HomeMy WebLinkAboutIII(D) Approval And Authorization For The Temporary Closing Of North Lakeshore Drive March 23, 2002, From 9:30 A.M. Through 4:30 P.M. For A Special Event Agenaa 2-11-zuuL
Item III D
"CENTER OF GOOD LIVING-PRIDE OF WEST ORANGE" MAYOR•COMMISSIONER
Ocoee S.SCOTT VANDERGRIFT
CITY OF OCOEE
COMMISSIONERS
A Cr 44 - 5 -o-s.
DANNY HOWELL
a • 150 N.LAKESHORE DRIVE SCOTT ANDERSON
OCOEE,FLORIDA 34761-2258 RUSTY JOHNSON
yt /,�� (407)905-3100 NANCY J.PARKER
Gf GOOA
CITY MANAGER
JIM GLEASON
•
STAFF REPORT
TO: THE HONORABLE MAYOR AND BOARD OF CITY COVISSIONERS
FROM: MARTIN VELIE,BUILDING AND ZONING OFFICIAL
DATE: FEBRUARY 11, 2002
SUBJECT: TEMPORARY CLOSING OF A PUBLIC STREET
NORTH LAKESHORE DRIVE
ISSUE
Should the Honorable-Mayor and Board of City Commissioners approve the temporary closing
of a public street for the purpose of a Cub Scout Camporee?
BACKGROUND/DISCUSSION .
In order to temporarily close a public street, the approval of the Honorable Mayor and Board of
City Commissioners is required. Mr. Leonard Dworkis of Cub Scout Pack 198 has made
application to the City for a Special Events Permit for an Cub Scout Camporee that would
require the temporary closing of a City owned street. The event will be held from 4:00pm on
March 22, 2002, through 1:00pm on March 24, 2002. The street to be closed is North Lakeshore
Drive. This street will be closed from 9:00am-4:30pm on March 23, 2002. See attached location
map.
STAFF RECOMMENDATION
Staff respectfully recommends approval with the following requirements: 1) All residents that
will be affected by the road blockage must be notified in advance; 2) Health Central Ambulance
must be notified of the road closure in advance; and, 3) Roads must be ked with proper
barricades.
,,,,,
•
. :. . . ..
PowT... ,.
"CENTER OF GOOD L!i'I,VG PRIDE OF WEST ORANGE" MAYOR•COCOMMISSIONERCOMMISSIONERS.SCOTT VANDERGRIFT
Ocoee CITY OF OCOEE COSI\IISSIONERS
`� '�' DANNY HOWELL
O ti --0...
A.Ks__�� a 150 N.LAF:ESHORE DRIVE SCO'I'T ANDERSON
O OCOEE,FLORIDA 34761-2268 RUSTY JOHNSON
n (407)905-3100 NANCY J.PARKER
�J`� CITY MANAGER
F
Of GOOo JIM GLEASON
Organization Head Quarters 1
Name: Gam/ See? 'l ��
Address: F?Y ev/PA. 1 �A-
City: ono e e
State: �L. Zip Code: 3 `� 7
Phone#: LE-0? - al? `t' — 0 c( / U
Representative Name: e c..) &
�� -irk_ c,V-k l
�4— Cc,A vvlc' s re _
Address: 9-7 Cv (� \�
City: Oc o r C
State: —Zip Code: 3!( 7�n
Phone#: oZ — (9,`t et ~ O 9 1 0
Applicant(if different):
Name:
Address:
City:
State: Zip Code:
Phone#:
Type of Event: Parade Ceremony Exhibition Show 1 ,p
Concert Demonstration Other�.o cue-ac.76 9c,v r( "rn c ee
Date (s) and time (s) scheduled: it
100 Pon. A Rc1. I v 1200 rP vt a. 0:4 `
/l '�tsi�4' ?IA CA s.r `v �2 i9tr
Nature and types of activities:6.76t Cwi b�ee C c't
Approximate number of spectators and participants:
Purpose of Special event: eP W J C c7 L9 -yv1 `fie
Exact location of event:GA z z.,(L ,
Designation of public facilities or equipment to be used: �M �� �;3o�r''1
7i L t '�N Sin 0---, '
04. S'ak 3, -oZ cF
Number of temporary directional signs:
x$5.00 per sign=
pOwT
Copy of State Permit if State roadway is used: ❑ Yes ❑ ..o
For Parade:
Exact location of marshaling and staging area:
Time at which units of parade wil .egin to arrive: _
Time at which units of parad- ill be dispersed:
Exact route to be tray- -d shown on attached map: ❑ Yes ❑ No
Please attach ap• aximate# of persons, animals, &vehicles participating with description of
types of arii 10. s and vehicles.
