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Item #04 Approval of Special Event Permit Request for Road Closure of McKey Street for Glad Tidings Church Super Bowl Block Party She center of Good L i ve AGENDA ITEM COVER SHEET Meeting Date: January 18, 2011 Item # 4 / -eviewed By: / Contact Name: Jim Washington Department Director: `v - -` Contact Number: 407 - 905 -3104 City Manager: /! //% Subject: Special Event Permit Request for Road Closure — Glad Tidings Church Super Bowl Block Party — McKey Street Background Summary: In order to temporarily close a public street the approval of the Honorable Mayor and City Commission is required. Glad Tidings Church has made application to the City for a Special Event Permit for a Super Bowl Block Party that would require the temporary closing of a City owned street. The event will be held on February 6, 2011. The street to be closed is McKey Street. Issue: Should the Honorable Mayor and City Commission approve the temporary closing of a public street for the purpose of a Super Bowl Block Party? Recommendations Staff respectfully recommends approval with the following requirements: 1) All residents that will be affected by the road closure must be notified in advance; 2) Health Central Ambulance must be notified of the road closure in advance; 3) An emergency lane must be maintained at all times; 4) Roads must be blocked with proper barricades; 5) Signs to be posted in advance to notify the public of the closure. Attachments: Glad Tidings Church Application.pdf Financial Impact: Public Works Department has required the following charges and deposits paid prior to the event; 1) $200.00 for two road closure notice signs; 2) $420.00 for after hours to set -up and remove the road closure signs & detours; 3) $500.00 deposit for trash clean -up. See attached receipt for proof of fees paid by Glad Tidings Church. Type of Item: (please mark with an 'x') Public Hearing For Clerk's Dept Use: Ordinance First Reading / Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda X Commission Approval Discussion & Direction Original Document/Contract Attached for Execution by City Clerk X Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by () N/A Nov. 3. 2010 12:49Pivi City. of Ocoee No. 0946 V. 1 tier of Good Lit, ,;y 4, v .r'... 4 ._ L. y \ RECEIVED - fl)V 0 2010 1 Florida BY K. N. HALL ORGANIZAT ON HEADQUARTER Name: � t AS 1'160 r Address; 200 Lille # s --. M. . . + j�� � City: Da)--a--. State: __., Zip Code :s 6 ` Phone Number: ' " 1 '"r 60 O REPRESENTATIVE ' Name: Address: 20 ®0 n Aki Ier$ Cyb M R t � Y "" ! 4 r y I r V (°LiC) . City; 0C-°e � State: " r � Zip Cod Phon e Number; T be rnier 65 &hc tai . CO/7) 4014S lg 4/ VP APPLICANT (if different) Name: - Address: .._ City:. ._._ State: Zip Code: Phone Number: Type of Event: Parade Ceremony Exhibition Show } Concert Demonstration .0theL6 rkt ' ( /S10.1/44/ w Date (s) and time (s) scheduled; F'!'r1` (./1ar " 20 ' t ` I .,, - refe)( poi.i) ea 4/1 0 - -.., Name and types of activities: . ( G 'er) U� Q CU'l � r • r •7 r= & f f-ri y rr �� i 4 I l Approximate number of spectators and participants. Purpose of Special Event: COMfit ( -0L M X" Exact Location of Event: ,'t Designation of Public Facilities or Equipment to be Used: In Q- !21 r` t Co 01:- JY4P, ',6,,' & ( i ` - at. - ttotifky Number of Temporary Directional Signs: x $5.00 per sign = City of Ocoee. 