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Res No 061-15-14400
RESOLUTION NO.061-15-14400 AResolutionauthorizingtheCityManagerto permit Team FootWorks EducationalandFitnessCorporation,a non-for-profit organization,tohold its 27th AnnualTwilight5KWalk/Runevent,onSunday,May31,2015,in South Miami's downtown area including surrounding streets,and request waiving the cost of the parking meters. WHEREAS,Team FootWorks Educational andFitness Corporation,hassubmitteda SpecialEventApplication;and, WHEREAS,forthepast26yearsTeam FootWorks hasheldtheTwilight5K Walk/Run intheCity of SouthMiami,sponsored throughvariouslocal businesses;and, WHEREAS,theapplicanthas requested permission toholditseventon Sunday,May 31,2015;and, WHEREAS,theapplicanthasobtainedthenecessarypetitionsignedbythe appropriate local businesses and residents;and, WHEREAS,theapplicanthaspaid$500forthedeposit,$100foranadministrativefee and$60forthe application fee;and, WHEREAS,onMay22,2014,throughResolution#104-14-14198,theCity CommissionapprovedTeamFootworkstoholdtheireventandwaivedtheparkingfee;and, WHEREAS,the applicant isseekingawaiverfor parking feesas previously approved bytheCity Commission lastyearintheamount of $1,450(58 meters X$25.00perday);and, WHEREAS,if theCity Commission approvesthewaiver,then the applicant wouldpay theCityfor Police ($2,050),PublicWorks($554.48),and Street Closure ($463.75),which includes (1055 linear feetX.25=$263.75+$200.00MOT),totaling $3,068.23;and, WHEREAS,if the approval forthe waiver is not granted,then the applicant willpay theCity $4,518.23. NOW,THEREFORE,BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,FLORIDA: Section 1.The Mayor andCity Commission authorize theCity Manager to permit Team FootWorks Educational andFitnessCorporation,a non-for-profit organization,tohold its 27th Annual Twilight 5K Walk/Run event,on Sunday,May 31,2015,in.South Miami's downtown area including surrounding streetsand the^approved the request fora waiver of $1,450(58metersX$25perday)inparkingfees. Section 2.Paymentforthisspecialeventwillbeprovidedbytheapplicantpriortothe event;unlessdirecteddifferentlybytheCityCommission. Page 1 of 2 Res.No.061-15-14400 Section3.Ifany section clause,sentence,or phrase ofthis resolution isforany reason held invalid or unconstitutional bya court of competent jurisdiction,the holding shall not affectthevalidity of theremainingportionsofthis resolution. Section 4.Thisresolutionshallbecomeeffectiveimmediatelyuponadoptionbyvote of theCity Commission. PASSED AND ADOPTED this_21_day of April j 2015. READ AND AEI LANGl P )uoJ*i&«*Jc q y VEDASTO FORM, APPROVED: COMMISSION VOTE:4-0 Mayor Stoddard:Yea Vice Mayor Harris:Yea Commissioner Liebman:recused Commissioner Welsh:Yea Commissioner Edmond:Yea Page 2 of 2 Soutlr Miami THE CITY OF PLEASANT LIVING CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM To: From: Date: TheHonorableMayor&Members of theCityCommission Steven J.Alexander,City Manager April 21,2015 ___AgendaItem No.:2 Subject:A Resolution authorizing the CityManagerto permit Team FootWorks Educational and Fitness Corporation,a non-for-profit organization to hold its 27*Annual Twilight 5K Walk/Run event on Sunday,May 31,2015,in South Miami's downtown area including surrounding streets,and waive the cost of the parking meters. Background:Team FootWorks Educational and Fitness Corporation isa non-for-profit organization, which submitteda Special Event Application to request permission toholdits 27th Twilight 5K Walk/Run,on Sunday,Mary 31,2015,inSouth Miami's downtownareaand surrounding streets. Forthepast26 years,TeamFootWorks Educational and Fitness Corporationhas held their Twilight 5K Walk/Run intheCityofSouth Miami,providing ahealth initiative,along withthe ability for avid and beginning runnersto participate inthis special event.Team FootWorks hasobtained the necessarypetitionsignedby the appropriate localbusinesses. Each yearTeamFootWorks Educational and Fitness Corporation awardsacharitable designation to receiveadonation.Thisyear the South Miami PoliceExplorers will be awarded. The applicant paid $500forthe deposit,$100 for administrative feeand$60foran applicationfee;totaling$660. Inaddition,the applicantwillpaythe following fees: Police:$2,050 Public Works:554.48 Street closure &MOT:$46375 (1055 linearfeetX.25=$263.75+$200 MOT) Parking Meters:$1,450 (58metersX$25.00perday) Theapplicantisrequestingawaiverfor parking feesintheamountof$1,450. Uponapprovalofthewaived parking fee,the final amountforservices rendered tothe Cityis $3,068.23. ThroughResolution #104-14-14198,signed on May 20,2014,the CityCommission waived the parkingfeeforlastyear'sevent. Expense:$4,518.23or$3,068.23 (if waiverisapproved) Account:Not Applicable Attachments:Proposed Resolution PARKING DIVISION FEE SCHEDULE Description Fee HourlyMeterParkingRate $1.50 Library,2-hour limit,hourly $1.00 MeterRentalFee Daily $25.00 ValetParkingDaily $25.00 Parking Permitsper Month (Plus Sales Tax)$65.00 Residential Parking Decal Annually (maximum of2)$20.00 Residential Paking Visitor Annually (Maximum of I)$40.00 Page 1 of 1 SPECIAL EVENT FEES SCHEDULE Description Fee POLICE PERSONNEL (hourly rate) Officer,3hourminimum $40 Officer-holiday $80 Supervisor,3or more officers assigned $50 Supervisor-holiday $100 POLICE EQUIPMENT Vehicle Fee/hour(ifrequired),special eventpurpose $15 Radio Fee,perofficerperday $3 PUBLIC