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6THE CITY OF PLEASANT LIVING To: FROM: Via: DATE: SUBJECT: BACKGROUND: REVENUE: CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM The Honorable Mayor & Members of the City Commission Steven Alexander, City Manager Quentin Pough, Director of Parks & Recreation /- March 7, 2017 Agenda Item NO.:_((.J __ A Resolution authorizing the Rotary Foundation of South Miami, Inc., to hold its Annual South Miami Rotary Art Festival on February 24-25, 2018, located on 72nd street (Sunset Drive) from sih avenue to South Dixie Highway and waiving certain special event fees. South Miami Rotary, a 501 (c)(3), (lithe applicant") has submitted a Special Event application to hold its Annual Art Festival (lithe Art Festival") on February 24-25, 2018 and have reserved the dates for the following two years: February 23-24, 2019 and February 22-23, 2020. The applicant would like to host the Art Festival on 72 nd street (Sunset Drive) from sih avenue to South Dixie Highway. The applicant will have 10x10 tents located along the street showcasing artwork. The applicant is requesting a waiver which requires them to obtain signatures of approval from a majority of the business affected by the street closure. Upon approval of this event the applicant must provide the City with the required Certificate of Liability Insurance that complies with the City's standard insurance requirements, including naming the City of South Miami as an additional insured prior to the event. For the 2018 South Miami Rotary Art Festival, the applicant has paid the City $660, which includes $60 application fee, $100 administrative fee and $500 deposit. The applicant is responsible for the following services rendered by the City: DEPARTMENT AMOUNT POLICE DEPARTMENT $8,700 PUBLIC WORKS $6,599.11 TOTAL $15,299.11 THE CITY OF PLEASANT LIVING FEES TO BE WAIVED: ATTACHMENTS: CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM The applicant is requesting fee waivers for the following fees: DEPARTMENT AMOUNT PARKING METERS ($25 x 72 METERS X 2 DAYS) $3,600 STREET CLOSURE & MOT $1,037.50 TOTAL AMOUNT REQUESTED TO BE WAIVED $4,637.50 Resolution Special Events Application 1 RESOLUTION NO.: _________ _ 2 3 A Resolution authorizing the Rotary Foundation of South Miami, Inc., to hold its 4 Annual South Miami Rotary Art Festival on February 24-25, 2018, located at 72nd 5 street (Sunset Drive) from 57th avenue to South Dixie Highway and waiving certain 6 special event fees. 7 8 WHEREAS, the Rotary Foundation of South Miami, Inc., (lithe applicant") has submitted 9 a Special Event Application to hold its Annual Art Festival (lithe Art Festival") on February 24- 10 25, 2018 and have reserved the dates for the following two years: February 23-24, 2019 and 11 February 22-23, 2020; and 12 13 WHEREAS, the applicant would like to host the Art Festival on 72 nd street (Sunset Drive) 14 from 5ih avenue to South Dixie Highway; and 15 16 WHEREAS, for the 2018 South Miami Rotary Art Festival, the applicant has paid the City 17 $660, which includes a $60 application fee, $100 administrative fee, $500 deposit; and 18 19 WHEREAS, the applicant is responsible to pay the City for Police ($8,700) and Public 20 Works ($6,599.11), totaling $15,299.11; and 21 22 WHEREAS, the applicant is requesting a waiver for Parking Meters Fee ($3,600) and 23 Street Closure and MOT Fee ($1,037.50), totaling $4,637.50; and 24 25 WHEREAS, the applicant has requested a waiver for the Notification/Petition Form 26 signed by businesses that will be affected by the requested street closure; and 27 28 WHEREAS, upon approval of this event, the applicant must provide the City with the 29 required Certificate of Liability Insurance that complies with the City's standard insurance 30 requirements, including naming the City of South Miami as an additional insured prior to the 31 event. 