Res No 172-22-15925RESOLUTION NO. 172-22-15925
A Resolution authorizing the City Manager to permit American Legion Post 31,
Inc. to host a Celebration of Life event for Commander Stewart (Mike) McVay on
Saturday, January 14, 2023 on its property located at 7710 SW 59th Avenue and
to waive certain special event fees.
WHEREAS, American Legion Post 31, Inc. ("the applicant") has submitted a special event
application to host a Celebration of Life event for Commander McVay on Saturday, January 14,
2023 from 4:00 PM -9:00 PM on its property located at 7710 Southwest 59th Avenue; and
WHEREAS, the applicant is requesting three (3) off-duty police officers, total service
amount of $705; and
WHEREAS, the applicant is requesting a fee waiver for the following items in the amount
of$244;and
EVENT FEES AMOUNT
SPECIAL EVENT APPLICATION & ADMIN FEE $160
PUBLIC WORKS BARRICADES (4) $84
TOTAL
REFUNDABLE SECURITY DEPOSIT*
WHEREAS, the applicant is responsible for submitting a refundable security deposit in the
amount of $500 and payment for police services in the amount of $705; and
WHEREAS, the applicant has submitted the necessary Certificate of Insurance that
complies with the City's standard insurance requirements, including naming the City of South
Miami as an additional insured.
NOW THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSIONERS OF THE CITY OF
SOUTH MIAMI, FLORIDA:
Section 1. The foregoing recitals are hereby ratified and confirmed as being true and they
are incorporated into this resolution by reference as if set forth in full herein.
Section 2. The City Manager is hereby authorized to permit American Legion Post 31, Inc.
to host a Celebration of Life ("the event") for Commander Stewart (Mike) McVay on Saturday,
January 14, 2023 from 4:00 PM to 9:00 PM at 7710 SW 59th Avenue.
Section 3. The City Manager is also hereby authorized to waive event fees related to the
Special Event Application, Administrative, and Barricades in the amount of $244.
Page 1 of 2
Res. No. 172-22-15925
Section 4. Corrections. Conforming language or technical scrive ner-type corrections may
be made by the City Attorney for any conforming amendments to be incorporated into the final
resolution for signature.
Section 5 . Severability. If any sect ion clause, sentence, or phrase of this resolution is for
any reason held in va lid or unconstitutional by a court of competent jurisdiction, the holding shall
not affect the validity of the remaining portions of this resolution.
Section 6. Effective Date. This resolution shall become effective immediately upon
adoption.
PASSED AND ADOPTED this 20th day of December, 2022.
ATTEST: APPROVED:
c,~iWi 6ff75=
READ AND APPROVED AS TO FORM, COMMISSION VOTE: 5-0
LANGUAGE, LEGALITY, AND Mayor Fern andez: Yea
EXECUTION THEREOF Vice Mayor Bonich: Yea
~~~ Commissioner Calle: Yea
Commissioner Corey: Yea
Commissioner Liebman: Yea
Page 2 of 2
Agenda Item No:4.
City Commission Agenda Item Report
Meeting Date: December 20, 2022
Submitted by: Quentin Pough
Submitting Department: Parks & Recreation
Item Type: Resolution
Agenda Section:
Subject:
A Resolution authorizing the City Manager to permit American Legion Post 31, Inc. to host a Celebration of Life
event for Commander Stewart (Mike) McVay on Saturday, January 14, 2023 on its property located at 7710 SW
59th Avenue and to waive certain special event fees. 3/5 (Commissioner Liebman)
Suggested Action:
Attachments:
MEMO-American Legion (QP).pdf
RESOLUTION-American Legion (QP).docx
American Legion Supporting Docs.pdf
1
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
TO: The Honorable Mayor & Members of the City Commission
FROM: Shari Kamali, City Manager
Via: Quentin Pough, Director of Parks and Recreation
DATE: December 20, 2022
SUBJECT: A Resolution authorizing the City Manager to permit American Legion Post
31, Inc. to host a Celebration of Life event for Commander Stewart (Mike)
McVay on Saturday, January 14, 2023 on its property located at 7710 SW
59th Avenue and to waive certain special event fees.
