Res No 081-17-14882RESOLUTION NO.:081-17-14882
A Resolution authorizing the CityManager to permit Team Footworks Educationaland
Fitness Corporation,a non-profit organization,to hold its 29th Annual Twilight 5K
Run/Walk event andtowaive the costof parking meters.
WHEREAS,Team FootWorks Educational and Fitness Corporation ("the applicant"),a
non-profit organization,has submitted a Special Event Application hold its 29th Annual Twilight
5K Run/Walk event on Sunday,June 4th,2017 from 6:00 PM to 8:30 PM;and
WHEREAS,The Twilight 5K Run/Walk allows participants of all skill levels topartakeina
fun,safe run/walk in the downtown South Miami area and surrounding streets,beginning at
74th street and 58th avenue,ending at 57th court and 73rd street;and
WHEREAS,the applicant haspaid the City$660,whichincludesa$500 refundable
securitydeposit,$100 administrative feeand$60 application fee;and
WHEREAS,theapplicantisresponsibletopaythe City for Police Services($2,320),Public
Works ($1,748.74),Street Closure and MOT ($1,678.75)totaling $5,747.49;and
WHEREAS,theapplicantisrequestinga waiver for fifty eight (58)parking metersinthe
amount of $1,450;and
WHEREAS,theapplicanthascompletedthe Special Event Application andhassubmitted
the necessary Notification/Petition Form signed by businesses that will be affected by the
requested street closure;and
WHEREAS,upon approval ofthiseventthe applicant must provide the City withthe
required Certificate of Liability Insurance that complies with the City's standard insurance
requirements,including naming the City of South Miami asan additional insured prior tothe
event.
NOW,THEREFORE,BE IT RESOLVED BYTHEMAYORANDCITY COMMISSION OFTHE
CITYOFSOUTH MIAMI,FLORIDATHAT:
Section1.The City ManagerisherebyauthorizedtopermitTeam Footworks
Educational and Fitness Corporation to hold its 29th Annual Twilight 5K Run/Walk event on
Sunday,June 4th,2017 from 6:00 PM to8:30 PM.
Section 2.The City Manager is also authorized to waive fifty eight (58)parking meters in
the amount of $1,450.
Section 3.If any section clause,sentence,or phrase of this resolution is for any reason
held invalid or unconstitutional by a court of competent jurisdiction,the holding shall not affect
thevalidityof the remainingportionsofthisresolution.
Pg.2 of Res.No.081-17-14882
Section 4.Effective Date.This resolution shall become effective immediately upon
adoption by vote of the City Commission.
PASSED AND ENACTED thisljthday of April _,2017.
APPF
JA itMAYOF
COMMISSION VOTE:
Mayor Stoddard:
Vice Mayor Welsh:
Commissioner Edmond:
Commissioner Liebman:
Commissioner Harris:
4-0
Yea
Yea
Yea
Recused
Yea
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
T&£atY OF PLEASANT LlViNG
To:
From:
Via:
Date:
Subject:
Background:
Revenue:
The Honorable Mayor &Members of the City Commission
Steven Alexander,City Manager
Quentin Pough,Director ofParks&Recreation
April 18,2017 Agenda Item No.:i
A Resolution authorizing the City Manager to permit Team Footworks
Educational and Fitness Corporation,a non-profit organization,to hold its 29th
AnnualTwilight5KRun/Walk event andto waive the cost of parking meters.
Team Footworks Educational andFitness Corporation ("the applicant"),anon
profit organization,has submitted a Special Event Application to hold its 29th
Annual Twilight 5K Run/Walk eventon Sunday,June 4th,2017 from 6:00 PM to
8:30 PM.
TheTwilight5KRun/Walkallows participants ofallskilllevels to partake inafun,
safe run/walk in the downtown South Miami area and surrounding streets,
beginning at 74th street and 58th avenue,ending at 57th court and 73rd street.
Every year the applicant provides a charitable donation for the funds collected;
this year,the South MiamiPoliceExplorerswillbe one of the charitable
beneficiaries.
The applicant has submitted the necessary Notification/Petition Formsignedby
businesses that willbe affected by the requested street closure.Upon approval
of this event the applicant must provide the City with the required Certificate of
Liability Insurance that complieswith the City's standard insurance
requirements,including naming the Cityof South Miamiasan additional insured
prior to the event.
The applicant haspaid the City$660,which includes a$60 application fee,$100
administrative fee,and$500 refundable security deposit.