32 33 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE 34 CITY OF SOUTH MIAMI, FLORIDA THAT: 35 36 Section 1. The City Manager is hereby authorized to permit Rotary Foundation of South 37 Miami, Inc., to hold its Annual South Miami Rotary Art Festival on 72 nd street (Sunset Drive) 38 from 5ih avenue to South Dixie Highway on February 24-25,2018. 39 40 Section 2. The City Manager is hereby authorized to waive the cost for 72 Parking 41 Meters ($3,600), Street Closure fee and MOT fees ($1,037.50), totaling $4,637.50. 42 43 Section 3. The City Manager is hereby authorized to waive Notification/Petition Form 44 signed by businesses that will be affected by the requested street closure 45 46 Section 4. If any section clause, sentence, or phrase of this resolution is for any reason 47 held invalid or unconstitutional by a court of competent jurisdiction, the holding shall riot affect 48 the validity ofthe remaining portions ofthis resolution. 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 Section 5. Effective Date. This resolution shall become effective immediately upon adoption by vote of the City Commission. PASSED AND ADOPTED this __ day of ____ -', 2017. ATTEST: APPROVED: CITY CLERK READ AND APPROVED AS TO FORM: LANGUAGE, LEGALITY AND EXECUTION THEREOF CITY ATTORNEY MAYOR COMMISSION VOTE: Mayor Stoddard: Vice Mayor Welsh: Commissioner Edmond: Commissioner Liebman: Commissioner Harris: South MiamlRotary . , ,,'," ,,'. "I T estlva PO Box 430953 South Miami, FL 33243 February 21,2017 Mr. Steve Alexander, City Manager City of South Miami . Sunset Drive South Miami, FL 33143 Dear Mr. Alexander, With this letter, I am delivering to the city the application package for the 34th annual South Miami Rotary Arts Festival for February 24 & 25, 2018 . . Enclosed are checks in the amount of $160 for the Special Event Application Fee and Administrative Fee and $500 for the City Services Refundable Deposit. We request that in the Resolution drafted for the Commission you please include waivers from.. the ·f611owing sections of Ordinance 15B if it is still in effect: 6.3 Which requires us to obtain signatures of approval from a majority of the business affected by the street closure. 6.4 Those provisions pertaining to road closure costs and lost parking revenue 6.6 The requirement that costs of police and any other department employment be paid prior to the permit being issued. All of the waivers that we request are in keeping with the long standing policy of the City of South Miami which has always recognized the value to the city of the South Miami Rotary Art Festival. We bring approximately 25,000 visitors to the city over a two day period, many of whom return throughout the year to spend money in the downtown area. Furthermore, being the weekend after President's Day when the Coconut Grove Art Festival and the St. Stephen's Art Festival take place, a number of those artists remain in hotels and motels to participate in our festival, something they were unable to do when we were always the last weekend in February. This benefits our local tourist industries. " Profits from our festival are used to fund an annual college scholarship with preference to a South Miami student at the New World School of the Arts. We have been giving scholarships to needy children in South Miami for at least 20 years. We are currently invQlved with funding for a tutoring program as well as a summer swim program both City of South Miami Recreation Department projects. Prior to 2011 the City of South Miami provided financial concessions to non-profits such as Rotary to help defray Police and Public Works expenses incurred during