BACKGROUND: American Legion Post 31, Inc. (“the applicant”) has submitted a special
event application to host a Celebration of Life event (“the event”) for
Commander McVay on Saturday, January 14, 2023 from 4:00 PM – 9:00
PM on its property located at 7710 SW 59th Avenue.
The applicant plans to host the event entirely on its property. According to
the applicant, the event will have an anticipated attendance of 300
persons and will consist of food, music, guest speakers, and a raffle.
Portable restrooms and tents will be on-site. Public sidewalks will remain
open to the public. As per the applicant, hired staff will remove all
recyclable goods, waste, and garbage during and after the event. The
applicant has requested three (3) off-duty officers and the use of four (4)
barricades.
The applicant has submitted the required Certificate of 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.
TOTAL EVENT FEES: $949
REQUESTED
FEES TO BE WAIVED: The applicant is requesting a fee waiver for the following City services in
the amount of $244.
2
THE CITY OF PLEASANT LIVING
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
EVENT FEES AMOUNT
SPECIAL EVENT APPLICATION & ADMIN FEE $160
PUBLIC WORKS BARRICADES (3) $84
TOTAL $244
REFUNDABLE SECURITY DEPOSIT* $500
EVENT REVENUE: The applicant is responsible for the following City services and remaining
payment in the amount of $705 due prior to the event.
SERVICE FEES AMOUNT
OFF-DUTY POLICE OFFICERS $705
TOTAL $705
REFUNDABLE
SECURITY DEPOSIT*: A $500 refundable security deposit has been submitted and will be applied
only if there is event-related damage or trash remaining post event.
ATTACHMENTS: Resolution
Special Events Application & Supporting Documents
3
THE CITY OF PLEASANT LIVING
I _ I
6
Pennit#: 01 IL\ '230 \
ry )f p r .. . lf rJ ....
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 Application submitted less than thirty (30) days prior to n event
wlll NOT ~e ace•~~-Pie~~ ref~r ~ tf:1~ Spec~,1-~v~n~ tt..a.mibook.~r rncmtinformation about apply.Ing for a.special
event in the City of South Miami.
APPUCANT INFORMATION
APPLICANT NAME: •bt:E-12=' ct, ~ Le c--, ,l ,,. , .. Y6 sT ~ 1 ,l1l!1rrLE : -----------
DAYTIME PHONE: 3o5"-lo fe c:; _ !·-hi
EMAIL: (-'n~-. -S I I t..\@ A-1 . .£-1
2nd CONTACT NAME: IZ_u DI.. f., \..I t.£ t.: -
MO L : fJ 5 7 ~ r, -0 r u. ,;_
DAY TIME PHONE: 05, 7 /.p(T· r ) •• 4 °2_ MOBILE: ~ 0~, ·7 ti,&,-01 t.t'?-
EMAIL: t · • e: Ps:n , P-Q.g""~' . t:uM
ORGANIZATION INFORMATION
NAME OF ORGANIZATION: A-Mea,....~ LE:G LO r-t P(?~I 3 \
ADDRESS: 71 ,o s.0 .. s0~ ... •)I=" ,-:., , , r L -~~, '+7;,
PRESIDENT/MANAGER NAME: f( 1 \) 0 L if> I.Ir-& :} ~ A PHONE : '? S -] lo lo -O--, !..{ '-
Is your organiziltfon a non-profit, SOl(c) (3) certificate holder? D NO YES -If YES, please provide a
copy of your certificate with the appllcatlon.