WORKS HOURLY RATE Non-supervisor $40 Supervisor $45 PUBLIC WORKS &UTILITIES FEE SCHEDULE Description TEMPORARY FULL ROAD AND SIDEWALK CLOSURE No single laneroadwayclosurepermitted.Excludes cityeventsandeventsfundedby the city. Per linear.Ftof road,roundedtothenexthigherwholenumberin ft.,per day TEMPORARY SIDEWALK CLOSURE PermitrequiresFrench Barricades alongcurbor EOP.For special event8hr.max.,incl.setup time.Excludes cityeventsandeventsfundedbythecity. Each 25squarefeet or fraction Maximum permitfee MAINTENANCE OF TRAFFIC (MOT) Intrusionintoand/orusingone-waylane Roadways withtwo-waytraffic Detour,per direction Sidewalk intrusion,each Landscaping contractor,specialpermitperyear PUBLIC WORKS HOURLY RATE (SPECIAL EVENTS) Non-supervisor Supervisor Public Works Fees &Materials Barricades (upto 100)perday Barricades (101 ormore)eachperday Missing Barricades Fee(each) CUSTOM GIS MAP AND/OR DATA MDCHourlyRate-$5AdminFee TRASH COLLECTION Upto 1/2 truckload (12.5 cubic yards),onceperweek Over1/2truck load (12.5 cubicyards)or anypart thereof Appliances,each Fee $0.25 $75 $10,000 $100 $200 $100 $100 $100 $40 $45 $125 $85 $1 $50 $?5 nocharge $156 $50 TeamFootWorks 5724 Sunset Dr.305-666-RACE South Miami,FL 33143 www.teamfootworks.org 2/26/2015 To:Steve Alexander City Manager City of South Miami Mr.Alexander, Thisletteristo accompany ourspecialeventapplicationfortheTwilight5kRunWalk. The Twilight 5kisa healthy andwholesomefamilyevent based onexercise,fun,and music.Thiswillbetheeighthyearmygrandchildrenalongwithmany of their friends and extended familieshaveparticipated.Theattachedroutemapandvenuelayoutshould provide afair overview of theevent. Supported by the Baptist SouthMiamiHospitalandTown Kitchen andBar,the run/walk willtake place on Sunday evening,May 31st,2015. Aswehaveinthepast,theTwilight5kwilldesignatetheSouthMiamiPoliceExplorers as the charitable beneficiary fortherun. If you have any questions please donot hesitate tocall. Sincerely, dpMAJJL ^&his\ Laurie Huseby //^ Race Director U \m &r &'i #&%t\lM 8.du •»S a a.gg- 1"~APR 0 8 2015 IC(H£ENF0J^^ TeamFootworks isa 501(c)(3)not-for-profit corporation committed to fitness education through the production of events and educational material. Throughout the year,we offer training programs and events to promote fitness. FEIN:65-0455073 SUMMARY OF EVENT This section ofthe permit application is intended to provide the Special Events Permit.Committee.with anoverviewof your event Information you provide inthissectionis public information andmaybe used in"developingthe.City of South Miami's Calendar ofSpecialEvents.Application mustbesubmittednolessthan twenty-one (21)days prior tothe effective date ofthe event withallrequired documents. TYPE OF EVENT;:[T]Filming Q]Charity Q Festivals Q Celebration •Promotion Other ^UjO/(jDfiLNl NAME OF EVENT:..H^LO \U GrHl^PK 'RlXAjJ 10 PrUC LOCATION OF EVENT:SOP "73 ^r .3 'SU)S7 GJ7 Is this an annual event?Q No 03 Yes if yes,this is the^7_annual event,previous date 0/yJU/Q£p}£>It-J- EVENT DfiMm•'••£.£:(Y>ft*X <£&)€-.W^V;V:EVEtyDA3tS):^:U&$^&> ACTUAL EVErtEJ&fe^g!-QGP?'^^r a.m4g> (Please note:6ifentwafn8fbfyfriea^11 jijnJm residential lareas,or midnight in commercial areas) r-r ••-^ •'..'.'-.XASSEMiL^Dl^l^sBjf^^/aw^b JfmfSLi a,mJp.m. AxTOTAL EVENT DURATION:|hrs S6.mjnsANTICIPATEDATTENDANCE-':/* Name:5§£fof ^d^^Set^'^'v"'s '^^ Title:»r*title: Cell/Phone:^-';^'.CeH/Phqhe:^ Email:vp (a^Q^ij^:\BJiail:,'?::'/,'/.V :^i:.'.i'?i •I'i ''*<"*7ft ,*:(6 r ft".rr\:.:tafrt,;-..»V.;?..;r->.>i :.-./-:::.x --^i-.r <(Vm^ 1-16 •'If.-'-TVt .i-<:.t^^:^A APPLICATION CHECKLIST This lististo ensure that al!necessary documents areincludedandthatallrequired procedures were followed.The Special Event Committee will check yourapplication against this simpler checklist use this checklist toensure all information was submitted as required. (~~^)APPLICATION:.Completed Special Events Permit Application,with required attachments,at least 21 days priorto the proposed event O FEE: Q SIGNATURE: (y)CITY MANAGER'S LETTER: ...%;;•.*,:_».. (~)OTHER w PERMIT: A $60 Application Payment must accompany your application upon submission in cash,check or money order. Application mustbesignedandnotarizedupon submission. Briefly,discuss your Organization/Business,the purpbse-of your event,the benefits,if any,thatthe event wiJI haveonthe City andany additional infpjniat1pn.deerii^d pertinentJp this;a^p|}cati|6A,;, Co.rnp.le.te any applicable permit application deemed necessary for your event,such as: ::>.-(Pheck all that applies) f~|Off-Diity Police Officer |~~|Banners)Overstreet [~~j Parking Meter Rental Q Clean-Up Deposit (^?)INSURANCE:Prior to the event,the event producer is required to submit a Certificate of Insurance naming the event and also shall name City of South.Miami as an :,,..•••additional insured,.in the amount of S,1,000,000. ^SITE 'A site-plan must be subrrfftted with your application PLAN/SKETCH:which shows intersecting street(s),location ofall on- site buildings,parking areas,routes,barricades,etc. O Q COPY:It is strongly recommended that you make a copy of your application for your own record. -ix iu'VAe1erS vn Z>oS- :-lK-*i- APtUCAOT/SPONSOR INFORMATION The applicant forthe Special Event Permit mustbethe authorized representative ofthe organization/business conducting the special event This personmustbeavailableto work with the City's Special Event Permit Committee throughout the permitting process.Aprofessionaleventorganizer,orotherrepresentative,mayapplyfortheSpecialEvent permit on behalf ofthe organization/business.' NAME OF ORGANIZATION:~TgAm fczrTtXJbgJKS ADDRESS OF ORGANIZATION:STO^"SUa^^T^Tl)')!V)£>/.