The applicant is responsible forall services rendered by the City:
City Services Amount
Police Department $2,320
Public Works (i.e.staff,barricades)$1,748.74
Street Closure &Mot $1,678.75
Total $5,747.49
:THE:SifYOF'»ceAsANt Living
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
Fees to be Waived:The applicant is requesting a waiver forthe following fee:
Attachments:
i City Services Amount
|ParkingMeters($25x58Meters)$1,450
Resolution
SpecialEventsApplication
/*•
*wrkA\>Soutlf Miami
THE CITY OF PLEASANT LIVING
special event application
Thisapplication must be submitted forspecial events that willbeheldoncity property orrequiringcity services at
leastsixty (60)dayspriorto the dateofthe event.Please refertotheSpecialEventsHandbookformore
information about applyingforaspecial event in the CityofSouthMiami.
APPLICANT INFORMATION
APPLICANT NAME:"3hhr>V4uS>€,bVI TITLE:I^SSVStel^TX^Jg.I^raoW
DAY TIME PHONE:3bS -(do(o"~l^^>MOBILE:^O&Olo)'^!
EMAIL:0^-H^H-^\\>&Yfe -Ore
Permit #:
^nd CONTACT NAME:KflS^O Pfef /4ijS efod TITLE:S)i^mOTtoSt?tf"
DAY TIME PH0NE:33ST-£Cb~1^lX2>MOBILE:~l£(a -pi9<e "^^^Z
email nu&e\Qfajfcoorksm/a.m.c<?n^
ORGANIZATION INFORMATION
TVe&m <\IQQ4\X)QvksNAMEOFORGANIZATION
ADDRESS:SiaM-'Surredi-X>\\Je
PRESIDENT/MANAGER NAME:Lc^UnC l^U&gJCXJ PHONE:^£)^>~-LoUj=t1 C^3
ftIsyourorganizationanon-profit,501(c)(3)certificate holder?[J NO tijQ YES -If YES,please provide a
copyofyourcertificatewith the application.
EVENT INFORMATION
TYPE OF EVENT:•FESTIVAL/CELEBRATION )Kj RUN/WALK Q FILM/PHOTO PERMIT
•CHARITY •OTHER:
NAME OF EVENT:IVqA\qWt *ZK ^Un/l^al K
LOCATION OF EVENT:'S-LCT l?f ^Y^fgjf ^?QAM.SI CiiHU^T
EVENT DATE(S):s5l me.4*}QO\r~)DNEW EVENT }fa RETURNING EVENT
WILL THIS BE AN ANNUAL EVENT?•NO jS YES IF YES,THIS IS THEC^9 YEAR OF THE EVENT
ANTICIPATED ATTENDANCE:/,500 ACTUAL EVENT TIME:(p'.Ef)AM/@)to <S'?0 AM,@)
ASSEMBLY DATE(S):011 )P>P *4 ,&OQ SETUP TIMES:W»OD(g>/PM to tf-OO AM/(g)
BREAKDOWN DATE(S):3VjJDe.M-^QBREAKDOWN TIMES:IS'^Q AMjErwho I l'-CD>Mi?P^
EVENT NARATIVE
Adetailedwrittendescription/summary Of youreventisrequired.Pleasedescribeall activities,schedule
of activities,inventoryofanysolditems,giveaway items,listofvendorsandanyotherimportant
information.If additional spaceisneededpleaseusea blank sheetofpaperandattachtothe
application.
SIC }mr>f(Aj^ff<oo)U^roarf closures^sesf -up Cptidr^o 4he^
net
LOCATION APPROVAL
If theorganizationisa tenant and/or renter oftheevent location,pleasehavethepropertyowner
complete the following.
Markall that apply:
LocationisCityofSouthMiami property (street,sidewalk,right-of-way,park,etc.)
D Applicant/Organization owns the requested event location
Q Applicant/Organization will be using private property
Comments:
#
Property Owners Name:
Property Address:
Phone:
3ohnnJf"LitiseLf /reAMfaHf\krt&^Ice,Pr^'irfW
PRINT APPLICANTS-NAME APPLICANT'S TITLE
PROPERTY OWNER SIGNATURE
Mm it*M&£asti\\
NOTARY SIGNATURE
Subscribedandswornbeforeme,this
fLf™Day of M&rak a
Notary Public in and for fah i OJh i -J)ftife/
County,State of rfbridlKj
Signature (NOTARY PUBLIC)
DATE
rf***t NowryPutfic state of Florida
•*A#.Wanda McCasklll
"\£9*J My Commission 06 012653
POLICE DEPARTMENT
Off-duty police officers are required for street closures as determined by the Police Department.You
willbe required to hire off-duty policeofficersifyour event includes street closures,alcohol sales or
large crowds.