MNT INFORMATION
TYPE OF EVENT: ■ FESTIVAl/CELEBRATION O RUN/WALK 0 FILM/PHOTO PERMIT
0 CHARfTV CJ OTHER : ____________ _
NAME oF EVENT: k u< E µ c... V1-= v (\2 L. r--~ ru -, o r--1 o f .,... , ~ '=
~ . I LOCATION OF EVENT: _,...,..:.....,,..;._1 ----'---'-~--=--....;A\J....:...;...;:E-;:__f-• ~=-·_t_'\....:./-'-'-t-~_, _....f_L_ .... :d __ -1" __ g_, __ :,_ ,
EVENT DATE(S): \_J .Di 0,. I 1• ti--;2..0 2..;, NEW EVENT O RETURNING EVENT
WILL THIS BE AN ANNUAL EVENT?
ANT16PA-TEE> ATTENOANeE: ,3Q D
NO O YES IF YES, THIS IS THE __ YEAR OF THE EVENT
ACTUAL EVENT TIME: t../: O('.l AM M o q: & 0 AM P
ASSEMBLYDATE (S). ~Ar 1 • \t../, ;z_n2 -~
BREAKDOWN DATE(S):Jp,,J , IL-l I Z02..3
J prJ ,t; '2.-02 ~
SETUP TIMES : ~p-~ ~ 4 : e () ~s
BREAKDOWN TIMES: ";oo AM~to /2:o o AM/PM
$~00 AM 2 ·,oo ?µ 1
7
EVENT NARRA11VE
A detailed written desaiption/summa,y af your event is required. Please describe a1I adMtlit, sditdule· of adivities, inventory _of any sold Items, tpWaaway Items. ,_,. of venctcn. and. any other important infom,ation. if addltlonil.space is needed please use a blank sheet of paper and attach to the application. /+,.J ~1/£,..,T 7b Ut.&-8.f<ATE. T 1--\ E l..1f: k ~; ~~~~ :c ...... \ '4E:) Nt:.. Vi,..'-/. r:ooy -''\..'-~= c.~E:-P ~" So,-.1tJ&./~ ~;Ga.··o,1=ru,tJ4 f2..E-MAfL""-s.
Wf' If PM ro.i.. kl:?~~'O !a"l ,;-':(t..VI N~ el= Feo'O ~,, 1:>cz.;,N\4~ • 0~ f2.Jt.C::,t-=L£
Ft:>,i.. al. 1$?,oo l!.,c>T''rLE DF ..,u:t"'-o(l. ~1i...L P.,f-*t":i-1); NO Vfi-NP91!:'5 OIE-1·,..i+f'S ;
V, \ \:'-~· ~ '-12
LOCATION APPROVAL
It the orpnlzatlon Is a tenant and/or renter of the event location, pleaN have the property owner c:ompleta the followln1-
Mark au that apply:
□ Locallon Is Oty of South Miami property (street, sidewalk, right-of-way, park, etc.) .
■ .Appllcant/Orpnlzatian owns the requested event locatlon
0 Appllcant/Orpnization wlll be usl,w private property
Comments/Restrlc:tiOns: _____________________ _
----.....
NOTARY SIGNAlURE
~ swam befaN me. this -4 Dayof :pn ?:Pt••
NotlrY Pubic In and for ""'"' I ----
IIICHMLW
100352708 s.am
~
DATE
2
8
POIJCE DEPARTMENT
Off-duty police officers~ required-fontreet ~Utt!i!5 as cleterin1ned by. ttie PoUce Department. V~u wilf
h,~~utr!~t.~~thire.C?ff.:-c:JUfy PQH~ .. offfcersJf your .. evMUncludes street.dosum, alcohei sales er large
crowds over 50 people. A.pplicants will be responsible to pay for off-duty officers prior to the event date.
Yes
□ •
■
No •· □
□
Will your event obstruct the normal flow of traffic or sidewalks?
Do you expect the total attendance for your event to be over SO people
at any one given time?
Will you be requesting the use of off•duty police officers?
If YES:, how many · 3 PltlH 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, plust descrlb• why you fHI the event wUI not require off-duty officers.