Parade will occupy all of the width of the street, roadway, or sidewalk: es ❑ No
For Fireworks:
The following shall be attached to this application:
1) A detailed listing of the type & quantity of firewor o be used.
2) A detailed written statement outlining all appro ate safety procedures which will be used at
fireworks display in order to protect the sa y of the public and all surrounding property.
3) A detailed written statement describi vhat facilities and containers will be used to store
fireworks.
4) If applicable, applicants fede license# for transporting fireworks across state line; and
5) A detailed list of name�s dresses, occupations, and backgrounds of all individuals who will
be responsible fort factual display, use or explosion of any fireworks. The backgrounds
statement sho include a complete history of the experience of the individuals involved
with respe to their use to fireworks, including a detailed list and explanation of each and
eve ccident resulting from the use of fireworks which the individual has been responsible
f , or involved in.
6) A map showing exact launch po' _. • • ;a of fallout.
% Date: oZ - 5—0 2—
Applicant Sig � � '- i � ��������
Signature:
L< Approved �rr ❑ Disapproved ❑ Conditions for permit attached
Police Chief Lit avc ,E � Date: 6Q-g--0 2-
7 Approved 2 Disapproved CI Conditions for permit attached
Fire Chief ^C C- Date: a' '0�.
Approved ❑ Disap rov d ❑ Conditions for permit attached
• Building and Zoning Official Date: 2— 0 2�
ZU;a1±1;ZiTheN__, k, . G MO( bzase_ -l1-o Z
mikii:;„,‘„, rf.o,4§R., , „vity ,r--,--e ,..--
.::•:::::::::::::::::•:.:.:.F.-..-::•::::::•: :::f::f:::::::::::::::::i2::::Noy,:i:K:::::-..:::::,.,_ --mi ..,.,.,,_„,..,,t..,.,:: ,.7 41 ...__.....,.. km. #
_,__... ,, t HI". 4.:;vi ....,, PEACH
I:-Ei::::f::::::::::::::::::ff:::::::::::::::::-:•:-:•:•:•:•:•:•:•:-:•:•:•Hy:•:•:•:::,::::::•:,,, Mim -......,_ .i.,:.f. : am iip .stitel... ......40 dik 101:. to la
9-71° •
!:.S ::-:::::::::::::::i:•:•:•:::::::::;:;;.:.:.:.:.:;;;;;;.:.:.:;;;;;;;.:.:4E.: IIMMEINE
_ .:-:::::::::::::::::::::::::::::::::::::::::•-:::::;::: milln.BN P II ,
. -
ft::r:::::.:.:.:.:;.:::;:....;::::::::::: 1 4A.01.,.:,...,., ......40,40 . ,41, ---#11 • =ma
ma. EMIR
f...::::::::•:•:•:•:•:•:•:•:•::::::::::-2:::::.:::::±:::::::§::fi:::::::::::::::::::5::::::::: • - '9 1:e;
...................................................... -,..Y1r .: ;'.. 7 211Tra .
''''''''''''' ''''''':::" .1:::: /11 10111111C... • Iiiree /11t
,.................................,,,=„„
.........................--- „ •
! w: 1- li•Bananas siiminEff til.'4.
Emig imissiummsrity. n_1 LA Ils , mei 4 _ 2616i aiiii ersrminlit I.
R
-MI KO - I , • :mai
dim :- nu 1 1111111111M A.
. ..' CENTRAL -sRK
24211aINEWM/192, • .
