact Person 1 IH2lor\1 e de mee Address I k fNf1 a. r S-t . OkeechObe e) F L 3. -3_ Telephone •b 63-3 -GD(4.6 Email 1!J 1-D g dcee_c ohe�roPg NSrIQecT i`Ci T Description of Special Event • Event Title LA bo y Pit ANd •2R J-t Date of Event 9-a-a Start Time 1 LY DA/b End Time 11 00 Event Route (attach map) Detour Route(attach map) Law Enforcement Agency Responsible for Traffic Control Name of Agency vt�.V tad bke-e CAA d e 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. [ 'I- 1} Signatures of Authoriza ion i Event CoordinatormA�iU,J des i rne2 Sig�urfp Date 7- Law Enforcement Name/Title C TOxiii9i Signature Date Government Off:pipl Name/Title w/it)tS`kilt/a e--Signatur off Date FDOT Special Conditions FDOT Authorization NamefTitle Signature Date INDEMNIFICATION AGREEMENT This AGREEMENT, by and between the CITY OF OKEECHOBEE, FLORIDA, (hereinafter "CITY") and ©keQh cb ee ' ( IF-irlStae-i Tfi e► (hereinafter "APPLICANT"), dated this A 4 day of fi()��� ,a_ 24. 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(rr)_ day of ,i ieoll- 'ee , ,)Q3'-: 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 rsrr " 1311��5`�, 13:XjAILALAaet_LIDLOIL... TITLE: Y l Pee T NT 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 BY. 4Q- TITLE: Administrative Assistant, General Services DATE: " "2C2LI OKEEMAI-01 MBUCHANAN AC-ORE, CERTIFICATE OF LIABILITY INSURANCE DATE( 11/2/2023 YYYY) 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 NONTACT Lawrence Insurance Agency, Inc. PHONE FAX P.O BOX 549 (NC,No,Exg:(863)467-0600 (A/C,No):(863)467-5142 Okeechobee, FL 34973 I &SS:marIene@lawrenceins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Mt.Vernon Fire Insurance Co INSURED INSURER B: Okeechobee Main Street INSURERC: 111 NE 2nd Street INSURERD: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD ,IMM/DD/YYYY1 IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR NBP2552460F 10/25/2023 10/25/2024 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ X Directors&Officers MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY FJEf LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ,$ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSRE� ONLY AUTOS BODILY BODILY INJURY(Per accident) $ AUTOS ONLY AUTO ONLY (Perr eauFoRAMAGE $ UMBRELLA LIAB ^ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 POLICIES BE CANCELLED BEFORE Florida Department of Transportation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p p ACCORDANCE WITH THE POLICY PROVISIONS. 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 City of Okeechobee Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 Parade Route Detour Route ! v A ,11 . ..,td ,'1"� • ', , • (Dir:ilts1l:. ui . M_,. � `, '(3 • Untt I:•. I • ''• i. "r= ► �` 1 U(If1�? _11 =li. 1, :ac e• • o+ �tJ' i 11-1111 MktIgli • i'�j'� o . ContyG � -rd9e t! r• ` r1=-S •'.cca7: • �r 7 -.,',7_:, ; ' "44-• 9 13 go, ;6 _ .tc,otv,:t• tr.p.i! . - y „ -,) - I "k } • at;.i n-:i? (r,.J i e 1I « 1 L t / !:'(t Olt • VP _` r� 40 L. 111 VI 1' •A. ' v: r L` t • i' yy t 4 ',r. ... �11trl�a _eit%'K=llit%Its< ■_� • tf , 1• a te:i, ' 1DT:tailt,:f', t4 t _ r-, 1 `.. . ... _ l!,t kL : 1 ` t. i!, 'ei-.:,alir t t r11 •...... �....