Yes No
•
Bf D
Will your event obstruct the normal flowof traffic or sidewalks?
Doyou expect the total attendance for your event tobe over 50 people
at any one given time?
•Will youberequestingtheuseof off-duty police officers?
If YES,how manv~TBt>(Please note:if you answered NO,to this
question off-duty officerscanstillbe assigned to your event ata cost to
the applicantifdeemednecessary)
If NO,please describewhy the event willnothaveasignificantimpacton 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,sidewalksandright-of-ways.
Please note:All closures require CityCommissionapprovalbyresolutionandmaytakeuptotwo(2)
monthstobeapproved.All street,sidewalkand right-of-way closuresmustbe identified onthesite
map.
PLANNING AND ZONING
Yes No
1ST D Will you be hanging any banners over public streetsor pole banners?If
YES,a separate BannerApplicationwith the City ofSouthMiami
Planning &Zoning Department willbe required.
(Please note:Only501(c)(3)organizations mayapplyfora banner
application.All requests for banners over public streets must be
reviewed and pre-approved.A501(c)(3)certificate,insurance and
photos of the banner must be included with the application to the
a Planning &Zoning Department)
y\•Have you notified the event location neighbors or businesses about
your event?
CODE ENFORCEMENT
•
D
No
D Will you be having any music and/or amplified soundsduringyour
event?
|2^Will your event be starting before 8:00 AM.
X.Willyour event end after 11:00 PM?
PARKS AND RECREATION
Yes
D
•
•
l\IU /
PARKING DIVISION
•
No
•
•
X
PUBLIC WORKS
Yes No
•
•
•
Willthis event take placeinanyof the SouthMiamiCityparks and/or
recreation facilities?
(Please note:Arentalfeewillbeapplicableifacityparkisbeingused)
Willthis event require the useofany Department equipment (stage)?
Willthis event require the useofany Department staff?
Will you be renting any City parking meters?If YES,how many O 0
(Please note:All closures or interference on right-of-ways that includes
parking meters willbe required topay the daily meter fee)
Doyouhave enough on-siteparkingto accommodate your event?
Will your event involve the useofa shuttle and/or alternate parking
sites?
Willyour event interfere withanypublic right-of-ways,suchasroads,
sidewalks,alleys etc.?
Wiil your event require any full and/or partial road closures?
(Please note:anyright-of-wayclosures will require atleast one off-duty
officer per corner)
Would youlike the Cityto provide youwith barricades foryou event,at
a cost?If YES,how many 100
Please describe your plans for the cleanup and removal ofrecyclable good,waste and garage
during and after your event..
UJg-hAAte.efe/^j ^pgr^flf^(jji4h (Llew~uf>i recycling
INDEMINIFATION AGREEMENT
THIS AGREEMENT ("Agreement")is entered into byand between
("Applicant"),andtheCityofSouthMiami ("City")onthedateonwhichthelastoftheParties executes this
Agreement.
RECITALS
WHEREAS,theApplicanthas submitted aSpecial Event Permit Application tothe City for (event title)
(date(s))flV June_^&011 ("Special Event");and WHERAS,pursuant to of the City's Code
and the City'sSpecialEventRegulations,the Applicantmust execute anindemnificationandholdharmless
agreement protecting the Cityfromclaimswhichmayariseoutof the SpecialEvent.
Now,THEREFORE,in consideration of the matters recited above,the mutual covenants set forth herein,and other
good consideration the receipt andsufficiencyofwhichisherebyacknowledged,the Partieshereby agree as
follows:
1.The above recitals are true and correct.
2.Applicantagreestoindemnify,defendandholdthe City,itsofficers,affiliates,employees,successorsand
assigns (collectively "Ipdemnitees")harmless from and against any and all such claims,suits,actions,
damages,or causes of action arisingas result of the SpecialEvent,orof the condition ofthesiteonwhich
the SpecialEventisheldincludinganypersonalinjuryorlossoflife,or damage toorlossof property,and
fromandagainstanycosts,attorney's fees,expensesorliabilitiesincludedinandabout the defense or
settlement ofanyclams,and the investigation thereof,except to the extent causedby indemnitees
negligence ofwillful misconduct.
