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12South Miami AU•AmericaCiry CITY OF SOUTH MIAMI , I OFFICE OF THE CITY MANAGER INTER - OFFICE MEMORANDUM 2001 To: The Honorable Mayor & Members of the City Commission Via: Hector Mirabile, PhD, City Manager From: Maria E. Stout -Tate, Director Parks & Recreation Department Date: December 14, 2010 Agenda Item No.: A Resolution of the Mayor and City Commission of the City of South Miami, Florida authorizing the City Manager to permit Volksblast, Inc., a Subject: non -profit organization to hold their Annual VW Auto Show on January 30, 2011, which would be held in the downtown South Miami area on Sunset Drive; providing for an effective date. The applicant, Volksblast, Inc., a non- profit organization, has submitted a Special Event Application to hold their VW Auto Show on January 30, 2011. The applicant has paid for the following services, Application fee, $60.00, Deposit $ 600.00, Police $1,449.00; totaling in the amount of $2,109.00. The applicant will pay a total amount of $ 1,475.00 for meters after the event is completed. (59 meters X $25.00 per day). Background: In compliance with Resolution # 27- 03- 11576, required signature petition from businesses have been provided. The applicant is requesting a waiver from the City Commission of $10,000 for the street closure. This attached resolution authorizes the City Manager to permit Volksblast, Inc, a non - profit organization to hold their Annual VW Auto Show on January 30, 2011. Expense: N/A Account: N/A Attachments: Special Event Application I RESOLUTION NO. 2 3 A Resolution of the Mayor and City Commission of the City of South Miami, 4 Florida authorizing the City Manager to permit Volksblast, Inc., a non - profit 5 organization to hold its Annual VW Auto Show on January 30, 2011, in the 6 downtown South Miami area on Sunset Drive; providing for an effective date. 7 8 9 WHEREAS, Volksblast Inc., a non - profit organization, has submitted a Special Event 10 Application; and, 11 12 WHEREAS, for the past years the VW Auto Show has been held in the City of South Miami, 13 and sponsored through Volksblast, Inc; and, 14 15 WHEREAS, the applicant has requested permission to hold its event on January 30, 2011; and, 16 17 WHEREAS, the applicant has paid for services rendered through the Police Department in 18 the amount of $1,449.00, deposit of $600.00, and application fee of $60.00, totaling $2,109.00; 19 and, 20 21 WHEREAS, the applicant shall pay a total of $1,475.00 for meters (59 meters X$25.00 per 22 day), after the completion of the event; and, 23 24 WHEREAS, the applicant is requesting a waiver from the City Commission of $10,000 for 25 the street closure; and, 26 27 WHEREAS, the applicant has provided the required signature petition as stipulated by 28 Resolution # 27 -03- 11576. 29 30 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE 31 CITY OF SOUTH MIAMI, FLORIDA: 32 33 Section 1. The Mayor and City Commission authorize the City Manager to approve the 34 Annual VW Auto Show, to be held on January 30, 2011, in downtown South Miami on Sunset 35 Drive. 36 37 Section 2. The Mayor and City Commission approves the waiver of the $10,000 for the 38 street closure. 39 40 Section 3. This resolution shall take effect immediately upon adoption. 41 42 PASSED AND ADOPTED this 12010. 43 44 ATTEST: APPROVED: 45 46 CITY CLERK MAYOR 47 COMMISSION VOTE: 48 Mayor Stoddard: 49 Vice Mayor Newman: 50 Commissioner Beasley: 51 Commissioner Palmer: 52 Commissioner Harris: 53 READ AND APPROVED AS TO FORM: 54 55 CITY ATTORNEY :w4ll October 27, 2010 The following information is requested by Maria Elena Stout-Tate, Parks bt Recreation Director, to provide information to the City of South Miami Commission: History of Volksblast Inc.: 1998- First South Miami VW show. 85 cars participated, 2500 spectators; $2,000 donated to Habitat for Humanity Greater Miami; 1999 - 2000 -2001 -2002 VW show continues to grow; Volksblast, Inc.becomes a 501 C Corporation; Contribution to Habitat for Humanity reaches $45,000. 