► ,,. '-=---_-- °`z t • ` OF 7r+ D:)(eitlrlr(eU A wr e t e •. •� I'h► • • t • IMP• I••n+ ,*4/ •r'• • J 0t•2(';'i it ii 1 ... r:• 'TT, • , rem: . . • ,,..„IN„,,.,,,i;,,,,6 . , . . .-. . , _ ...., ,.. , . . _ .„.„ t . .. , ii,.,-. —. # •. b. '4 "'` •-.Ai drat. 44.0.1tore * • 4 `1Atime..• r,":,:,,ffr.e : • 1)01 'III jai Alp • Niii 1 1• ff1i 'F r' - d ° �'� r.1 in,T C i :ii . 1 ..%,, �Bt tU t , �• 11:1 .a.t. tr ' il .. °lu . w .0 R A Ic w ;1u it`s +� � � ,:r Si i ••w :Gx_ , r t11111..Q At. r$. 'gil gib ijo ° "a , I.` • • � • 7 1 City of Okeechobee Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 -.._Parade Route immininliiminmo Detour Route _ . 4' -/ - f ••• - • • .1 k -II 14 .•.. 'r.-- i ',G. . : I W.- - . -- ' ..- - . I/ '' 1 r t �t4i/ ttYll(,�.4 iii ,� f f7 ....we J.1;.11 . go -Iv_ .10 -.--'1 MN .. + 4th St ( d€� "(^I�iit=.� 0at : j/;:l'.. .adill:'''' i7. 5.gt:i.;1.3.::: .1•i.:.I.,II!::I•1.- Marn▪ `tenance hi .: _• , .. . 40. �,9 K 0 y a+ ' Vt.r F,ot v �•."•8f Cir�t (o,fi, - , ▪ 3 r.: • j _�, ©C11lJCu , 17 e•1 ttit. :1-1 �• obeei County' �►�.. �`• in 1: :. # t:::!;.:--:, : ; ?:f1 :rdge , ,. '' Ai • s: l : ... , - .•7 Kiwan1s •rk • 1011114, Ll$fU1. i;!, ilk J'"r J Ili- 2nd.St �� I , • A l ID. ittn'I .1?li tk 1 •s 7rii !,• J.) El �4.4,,.• • t .�- ., i ►.�i • t aUjjj _• A. •. 11•4014:.iClcfl� Paris St -1.-b:'' .1. q'aiil. l •' wir •ti-iv iir.ttiw k•r.a- *--s-;i-:i,i m-, -,i4,m7.,4--i 2;-- tailIll r aP .''l''"°.:.i---r.,..-10 ..•7-....17.x. -iwto1P:ir tilt - 'f" t7 ' TTI lke. ,,.. r'.. 1I •'.0l: ltlllli1' f •._ 1•mint - •r vim'++guY .. . . II 0 -• • • • • „1 2 City of Okeechobee Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 Parade Route Detour Route 64010y74 e .jgAllru • • illei o '! ,� - w•. NE 4th'SL : ' if • . a `L.,l1LLI1LL-4 t:t•'; ploiri,..4.,. �eit, _ • f. . r: , ill ' .Ai _ . . tj,` al �. 1 L N 1,,;:), ,,,,.__. ` 4 , g y IF • 1 `� _ ..d41 ` ...illir ` " ` . f M —, :. ., • V - e r , ,,i , �(.. is"- .f. i . •, ,; • o _� eit . •I.t. . _ 1D -::;I iirlAt1i:. ,. ruikte ti fit . ! ■ ■ {' ''r * "-��,n . �, •. •' ., Diet o 1 0'!1t, i ♦ A"fi• 1" r 3 City of Okeechobee Placing of all barricades,cones and other traffic control devices shall conform to the 2020/2021 FDOT Standard Plans,Index 102-600 - 11-1.Parade Route Detour Route AIP .116 i 4ii b At t. . de *Mit . ..'-..6 `• r � ' k f_. 100.A. `C;111 ,14 t: r • - r �.� 8 0 I I lirl,1* , -A I . t ' Del.'r..o.Jiii .�e 8 br l 1 I. liiir.,.. . 11 itv ik ' # ". .' • a 5 - ,. f• I .11, r, 441: , ...w.r. . i ., •Iip • — — ..II It- .--41) . ilk l'..: . 101-' vx 0 1 ' ,i,. I. wier 4 , IT iiiit,41 Li t• ..- . .- .--1:4::,4jlii"A".) ...' 11°Pw .41; iii: ,/ .., .... Sr "' 4; i -- '., - ' . . .1' ' it . II; * " -VS' 1•-1-1'rn .- '- p...,. (1:,t::,r ,:.tj,a:,; ` ,..... ,1 .61;fit t 4 INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. 0. BOX 2508 CINCINNATI , OH 45201 Employer Identification Number: Date: APR 2 9 2005 65-0887929 DLN: 17053329002014 OKEECHOBEE MAIN STREET INC Contact Person: 111 NE 2ND ST DEBRA JOHNSON ID# 75126 OKEECHOBEE, FL 34974 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 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) (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 the 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)