STREET, SIDEWALKS AND RIGHT-OF-WAY CLOSURES
Ust detaffed ciosureiyou are requesting for youi event lnclLid~g street, ~idew~i~ ~-nd rlght--of~~-
N ONE
Please note: AH dosures require Oty C.ommission approval by resolution 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
•''"
Ves
□
•
No
■
D
wm you be hanging any banners over public streets or ·pole banners? If
YES, a separate Banner Application with the City of South Miami Plannln1
& Zonins Department wlll be required.
Pl• .. nca: Only 50llcl(3) organizations may apply for a banner appiication. AJi
requests for banners over public streets must be reviewed and pre-approved. A
501(c)(3) certlfk;ate, Insurance and photos of the banner must be lnduded with
the appllcation to thi" Plarinhij & Zanini tjepartment.
Have you notified the event location neighbors or businesses about.vour
event?
9
CODE ENFORCEMENT
Yes • D
□
Nn
□ • •
Will you be having any music and/or ampllfted munds during your event?
Will your event be startinc h8'ore 8:00 AM?
Will any music and/or amplifled sounds play past 9:30 PM?
PARKS AND RECREATION
Yes
D
□
□
No •
■
•
PARKING DMSION
Yes
□
□ •
PUBUCWORKS
Yes
□
D
■
□
Nn •
• □
No
■
•
□
•
wm this event take place in any of the South Miamf Oty parks and/or
recreation facilitles?
Pia• nob~ A rental fee will be applicable if a city park is being used.
WII this event require the use of any Department equipment (stage)? lfYB, .,.__speclfymeoftheltltte NClllettinl: ______ _
wnt this event require the use of any Department staff?
WIii you be renting any City parking meters? If YES. hoW many __ _
Please note: Aft closures or interference on rlght--of--ways that Include$ parking
meters wlll be required to pay the daily meter fee.
Oo you have enouih on-site parking to accommodate your event? -
Will your event involve the use of a shuttle and/or altem;rte parking
sites?
WUI your event Interfere with any public right-of-ways, such as roads,
sidewalks, alleys, etc.?
WIii your event require any full and/or partial right-of-way closures? .
PIMle nate: Any 11aht-of-wav closures wil require at least one otr.ciuty oflker
per comer and the Nntal of baniclldes.
Would you llke the City to provide you with any additional barricades for
your event? If YES, how many ---C-1./-__ ____
WIii your event require City Staff to remove recyclable 10ods, waste and
garbage during and after the event?
ff NO, please desalbe your plans for the cleanup and removal of recydable 9oods, waste and
garbage durina; and after your event. · _ ,1 Qnt) 1,~ f-\ <'. ·1 [. t> 11 W A"=>T 'ff Co,J t.JE, <.. 1-l ON. -s r; F + t n \-;. r p ~-, I : d , " t~-1--t' 1-· l t 'i:::i
"\'-n i> fL--,. ,; , >:,. c ,·::c I c".-1,,;. , , 11 j\ 1.: ·;:,;. 'T!.C < · ·-~ h 1~-,,_ ;;-0 C C--;A• r,: P ,t::::,-i= .
4
10
ADDJTONAL EVENT FEATURES
D Temporary Fencing
0 Signs/Banners
■ Tents or Canopies
0 Inflatables/Rides D Live Music
D Additional Barricades □ Open Flames
■ Electrical Services/ Generators ■ Port-A-Johns
□ Other: ___________________ _
,.__ note: If any of the followin1 apply, a separate narrative description of each additional feature may be required
by the City with this applcation. Addltionally, tents1 6pen flames and signs/banners may require an additional Permit
at the met ta tM applicant.
FEE WAIVERS
Appllcants requesting a fee waiver must complete the below section and must Include a letter from the
business or organization alona with the completed Special Events Application. It is at the disaetion of the
Oty Commissfoft, ·ta approve or dtsapprow all fee waiver requests and may take llp to two (2) montht:
Yes No
■ D Will you be submitting a letterfor the waiver of fees?