-•-.•^^ OFFICE TELEF-HONE:30«S-W*>&>-~71.3&'$>FAX:gC&r-ifiipl^-lkQ PRESIDENT:LA U£J&8.f-rUS£B,y SECRETARY:3^Kn '^T P *&US&L 1 ADDRESS:-£T.iue. SouCT rUTp^ijM^'-SBitfe' PREsTmONB 3-feg^-7^^3 -EMAIL:lA^dfZiG®imn^.^'&^^6^ SEC.PhSIe:!3t)S:J^^'7^3 •':•.••EMAIL:,\p @.4*>gmfadfrU/oifJC'S"><7r9 If the organization isatenantarid/or renterof the.eventIoqa8on,ple^e hay^$i-ptpp&pY pwner complete the following: .I |Applicani/Organizatioh bvfrhs the event location ^^ I IIgke^rfti^to us^iyiy pppperty^ Comments?' Property Owner's Name: Property Owner's Address: Property Owner's Signature: >Notary Signature: Phone: Date: 2-16 EVENT FEE QIIESTIOMN^AIRE POLICE DEPARTMENT 1> 2. YES NO , ;j>fc"-O.Willyour^y<^^...."..,' [vT Q Dbyou expect thetotal attendance foryoureventtobeover 150 people at any one given time? [Zl O Will you be requestingthe use of Extra-Duty Police Officers?Ifyes, how manyTgT^_(Please note:if you answered NO;tothisquestion off-duty officerscanstill be assignedtoyourevent at a cost toyouif deemed necessary) If NO,pieasedescribe why theevent will nothavea significant impact on the ^ surrounding public streetsand/or property area.:^ Off-Duty OfficerApplicantpg.11 /See SpecialEvent Fee Schedule for cost detail PUBLIC WORKS •YES NO 4-13 CH Will your event intprjete with any public right-of-way,such as ro^ sidewalks,alley,^tc.^^r •••'*••*'.mm&|§qup^y^. '-.-1*.V^'S^^v,:t •&££<?el'd^:'0iie* 'iaftfct public wdflcs eniplbyefe.) 6-13 CU Will youreventrequiretheuseof barricades?Ifyes:hbw niany fob.,:wh; (Pfease note:all pfubkrrijj^ 7.E3 •Would you like the City to provide you with barricadesforyouevent,ata cost?If yes:how many /t)Q .'•'••!: 8-LZ3 H Willydu be applying foraPoleBanner? Please describe youp plans for the cleanup and removal of recyclable goods,waste and garbage durintj and after your event. LQ&h(S*J££^,Q^\U£P^pKrifc^Cri 10 )-*k oik^u>p And dcc^^s 4s du^opdWs aucl ^1^6 Qeo^lsms^s Public Right-Of-Way Applicant pg.12/Pole BannerApplicantpg.15 See Special Event Fee Schedule for cost detail 3-16 PLANNING AND ZONING ,...„. YES NO 9-[ZF •Are you confident that your event is in the City of South Miami'limits? (Please note:thatitisthesole responsibility ofthe applicant to ascertain the location is within thecity's limit.You may call the Planning &Zoning department at (305)663-6326 ifyouhaveanyquestion^);) 10.Ep O Will you be hanging any banners over public streets?If yes,please complete the Hanging Banner Application. (Please note:that ail requests for banner over public streetsmustbe reviewed andapprovedbytheCityCommission,whichmeetsonlytwiceamonth.) 11 •0 tZ3 Haveyou notified the event location neighbors about your event? HangingBanneroverStreet Applicant pg.14 /See SpecialEventFeeScheduleforcostdetail. PARKING DIVISION NO I I Will you be renting any City parking meters?If yes,howmany ^TJ (Pleasenote:thatifyouareclosingor interfering withany right-of-way that includesparkingmetersyouare required topaythemeterfeeaswell.) I I Doyouhaveenoughon-site parking toaccommodateyour event? .(vl Will your event involve the useofashuttleand/oralternate parking sites? ParkingMeterRentalApplicantpg.13 /See Special Event Fee Schedulefor cost detail CODE ENFORCEMENT YES NO 15.[j/f HH Will you be having any music and/or loud sounds during your event? 16.Q]Iv^l Will your event bestartingbefore8 a.m.? 17-O El Will your event endafter 11 p.m.onaweekdayand/or12 a.m. weekend? 12.\Zf 13.[3 14.• PARKS AND RECREATION YES NO 18-•2J Will this event take place in any of the South Miami City parks? (Pleasenote:A rental feewillbe applicable ifaCity Park Isbeing utilized. Reservations aremadethroughthe Parks &Recreation Department (305)668- 7232). 19-•(Z!3 Will this event require theuseof any Parks equipment or staff? 4-16 SITE PLAN/S30ETCH Amap of theeventsite iis requiredand"should indicate eventlayoutwith .proposed attractions,recommended street closures,paradeor run/walk routes,.etc.Please draw you niapon the;space providedbelow,or attach your map to theapplicationuponsubmittal.The following mustbe iclentified'and labeled: L EventSite(label streets;building;et6.)3.Canopies,tents,stages 5.Fencingfeanicades X-x-x 7.Firstaid facilides + 2.Routes (races,parades,etc.)"^"^-^4.Restrodm facilities R 6.Offduty police officers P S.Parking Area PA .••.•-,,.•»;•>%.i.i ^.'I'-V .*•"••.'\*}•r "INicAM-'',*••*'•,».- V ••*-.•"•I*, .viWrrstf-•»&•£.***{-•'.*•*• .'•4 .J ♦>-*•••M- ;<••*••••:?• «"*—"jM^'W iMi>jrrmw>i 5-16 FIRST NAT BANK SW73ST PARKING SUNSET DRIVE. REGISTRATION DISPLAY D DISPLAY • FINISH! V)A*A q: SW74ST REFRESHMENTS (U NOTIFICATION /PETITION Event Name:Event Date:£/s I//£Wffi/\5K We,the undersigned businesses and/or residents,have been notifiedof street closures associated withthe event notedaboutonsaid date,and hereby agree ordisagreetotheclosure(s).Wearealso aware thatthisresponsemaynoteffectthis application bejngapprovedor disapproved. ApprovV^MI .©^approved lJ .:W*:?