2003 -2006 Total show cars continue to increase £t number 140 cars a year; Contribution to Habitat It various local charities grows to $65,000; Volksblast funds It membership helps build Habitat house in South Miami. 2007 First year for VW show to be in downtown Sunset Drive. Show cars increased to 185 cars; Police estimated total spectators to be around 8,000; Total contribution to Habitat and various charities increased to $70,000. Hot VW Magazine features the show in monthly issue. 2008 - 2009 -2010 VW show cars increased to over 200 cars; Total charity contribution to date increases to $85,000; VW Car Show and South Miami are highlighted in car national publications. 2011 Represents the 13th VW event in downtown South Miami. Our goal is to cross $100,000 towards charitable contributions. In addition: The VW club participates annually in the Elves Xmas rt Martin Luther King parade. Charitable donations each year are made to South Miami organizations including Grey Ghosts, the South Miami Police Explorers corps, the Police Officer Assistance Trust, Christmas Parks &t Recreation party. Thank you for your consideration of our application of the 2011 Car VW Show on Sunset Drive, Sunday, Jan 30`h, 2011. For more info on the show visit our website www.volksblast.com Bill Steckley Volksblast, Inc ��k��� VW Auto Show January 30, 2011 121712010 6:11 PM Date Form of Payment Payments I Licenses & permits I Est. Expenditures Total Due Event VW Auto Show Event date Jan. 30,2011 Sponsor Volksblast, Inc. Application fee 4/23/2016 Check 000 $ 60.00M Film M Deposit 11112/2010 Check 0000 $ 600.00ffA 0.00 $ 660.00 MM Planning Dept Street Banner Resolution Reso# $0.00 other Other Meters $ 1,475.00 1,475.00 Public Works ROW permit Personnel cost Other (Barricades) Pole Banner rM Pole Banner Sub-total $ Police Dept Personnel cost $ 1,449.00 other Sub-total $ 1,449.00 TOTALS PAID $ 2,109.00 Total Amount Due 1,476.00 1-1,475-00 COMMENTS: II I III Iil 121712010 6:11 PM SASH RECEIPT ,s City of South Miami FUND RECEIVED OF v DESCRIPTION E--A%- 22\QCe IN CASH CHECK NO. (-�LkAkL_ DATE: ACCOUNT NO PLEASE MAKE ALL CHECKS PAYABL49 TO: AMOUN TS - "CITY OF SOUTH MIAMI Q 11;1 110 02 1,:IDW .14419.00 VAU,DONLYWNEN.BF.IRINGOFFICIAL REGISTER VALIDATION CASH Terr 9 2005, 2010, Authorize,kiet is a registered trademark of All other marks are the property of their respective o https : // account. authorize .netiUIlthemeslanetlmerch.aspx ?page= terminal &sub =send 11/12/2010 CASH RECEIPT CASH City of South Miami FUND RECEIVED OF it e - ;•G.al►[+.�� CHECK NO.�.LAbQ6 DATE: \\ i2 ACCOUNT NO AMOUNT $ (000,00 PLEASE MAKE ALL CHECKS PAYABI;L TO: "CITY OF SOUTH MIAMI" �Llt2��iV f^l tie � VALID ONLYWHENBE ARINCOFFICUL REGISTER VALDA77ON " "'' "'` ` L �R ,'u00e,0Q Ten_ 2005, 2010. Authorize.Net is a registered tratlemark of All other marks are the property of their respective o https: // account. authorize. net/ UUtheMes /anetlmere.h.ns„x9„aap =tp, ;"nikc„l,_�.. ,l „ II n /nAI n 4 souls SoofhMiaini ,y City of South Nfamf o�;n= Central Services Division Receipt Sheet goo, NAME: (/o c. (CII5Caor , � "— Tt,4c3rr'+ -r DATE: '- $ 00 v $10.00 $ PASSPORT SERVICES ADDRESS: arc'" � ''g'°' grws TELEPHONE: ( °rj ��' ° =r6 $15.00 $ LAMINATING $ NOTARY SERVICES: ONEJFIRST PAGE $I0.00 PRICE EA SECOND PAGE + $ 2.00 $ CITY DOCUMENT $ 5.00 $ PASSPORT PHOTOS $10.00 $ PASSPORT SERVICES $25.00 $ FINGERPRINTING $12.00 $ BACKGROUND CHECKS $15.00 $ LAMINATING $ $ ID $ 2.00 $ COPIES COLOR $ .50 $ BLACK & WHITE $ •15 $ OTHER FEES $ $ EXRESS MAIL $18.30 $ SPECIAL EVENTS APP. $60.00 +LATE $ 00 * * * * * * * * * * * * * * * * * * * ** *FOR OFFICE USE ONLY'*** * * * * **- *** * * *x * * * ** (All Others) Account # 001 -0000 -341 -9051 $ (NoWCcpies/Lmn) Account # 001 -0000- 369 -920 f $ � • C77 (Express mail) Account # 001- 1320 -513 -4111 $ PAYMENT FORMICHECK NUMBER: Z:1Farms & Temp[atMeceipt Sheet_Revenue Forms Rev.2010.doe ZA N 3�A V 'IBZv q"s ms W 0 a. o:. 