150 N Lakeshore Drive .Ocoee, Plotidt) 31761 Phone ;(407) 905 - 3104. Fax (407) 905 -3155 , www•ocoee.org 4 NG 0 0 I\ rOCL a. rack Nov, 3, 2010 12 :5OPM City of Ocoee No. 0946 N. 2 • Copy of State Permit if State Roadway Is used: ❑ yes ❑ no FOR PARADE: Exact Location of Marshalling and Staging Area: Time at which units of Parade will begin to arrive: Time at which units of parade will be dispersed: Exact Route to be Traveled shown on Attached Map: ❑ yes ❑ no Please attach approximate number of persons, animals, and vehicles participating with description of tpes of animals and vehicles. Parade will occupy all of the width of the street, roadway or sidewalk: 0 yes ❑ no FOR FIREWORKS: The following shall be attached to this application° 1) A detailed listing of the type & quantity of fireworks to be used. 2) a detailed written statement outlining all appropriate safety procedures which will be used at fireworks display In order to protect the safety of the public and all surrounding property. 3) A detailed written statement describing what facilities and corttalners will be used to store fireworks. 4) If applicable, applicants Federal License number for transporting fireworks across state tine, 5) A detailed list of names, addresses, occupations, and backgrounds of all individuals who will be responsible for the actual display, use or explosion of any fireworks. The backgrounds statement should Include a complete history of the experience of the Individuals Involved with respect to their use of fireworks, Including a detailed list and explanation of each and every accident resulting from the use of fireworks which the individual has been responsible for, or involved In. 6) A map showing exact launch point and area ..Ilout. Applicant Signature: An l,,.rl,J,111 Date: _11/5// y� Date: Approved by Police Chief �1 � r/ ` Approved b P ublic Works Director r r L �� a e: .— APP Y � '' l Approved by fire Chief '�- E AT RI 1 t X11 Date; Approved by Risk Management / r Date: ' , JAN 0 4 Nil Approved by Building Official 41%,„a-0-7. Date: `Any denial and Its conditions should be in memorandum form. City of Ocoee ,150 N Lakeshore Drive - Ocoee, Florida 34761 Phone:(4071905 - 3104 . Fax (407) 905 -3155 .www.ocoee.org Nov, 3. 2010 12:50PM City of Ocoee No. 0946 F. 2 • Copy of State Permit If State Roadway Is used: Oyes 0 no FOR PARADE: Exact Location of Marshalling and Staging Area: Time at which units of Parade will begin to arrive: Time at which units of parade will be dispersed: Exact Route to be Traveled shown on Attached Map: 0 yes 0 no Please attach approximate number of persons, animals, and vehicles participating with description of tpes of animals and vehicles, Parade will occupy all of the width of the street, roadway or sidewalk: Q yes 0 no FOR FIREWCALS: The following shall be attached to this application: 1) A detailed fisting of the type & quantity of fireworks to be used. 2) a detailed written statement outlining all appropriate safety procedures which will be used at fireworks display In order to protect the safety of the public and all surrounding property. 3) A detailed written statement describing what facilities and container's will be used to store fireworks, 4) If applicable, applicants Federal License number for transporting fireworks across state line, 5) A detailed list of names, addresses, occupations, and backgrounds of all individuals who will be responsible for the actual display, use or explosion of any fireworks. The backgrounds statement should Include a complete history of the experience of the Individuals Involved with respect to their use of fireworks, Including a detailed list and explanation