If Y~ please 11st all fHs tllat wll be requested to be waived:
ALM/STILL PHOTOGRAPHY
Type of Production~ __:_N_,1-/...:.P.. ___________________ _,__
Special Effects or Weapons: ______________________ _
Base Camp location: ________________________ _
Number of cast ------Crew: ______ _ Extras~-------
TypeofVehide: _______________ _ Total Vehldes: ____ _
Parkif'II location: _________________________ _
DEPARTMENT DIRECTORY
Special Events Division-(305}668-3873
Public wom a l!ftllnaertn1 (305 l 403-2063
Code Enforc:anent (305) 668-7335
South Mlanit Pollce
Parks and Recreation
Pl■nnl111 and zon1n1
(305) 663-6301
(305) 668-3876
(305) 663-6326
5
11
INDEMINIFATION AGREEMENT
THIS AGREEMENT t•A&r'eement"t is entered Into by and between -At....1.~1c..t,•.1 l<:c,, oN Poer., .::3-\ 1 IN C: .
("Applicant"), and the City of South Miami t"mv-') 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)
Th€; CEl.G..Bi?A:'TIOµ, Of' L,Ptt at 1-1,a ~.u.). 5"<J~~Av-E:., (locatlon)on
(date(s)) ~P-t-' • \ 4 , 1....0 1-~ . ("Special Event"); and WHERAS, pursuant to of the City's Code
and the City's Special Event Reaulations, ~e Applicant must execute an Indemnification and hold harmless
111reement protectine the City from daims which may arise out of the Spedal Event.
Now, THEREFORE, In consideration of the matte,s recited above, the mutual covenants Rt forth herein, and other
aood consld.-.tion the receipt and suftldency of whkh Is hereby acknowledced, the Parties hereby aeree as foUows:
1. The above recitals are true and correct.
2, Appllcant llf'HS to Indemnify, dmnd and hold the City, Its officers, affiliates, employees, successors and
asstcns ( collectively "lndemnlteG""} harmless from and aplnst any and all such claims, suits, actions,
damaces, or causes of action arisi111 as re5Ult of the Special Event, or of the condition of the site on which
the Special Event Is held lncludlnt any personal Injury or loss of life, or damqe to or loss of property, and
trom and against any costs, attome(s fees, expenses or llablRtles induded in and about the defense or
settlement of any dams,, and the investlption thereoft except to the extent caused by indemnitees
111111ipnc:a of willful misconduct.
3. No Street shaU be dosed without approval from the City Commission.
4. Tl'lfflc shin bt maintained In aa:ordanc:e with Florida Department of Transportation (FOOT), tJlaml-Dade
County standards and any addltlonal requirements by the City of South ll,lami Public Works Department
and Police Department.
5. Event areas shall be restored to equal or better condition than they were before the event started.
6. Any damece to private property shall be restored to its original condidon or better and as accepted by the
OWner caused by applicant or any of Its agents, servants or employees, invitees and onlookers.
7. If all ratoration work is not performed within 30 divs of work a,mplation, the City of South Miami Public
Works Department may restore tha event area and charge the applk:lnt for the cost of restoration and
additional Incidental fees.
8. Applicant must pay 111 fNs prior to the date of their event(s).
9. Applicants nu notify the aty of South Miami Special Event Coordinator at least forty.ecfrt (48) hours prior
to start of their IIM!nt of any canceUations to bl considered for any refunds.
IN WITNESS WHEREOF, each of the parties hereto has caused this Aa:reement to be executed and sealed by Its duly
authorized siplatofy(ies) on the dtte set forth below and notarized.
'Bu DQL.P l:\ L~-.P"e-l.:) I',. J Q_,
~--SC:.:::::....
NOTARY SIGNATURE
6
12
ROUTI/MAP
A map of the event site is NqUlred and should incliated the event layout wfth proposad attractions, rsommended street ~i parade or run/walk l"Olltes, etc. .P(eaa draw your map on the space provldlld below, or attac:h a map to1he applkatlon upon submlttal. lhefollowint must be kfaltllledand labeled
:L.Evn:lilll(llnllfl.-.&) ac.no,,..--. ...... Ii.Fencl~ 7.ArltlN,.._ 2.Rolalll....._.......,_) 4 • .....,, ... ~Off-PollOlalllDlla .........