0 z lwno0 z Elz > z w > 0 P'l I 3nN3AV '4189 'M'S anN�AV '410 F. 0 W w He F [F 3: a Z Z 73i. O UJ 0: 0 LU Z U) I !L lz o LL. w F e s Sxnora t 3. o z 0 U. X z 0 R-0 k4 7 31TI IPAII 11 3nN3AV '4165 MS z HPi8n0o 4161 'M'S HIS ANVaWoo v va OuWnJt tg IL Uj .... . ...... ..... Z ON 0 0 0 'Id 4169 "M'S Z F .w .10 or y9TNfl a S w ............ 1 U $ Event Name: voLxsaLAST 2011 Event Date: SUNDAY, JAN.30, 2011 We, the undersigned businesses and /or residents, have been notified of street closures associated with the event noted about on said date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. Resident/Business Name & Signature: Address Phone No. Check One J01�6�'2 J� Approved Disapprove. d� vmk. Z- I g� t S� �5�,1'18 ��K6— 2�6— �' 1 ZP<, Approved Disapproved❑ �j�V� G� -n0 r�6� T ' - Approved ❑ Disapproved ❑ I fgltuAt (?j 3ccz, G7 X666 r�/l Approved I� Disapproved Q �i Rs I- A, �3Gj 66'� SS 11 Approved ❑ Disapproved Ci Kp� i>a(iF 37 6 Approved Disa roved PP Pp n I k K 515�4 5 �-K (5 _ A(-.h s? ALL 6vt4),gs- 6 EEL -131 Approved Disapproved LcJI / q`' 67A O \, ApprovedD Disapproved[] S-� 3g ''Approved ❑ Disapproved Ell r /7 :ti- Approved isapproved ❑ r(7�oi v ✓�c> s i/ C/ 6-16 )0 )0 J Event Name: voLKSSLAST 2011 Event Date: SUNDAY, JAN.30, 2011 We, the undersigned businesses and /or residents, have been notified of street closures associated with the event noted about on said date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. ReSidenVOusiiness Name & Signature: Address Phone No. ' Check One . v Approved❑ Disapproved E, I i Approve Disapproved ❑ / � '�����_.�d,(/�� i Approved❑ Disapproved //�� T –�t`I `�� �) (ft6 -2-n ST Approved x x Disapproved ❑' j;–P- � C,v'6 044 j �'�C7V'it ) 3 � 3 v 72 '1�d'7 Approved h[J Disapproved ❑i i Approved Disapproved ❑� WDisapproved Approved ❑I UcY��rP Ko(IaA 5 1,34 (� ,..- Cr i ' 4M-2' �/ �7 sw "ic, C, L– 0 0` Approvedl�%J Disapprovedu OUT Approved Disapproved ❑�I tak- 1 '(Z 6�7-7! Approv Disapproved❑ 6 -16 1 Event Name: voLKSSLAST 2011 Event Date: SUNDAY, JAN-30, 2011 We, the undersigned businesses and /or residents, have been notified of street closures associated with the event noted about on said date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. NamResident/Business Name � Signature:..'. atire: Address Phone No. Check One do6na I LoU 6)q--(c MV P Approved ❑ Disapproved ❑, i Approved ❑ Disapproved ❑ (N ,gyp Approved L! 1 Disapproved ❑ Appr ad Disapproved ❑i C ,Approved Disapproved ❑� 41/7 cQ o 6 egg! A roved Disa roved ❑i pp roved pP Approved Ef Disapproved ❑j mo W7 -> e�z Approved Disapproved ❑' ;f� /y ,, 1 /� V �t �1�1 'fit ` � ,lJ f Q C?1 jL 7IJ J�J 305 WK� 1j aO S rte/ i Approved E Disapproved ❑ rRts�) 1y'� 6 r _._ s�S� COs 967 7 gl� Approved ❑ Disapproved ❑ -7' 6 -16 3a�- �� ? -a1 �t/ dK r M6-(A« y�� 6 — _�_..3�s 6� 9 33,E *10 /N Kr I . _ _ ..... - 1 7 7 _•!1 Affr# • Event Name: VOLKSBLAST 2011 Event Date: SUNDAY, JAN.30, 2011 We, the undersigned businesses and /or residents, have been notified of street closures associated with the event noted about on said date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. Resident/Business Name'& Signature: Address Phone No. Check One . by-. C, -365 Approved Disapproved❑ ISalya� -2-ctf 1� �w2- S(tt �. 3�,1J'�`.6' 2 ' Approved kf"Disapproved 5 ` 7 Ge IApproved ❑ Disapproved ❑ 7 -- 3/6 RJJf.�� 0 iE 700 SC JS£A 30 S - 1770 Approved ODisapproved ❑I ��bNA tv� S L41 (la' 6- 665-131) 9066-6t'5- IApproved sapproved D ,,�L� / �' � �� � 'fu �, IApproved ❑ Disapproved ❑ i %(P�'—C.Z���Approved Disapproved❑ ((��WA�% yC1vCaZti_ i IIA vn 0\ .S t-c_ -( , ek tt �(� U � 3 �' N Approved Disapproved ❑i< �i^IaIJ /0 L SUS? y. l3PC �� !Approved ❑ Di approved ❑ Approved Disapproved❑ 4. (71 WA f4r4f 0- 6YdO 5qw� t%e S PC\, � v c'-w0v OU (7441eS 071 leay �%3 Sewer %'vnv2. qOJ 521 �afd Arc, C, C6Z-4 CA VJ 'D (k NCC, LD4C -�Dvldl 5S'8 'S"aTW` '3c' ,60/,W ' NOTIFICATION / PETITION Event Name: VOLKSBLAST 2011 Event Date: SUNDAY, JAN.30, 2011 We, the undersigned businesses and /or residents, have been notified of street closures associated with the event noted about on said date, and hereby agree or disagree to the closure(s). We are also aware that this response may not effect this application being approved or disapproved. Resident/Business Name & Signature: Address Phone No. Check One 30S Lo tu�.