> W:<*&: .WSyj^TW ApprovS&^^S'&Sapproved LJ BcVVC7jz^\V*7iMS"^W5^i.Crlj ApprovedEj Disapproved LJ to^VAAd/,2 m:&t&/>->''V'r •,-*/>-'--^-*^*5rffc£ S"5 Approved l^SPpSisapproveti LJ i.i ii'j i,-p»••;iJL Wl *tt- Approved bd-Disapproved I I £f£/faifS/itdtb 730/&>* ^V**&Approv&cfk/I Disapproved I I 130]<S>vO £7 r Approved L_l Disapproved I I 6-16 NOTIFICATION /PETITION Event Name:/LOi//jhf Sf<Event Date:£/3///S~' 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 thatthisresponsemaynoteffect this application being approvedor disapproved. Approved lU>rDisapproved LJ ^sctf-Ul&€ffc-Approved IM Disapproved LJ Approved L_J Disapproved I I i^0to^jll^;-C>1^approved I I ..•*.'•-:'in' *3?V^*>^.:C OySi *£~f t;-j >.:n.-''.;•! !m?«?.v<>/#;*J <\* Apprbvl&?©Bfsapproved LJ Approved Q Disapproved LJ *•'«••.V'.-v v,t:^-*. Approv&d EJfdisapproved LJ ;.nr ~.v ;• ApprovedXJl Disapproved I I Approved LJ Disapproved I I Approved I I Disapproved!I 6-16 INDEMNIFICATION AGREEMENT THIS AGREEMENT ("Agreement")is entered into by and bbtwfeen /£Ann fxxrrll)0£KS, ("Applicant"),andtheCity of South Miami ("City")onthe date onwhich this lastof the Parties executes this Agreement. RECITALS ' WHERJEAS,theApplicant ha$submitted a Special EventPermitApplication totheCityfor(eventtitle) ^TlOU6^r £K 1^•at "S:Lq 1?>.gr'^^^5^*037 (location^on (date(s))31 IY)f^j ^QlygT"(''Special Event*');and WHEREAS,pursuant to of the City's .Code and the City's Special Event Regulations,the Applicant must execute an indemnification and hold harmless agreement protecting theCity from anyandall claims whichmay arise out ofthe Special Event. NOW,THEREFORE,in consideration of die matters recited above,the mutual covenants set forth herein,and other good co^ideratipn.flie receiptand sufficiency ofwhich is herebyacknowledged,the Parties herebyagree as follows: 5. 7. :/i \y '?.+*£:};•''S-'•..•••.-.-»*•*••v; Applicant agrees toindemnify,defend andholdtheCity,its officers,affiliates,employees,successors andassigns, harmless from and against anyand all suchclaims,suits,actions,damages,orcauses of action arising as a result of theSpecial Event,or ofthe conditionofthesiteonwhichtheSpecialEventis held includingany personal injuryor loss ofiifei or damage toor loss of property,and from and against any costs,attorney's fees,expenses or liabilities No Street shallbeclosedwithout authorizatibri.from theCity of SouthMiami Public Works Department and Police Department •.'*>... Traffic-shall bemaintainedin accordance with Florida Department of Transportation (FDOT),Miami4)Me.County L^^^^MS^^^^^^v^^^r5^^^^®^-^?the^Ci^.of Spiith Maml,PubIfc y&fks.^Reparh^t ^d Police Ifall restoration workisnot performed within^O days ofwork completion*theCity ofSouth ')>* MiamiPublic Works Department may restore theevent area and charge the applicant forthecost of restoration. plusaminimum of 15%foi*administrative feeandanyadditionalincidentalfees. 10.Any damage to private property shall be restored to its original condition or better and as accepted by the Owner. APPLJ CANT SlQHgTURE \RYSIGr4ATURE^ Subscribed and sworn before me,this j/jfTday of yTI&ca^J^2-0/J^a Notary Public in and foij County,State of _ ^nature (ISTOTARY PI Notary Public Statsof Florida »Jwtelewls My Ccmmtetlon FF191725 E*pif»50386/2019 8-16 •**f ...•••''•^••'! APPLICANTS TITLE 3 la/lis: DATE: DATE: DEPARTMENTAL APPROVAL SHEET REVIEW BY CITY OFSOUTH MIAMI DEPARTMENTS:Each department will provide,estimate of number of personnel required from their department toprovideappropriate services forthis event,along with an estimate of cost toapplicant. OFFICE US5ONLY:, Majorof Operations! Authorization Signature:^___ Chief of Police Authorization:•••; Cornmente/eonditions v Authorization - ;Signature;?fry • Comrhente/Conflitions:..'\[ /,r 7";,.,;V;-»t Authorization Date: •JDate:,';r ^-tl\^'Wf':'-\yr^:A ::\lhj»,rj^..,..^<— Date: Amount:$ AmounfcJ»_ •Jfi.. •l<+.';••*•••'<-.'>'»-;•.: AmoMhfe$.4. Comments/Oonditjoiisi'/•'.;'**•:•'••i-'"j"'••-•*'••:.-•'.•••'.--.'•>..'.)'•'•«'r-/_.:•,..'•:.'•••.,,•-».>-..'•''.:'••c;;"..-.v,JS . Authorization '^-y ^jvv<• •Signature:^jj_ Comments/Conditions:•-'-' Authorization Sfgnatare:^ Comments/Conditions: PECIAL EVENTDIVISIONUSEONLY: EventName: No.ofDays Remaining Til Event No.of ApprovedDep. Comments/Perms Conditions: Date: Date: No.of Disapproved Dep. ~r;--f V'*Amdtlfrt^$T.-k—^—" Resolution NO: "Total..;;,".£;'.'- Estimated Cosi $ -T-"'-rv-^QiCJ;^'vagt «.,;&rcs^sl3 TYMANAGEROFFICEUSEONLY: Comments/Permit Conditions: Review'&Fip^rApprpy^l %% kU> •'--vi;JV i.r.,•*«,%*•*.«•% Authorization Signature:Date: 9-16 Submitted To: g^eiitl>a^^; THE CITY OF PLEASANT LlVlhlC Public Wories Department Event Cost Estimate Maria StoutrTate Twilight Ruii Sunday*November 2,2014 Times *'"Hottis Cost Total |^l6yee:#1 H)03^-&G(M*4 $160.00 $320.00j|mploy<^#;2 £:0QPM-9$0PM;4 SiMQQ; ElOA Materials;£u$ic Wbfks;Fees M fyf aterials Equipment:B#iacades#Ji>fo^100 perday) Date Prepared:04/13/2015 Approved bf $24.48 $125.00 S85.00 Grand Total:$§5448 CITY OF SOUTH MIAMI POLICE DEPARTMENT 6130SunsetDrive,SouthMiami,Fl 33143 (305)663-6301 Extra-Duty Police Officers Application Soutli Miami P I o rI da AU-AtXMtrlc*Cltt Apolice officer for emptaymenHhat is indigenous to th.iirlfA/%n?orcement authority commdnly.referred to as "Extra-Duty" employment.The.following policies and.procedures^^niuCcMorm iri orcier to schedule a police officer for employment on a temporary or infrequent basis:•:\/v;'^^TJ:?:• >The -South Miami Police Department shall be tHgW^^fl^^^^Blniioing Bj6;minjmum number of officers required,to police aparticulareventIfmorethanthree*officer!are Tilc^^M^^^^^t-also be hirecfi^The City Manager Office and Soufli MiamiPoliceDepartmentwilldeterminefeesupervisorto^c^^tipor^rg^vents. >The.;App|icant will be;reguired to q^mpertrate the%ss)i•:•?duriati6n.;Gurffentfythy^B^Su^plfcje dffi^is$^^hbur;&$50 pjer$£Cir-^^fo^pervisingOfficer,plus a$3.0 radioiisagefo^•.:^\'\>^:.;-^Pi^g^^^^^^l<Jf^j;^C^^C :>.