of each and every accident resulting from the use of fireworks which the individual has been responsible for or involved in. 6) A map showing exact launch point and area (lout J I Applicant ,�ifJ�� Date: ! / 51/ APP 9 � Approved by Pollee Chief c' Date: / Approved liy Public Works Director _ Date: Approved by Fire Chief Date; Approved by Risk Management, Date; • Approved by Building Official_ Date: Any denial and its conditions should be in memorandum form. CIry of Ocoee .150 N Lakeshore Drive .Ocoee, Florida 51761 PhOirg4071 . 905- 31 .www.ocoeexel CGO 9414 ly-b LvaLei\ P-1- GLOWI( F (dim{ 6 -r - ts 4611.0 4fro Nov, 3, 2010 12:50PM Cite' f Ocoee No. 0946 F. 2 Copy of State Permit if State Roadway Is used: ❑ yes ❑ no . FOR PARADE: Exact Location of Marshalling and Staging Area: Time at which units of Parade will begin to arrive: Time at which units of parade will be dispersed: Exact Route to be Traveled shown on Attached Map: ❑ yes no Please attach approximate number of persons, animals, and vehicles participating with description of tpes of animals and vehicles. Parade will occupy ail of the width of the street, roadway or sidewalk: ❑ yes ❑ no FOR FIREWORKS: The following shall be attached to this application: 1) A detailed listing of the type & quantity of fireworks to be used. 2) a detailed written statement outlining all appropriate safety procedures which will be used at fireworks display In order to protect the safety of the publlc and all surrounding property. 3) A detailed written statement describing what facilities and containers will be used to store fireworks, 4) if applicable, applicants Federal License number for transporting fireworks across state line, 5) A detailed list of names, addresses, occupations, and backgrounds of all individuals who will be responsible for the actual display, use or explosion of any fireworks. The backgrounds statement should Include a complete history of the experience of the individuals Involved with respect to their use of fireworks, including a detailed list and explanation of each and every accident resulting from the use of fireworks which the individual has been responsible for, or involved In. 6) A map showing exact launch point and area o Bout. /� � Date: Applicant Signature:/ , �' t PtI t r L- Approved by Pollee Chief Date: Approved by Public Works Director Date: _ _ . ' Approved by Fire Chief Al /w� �—= Date: I I /0 i . . . Date; ' Approved by Risk Management • . i r•. Approved by Building Official_ Date: Any denial and Its conditions should be in memorandum form. City of Ocoee .150 N Lakeshore Drive . Ocoee, Florida 34761 Phone :(407) 905-3104 . Fax (407) 905 -3155 . www.ocoee.org Page 1 of 2 Pierce, Adriana From: Washington, Jim Sent: Monday, January 03, 2011 3:09 PM To: Pierce, Adriana Subject: FW: McKey Street Road Closure Request Please print and attach this email to the application as Public Works approval. That should be all we need to make an agenda item. Jim Washington Building Official Building Division Community Development 150 North Lakeshore Drive Ocoee, Florida 34761 Phone: (407) 905 -3104 Fax: (407) 905 -3155 Email: jimwci.ocoee.fl.us If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, forwarding, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender immediately by e-mail or telephone, and delete the original message immediately. From: Krug, Stephen Sent: Monday, January 03, 2011 2:58 PM To: Washington, Jim Subject: RE: McKey Street Road Closure Request Jim, You are correct in your clarification. The