the festival. Though you have not done that since then, we have continued to show the City as a sponsor in our publicity as gratitude for the fine job you do for us. We would respectfully request that, because of our loss last year some concession be made this year if it can be found in the budget. The city has always recognized the value of our art festival to bring many return visitors to South Miami raising awareness of all that the city has to offer. Should you have any questions, please contact me at wendylapidus@bellsouth.netorca1l305-542- 3652 Very truly yours, Wendy G. Lapidus Festival Committee Chair South Miami Rotary Art Festival Rotary Foundation of South Miami Always the weekend after President's Day. S,Quth Miami Rotary PO Box 430953 South Miami, FL 33243 F'" '. I .·esllva Please reserve our dates for the next three years as follows: February ~-25, 2018 February 23-24, 2019 February 22-23, 2020 , The festival is always the weekend after President's Day. The reason for that is that it is the weekend after the Coconut Grove Art Festival and the St. Stephens Art Festival to allows ,some of their artists to stay for our festival. It is usually the third weekend of February, but occasionally it is the last weekend depending on when President's Day falls. Always the weekend after President's Day. " Permit #: __ -'----"'-__ THE CITY OF PLEASANT LIVING SPECIAL EVENT APPLICATION This application must be submitted for special events that will be held on city property or requiring city services at least sixty (60) days prior to the date of the event. Please refer to the Special Events Handbook for more information about applying for a special event in the City of South Miami. APPLICANT INFORMATION APPLICANT NAME: W~'( <:;; LA.? 11> "S DAY TIME PHONE: $0$"-lAD 3 -'] 3 {,. <.... TITLE: t=f;:.s11 "'-±L:-= WAIf<-.:, MOBILE: ;'05" -S'tz. -'$(.:.5' z..... EMAIL: wJi:t....?12.iLAf..l> II > <i? l3Ei..l--?o~"""J+.\. t# ~ 2nd CONTACT NAME: HA(L\ c..~L TITLE: ""' rrt u At.,Sf) H DAY TIME PHONE: "4 f) tb \ l& MOBILE: ~ 05"-go "5 -, > 3./ EMAIL: t1.~Aa..~eJ..\A.E;lCOoret.2--.c....oM ORGANIZATION INFORMATION 12oTAR.'-( FOut-lDA\lc,voF "'5Du-rTt-Hl~1 ) fN..~ l>e.A.. NAME OF ORGANIZATION: -:5" 12T+'· HI AdM I f2.-p~y Aa-r F€i>:n u-4 L... ADDRESS: p .. o. G 0')<. Y 3> 0 Cc S' 3 I ~D \.1T~ HI AM I ,Fk 3 ~ c.. .... ~ PRESIDENT/'MANAGERNAME: ~UeMTp..,. ~V PHONE: :1~r. -l.f.lf-tJ -'I6""4q Is your organization a non-profit, 501(c) (3) certificate holder? 0 NO J'J YES -If YES, please provide a copy of your certificate with the application. EVENT INFORMATION TYPE OF EVENT: ~FESTIVALf€ElEBRA'fION' 0 RUN/WALK o FILM/PHOTO PERMIT o CHARITY 0 OTHER: ___________ _ NAME OF EVENT: --:5 6 pT\-\ M. \tIM \ \2-D~i2-'-< AIL. F~:n u A l LOCATION OF EVENT: S'-'N~e.T De, F@M. f2F.12 (?PAt> "TD U. S. I EVENT DATE(S): ~g,\lAI2.'i ;t4-~S", "2-b , 8 0 NEW EVENT g'RETURNIN<3 EVENT WILL THIS BE AN ANNUAL EVENT? . 0 NO ~ YES IF YES, THIS IS THe::?lf YEAR OF THE EVENL- SA\V~ ll>Af\-\ -Goo 'PM 7' ANTICIPATEDATTENDANCE:'25;O{)O ACTUALEVENTllMl:,Dao.'{ II.> AMtPM-to s: .-PM ASSEMBLYDATE(S): 6A~)':z,G\ISETUPTIMES: l.p AM/PMto \ D AM/oPht BREAKDOWN DATE(S):SVMDAi y:/;)"OREAKDOWN TIMES: /::5"" ~M to zg ~PM ~ roc D C-oVSLT ~ =s 1A:Ge e:.. (2JtA.." (.,~OfG eU $A:.TUlJ?A.'j I?'~ Iff. '- 'Fi9fL;. OPlSJU MttL~ ,J,4";2..."'2... -\t\14t, 'S\E,S$( ow U ~'T7L-SP~ 1 'f r Internal Revenue Service D~rector, Exempt Organizations Rul~ngs and,Agreements Date; NOV 10 2004 Rotary Foundation of South Miami, Inc. c/o David Jacobs Deparement of the Treasury P.O. Box 2508 Cincinnati, Ohio 45201 Person to Contact: Kar~n Chao -#31003 'Contact Telephone Numbers: 877-829-5500 Phone Toll-Free 513-263-3756 FAX 6401 SW 87th Ave., Ste. 204 ( Miami, FL 33173 L 6\ -kJ?7 Dear Sir or Madam: ,.J I Federal ~d.ntifiaation Number: 65-0366159 This modifies our letter dated october 27, 1993. In that letter we determined that your organization is exeinpt under section SOl {a} of the Internal Revenue Code I as ,an organization described in section 501 (c) (3 I We determined that you were not a private founil;qt.!