^•,-•.-' >The ApplicantMust c&mp&n&te^^to the start pf the scheduled event thattbe. officer(s)will be assigned to.No mdnfetajy pay^ntwiiiib^awpted/No piayrnebt by flange bfgqqds drsefviqfed is acceptable. >If,during a scheduled event,the Appii&h}detefihin§s4ljit fie/she heeds tb^xtend.-4BTPBT time an officers)works atthe assignment,\het Applicant shall compensate officers)for^fqll|ioufWor^eH if 0epffieer{s)woric$for more than 20 minutes and/or less 59 minutes beyond the regularly scheduled time of the evfentw's ^'\t *//. iOftlhi ffficer for a minimum ofthr£#(3)l^ours.evan if the event is of a shorter f >Applicant must notify of acancellation request of an Gff*bu^^^pffider forty-eight (48)hours prior to the scheduled date of service. ^Failure to do so will require the Applicant to compensat£tfte ^ssfgherj officer for a minimum ofthree (3)hours. t APPLICANT INFORMATION sbb I ISKvirnlfen^ pBusiness/Organization Name Obl-HvJ TIP 'f4uaaBy Applicant Name k\t\b\\PL pusiness/Organization Address if „ l^hone Number FaxNfii j'f«rffttH«bfSJ«'&iU'V jf>n-Site Contact Person I -C^Hulpf ttobgr *':'Type of Event '% •ffixu 1ich4-5K Run/UhlK J-^MtvMJisMS-??OX •&OOQ -teo**' AyfJ1^;*fi ^>itfo State Zip Code j§v Run /oJa/M. Anticipated Attendance!^ •£I acKnowledge^pdfaQcrflfefiQaDcIal responsibilities to pay,all costsandfees associated withthis request form prior totheservice date(s): NO.Office: MMElMT:" .ICE DEPARTMENT NATURE Ap^anfs Signature I OFFICE USES ONLY:Q APPRovED AS PRESENTED Q DENIED Q APPROVED WITH CONDITION - x:NO.Radio: 11-16 DATE Date NO.Hours Estimated Total Cost $ Other, After submitting your applicati you must obtain one or more complete arid Will delay the ap; For.your benefit,BE SURE application if necessary or iiiii to insure thatyour application department evaluation your reqi pecial Event Committee that 11 no longer be considered S".:\..»-..*•.-•* <&•-.-fcFV;.. Application For: Off-Duty Officer RjgBt-of Wa^Xfcage Pole Banner his page atid ;complete the lication;"If noteapplieable", e for the Committee and/or "•*••*-•.fcrlj-fcll•!>•;.-*!... 1*-«••'A *.?*.-Jk« ^VSrttflte?*•^,.:*-'.'?s\.^ ♦•;* "•*?$ Hanging Banner A'?'•!:t;^T>%^!i^*a'.^«^ 10-16 CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENT 4795 SW 75th Avenue,Miami,:Fl 33155 (305)668-7205 Fax(305)668-7208 Application to Conduct A Special Event Function on Public Right-of-Way South Miami Florid* 'Mir NOTE:ALL FIELDS SHALL BE FILLED.No action canbetakenonthis application until all questionshavebeen answered.Asset forth in Ordinance No.21-09-2013;temporary full roadway and sidewalk closure (NO SINGLE LANE ROADWAY CLOSURE PERMITTED)for special events,eight (8)hours max.Schedule offeesis attached.Use blank paper if you need additional writing space.PLEASE PRINT clearly,except for signature.., Contact Information:. T£Am PooTLCbefcS Business/Organization Name Business/Organization Address Authorized Representative Name <3d..TUuvrni PL..^>r^. Phone Number Event Information: Event Name \(X)\LJQ/4T" Project Location *5'lO ~~1?>St:^S^.Cp ;:-:•^:K:.-•":/:'- Evejnt P^te(s)5/ft\&j <£Ql^Event Day(s)^0^5^.-'.,"Type of Event RUJ^/U^/kJC., City Fax Number State ,...,.Zip Code E-Mail S£l udtKxiL Event Start Time _7jOQ__i (am /@)Event;End Time /Y ".SO (*™Qj}P Anticipate^Mendahpe..fv^Cffi \-T Bfent Setup Time A^AXtoO (am/pm)BreakctownTimai/g:Q^j '..:-(amflSgptptal Duration (include setupff:v*"^—*irs I HEREBY REQUEST APERMITFORTHEFOLLOWING:'-•"''".' •Anticipated effectson vehicular and pedestrian trafficduring Project Maintenance of traffic provisions are specific (include sketeJdfrieces^ary)^ .t .*'; the following documents have been submitted with this permit application: PI -Site plan /sketch of event Glearly define boundaries^^ndriihiear^footpi rbad.cjosures. Maintenance of Traffic (MOT)for vehicular and pedestrian^J^affic.duiping event ":\f "In signing this application,I understand that separate City and/or County permits maybeteqwed}for this project.Fudhermore,Iam aware that Iam responsible forensunng that the project is completed in accordance with the plans and specifications as stipulated in the permit approval conditions.As well as acknowledge that any right-of-way closures will require atleasfrone offoluty officer,public works employee and barricades"t 3131II ^ GNATURE DATE- •f „-/ FOR OFFICE USES ONLY:Permit No: Approved/ Disapproved By Date T3 C o o Permit Fee Comments •• 12-16 CITY OF SOUTH MIAMI PUBLIC WORKS DEPARTMENT 4795 SW 75""Avenue,Miami,Fl 33155 (305)668-7205Fax(305)668-7208 Public Right-of-Way Schedule of Fees Ordinance Item PERMIT FEES PERMANENT TRAFFIC BARRICADE, GUARDRAIL AND GUIDEPOSTS TEMPORARY FULL ROAD AND SIDEWALK CLOSURE *For special event 8hr. --period max.,incl.oot up— time.Excludes city events and events funded by the city."'•",,.',',.,.-•::&.;•*• Measurement Minimum-permit fee Permit extension fee,for 60 day period Each 100 LF or fraction No single lane roadway closure permitted. *er-jinear ft.of-readr—- rounded to the next higherwholenumberin ft,per day «••.;; Eaeh:25 SF or fraction /..it '•**./'/ Maximum permit fee,'„ Fee South MUml , F1 o r1 «J a ter.'a6?fr.X5fl uuir $150 $150 $85 #0:25 TEMPORARY^E>EWAbK^ CLOSURE'''-Kwrt-co.w:'^ Permit requires French barricades along tsurb or-«*• hop*v.j':..::.:;".