receipt of the deposit & charges three weeks in advance is required to fabricate and post the road closure notice sign and schedule the after hours Team Members. The three week time frame may be shortened in some circumstances if the sign fabrication and posting can still meet the event date. Please feel free to contact me if you should have any additional questions. Thank you, Steve Krug From: Washington, Jim Sent: Monday, January 03, 2011 2:41 PM To: Krug, Stephen Subject: RE: McKey Street Road Closure Request Sorry but 1 have to clarify, is this correct? Public Works has approved the Special Event contingent on the following charges and deposits being received by the City of Ocoee three weeks prior to the event: 1. $200.00 for two road closure notice signs. 2. $420.00 for the after hours man -hours to set up and remove the road closure and detours. 3. $500.00 deposit for trash clean up. Jim Washington 1 /10 /2011 CITY OF OCOEE 0 i �y� 1}tF{,( 10:52 AN mhili ROAD CLOSURE RECEIPT MO:TYO437304 AMOUNT r FMSD ROAD CLOSURE 200. 500 FMSD AFTER MRS BLOCK PART 450.00 500 FMSD DEPOSIT /BLOCK PARTY 500.00 501 PAYMENT RECEIVED 1 A M O U N T C TOTAL 1;120.00 1 j Nov, 3, 2010 12 :50PM City of A.oee No. 0946 F. Z I Copy of State Permit if State Roadway k used: ❑ yes ❑ ilo FOR PARADE: Exact Location of Marshalling and Staging Area: Time at which units of Parade will begin to arrive; Time at which units of parade will be dispersed: Exact Route to be Traveled shown on Attached Map: ❑ yes ❑ no Please attach approximate number of persons. animals, and vehicles participating with description of tees of animals and vehicles. Parade will occupy all of the width of the street, roadway or sidewalk: 0 yes ❑ no FOR FIREWORKS: The following shall be attached to this application: 1) A detailed listing of the type & quantity of fireworks to be used. 2) a detailed written statement outlining all appropriate safety procedures which will be used at fireworks display In order to protect the safety of the public and ail surrounding property. 3) A detailed written statement describing what facilities and containers will be used to store fireworks. 4) if applicable, applicants Federal License number For transporting fireworks across state line, 5) A detailed list of names, addresses, occupations, and backgrounds of all individuals who will be responsible for the actual display, use or explosion of any fireworks. The backgrounds statement should Include a complete history of the experience of the individuals Involved with respect to their use of fireworks, Including a detailed list and explanation of each and every accident resulting from the use of fireworks which the individual has been responsible for, or involved In. 6) A map showing exact launch point and area flout. ►i A j, / Date / // 6//i Applicant Signature; � — ' Approved by Police Chief Date: _ Approved by Public Works Director _ Date: __ Approved by Fire Chief Date; A roved by Risk Management 7' �1�1� 1 C D i e ' ' /2/2,j7/0 ;Approved , ,/// Date: Approved by Building Official_ •Any denial and its conditions should be In memorandum form. City of Ocoee .150 N Lakeshore Ddve _Ocoee, F14ride 34761 Phone :(407) 905 - 3104. Fax (407) 905 -3155 .www.ocoee.org • i 1 • 12- 21 -'10 15 :12 FROM -Glad Tidings Church 4076560606 T -369 P0001 /0001 F -866 s 7 L / I' ..