~:-:. ';..;~ Ud .. :-:. i:'i.tl meaning of section 509 (a) of thp C'~=;;;. ~'·-·-,::.~::a J'uu were an organization described in ::;;:", L.!.::::::, :...",5 ial \:G) 'of the Code. In your letter dated October 2004, you indicated that you wished consideration for classification as an organization described in section 509(a} (3) of the Code. Based on the information yo~ provided, we have determined that you meet the requirements for the requested foundation classification. Accordingly, 'we have granted your request and modified your foundation status to reflect an organization described in section 509{a) (3). ion ~~~~i~~~'~M&~~~~~j~.iq,w;*,~ Grantors and contributors may rely on this determination until the Internal Revenue Se'rvice publishes notice to the contrary. However i if you lose your section 509(a}(3) status, a grantor or contributor may not rely on this determination if he or she was in part: T.'E'ls];,!ons:i.hle for, or was aware of. the act or failure to act that resulted in your loss of such status, or acquired knowledge that the Internal Revenue Service had given notice that you would be removed from classification as a section 509(a) (3) organization. Because this letter could help resolve any questions about your exempt status and/or foundation status. you should keep it with your permanent records. If you have any questions, please contact the person whose name and telephone nunilier are shown in the heading of this letter. SinCerelY~~ ~~?·CXI~ Lois G. Lerner Director, Exempt Organizations Rulings and Agreements I " fC- EVENT NA-mTlVE A detailed written description/summary of your event is required. Please describe all activities, schedule of activities, inventory of any sold items, giveaway items, list of vendors and any other important information. If additional space is needed please use a blank sheet of paper and attach to the application. , :rfHSEiJ'F-.c>"\ \S ~ \We ~i P«S' ~\]\Jttl--wm+ 1'+8 M..11 ST 'B'cpT-\-\ S uP 12 8 rooD V"ENDb(L e6Cms 4:. s- eA&TS) A b1U1±k.s. 6O'PH-\ $pu...1Hfe ~t>n-D12..iNf<.S,tuftTEXZ., :t2Ef;;.rZ... 1\.... k) Il±e., A f:.,bl.lt\J>"?J"!l\t;E f2F6>L'f (Ql4k ~tc'"'iTlf b 'BIKE. lMl...fZl q.... PEt" LZ>rnR>4Z:L 5.7J'l1btlS. A.L-L ) Y-F1=\l)[j2,. 'if M u~ C/ A td HAM 7; tAte ~.E.. ~~""~? I.H Ae:f!;1e.u -AfV..( -;z..ip \ e, ~. ~Jiii-A -r~D LOCATION APPROVAL If the organization is a tenant and/or renter of the event location, please have the property owner complete the following. Mark all that apply: i.1 Location is City of South Miami property (street, sidewalk, right-of-way, park, etc.) o Applicant/Organization owns the requested event location o Applicant/Organization will be using private property Comments: _________________ ,,&-___________ _ Property Owners Name: --------------7- Property Address: ___________ +-_____________ _ PRINT APPLICANT'S NAME APPLICANT'S TITLE PROPERTY OWNER SIGNATURE DATE NOTARY SIGNATURE ___ Day of __ ~-,,-_-, a Notary Public in and forr.