1 1 il. VCIEVaiiiielgliiigiVta' . ,-, 314,1 unglaill genii . MINN IlitIAMII .• . BE
ill:bli E:1 ii RR •,fm, m4 ; ••
I I asgissailliEXPOtyppt:. I . - w si . Arl WI gs,
mo oil Hp . vHt‘ibutuiplim nu
. .- -. .. 26,- la:. ;I::::•:::::::::::::::: ::•1 I ill •••
is
• • I's 727.4t1.-.71'"L .9' .. . 0 prr MI moll 111111 110 M32-r 1 El. las vain 1
auff_mms: . IIENVEL 1111111111 .E1
um -iti
E'2* 1.:11 LIE I /..7.---'-' •:.-1 WINE - Jail fiESi sigma rAtailiammialmsa Iv
11111Pla'a . , 21.. 11 .... ....:..„..----- CM6:11Airi Ma 1.111 MO i Inn i !,. 1 1
:: ims 11.4M an. I ..11.1.1111111111111111011.11111011W 111 I
. .............. . .-- "---1
IIIII pill 'IP --i mm-
11 wit -P se Ir=1 •
R 1 • Raw ilm.; E
- - • EN norm 1. in 1
,:, IIPLPI . • ppw----‘11 ..J 4'., '' •
rj
Ir/-'•'... roti„,__Ifill V) JY ' '
m mili •Ii..... ... um — ... .
LJ
EmiMMIM a Ce. I
i ..Arimmi.. • . CI . 1411 1 ri 17) Mal 111 1 r---:
Ar
1111 .1 i---- 6 ' ' /I ' . 11k MIN hP Le5 CI Niri I L-Lj
.., Elea ME
1111 EFT
gi... .±. 2 __11 ii i •
r.I • i_d_5 --1 ...1.,.... • • * R-1 -A A.-sai I. i 0 11 I iU:'''..;':
:-.i.s2if,i:-::-{:,..:::.::: .
T • mr••• ... •.
1111 117, ..t.i441...: at017 .....:::.• l.:.::•..'
.-. :::::::--.:::.-..-:::: 1 in k i
bith:I (
.:::::.:::.:.:„..:.:...::ei.i..2 :
1 • LAKE
.1* -
R-1 -aui .UNIC1P' ..•
1,6A•1• 1.1 STARKE 57-litiaigina:141
r 'COMPLEX ow' k ,
'is 1-1 IiiilliTS. " liNi.
..,_ . , .•.• • . , •
. 4... -.....oth...
. .%
la.L I 1 1111 P-1:1A' 4-11 .....vi\\. . • • - •• _ _
-• - • •••••• • • • - ••• •:. -. •.
'-- iiiniliiM1116. I:a\
•.•
VW :il MIVI 11111*\
•• logM'adisal..'ll, EMP1 • runiA SIG F;t4i.:
40 • 4ettrtz)i),
-t, - AN, 1.„ *i_ ,. .• ... .:.-
�. UNITED OF OMAHA LIFE INSURANCE CO. �./ 1•�
7 1 MUTUAL OF OMAHA PLAZA
} OMAHA NE 68175-0001 '
BOY SCOUTS OF AMERICA
BOY SCOUTS OF AMERICA
UNIT ACCIDENT INSURANCE
CS 2 083 0198 02/05/03 M6219206
LEONARD DWORKIS When filing a claim,be sure to include in
2743 CULLEN' S CT / the space provided on the claim form,the
OCOEE
FL 34761 "MB" number above your name and address.
MEMORANDUM OF COVERAGE
Medical Expense Benefit: $15,000 Ambulance Service Benefit: $6,000
Nonduplication Amount: $300 Specified Injury Benefit: $35,000
Dental Injury Benefit: $5,000 Heart or Circulatory Malfunction Death Benefit: $10,000
United of Omaha Life Insurance Company
(called"We," "Us" or"Our")
ating Tiger Cub
Scout certifies that Brer Crew h ble and for whom theerson who is eregiired premired with aum hapartics been paid (called "you,""ubyou" or "Insack, ured"))Troop, insured
Scout Team or Vent
under Policyr Form e uto(calledtheinsured u «hille in attendance outs, atia scheduled activity.arWe agree to pay the benefits described in
leaders or scouts area Y
the policy,subject to its provisions, for injuries received while you are:
(a) participating in any activity approved and supervised by the Boy Scouts of America;or
(b) traveling to or from any activity approved and supervised by the Boy Scouts of America (travel is not limited to "as a
group").