„ • • ■ CERTIFICATE OF LIABILITY INSURANCE OP ID LM ormolu:O I% 12/16/61 10 • NI .,C I FCA 1010 •A.A . ER OP INrORIAAT1ON ONLY AND CONPe.N• 0100' U "r' 10 tHI11 CA tl00 R. Ip CE anrICAre Does NOT ArrIAuanveLv on NeOAnveLY ammo, aX0EBB 0R ALTER 'NE COVERAGE AFFOAOE0 BV THE POLICIa5 BELOW. (MISCERYIPICATE OF IHEURAl■CE 00E8 HOY CO108YIYUTE A CONTRACT BETWEEN T00 ISSUING NEUn1R(S3, AUINOI1I2e0 REPRE2ENTA WE OR PRO0uC6R. 0.H0 THE ccrencICATa Na0e0. II,1IOmF H 1 (1."14o 1 6 u Ao Dd0y.ee1yn P EA. nu. exp. an.rd.nwrlmnl. Aal.k ,00I RR IN: 641114.111 0000 ROI aMe /lQil0 IP the c.044ge loldo In re. d A.) en5.......0). r110DUCeN CONYAC NAM0: PHONE Carlisle Fields a Company, LLC No, co: I f a v C.No): GRAIL P.O. Box 1027 ADORE= Clearwater FL 33758 -7910 Pn00UCEN OUSTOAIEA IDS GLAOT -2 Phone: 727- 797 -0441 Fax: 727 -725 -3663 INoVAFR(,;V AFFORDING COVERAGE NAIC / INSURED INSURER A: Church Mutual 10767 Glad Tidings Assembly of God LNEURCA D: P.O. Box 189 Oc000 SL 341761 I14004000 IHSvkEN D : INSURER C: INSURER P: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TT* to YO CERTIFY TRAY YHE POLICIES OF IN8u0ANCE 48YED 8EL0w 1aV6 0001/ 1000¢0 TO THE INSURED NAKED ADOVE F00 bit PO4•Y PERIOD IN4ICA1E0. NoNJRN8YAN01N0 ANY AEOUTAEMEWY. YEA,0 OR 00H01n00. 00 .010 00000Aer oO omen cocuIAe wan A aPecY Y0 wNrCN TN18 CEROFICAYE NAY 86 1881.160 0A NAY PEATAIN.1110 IHSURANC0uron0E0 EY 0400 ro1.ICIEE OEDCAISE0 10 0000 18 SUBJECT TO ALL Yob MIA ExCLU81008 AN0 CONO(D0N8 OF EVEN P01 ..*E8. LINITO SHOWN MAY NAVE ea EN se Mao DY ►N0 CtAU18. 1010 ADOL VAR POUCY UP 000100 MP LIAIITS LYn YYr80Y OMAANCE 11.190 VD O0 W POLICY NUMBER (4M•DDwrev) (11WDErYY0Y( ` GENERAL LIAEILM 0004 oCCOAAEHC£ O 1000000 — comma rone0Tau A X o)ALUERC1A06DaAAL 067323302223003 09/01/10 09/01/11 PnENIeeBleaooc.oeroe) s 1000000 OLA AS.1.00 n OCCUR MED E>:P Cony co0Noon) 6 5000 P001000.1. ADV INJURY 6 1000000 GENERAL AGGREGATE - *3000000 OD/ L AROREOATo u4R APPLIES PEN PAODOCY8• 000p PP AGO G 1000000 - 1 POLICY n I. n LOO Emp Ben. 6 1000000 AUTO0100110 LWOIUT/ 00,081000 01NOLE LIMIT (66,aldo,w 1000000 A ANY AUTO 067323309239784 09/01/10 09/01/11 BoDLLV INJURY (ism petrol) 0 X ALLOYMED.•OTOS 0000.V 171J 001 (0o, .81010110 8 BGH0DIJLC0 ALA00 P0001070 DAMAGE 8 X 00000 AUTOS (P' oo0en0 X 4000.0004000 AUTOS G x A X UMISMELL X OCCUR 067323381232955 09/01/10 09/01/11 000010 CORR&0C6 s 1000000 —~ 60E56 56 LIAR cuoi844A0E A6(.REBAr6 a 1000000 --- " 000u 004.0 0 X RETErmo4 8 10000 T - A WORKC00000M00000001004 067323307219681 07/30/10 07/30/11 *0•080.• I00N• AND EMPLOYERS UORIUry YIN TORY LIMITS aR ANY PAOPAIETOWPAAYHEAJEAECUtVE I 1 "A E.1_ EACN ACC OENT 5 500000 010:0 ,.0E08ER EXCLu0ED? (Maadnery 16 MO 1 60. 0 CA EMPLOYEE 6500000 II ye:. OKCABO uM0 0E8CAIPOON OFOPERAY0NS Ceo.. el. DIDeA1e•ICLIcYowl 4 500000 DEa1010TION 000P 001014 LOO/LIKING / YCNICLed (8000, AOOAD 101, A4000R018014100 YA:DOTyIl, N 010.0 Apeo14 r.quln0) Location& McKay St between Cumberland St a Kissimmee St Ocoee, FL 34761 Date of Event: Vobruary 6, 2011 Certificate holder named as Additional Insured with respect to General Liability only CERTIFICATE HOLDER CANCELLATION _ t 8N0ULA ANY OF TIE ADOV6068CA1860 PO4068 RC 0AKCCUC0 RE/ORE CITY150 0048 8I(r0UY10N DAVE THEREOP. WILL B6 DEUVEAEDIM A000800106 W1111 100 POLCY PROYI610115. City of 0006e AOYOONKE0 NEPAE8ENTATIY6 Building Department 150 N Lakershore Drive (Ocoee FL 33410 _ n . coo - i 40.00 i r9s erved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD . Received Time Dec, 21. 2010 3:13PM No. 1359 y Cumberland Ave Cumberland Ave • 7 7 t 1 2 Cz ra = to a 3 ' 3 ` a v „ 0 r 2 3 n 00 v ii 73 C i _ z c n rr I w AO 73 73 rO z i , cl z n t titit Cfri 4 :A : • /it I t C n 2 m f1 rn 1 Kissimmee St Kissimmee St