-___ _ County, State of -r------ Signature (NOTARY PUBLIC) 2 " 1'\ ' .. Event Narrative continued In 1984 a dedicated group of Red Sunset Merchants Association members conceived an arts and crafts festival as a way to bring shoppers into the area an~ also to serve the community well by bringing the.arts closer to the local population. Started as a small show with only 25 booths, it has grown into one of Miami-Dade's most anticipated events.The festival is now wholly produced by the dedicated volunteers of the Rotary Club of South Miami and its Rotary Foundation of South Miami, Inc., its 501c(3). The artists come from all over the United States, the Bahamas, and Canada. This past year the festival received recognition in ArtFair Sourcebook's "AFSB Blue Chip 100 Fine Art Events" The only other festival in Miami-Dade to receive this honor was the Coconut Grove Art Festival. Proceeds from the festival fund a college scholarship at the New World School of the Arts with priority given to a South Miami student. In addition, they have provided funds for both the tutoring program and the summer swim program of the City of South Miami Recreation Department. In the past they have funded carpeting AfterSchool House, lighting Murray Field, giving a dictionary to every third grader and an atlas to every fifth grader in South Miami. It is only through the proceeds from this festival that we are able to accomplish these good works. " POLICE DEPARTMENT Off-duty police officers are required for street closures as determined by the Police Department. You will be required to hire off-duty police officers if your event includes street closures, alcohol sales or large crowds. Yes 1'C ,a ¢ No o o o Will your event o\:lstruct the normal flow of traffic SF sidewalb? Do you expect the total attendance for your event to be over 50 people at anyone given time? " Will you be requesting th~e of off-duty police officers? If. YES, how man~lPlease note: if you answered NO, to this question off-duty officers can still be assigned to your event at a cost to the applicant if deemed necessary) If NO, please describe why the event will not have a significant impact on the surrounding public streets and/or property area. STREET, SIDEWALKS AND RIGHT-Of-WAY CLOSURES List detailed closures you are requesting for your event including street, sidewalks and right-of-ways. ~k) .91'" c:r; ,7U 5814 /AuE. "Lv 5lS!" ~ £;Z lt2 5CJ,\4.A\J£. ,lJ.-t-~ '-tLJ '72:JZ-D''''5'\.' O(L PRlv~-rrc:..6tZ-?oe,L-,c.-.P1.2l~w""'1> AJvp ~u.u5:6T P~::\ All ~JFe;PeqUire'Wcom~\~ app2'v1by r~s~lution and may take up to two (2) months to be approved. All street, sidewalk and right-of-way closures must be identified on the site map. PLANNING AND ZONING Yes No ¢ o o Will you be hanging any banners over public streets or pole banners? If YES, a separate Banner Application with the City of South Miami Planning & Zoning Department will be required. (Please note: Only 501(c)(3) organizations may apply for a banner application. All requests for banners over public streets must be reviewed and pre-approved. A SOl(c)(3) certificate, insurance and photos of the banner must be included with the application to the Planning & Zoning Department) Have you notified the event location neighbors or businesses about your event? wE::. -r'i\>\c.A L-L y t::o --rt-\ (s ~-3 W~f.Lc;.. P(2...lc9L. ~ '11\-£ t~ 3 " I' CODE ENFORCEMENT Yes No ?D o o o Will you be having any music and/or amplified sounds during your event? Will your event be starting before 8:00 AM. C)H LJi SPT V P Will your event end after 11:00 PM? PARKS AND RECREATION Yes No 0 ~ 0 ~ 0 ~ PARKING DIVISION ~ No 0 0 ;gl ~ 0 Will this event take place in any of the South Miami City parks and/or recreation facilities? (Please note: A rental fee will be applicable if a city park is being used) Will this event require the use of any Department equipment (stage)? Will this event require the use of any Department staff? Will you pe renting any City parking meters? If YES, how many __ _ (Please note: All closures or interfer~nce on right-of-ways that includes parking meters will be required to pay the daily meter fee) * Do you have enough on-site parking to accommodate your event? Will your event involve the use 9f a shtlttle .al.d/u.' alternate parking sites? t'-\ ~ £2.A. \ L.