-.„,.,$10,000 TEMPORARY STAGING-• AREAi CR/VNE,fRAILER TRUCK ON THE RIGHT- OF-WAY MAINTENANCE OF TRAFFIC (MOT) WORK WITHOUT PROPER PERMITS AND/OR INSPECTIONS PUBLIC WORKS HOURLY RATE Plat-Fee perday for.first 5<Jays Evt^;iiyj3 Mm -tit**v:v Intrusjipn u$o a,nd/or using one-waylatfe; Roadways with tworway- ti&m.,^-M v^v^JaV^v--: Detbtir.^ef direction . Sidewalk^ntrusiojnt,,ea,cfx After tihe fact riermilfe©: For any work ^erformed^ withoutprpgerSpeiTOttS'Vv 5TO^irTspe^forT§ Minimum,per day Non-supervisor Supervisor 13-16 '.i;"-.'WA. A^^A-'.*-.^" •\ $200 $100. $1,000 $40 $45 CITY OF SOUTH MIAMI PARKING DIVISION 6130 Sunset Drive,South Miami,Fl 33143 (305)668-2512 Fax(305)663-6346 Parking Stalls/Meters Rentals Application South Miami Florida «ix-JUMr?c*ctr» PursuanttoSection15 C-l (a)(2)(b)oftheCodeofOrdinance,"RentalFeesfor Public On/Street curbside spaces (Parking space)are$25.00perspaceper day,seven days perweekbased on twenty-four (24)hour use". Business/Organization Name Applicant Name f £k 3/4B 3GS'-(obb~rrx^3 3<3g-(c>k7~qz6>Q \p gibe&rn(raTU3orks/3r9 .< Phone Number Fax Number ^E-Mail •: Name of Event:"TTiJilghf 5K Run /o)*u.k-Type of Event £M n 6()<ai i£.' Number of On/Street, curbside spaceSVi^::i.o"•,v »v Number'ofDay's curbside spaces:desired: Start Time: ajj1-End •purnj.iTOie;.*u •«S U)73 3f*ei 431 23 &$135 ^3</3^a&fr **7 <333 03^<33f £30 £<a9 a^fr <£T7 26?anO SC&l ^73L ^7 5 <37</3Xi32fe XTJ'znS $s?r<t&'c?r<z8w?'wj -gvri^t^n^i1 *tf'"#*8 .***ff:.•-..-: I hereby certify the above.Ig^r^ialfo^i-'is:tm^^x»jrrept.^afA^<^mptete sa of the^datf .0 that this applicant will be reviewed and may be adjusted periodically fey Crty Staff,rf ^rty inffprmation should change that I shall amend or supplement this application withinfive business days of the change. (a/tar'. •Applicant's Signature •l/i4V^• Permit No:•FOR OFFICE USES ONLY: (~1 DENIED NO.Meter Days:•&% Comment: |1APPROVED AS PRESENTED Q APPROVED WITH CONDITION I NO.Meter X Dally Fee:?AK.&-..• $\fiS0-ov PARKING DIVISION SIGNATURE DATE Estimated Total Cost 14-16 CITY OF SOUTH MIAMI PLANNING &ZONING DEPARTMENT 6130Sunset Drive,South Miami,Fl 33143 (305)663-6326 Fax(305)668-7356 Hanging Banner Over Public Street Form far Special Event South Miami Florid* tocSJfccSf fittf Application Jor the purpose of requesting approval,to display tanners over public streets prompting eyents as set forth in Ordinance No, 10-07-1911;LDC Section 204.3(N}.Compete this permit application form and submit the application to the Planning &Zoning Department located jn th<3 Sylya Martin Building in front of City Hall.This application must besubmitted at least 30days prior to the event date.An application fee of $300 must be paid at time ofsubmittal.If approved by the City Commission,this fee.cpvers installation.and removal of banner.If approved,take the permit and.the banner to the City's Public Works Departnjehtlocatedat47&>.$W 75*Avenue Miami,FL 33155,at least one week prior to the installation date.The Public Works Department will install and rembve the banner on the dates specified bythe approved permiL Name of Non-for- Profit Oiiganization _ Organization. Address Authorized Re presentative Name ORGANIZATION .Ph.br*ejslpr Rep.Title Event Name:Event Date:Event Type: Approximate Installatioe-Date Requested:thru ';.MaSL£^^.•/j~j580QSur^Drl^;:!r~|5880SunsetdM^^jf ^T<. •"'•??•••*•*•**•»'n~":gj ••*••.\h ......L .........." Applicant's Signature LANMBSIG&ZONING QFEIGfi &S&ONLY:..,,. >Illustration of banner showing'h^banner,and lettering >Copy of liability and/or property damage insurance required 3pli(^tionrfee4SQCk(peiiapF ityCommission Approval Resolution No. omment: 15-16 t^ Pate SUBMETTED.,RECD BY:INITIAL •______ s Comm.Date: y\CORE>CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/10/2014 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.THISCERTIFICATEOFINSURANCE DOES NOTCONSTITUTEACONTRACTBETWEENTHEISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder isan ADDITIONAL INSURED,the policy(res)must be endorsed.IfSUBROGATIONISWAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights tothe certificateholderinlieuof such endorsement(s). PRODUCER STAR Insurance -Fort Wayne Office 2130 East Dupont Road Fort Wayne IN 46825 INSURED Road Runners Club of America/2015 and Its Member Clubs 1501 Lee Highway,Suite 140 Arlington VA 22209 name?C1 Margaret Mayers WiL.^(260)467-5689W g^^.margaret.mayersQ star financial.com IAC.II<*!(260)467-5691 INSURER(S)AFFORDING COVERAGE NAICff insurer a National Casualty Company 11991 insurerb^Nationwide Life Insurance Co.66869 INSURER C: INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATENUMBER:2015 $2M A.I.REVISION NUMBER: THISISTO CERTIFY THAT THE POUCIES OFINSURANCELISTEDBELOWHAVEBEEN ISSUED TOTHEINSUREDNAMEDABOVE FOR THEPOLICYPERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICHTHIS CERTIFICATE MAY BEISSUEDOR MAY PERTAIN.THE INSURANCE AFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR JoIS.TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE |X IOCCUR Legal Liability to Participate $2,000,000 AODLISUBR POLICY NUMBER KRC-0000004913300 POLICY EFF fMM/DD/YYYYl 12/31/2014 12:01 A.M POLICY EXP (MM/DD/YYYY1 12/31/2015 12:01 A.M LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Eg .occurrence MEDEXP(Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE 2,000,000 500,000 5,000 2,000,000 UNLIMITED GEN'L AGGREGATE LIMIT APPLIES PER: POUCY |1jpffi I |LOC Abuse and Molestation Aggregate $5,000,000 PRODUCTS -COMP/OP AGG 2,000,000 ABUSE &MOLESTATION 500,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA UAB EXCESS UAB SCHEDULED AUTOS NON-OWNED AUTOS OCCUR CLAIMS-MADE PEP I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS*LIABILITY y /N ANY PROPRIETOR/PARTNER/EXECUTIVE I 1 OFFICER/MEMBER EXCLUDED?