-) 4;2 Approved,'11 Disapproved ❑� ij Approved ❑ Disapproved ❑ i i jApproved ❑ Disapproved ❑ Approved ❑ Disapproved El, jF (,Approved ❑ Disapproved ❑',, ii (Approved ❑ Disapproved ❑� Approved ❑ Disapproved El! Approved ❑ Disapproved ❑I (Approved❑ Disapproved Ell Approved ❑ Disapproved ❑ 6 -16 City of South Miami 6130 Sunset Drive, South Miami, Florida 33143 305 -663 -6339 F �A 5 N � SPECIAL EVENT PERMIT APPLICATION This application is for the purpose of conducting a Special Event in the City of South Miami that shall be filed in the City Manager's Office, not less than twenty -one (21) days prior to the effective date together with all the requirements. Name of Organization E_' Lhcp V. ' Telephone _30 • 010-1 ` C1 1 'L (Office) Char% &r _ _t 4" Lt 4 (Home) Address of Organization J si tO � C i0 W yyu .V C & 1 c' O 4 - _St�iz� -1� AicaYtn� F1 �� \q� Name of Principal Officers and/or manager of Organization: President 9'% Secretary %1flYWC':00- 1_L-Ct S Address ld `d to Address 5W 1 1 ( \CS \V\ Office Phone�1 Office Phone E -mail Address E -mail Address Briefly describe event and purpose .A If Applicant is a tenant, please answer /complete the follow: Property owner's Name: Property Owner's Address: Property Owner's Telephone: Property Owner's Signature: Notarizing Signature: Page 2 of 16 9<, WAVY J v: H � � r Location of event: Please write street names /number and if you will utilize a City Park: The proposed date(s) and hours of operation: Set -up date(s) and tinie(s)t Dates: J1 A C` Time: Clean -up completed by CAb 0 Ly C)%tiY i (Please be advised that a representative from the Public Works Department will have to be present for anyland all event(s)). oti ,n ,� r pm) To: 5� P" (am/40 Time of Actual Event: From 113 `� To what extent, if any, would the City benefit: +WC— WW. mho S A ve�>c�vr�vtr>.. Please give any additional information deemed pertinent to this application: �U�o \'� CMG zt.eV '� v� V,w . Q Ub11�ui� vviS ac�YOSS - 4kv -._ US The following person(s)wilI he in direct charge of conducting the activities: Address Phone Name i , t c , r I A qL(u ° 7 Page 3 of 16 o.� Z ri T t Name (s) of person(s) who must be on site with authority other than applicant to expend funds or make major changes in case of an emergency: Name Phone 0'1 Z`=) The following finn(s) will be utilized to promote this event: Name Address Phone 't lne �J 7uwc� S�lO SOS - to if T C) 'I U Approximate number of: Participants Spectatorsni� General Requirements: • in the event of a parade; approval from the South Miami Police Department must be obtained.( must provide documentation in order to be approved) • When marking any public street, curb and /or right -of -way no permanent marking substance may be used. All marking agents must be rensoved immediately after the completion of the event. ;17"( Please initial • Barricades shall require an additional rental fee established by the Public Works Departmnent (See page 96). • A minimum of one Public Works einployee will be required for the events on Public Right of Way. • Any temporary cover for stations such as a canopy shall be flame retardant and applicant shall provide proof of such certificate. Page 4 of 16 pIh dRgt Uv > Y � l Y ✓ No pegs, stakes, or anchoring devices shall be driven into concrete, asphalt, or City hardened right -of -way. Please initial A?e-n _ v If Police service for traffic and/or crowd control is required, arrangements will be made through the City of South Miami Police Department for off -duty Police officers. The Police Department will determine the number of officers required. (Please be aware that costs might change on a yearly basis). ✓ Map of route of site plan of the scheduled event including all stations and descriptions of activities. Site plan shall show streets, alleyways and business names or addresses that are affected by street ctosure.