---6Ml-~ b E-- '}<..F--.6d.>c.$\ I.H: f." LJ-AI v~(L :p~ FEbS PUBLIC WORKS Yes No lZI o ~ o Will your event interfere with any public right-of-ways, such as roads, sidewalks, alleys etc.? Will your event require any full and/or partial road closures? (Please note: any right-of-way closures will require at least one off-duty officer per corner) ~ 0 Would you like the City to provide you with barricades for you event, at a cost? If YES, how rt;'any AS Kf'G4'Iv\Mff:I-'~ 'B'1 C. \0i Please describe your plans for the cleanup and removal of recyclable goo~waste and ga~ge during and after your event. t a.1G-1m Ll '-E< tHE--:PVI6l-\ c..... Lc..?Dtl...\.LS ~1\1-€:rJ\ it-'PA'i F"6)fZ,. ~ ;St;;;f2vl c;.E,! TIJe:y PIA&fE.. o Vt\t ('> ? r ~ c;. t:...--~ 'i'c 'fL.U I't'=-s/ J'tS ,U) ~ TT4-fE: ~ ~~ ~ MOsT p~~. " ADDITONAL EVENT FEATURES o Temporary Fencing ~igns/Banners gTents or Canopies o Inflatables/Rides ~ve Music o Additional Barricades 0 Open Flames lErEIectrical Services/ Generators ~Port-A-Johns ifOther: tz" Il'i Q 0:m'=e:.-;-.. ,2"i3'tij AuG.r RSQuLtJJiS ~ Q 1'( (Please note: If any of the following apply, a separate narrative description of each additional feature may be required by the City with this application. Additionally tents, open flames and signs/banners may require Building Permits at the cost to the applicant.) FILM/STILL PHOTOGRAPHY Type of Production: _______ _ Base Camp Location: _____ --::,,£-__________ ~ _______ _ Cast: _~ ____ _ Extras: ______ _ Total Number: -----::.,.c-Type of Vehicle: ______ _ DEPARTMENT DIRECTORY Special Events Division .................................................................. . (305) 668-3873 South Miami Police Department ................................................. . (305) 663-6301 Public Works Department ............................................................ . (305) 403-2067 Parks and Recreation Department ............................................. .. (305) 668-3876 Code Enforcement Department ................................................... . (305) 668-7335 Planning and Zoning Department ................................................ . (305) 663-6326 5 INDEMINIFATION AGREEMENT ~ ~£,"":";~T/~ I>-r ";>blfiJ.l ..... ,~ I" 1M L THIS AGREEMENT ("Agreement") is entered into by and betW>~ 40utA HIMI P.gTAlLj AIrr Ff%$Tlv~ ("Applicant"), and the City of South Miami ("City") on the date on which the last of the Parties executes this Agreement. RECITALS WHEREAS, the Applicant has submitted a Special Event Permit Application to the City for (event title) ~1!tTM-H IcbM, k>TJOdl.!j.1V' r 8i$t1ud1tl ~tIPa(G-r 15ThIF'Wn. 59,que 9 ~fo'c~tion} on (date(s)) t==UV"fk~ .!l \.{-~ r.,'"zet B .' ("Special Event"); and WHERAS, 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 the City from claims which may arise out of the Special Event. Now, THEREFORE, in consideration of the matters recited above, the mutual covenants set forth herein, and other good consideration the receipt and sufficiency of Which is hereby acknowledged, the Parties hereby agree as follows: 1. The above recitals are true and correct. 2. Applicant agrees to indemnify, defend and hold the City, its officers, affiliates, employees, successors and assigns ( collectively "Indemnitees") harmless from and against any and all such claims, SUits, actions, damages, or causes of action arising as result of the Special Event, or of the condition of the site on which the Special Event is held including any personal injury or loss of life, or damage to or loss of property, and from and against any costs, attorney's fees, expenses or liabilities included in and about the defense or settlement of any clams, and the investigation thereof, except to the extent caused by indemnitees negligence of willful misconduct. 