(Mandatory In NH)'' Ifyes,describe under DESCRIPTIONOFOPERATIONS below Excess Medical &Accident ($500 Deductible/Claim) KRO-0000004913300 N/A SPX-0000026656100 12/31/201412/31/2015 12:01 A.M.12:01 A.M 12/31/2014 12:01 A.M. 12/31/2015 12:01 A.M. COMBINED SINGLE LIMIT (Eaaccfdentt BODILYINJURY(Perperson) BODILYINJURY(Peraccident) PROPERTY DAMAGE fPer accident,) EACH OCCURRENCE AGGREGATE WC STATU TORY LfMtTS EL EACH ACCIDENT OTH ER- EL DISEASE -EAEMPLOYEE$ EL DISEASE -POUCY UMIT $ Excess Medical AD&Specific Loss 2,000.000 $10,000 $2,500 DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES(Attach ACORD101,Additional Remarks Schedule.Ifmore space Isrequired) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED.DATEOF EVENT(S):01/01/15 through12/31/15funruns -fitnesstraining program and streetbannertopromotefitnesstrainingprogramINSUREDRRCACLUB/EVENTMEMBER:TeamFootWorks, Att'n:John Huseby,5724 Sunset Drive,South Miami,FL 33143 CERTIFICATE HOLDER 01/01/15 City of South Miami 6130 Sunset Drive South Miami,FL 33143 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLtCY PROVISIONS. AUTHORIZED REPRESENTATIVE John Lefever/MMA ©1988-2010 ACORD CORPORATION.All rights reserved.ACORD 25 (2010/05) INS025/?mnn.Mni Tho ACfiRn namo and lr>nr»are ronictororl marlc nf Af!HPn RESOLUTION NO.104-14-14198 A Resolution authorizing the City Manager to permit Team FootWorks Educational and FitnessCorporation,a non-for-profit organization,to hold its 26th Annual Twilight 5K Walk/Run event,on Sunday,June1,2014,in South Miami's downtown area including surrounding streets,and waive the cost of the parking meters. WHEREAS,TeamFootWorks Educational andFitnessCorporation,has submitted a Special Event Application;and, WHEREAS,forthepast25yearsTeamFootWorkshasheldthe Twilight 5K Walk/Run intheCity of SouthMiami,sponsoredthroughvarious locial businesses;and, WHEREAS,theapplicanthasrequestedpermissiontoholditseventonSunday,June1, 2014;and, WHEREAS,the applicant has obtained thenecessarypetitionsigned by the appropriate local businesses andresidents;and WHEREAS,theapplicanthaspaid$500forthedeposit,$100 foranadministrativefee, and$60fortheapplicationfee;and, WHEREAS,onMay21,2013,through Resolution #110-13-13928,theCity CommissionapprovedTeam Footworks toholdtheireventandwaivedthe parking fee;and, WHEREAS,theapplicantisseekingawaiverforparkingfeesas previously approved bytheCityCommissionlastyearintheamount of $1,450(58metersX$25.00perday);and, WHEREAS,iftheCityCommissionapprovesthewaiver,thentheapplicant would pay theCityforPolice($2,050),Public Works($554.48),andStreetClosure($463.75),which includes (1055 linear feetX.25=$263.75 +$200.00 MOT),totaling $3,068.23;and, WHEREAS,ifthe approval for thewaiverisnot granted,thenthe applicant will paythe City $4,518.23. NOW,THEREFORE,BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,FLORIDA: Section 1.TheMayorandCityCommissionauthorizetheCity Manager topermit TeamFootWorks Educational and Fitness Corporation,a non-for-profit organization,tohold its26th Annual Twilight 5K Walk/Run event,onSunday,June1,2014,inSouthMiami's downtown area including surrounding streets and theyapproved the request for awaiverof $1,450.00 (58metersX$25.00per day)in parking fees Section 2.Paymentforthisspecialeventwillbeprovided by the applicant priortothe event;unlessdirecteddifferentlybytheCityCommission. Page1 of2 Res.No.104-14-14198 Section3.If anysectionclause,sentence,orphrase of thisresolutionisforany reason heldinvalidorunconstitutionalbyacourt of competentjurisdiction,the holding shallnot affect the validity ofthe remaining portions ofthisresolution. Section 4.This resolution shall become effective immediately upon adoption by vote of the City Commission. PASSED AND ADOPTED this 20tttay of May ,2014. EST:APPROVED: I CLERIC ^—ACITYCLERK READ AJ*QJ«PPR0VED AS TOFORM, iGALII m THERE( MAYOR Page2 of 2 COMMISSION VOTE:4-0 Mayor Stoddard:yea Vice Mayor Harris:Yea Commissioner Liebman:recused Commissioner Welsh:Yea Commissioner Edmond:yea Souttfwliami THE CITY OF PLEASANT LIVING CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM To; From: Date: TheHonorableMayor&Members oftheCityCommission StevenJ.Alexander,CityManager May 20,2014 Agenda Item No.:± Subject:A Resolution authorizing the City Manager to permit Team FootWorks Educational and Fitness Corporation,a non-for-profit organization to hold its 26th Annual Twilight 5K Walk/Run event on Sunday,June l9 2014,in South Miami's downtown area including surrounding streets,and waive the cost of the parking meters* Background:TeamFootWorks Educational andRtnessCorporationis.anon-for-proftt organization, which submitted a Special Event Application to request permission to holdIts 26th Twilight 5KWalk/Run,on Sunday,June Ist,2014,inSouth Miami's downtown area and