EXCEPTIONS AND LIMITATIONS
(a) the cost of medial or surgical treatment or nursing service rendered by any person employed by the Boy Scouts of America;
(b) any loss caused by suicide or any attempt thereat;
(c) any loss caused by intentionally self-inflicted injuries;
(d) eye refractions,replacement of eyeglasses or contact lenses or hearing aids or the fitting thereof;
(e) loss caused by act of declared or undeclared war;
(f) dental treatment or dental X-rays,except when required as the result of injuries to sound, natural teeth;
(g) disease or bacterial infection(except pyogenic infection which shall occur with and through an accidental cut or wound).
DEFINITIONS
"Injuries"t, means accidental or quadripleJ a; and/orresult,
(b) eape se i curred of ifor hose talaand other ofeSsiinalin:
services loss
specit ed limb
in the
sight, paraplegia, 1 p � q
policy.
"Hospital" means a place licensed
has graduateas a pital nurse(if
al wayslicensing
on duty,required
and a laboratory and an law), which is operated
peratin for
(both oe care n the premises)
wh treatment of
ere
mt ajor unts and
where major surgical operations are performed by persons legally qualified to do so. In no event, however,will the term"hospital"
mean a hospital or an institution or part of such hospital or institution which is licensed as or used principally as a clinic,
convalescent home, rest home,nursing home or home for the aged, or treatment center for dnig addicts or alcoholics.
"Irreversible of
in
ous
stem as
emontat Coma" meanf i(us ng criteria establ shed usness in which by the Aere is a merican1Electroenc phalography central
Society);sand (b) a
demonstrated by an electroencephalogram
diagnosis of brain death by the attending Legally Qualified Physician.
BENEFITS FOR HOSPITAL AL AND PROFESSIONAL SERVICE
When injuriesien, result in treatment
the by lincurrrediupfito ted h
e usual, reasonable hician or nurse (RN arer s no N) beginning
ally within
they geographical tarea
h accident, will pay theexpense
where treatment is performed for necessary Services and Supplies listed below, but not to exceed the specified limits for each
accident.
- 1- Policy Form S28Y
M13757 7-00
0501300000
When covered injuries result in Total Disability beginning within seven (7) days after the date of an accident, we will pay benefits
for one day or more during such Total Disability at the rate of S200 for each full week, not to exceed 52 weeks for any one
accident. Benefits begin on the date of the first medical treatment during Total Disability.
(Total Disability means that period of time during which you receive medical treatment, are wholly and continuously disabled and
are completely unable to engage in your occupation.)
BENEFICIARY
Indemnity for loss of life and any other accrued indemnities unpaid at your death will be paid as provided in the beneficiary
designation made by you. If there is no beneficiary designation or if the designated beneficiary predeceases you,the indemnity will
he paid to the first of the following surviving preference beneficiaries: your; (a) spouse; (b) child or children,jointly: (c) parents,
jointly,if both are living or the surviving parent if only one survives; (d)brothers and sisters,jointly;(e)estate.
NOTICE AND PROOF OF LOSS
Written notice of a claim must be given to us within 30 days after loss covered by the policy begins or starts. If notice is not given
within that time, it must be given as soon as is reasonably possible. You can give the notice or have someone else do it for you.
Notice must be given to us at Omaha,Nebraska, or to any of our agents. It must include your name.
You must give us written proof of your loss within 90 days after the date of the loss. If there is no way reasonably possible for you
to give such proof, it will not affect your claim. However, you must give us proof of loss as soon as reasonably possible and,
except in the absence of legal capacity, no later than one year from the time proof is otherwise required.
EFFECTIVE DATE
The effective date of this Memorandum of Coverage is the date the application and the required premium are received and
processed by us or a later date if specifically requested.