13
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14
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.
Rcs1acnl,18us,•1cs;:; f\Jrn(• C(Jnt..-1cr N<11nf• Tiu•~ i-'nonc 1\io. Stgnilt urc Cneck or,f'
□~ D Disagree
C3Agree 0 Disagree
□At;ee 0 Disagree .
D.Airee D Disawee
D Agree D Disagree
/ □~ D Disagree
/ □/agree D Disagree
/ D Agree D Disagree
I/ □~ D Disagree /
I D Agree D Disagree
I D Agree 0 Disagree
I
D Ag/ee D Disagree
D Agree D Disaf)'ee
□~ D Dlsaf)"ee
D Agree □ Dfsawee
0 /J.flee 0 Disagree
D AiJee D Disagree
0 /lgJee O Disagree
H
15
RNAL CHECK UST
This 1st Is 1x> ansunt that all neceaa,y documer,tall,., is lnduded • that all requhd procedures are followed. llte Spedal Event Coordinator Wfl check the applfcatlon apfnst this chadcllst to ensure all Information was submitted comtdly.
0 APPLICATION: All information has been property filled out op --appllcatlon
with all niqulred documents at teat 21 days prior to the proposadMnt.
0 APPLICATION FEE: A $60 applkation fee and $100 admlrdltrlltlwe fae. must accampany _, illbn'lllslon fn check or monav order fonn..
0 SIGNATURES: Appltcatton must be qwd and notarized.
0 EVENT NARA11VE: 8riefty discuss your Orpnlzation/Buslnel&, the pulpOle of your ewnt.. 1hebllnefttl. etc.
0 NOTIFICATION FORM: The name, signature, addreu and phone number of uch pmon .
who is either a PfOtMll'tY owner or hmae within the reQUeSttld
event._ must appear on the sh-.
0 SITE PLAN: A site plan must be submllted with the appllcttiorl that must show Intersecting stree1S, parkfnc areas, tents, staps, routes,
barricades. etc.
0 COPY: 1t II stronatv recommended that you ma1re • c:opf ot your appffcatlon for vour own records
SUBMIT APPIJCATION TO: vvea:. Vakllls. Special EwmCoorclnltor
Glbson-Belltel Community cam:.-
5800 SW 66th S1reet south Miami, Fl 33143
Office: 305-ta-3873 Email~ yyaldwhguthmiamlfl,goy
-llll"m!lltlantlftft hasbeen approved prucmsldandthedatll hlll been rwrwd thefaUowlnamustbe . llotheawnt:data.
0 INSURANCEi
0 EVENT FEES:
The applicant Is raqulrad to submit • c.tlRcaua m lraarance
lllffllnltheeventandtheatvof South Miami ,,uoSW1Nt~
South Miami. FL33143) • an addltlonll lnslnd, In the amount
of $1.000,000.
All other Qty Nrv1ce fees fndudln& but not llmftlld to, Off-Duty
Polb, Public Wort.. ,_kins M-•• ate. wll be_. i.n_(10)
days prior to the~ date.
9
16
American Legion Post 31
7710 SW 59th Ave.
South Miami, FL 33143
Dec. 12,2022
Yvette Valdes
City of South Miami
Special Events Coordinator
5800 SW 66th St.
South Miami, FL 33143
Dear Yvette:
This letter is request a waiver for the barricades, application fee and the administrative
fee for the Celebration of Life to be held on January 14, 2023 at the American Legion
Post 31 for our past Commander McVay.
As a not-for-profit organization we are totally dependent on donations and a waiver of
these fees would assist us in directing funds to other needy projects for the veteran
community of South Miami.
Sincerely yours,
Rudolph F. Zepeda, Jr.