(upori submission of application) ✓ A majority vote of approval (one -month in advance) by the City Commission will be required for large events. ✓ 72 hour notice given to all merchants and /or residents whose street would be closed. ✓ A permit from the Public Works Department must be obtained for any use of the public Right of Way. See permit application on page 910. Please Initial ✓ Deposit of Six Hundred Dollars ($600.00) to defray cost of litter clean-up, must accompany application, plus a permit fee of $60.00. If clean-up is not required, deposit may be refunded. The litter deposit may dii %r depending upon the event. ($100.00 will be retained by the City as an Administrative processing fee deducted from the $600.00 deposit). Page 5 of 16 Y (y: T, Public Works — The average hourly rates are approximate $40,00 per non - suoeivising erirplovee, per hour, and $45.00 for supervising employee, per hour. , Barricades: The average rate for up to125 Barricades per 1) day usage is approximately $$0.00. ❖ Cost of Police Officers: Extra duty pay for Supervisor $50.00 per hour. Extra duty pay. for Officer $40.00 per hour. Note: Quantity of Officers and /or Supervisor to be required depends on: :• Date/Time of Event Location Type of Event Age and number of attendees :• Roadway(S) closed Safety and security of public and officers One time radio fee: Cost of Meters: Street Closure Fee: . °r Pole banner fee (per 10 poles) baivner(s)). $3.00 per officer, per day, per radio $15.00 per day, per meter. $125.00 per each 50 W and $75.00 for additional 50 ft'* $100.00 (This fee includes the placement of tiie S Hanging and Removal of a banner: $300.00 (Cost incurred by the City ) (Please see attached form and information) and duration. ✓ All narkinst {Please note tltai rates shall increa a on a yearly basis due to cost of living increases). -For furdler details please rater to the Ordinmw d 41 -08 -1979 Page 6 of 16 Rc�i}<a N:hu. r i' For Grant Recipients' Payment of these charges could be deducted from the designated grant amount anroved by the City. Signed: Name -, -�� }:1e�il Title Address ( Y t e 7 r .; i?rvf Phone Subscribed and swom to before me, this Notary Public State Florida rtt Large day of z-.e — z ( 3 , pRRW,atioa Feei $60.0 Received by _ / Date ry I3enosit Fee: 5600.00 r� Received by Page 7 of 16 F <r�ied i� ?a�m� Date 20 personnel required from your department to provide estimate of cost to applicant). citt, ofSoutta Miami Police Department A )c To ��J <31,)Z11b Authorized ignature/Date Recreation Department Authorized 'Signature/Date APPROVAL BY CITY MANAGER Authorized Signature Date: Page S of 16 finand i' ?aw 77' TT E §. S (Provide estimate of number of services for this event, along with an Public Worb Department Authorized Signature/Date Code Enforcement Division Authori ed Signattirehte A� Par n Division �� Authori �i `ature/Date South mia "i The City of South Miamian Public Works Department 4795 SW 754" AVENUE, MIANtt, Fi-o2tn.4 33155 PRONE :(305) 663.6350- FAX(305)668 -7208 Permit Application for Work within the Public Right-of-Way Noted All fields shall be filled Project Location: Applicant: Vtl�u Name: i �, ��-r° t �l{� --- Phone /Cell.