3.No Street shallbe closed without approval from the City Commission.
4.Trafficshallbe maintained in accordance withFlorida Department of Transportation (FDOT),Miami-Dade
County standards andany additional requirements by the CityofSouthMiamiPublicWorks Department
and Police Department.
5.Event areas shallbe restored toequalor better conditionthantheywerebeforetheevent started.
6.Anydamagetoprivate property shallberestoredtoitsoriginalconditionor better andasacceptedbythe
Ownercausedby applicant oranyofits agents,servants or employees,inviteesandonlookers.
7.Ifall restoration workis not performed within30daysofwork completion,the CityofSouthMiamiPublic
Works Department may restore the event area and charge the applicantfor the costof restoration and
additional incidental fees.
8.Applicant mustpayail fees prior to the date of their event(s).
9.ApplicantsshallnotifytheCityofSouthMiami Special EventCoordinatoratleastforty-eight(48)hours
priorto start of their event ofany cancellations tobe considered forany refunds.
IN WITNESS WHEREOF,eachof the parties hereto hascausedthis Agreement tobe executed andsealedbyitsduly
authorized signatory(ies)on the date set forth below and notarized..—v3^rt "3P''tiuRety/Te^Poofhlorks V/Ce rresident
DDIMT ADD1 lftAMT;C MAIV/IC'ADD1 ITAMT'C TITI CPRINTAPPLICANT'SNAME
APPLICANT SIGNATURE
WWa McfjatiH
NOTARY SIGNATURE
Subscribed and sworn before me,this
\4&day of March
County,State^ffOndn.
MM
Signature (NOTARY PUBLIC)
APPLICANTS TITLE
,s-ii-n
DATE
££***"*07/18/202?VOW-i
ROUTE/MAP
Amapof the event siteisrequiredandshouldindicatedthe event layoutwithproposed attractions,
recommended street closures,paradeorrun/walkroutes,etc.Please drawyourmapon the space
providedbelow,orattachamapto the applicationuponsubmittal.Thefollowing must be identified and
labeled
1.Event site (streets,bidg.,etc.)
2.Routes (races,parades,etc.)
3.Canopies,tents,stages
4.Restroom facilities
f>e^a+fadW/
5.Fencing/Barricades
6.Off duty police officers
7.First aid facilities
8.Parking Area
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 maynot effect this application being disapproved.
Resident/Business Name Contact Name
-fepV'vV SiAV \W*%sv<pcx^f\
Hl±6t<yH4 PAtiX-/Wa*niUt<t
%cAaa Mtifsp Ma J&4X
\\ond £sV^ns_f]6o ^oOc^
TQLonY^Ko/vW [hnr^
Address Phone No.
^6)$Jl-lflt
***ck
T3o\AuJSy
60.Miami {•/
13oi 4J
'\&>\5u»^
nW&j><Wt.
7X&Cl%\6h<V
y%<,to>.>fc>(
tyl^-^q
~lZ4S Sw eiT^/ftT4B4<%3?
Signature
{{a^a^L
QjfrfitiTfesdotiM*£MA?ttAtfRji \>.*?*?&(dXw-sxef
:»Ni&^vM^KTfasAQKA%"Tefj?,f£.V¥sos cq^s 41 ft-
^(WsC^%^j/W-£6*-**"
Jcto-flf InIh^jV IvgA ^01 ft//^5/f75-^7X
^WVv in tu^-xm
\A&QC
frftofft f|fi|rz/£%km Htoj*fc M-tfT-zftt
FWtoU k(tdi¥l IW mmMi
FINAL CHECK LIST
Thislistis to ensure that all necessary documentation isincludedand that all required procedures are
followed.TheSpecialEventCoordinator will check the applicationagainstthischecklistto ensure all
informatibni wassubmittedcorrectly.
13 APPLICATION:
^3 FEE:
13 SIGNATURES:
H EVENT NARATIVE:
13 NOTIFICATION FORM:
12 SITE PLAN:
^0 COPY:
All information has been properly filled out on the application
withall required documents atleast21dayspriorto the
proposed event.
A $60 applicationfeeand $100 administrativefeemust
accompany your submissionincheckor money order form.
Application must be signed and notarized.
Briefly discussyourOrganization/Business,the purpose of your
event,the benefits,etc.