INDIVIDUAL EFFECTIVE DATE
Each eligible person will become an Insured under the policy on the Effective Date or upon registration with a participating Tiger
Cub Group, Cub Pack, Scout Troop, Varsity Team or Venturer Crew, whichever is later. Nonscouts, nonscouters and guests who
are being encouraged to become registered leaders or scouts are automatically insured while in attendance at a scheduled activity,
including group travel with the scouts to and from such activity. Also eligible for coverage are participants in the Learning for Life
program.
TERMINATION DATE •
This Memorandum of Coverage will terminate on whichever of the following dates occurs first: (a) on the date any premium is due
and unpaid; or(b)on the renewal date following termination of the policy.
INDIVIDUAL TERMINATION DATE
The insurance of any Insured will terminate on whichever of the following dates occurs first: (a) the date the Insured is neither a
registered member of the participating Boy Scout unit,nor leader or committeeman; or(h)the termination date of the memorandum
of the unit.
United of Omaha Life Insurance Company
Corporate Secretary
M18757 7-00 -, - Policy Form S28Y
0502000000
UrnTpDWOlimiHd
A Mutual of Omaha Company
BENEFIT PROVISION
Heart or Circulatory Malfunction Death Benefit
This provision applies to the class or classes of Insureds specified in the Plan of Insurance.
The Insured is covered for death occurring while insured under the policy or certificate and this provision.
Provision Date(same as the Policy Date or Certificate Date if no date is shown)
PART A. DEFINITION
The definitions in the policy, certificate and Insuring Provision(s) apply to this Benefit Provision. In addition, the
following definition is added.
"Heart or Circulatory Malfunction"means disease or illness of the heart or circulatory system which:
(a) is first diagnosed and treated while the Insured's coverage under the policy or certificate is in force and
occurs at an approved and supervised activity,within 24 hours after participation; and
(b) the Insured has not before such participation been medically advised of/or has received any medical
treatment for such heart or circulatory malfunction.
PART B. BENEFIT
If an Insured suffers Loss of Life resulting from Heart or Circulatory Malfunction (as defined), within 90 days from
the date of participating in an approved and supervised activity relating to the first diagnosis,we will pay, on behalf of
the Insured, a lump-sum. (The lump-sum benefit amount is shown in the Schedule.)
PART C. EXCLUSIONS AND LIMITATIONS
This provision is subject to the Exclusions and Limitations of the Insuring Provision(s) applicable to the Insured.
Form 1556U -1- (*)
0503000000
Thank you for entrusting us with your unit insurance needs. Your Memorandum of Coverage is
enclosed.
Should you have any questions regarding your policy or about a claim, please contact Special
Risk Services at: 1-800-524-2324.
FILING FOR CLAIM BENEFITS •
It is essential to the timely processing of claims that you submit all the needed items. The
following guidelines must be followed to avoid unnecessary delay.
1 . The front side of the claim form must be completed in full. Please pay particular attention to
the complete and accurate completion of the following items.
• Name and address (of the insured Scout) -- Use the Scout's full name whenever you write
or send an additional bill. It is unclear to the receiver whether there is one, two or three
people if bills are received for Joseph Smith, Joe Smith or Bud Smith.
• MB Number- Show the full correct number as listed on the current Memorandum of
Coverage. When a claim form does not have this full information, there is delay while it is
determined what it should be.
• Date of Accident -- A very important date. If missing, the claim cannot be processed.
• How did the injury occur? What was the person doing when injured?
• If this was a staff person who was injured during the course of employment, do not
submit to United of Omaha. This claim goes to the Workers' Compensation policy.
• Signature and Title of Organization Official -- Be sure the title is always listed.
• Provide information about other insurance coverage or prepaid health plans (such as
coverage under a parent's employer benefit plan).
2. Have the primary attending physician complete the reverse side or attach an itemized bill
which includes the diagnosis.
SPECIAL NOTICE
If you have an expectation that the total cost of treatment may exceed $300, it is required that
you submit the claim to your primary health carrier. You will be asked to submit a copy of the
Explanation of Payment that you receive from your primary carrier after they process a bill.
Even if the incurred charges apply to your policy deductible or are not covered by the plan, the
charges must be submitted.
M16533
0504000000