surrounding streets. For the past26years,TeamFootWorks Educational andFitness Corporation hasheld their Twilight 5K Walk/Run intheCityofSouth Miami,providing a health initiative, alongwiththe ability for avid and beginning runnersto participate inthis special event. TeamFootWorkshasobtainedthe necessary petition signed bytheappropriate focal businesses. Each yearTeamFootWorks Educational andFitness Corporation awardsacharitable designation to receiveadonation.Thisyear the South Miami Police Explorers will be awarded. The applicantpaid $500 for the deposit,$100 foradministrativefeeand$60foran application fee;totaling$660. In addition,the applicant will paythe following fees: •Police:$2,050 •Public Works:$554.48 •Street closure &MOT:$46375 (1055 linearfeetX .25 *$26375 +$200MOT) •Parking Meters:$1,450 (58 metersX$25.00per day) The applicant isrequestingawaiverfor parking feesintheamountof $1,450. Upon approval ofthe waived parking fee,the final amountfor services renderedtothe City is $3,068.23;the applicant will paypriortotheevent,unless directed differently bytheCity Commission. Through Resolution #110-13-13928,signed on May 2 \,2013,theCity Commission waived the parkingfeeforlastyear's event Expense:$4,518.23 or $3,068.23 Ofwaiveris approved) Account:Not Applicable Attachments:Proposed Resolution Consumers Certificate of Exemption DR-14 R.04/05 02/17/11m Issued Pursuant to Chapter 212,Florida Statutes DEPARTMENT OF REVENUE 85-8012600365C-4 01/31/2011 01/31/2016 501(C)(3)ORGANIZATION Certificate Number Effective Date Expiration Oate.Exemption Category This certifies that TEAM FOOTWORKS EDUCATIONAL AND FITNESS CORPORATION 5724 SUNSET DR SOUTH MIAMI FL 331.43-5316 is exempt from the payment ofFlorida sales and use taxonrealpropertyrented,transient rental.propertyrented,tangible personal property purchased or rented,or services purchased. DEPARTMENT OF REVENUE Important Information for Exempt Organizations DR-14 Ft.04/05 5. 6. Youmust provide allvendorsand suppiiers with anexemption certificate beforemakingtax-exempt purchases. See Rule 12A-1.038,Florida Administrative Code (FAC). Yoqr Consumer's Certificate of Exemption istobeusedsolelybyyourorganization for your organization's customary nonprofit activities. Purchases madebyan individual onbehalfoftheorganizationaretaxable,even ifthe individual will be reimbursedbytheorganization. This exemption applies onlyto purchases your organization makes.Thesaleorleasetoothersby your organization of tangible personal property,sleeping accommodations orother real property is taxable.Your organization must register,andcollectandremitsalesand use taxonsuchtaxabletransactions.Note:Churches areexempt from this requirement exceptwhentheyarethelessorof real property (Rule 12A-1.070,FAC). It isa criminal offenseto fraudulently present this certificate toevadethe payment ofsalestax.Under no circumstances should this certificate beused for the personal benefit ofany individual.Violators will be liable for payment ofthesalestax plus a penalty of 200%ofthetax,and may besubjectto conviction bf a third degree felony.Anyviolationwill necessitate therevocationofthiscertificate." If youhave questions regarding your exemption certificate,please contact the Exemption Unit of Central Registration at 850-487-4130.The mailing addressisPOBOX 6480,Tallahassee,FL 32314-6480. Internal Revenue Service Department of the Treasury Washington,.DC 20224 Team Footworks Educational andFitness Corporation c/oJohn K.Huseby 5724 Sunset Dr. South Miami,FL33143 Person to.Contact: Telephone Number: (202)622-8140 Refer Reply to: Date: CP:E:E0:T:2 NOV a '994 Employer Identification Number: KeyDistrict: .Accounting Period Ending: Foundation Status Classification: Advance Ruling Period Begins: Advance Ruling Period Ends: Form 990 Reguired: 65-0455073 Atlanta May 31 509(a)(2) January 1,1994 May 31,1998 Yes Dear Applicant: Basedon information supplied,and-assuming your operations will be*as >stated in;*your^application for recognition "of exemption,*we have determinedyouareexempt \from;federal income tax under'section-501(a)-of theInternalRevenueCodeas an organization described-in section 501(c)(3). Because:you are a-newly created organization,we "are notnow makinga final determination ofyour foundation status under section 509(a)of the Code.However,wehave determined that you can reasonably be expected to bea publicly supported organization described in the section(s)shownabove. Accordingly,you will be treated asa publicly supported organization,and not asa private foundation,during an advance ruling period-This advance ruling period begins and ends onthe dates shown above. Within SO days after theendofyour advance ruling period, youmust submit toyourkey District Director information needed to determine whether you have metthe requirements of the applicable support test during theadvance ruling period.Ifyou establish that youhavebeenapubliclysupported organization,, you will be classified asa section 509(a)(1)or509(a)(2) organizationas long as*you continuetomeettherequirementsof the applicable support test.-Ifyoudonot meet thepublic* support,requirements during the advance ruling "period,you will beclassifiedas a.private foundation forfuture periods.Also, ifyouare classified asaprivate foundation,youwillbe treated asa private foundation from the date of your inception for purposes of sections 507(d)and 4940.