Thename,signature,address and phone number of each
person whois either a property owner or lessee within the
requested event area must appear on the sheet.
A site plan must be submitted with the application that must
show intersecting streets,parkingareas,tents,stages,routes,
barricades,etc.
it isstronglyrecommended that youmakeacopyofyour
application for your own records
COMPLETEDAPPLICATIONS:Yvette Valdes,Special Events Coordinator
Gibson-Bethel Community Center
5800 SW 66th Street South Miami,FL 33143
Office:305-668-3873 -Email:vvaldes@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.
^INSURANCE:
•EVENT FEES:
The applicant is required to submit aCertificateof Insurance
naming the event and the CityofSouthMiami(6130 Sunset
Drive South Miami,FL 33143)asan additional insured,in the
amount of $1,000,000.
A$500 refundable securitydeposit,and other applicable
chargers suchas,but not limited to,street closures,off-duty
policeofficers,etc.willbe due and required before any permit
can be issued.
9
CITY OF SOUTH MIAMI PARKING DIVISION
6130 SunsefDrive,South Miami,Fl 33143(305)668-2512 Fax (305)663-6346
Parking Stalls/Meters Rentals Application
South Miami
H.1or I d a
Mlll'f
Pursuant toSection15C-1(a)(2)(b)of the'CodeofOrdinance,"Rental FeesforPublic CWStree't curbside
spaces (Parking space)are $25.00 per space per day,seven days per week based ontwenty-four(24)houruse".
Business/Organization Name Applicant Name *f
Business/Organization Address City StateZip Code
Phone Number Fax Number E-Mail
Name of Event:TZoi fi^M-£f<Run IuOqIK Type of Event Run /upolk^
Purpose for utilizing parking meters:S^fe-/
Number of On/Street
curbside spaces requested:
<L
NumberofDay's
^curbside spacesdesired:
«r
Start
.Time:
&2^221
371 ^
Y2S-421
su)Sl^CL-t H\l H*.
a.m.End
p.m.Time:
330 «33<?jus-aai
^13,X7<f ^S a-7fe
^36 *&|**&2 <fiS3
4/r Hi*4&y/2.
ai?are
lrn Q.-7S
*//9 ?/&•
«"<P$>
(If necessary,please attach additional sheets)
I herebycertify the above informationistrue,correctandcompleteasofthedateofthissubmittal.It Isunderstoodthat
this applicant will bereviewedandmaybeadjusted periodically by City Staff;ifany Information should change that I shall
amendor supplement thisapplicationwithinfive business daysofthechange.
Date
Permit No:
Applicant's Signature
FOR OFFICE USES ONLY:
•DENIED I IAPPROVED AS PRESENTED ||APPROVED WITH CONDITION
NO.Meter Days;:
Comment:
NO.Meter:
PARKING DIVISION SIGNATURE
Daily Fee;
$
DATE Estimated Total Cost
<,o SI cT CtSoT.4rO°l •4-xo <ti-v <t-i-i
<bL\<H.<f 4-uS «bi_t
*Ll 403 vn <to<
<toS «tOO-Hoi 4*:
Hjo
Vl too
.
FIRST NAT BANK
Jl
SW73ST
PARKING
I SUNSET DRIVE.
REGISTRATION
—:—r
DISPLAY
•
DISPLAY
•
FINISHI
gA
or
SW74ST
REFRESHMENTS
..e
15
-J
ft
ACORE?CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
3/14/2016
THIS ^CERTIFICATEIS ISSUED AS-A-MATTER OF INFORMATION ONLY AND CONFERS NORIGHTSUPONTHE CERTIFICATE HOLDER.THIS
CERTIFICATEDOESNOT AFFIRMATIVELY ORNEGATIVELYAMEND,EXTENDOR ALTER THECOVERAGEAFFORDED BY THEPOLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOESNOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING lNSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holderisan ADDITIONAL INSURED,the policy(tes)mustbeendorsed.If SUBROGATION IS WAIVED,subjectto
thetermsandconditionsofthepolicy,certainpoliciesmay require anendorsement.Astatementonthiscertificate does notconferrightstothe
certificate holder In lieu of such endorsement(s).