# '3C3°i c�ZIQ' ; `f E-: mail Applicants Address: (- t {eft Inc) SUt `1S- -�Cxy- S \A CAW> ! k Street City State Zip I HEREBY REQUEST A PERMIT FOR THE FOLLOWING: (Be specific and attach additional paper(s) is necessary) QA e - ` 4tC1y J Estimated Project Cost. s C% Project Duration: i (�t� -? •• O Anticipated effects on vehicular and pedestrian traffic during Project Maintenance of traffic provisions (include sketch if necessary): "In signing this application, I understand that separate City and /or County permits may be required for this project. Furthermore, I am aware that I am responsible for ensuring that the project is completed in accordance with the plans and specifications as stipulated in the permit approval conditions." siGNATItRE OF CQNTRAC'i "OR/QLLgLIFiGR NOTARY Page 11 of 16 Application to Use Parking Stalls 6130 Subset Drive, South Miami, Florida 33143 Telephone 305- 668 -2512 Fax 305 -663 -6346 Pursuant to Section 20 -4.4 (M) (3) (B) of Land Development Code. I "Rental Fees for Public On/Street curbside spaces. The fee for use of recited spaces shall be $9.00 per day, seven days per week; based on a twelve hour period defined as the hours between 6 :00 p.m. to 6:00 a.m. use, and $15.00 per space per day, seven days per week based on twenty -four hour use". ID ID Rental Date: YIU,Ga �(� nJ / Rental Hours: Location of On/Street curbside spaces: Number of Ou /Street curbside spaces: Number of day's curbside spaces are needed Total rental Fee: Approve: Indicate date(s) ''h h n )6g n fit) 'U f (attach additional sheet if needed). Disapprove: Note: The rental fee will be reviewed and may be adjusted periodically by the City. Signature: Applicant Date: Signature: Date: Parking Mana .aer Comment: Page 13 of I6 South Miartni In order to receive your clean -up deposit, (or a portion of it), you must complete and return this form to the City of South Miami following your event. Please direct it to the Special Events /Marketing Division via the City Manager's Office. Mailing address: 6130 Sunset Drive, South Miami, Florida 33143 Event: Event Sponsor: Date of the Event: Time of the Event: From We did we did not (Please check one) Miami for clean -up. Signature: Mail refund to: PLEASE NOTE: To a.m. /p.m. utilize services of the City of South Date: Refunds will not be processed until tlds form has been completed and signed off by designated City Departments. If any cost incurred is outstanding, it will be deducted fi-om the deposit. v Specific requirements on the Special Events Application/Permit: ALL organizations sponsoring special events using public property or public streets within the City of South Mimni, must receive prior approval from the South Miami Commission or City Manager. All reimbursement forms will state the amount deposited, and the cost of the event that the City specifically requested due to services rendered. o For Grant Recipients: Payment of these charges will be deducted from the designated grant amount approved by the City. Page 14 of 16 M 1111 Jr Request for Rund zno; Special ;Events Clean -up Deposit City of South Miaini 6130 Sunset Drive South Miami, FL 33143 305- 663 -6339 Fax # )05-667-7806 In order to receive your clean -up deposit, (or a portion of it), you must complete and return this form to the City of South Miami following your event. Please direct it to the Special Events /Marketing Division via the City Manager's Office. Mailing address: 6130 Sunset Drive, South Miami, Florida 33143 Event: Event Sponsor: Date of the Event: Time of the Event: From We did we did not (Please check one) Miami for clean -up. Signature: Mail refund to: PLEASE NOTE: To a.m. /p.m. utilize services of the City of South Date: Refunds will not be processed until tlds form has been completed and signed off by designated City Departments. If any cost incurred is outstanding, it will be deducted fi-om the deposit. v Specific requirements on the Special Events Application/Permit: ALL organizations sponsoring special events using public property or public streets within the City of South Mimni, must receive prior approval from the South Miami Commission or City Manager. All reimbursement forms will state the amount deposited, and the cost of the event that the City specifically requested due to services rendered. o For Grant Recipients: Payment of these charges will be deducted from the designated grant amount approved by the City. Page 14 of 16