3. No Streetsllall be closed without approval from the City Commission. 4. Traffic shall be maintained in accordance with Florida Department ofTransportation (FOOT), Miami-Dade County standards and any additional requirements by the City of South Miami Public Works Department and Police Department. 5. Event areas shall be restored to eq!Jal or better condition than they were before the event started. 6. Any damage to private property shall be restored to its original condition or better and as accepted by the Owner caused by applic'ant or any of its agents, servants or employees, invitees and onlookers. 7. If all restoration work is not performed within 30 days of work completion, the City of South Miami Public Works Department may restore the event area and charge the applicant for the cost of restoration and additional incidental fees. 8. Applicant must pay all fees prior to the date oftheir event(s}. 9. Applicants shall notify the City of South Miami Special Event Coordinator at least forty-eight (48) hours prior to start of their event of any cancellations to be considered for any refunds. IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed and sealed by its duly authorized signatory(ies} on the date set forth below and notarized. NOTARY SIGNATURE Subscribed and swgJ:P-before me, this 2f'_,,~~~_o~~fI# ' coun~~ Signature (NOTARY PUBLIC) MARIA e, GARCIA.QASALS MY COMMISSION HF 219409 EXPIRES: April 26, 2019 Bonded TPm Notary Public Underwriters ~~~~~~~~~~~~ Ej2.'2TtvAL. ~\..~L~ APPLICANT'S TITLE fee:>. "2...2.., ~\., DATE 6 \ Ii I, r) "'II> NOTIFICATION/PETITION We, the undersigned business 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 disapproved. Resident/Business Name Contact Name Address Phone No. Signature Ql\Y· \'{~ l6\LL ~ W,+( vt;:: 5 " ~lll <:., f(~UIIL§' MCATl / "' / / / / / / / / / / L / / / /'-/ / 8 1') FINAL CHECK UST This list is to ensure that all necessary documentation is included and that all required procedures are followed. The Special Event Coordinator will check the application against this checklist to ensure all information was submitted correctly. IT APPLICATION: Ef FEE: ~ SIGNATURES: ~ EVENT NARATIVE: All information has been properly filled out on the application with all required documents at least 21 days prior to the proposed event. A $60 application fee and $100 administrative fee must accompany your submission in check or money order form. Application must be signed and notarized. Briefly discuss your Organization/Business, the purpose of your event, the benefits, etc. ff NOTIFICATION FORM: The name, signature, address and phone number of each person who is either a property owner or lessee within the requested event area must appear on the sheet. rsr SITE PLAN: cl" COPY: A site plan must be submitted with the application that must show intersecting streets, parking areas, tents, stages, routes, barricades, etc. It is strongly recommended that you make a copy of your application for your own records COMPLETED APPLICATIONS: Yvette Valdes, Special Events Coordinator Gibson-Bethel Community Center 5800 SW 66th Street South Miami, FL 33143 Office: 305-668-3873 -Email: yvaldes@southmiamifl.gov Once the application has been approved processed and the date has been reserved the following must be submitted prior to the event date. o INSURANCE: o EVENT FEES: The applicant is required to submit a Certificate of Insurance naming the event and the City of South Miami (6130 Sunset Drive South Miami, FL 33143) as an additional insured, in the amount of $1,000,000. A $500 refundable security deposit, and other applicable chargers such as, but not limited to, street closures, off-duty police officers, etc. will be due and required before any permit can be issued. 9