PRODUCER
STAR Insurance -Fort Wayne Office
2130 East Dupont Road
Fort Wayne IN 46825
INSURED
Road Runners Club of America/2016 and Its
Member Clubs
1501 Lee Highway,Suite 140
Arlington VA 22209
name*CT Margaret M.Mayers
PHONE
(A/C.rTo.Ert):
address:ftargaret .mayersQstarfinancial.com
(260)467-5689 fA)c.N(rt:<260>467-s691
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A National Casualty Company 11991
insurerBNationwide Life Insurance Co.66869
INSURER C:
INSURER D:
INSURER E:
INSURER F;
COVERAGES CERTIFICATENUMBER:2016 $2M A.I.REVISION NUMBER:
THIS ISTO CERTIFY THATTHEPOLICIESOF INSURANCE LISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMED ABOVE FORTHEPOLICYPERIOD
INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERMORCONDITIONOFANY CONTRACT OROTHERDOCUMENTWITH RESPECT TOWHICH THIS
CERTIFICATE MAYBE ISSUED ORMAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1NSR
LTR TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE X OCCUR
Legal Liability to
Participant $2,000,000
GEM.AGGREGATE LIMIT APPLIES PER:
r~1 Mr ..L0C•POLICY ||!£CT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON-OWNED
AUTOS
UMBRELLA LIAB
EXCESS UAB
OCCUR
CLAIMS-MADE
PEP RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
tf yes.describe under
DESCRIPTION OF OPERATIONS below
Y/N
•
Excess Medlaal &Accident
($250 Deductible/Claim)
AD&T
JUSD.
SDBR
WD.
N/A
POLICY NUMBER
KRO0000005888100
Abuse &Molestation
Aggregate $5,000,000
KRO0000005888100
SPX0000027201500
POLICY EFF
(MWDD/YYYY)
12/31/2015
12:01 AM
12/31/2015
12:01 AM
12/31/2015
12:01 AM
POLICY EXP
(MM/DD/YYYY)
12/31/2016
12:01 AM
12/31/2016
12:01 AM
12/31/2016
12:01 AM
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MEDEXP(Any one person)
PERSONAL &ADV INJURY
GENERAL AGGREGATE
PRODUCTS -COMP/OP AGG
Abuse and Molestation
COMBINED SINGLE LIMIT
(Eaaccident)
BODILYINJURY(Perperson)
BODILYINJURY(Peraccident)
PROPERTY DAMAGE
(Peraccident)
EACH OCCURRENCE
AGGREGATE
PER
STATUTE
OTH
ER
EL EACH ACCIDENT
E.L.DISEASE -EA EMPLOYEE $
E.L.DISEASE -POLICY LIMIT
Excess Medical
AD&SpecificLoss
2,000,000
500,000
5,000
2,000,000
Unlimited
2,000,000
500,000
2,000,000;
$10,000
$2,500
DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORD101,AdditionalRemarks Schedule,maybe attached If more space Is required)
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE
NAMED INSURED.DATE OF EVENT(S):*05/15/16 Twilight 5k Run/Walk INSURED KRCA CLUB/EVENT MEMBER:
TeamFootWorks,Att'n:Karon Plaster,5724 Sunset Drive,South Miami,FL 33143
CERTIFICATE HOLDER CANCELLATION
05/15/16 City of South Miami
6130 Sunset Drive
South Miami,FL 33142
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Terry Diller/MMA r-^±**^<R ...£^2r2^|C2P<po
)1988-2014 ACORD CORPORATION.All rights reserved.
OOOO01O 12/03/15
Consumer's Certificate of Exemption
Issued Pursuant to Chapter 212,Florida Statutes
•m/3M2SZT
4E-.i&&
85-80T2600365C-4-
Certificate Number .
This certifies that
-01/31/2016
Effective Date
TEAM FOOTWORKS EDUCATIONAL
AND FITNESS CORPORATION
5724 SUNSET DR
SOUTH MIAMIFL 33143-5316
Expiration Date
is exempt from the payment of Florida sales and use tax on real property rented,transient rental^fb^erty'Tgrned,tangible
personal property purchased or rented,or services purchased.
Important Information for Exempt Organizations
ra<--IL
DR-14
R.04/11
DR-14
R.04/11
You must provideall vendors and suppliers withan exemption certificate beforemaking tax-exempt purchases.
See Rule 12A-1.038,Florida Administrative Code (FAC).
Your Consumer'sCertificate of Exemption istobe used solelybyyourorganizationforyour organization's
customary nonprofit activities.
Purchases made byanindividualon behalf oftheorganizationare taxable,eveniftheindividual will be
reimbursed by the organization.
Thisexemption applies only to purchases yourorganizationmakes.Thesaleorleaseto others of tangible
personal property,sleeping accommodations,orotherrealpropertyistaxable.Your organizationmustregister,
and collect and remit sales and use tax on such taxable transactions.Note:Churches are exempt from this
requirement except when they are the lessor ofreal property (Rule 12A-1.070,F.A.C.).
itisacriminal offense tofraudulently present thiscertificateto evade the paymentof sales tax.Underno
circumstances should thiscertificate be used forthe personal benefitofanyindividual.Violators will be liablefor
payment ofthe sales taxplusapenaltyof200%ofthetax,andmaybe subject toconvictionofa third-degree
felony.Anyviolation will require the revocation ofthis certificate.
Ifyouhave questions regardingyour exemption certificate,please contact theExemptionUnitofAccount
Management at 800-352-3671.Fromtheavailableoptions,select "RegistrationofTaxes,"then"Registration
Information/'andfinally Exemption Certificatesand Nonprofit Entities."The mailing address isPOBox6480,
Tallahassee,FL 32314-6480.
TeamFootWotks
5724 Sunset Dr.305-666-RACE
South[MiamLfki£3L43„__..._,___.„..,..„.„..„wwyv.jtea^
March 14,2017
To:Steve Alexander
City Manager
City of South Miami
Mr.Alexander,
ThisletteristoaccompanyourspecialeventapplicationfortheSouthMiamiHospital
Twilight 5K Run/Walk.
TheTwilight 5K isahealthyandwholesomefamilyeventbasedonexercise,fun,good
food,musicandactivitiesfortheentire family.Inthetwentyplussincewehavebeen
doingthisevent,SouthMiami has comeoutinlargenumberstosupportitandour
missionof fitness and community.The attached routemapandvenuelayoutshould
provide afair overview of theevent.
PresentedbySouthMiamiHospital(BaptistHealthSouthFlorida),therun/walkwilltake
place on Sunday,June 4,2017.
Aswehaveinthepast,theTwilight5kwilldesignatetheSouthMiamiPoliceExplorers
as one of the charitable beneficiaries for the run.
If youhaveanyquestionspleasedonothesitatetocall.
Sincerely,
Laurie Huseby
Race Director
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
':%&^msii3mm$Mim
Pii&i$
Event Day/Date frfc Saturday,May 4,3017
Pwi Times ftoiws Hourly Cost Extended Cost tWai
Smpfoyes 0 #q«-&3q&m |H$S40.DQ $$80.00
$U«MH><Etiiplpyee#2 6stf0fiM~<8igQAM 14.5.$40:00 $3#0.OO
Dajrt -$$stfc ^bafefc^bw &Materials
EQUipment:
?CE^
.iti»
E>#1 ^^M^fe^taifecfe;-|3;,0i AD^TO i$aif
Grand Total:Sl.748.34
%M&£.wum..•.'A^tmmwfii
Valdes,Yvette
From:JPHuseby<jp@footworksmiami.com>
Sent:Thursday,March 23,20172:47PM
To:Valdes,Yvette
Cc:alexis;eddie;huse;jono;karen;lauriehuseby;unclepete;wanda
Subject:twilightrun
Yvette,nicetalkingtoyoutoday.I wouldliketo request thecitywaivetheparking meter feesforthe Twilight Runon
June 4th this year.
Thanks!!
JP Huseby
Team Footworks
305-666-7223
5724 Sunset Drive
Miami,Fl.33143
Footworks
305-667-9322
5724 Sunset Drive
Miami,Fl.33143
Email secured by Check Point
Start Detail
SW 58th.Ave,
Start is 81ft.11 Inches.north of
Sanitary sewer at middle of,thd
sjtreet at SW 74 Ter and 58 th
Ave.
05
CO
«-ei»U"
SRetfRd.
Finish Is13 ft 3
Inchessouthof tight .
postat drjva thru
entrance toFirst•
National Bank of ...
Sooth Miami on 57
Court.'•
SWSTth.Ctiiya-
CO
§
i
1 mile Is on 87 St just before
80th Ave
2 rrtite ts on 84 St just past 62
Ct.:
3 mile Is on 74 Terjustpast
turn off of 58 St.
rOTTOrthAve.
5&62nd Ave.")'
USATF Cert #FL,10055EBM
effective 6/03/2010 to 12/31/2020
Course measured by Don
Matuszak and David Raybon.
790-525-3540,.
donaldmatuszak@comcast.net