Commander
17
Customer Number: 93038
<VRC_D8>000043481462</VRC_DS>
---,
ALCC!,flD. CERTIFICATE OF LIABILITY INSURANCE I 12':o:~
llilS CERTl'ICATE IS ISSUED A$ A MATTER OF INFORMA110N ONLY AND CONFERS NO RIGHTS UPON THE camFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY lliE POLICIES 98-0W. THIS CERYFICATE OF INSURANCE DOES NOT CONSTITU1E A CONlRACT BElWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERlFICATE HOLDER.
IMPORTANT: If Ille certffiolle holder Is Ml ADDlllONAL INSUftED. 1he palieyOes) must be endol'Md. If SIIBROGAllON IS WAIVED, sdljKI 11:> u,, l!enns and conditions of the policy, Cfflain policies may require an el1dOfSNllellt. A stalemetlC on ll!Hi cerllfleale does no! COOfer lights. to th~ certificate hokier In lieu of such llllllonement(sl.
PR<lOUCER
Loclct.on Affinity, LLC
P. 0. Bo,: 879610
Kansas City, MO 64l87-96io
l----•·
INSURED
South Miami Post No. 31 dba 11mer1can Leg
ion Post #31
7710 SOuth West 59th Avenue
South Miami, FL 33143
COVERAGES CERllFICA TE NUMBER"
1~~J Lockton .Affinity, LLC
'!'!12"~ ::::,B00-::_669-9944
INS'"'""',..'"Fl'Ollmll) i:OVER,!,OE
IICSIJN:R.A:11x :Sl>ec. -'I ... n'"'<,,._,,C<>e,•~----
ltll'JURl,RB:
INSURERC,
INSLIIE!RD:
INSl.f!ERE:
REVISION NUMBER·
'Jlfi IS TO CERTIFY THAT 11-lE l"OLICES OF IN&JRANCE LISTED BELOW HAVE BEEN ISSUED TO Tl-£ lt§I.RD NIWEDABOVE FOR Tr£ POLICY PERKD INDICATED. NO'TWlliSTANaNG /Wf REQUIREMENT, TERI.I OR COKllT10N OF ltNf CONlRACT OR OntER DOCUoENT \'1111-f RESPECT TO WI-ICH lHS CERTFICI\TE MAY BE ISSLED OR MAY PERTAIN, l1iE IN;URAN::E AFFORDED BY '11-tE POUCIES DESCRIBED l£REIN IS SU!JECT TO ALL TI£ TERMS, EXCUJSIONS /'ID COtIDrTIONS OF SUCH POUCIES. UMrra SHOWN MAY HA.VE BEEN REC)I..CED BY PAIDct.AIMS.
lllM ~Dii!WM' "' . ..
UR n'PE OF IMSURANCE ,'-,., lur.A'I POUCYtl.J-UM'TS
A c!_ CQIIIIERCW.llBERAL LIAeutY X LFZ-BP-0034663-5 DS-/2B/Xt22" 09/28/202.3 EIOI OCCURRBICE sl,000,000
-:J ~ GJ OCOJR =tTo.~--$3<l9,<lil0 -~
~ ----· ,. I MED El(l'fAnvono""""1) si,ooo
Pffi9JNM,& MY>/ INJlRY $ In.cludad ... ,_ f-----------,
~IL AG(;REGATo UITT Al'l'I.IE'S PER: GEHERALAGCREGATE $2,000,000 H POLICY 17 ~ GJ LOC PR<XJUCTS • GOWJ,,UP AGG $ 2000000
$ , QTHER
AVTOMOIILE LIABILITY {E~';o~;,~ ........ $ I---~
AfN AUTO , ElOO<l Y INJlA'<Y (?ff per.;,,n, $ ~
,"'11..0W',IED ~ -SCHBJULED BODILY iNJLIR'r 1Parim::A1Ant/ I I-AUTOS AUTOS ;
·-NOP.J..CMNED r:.~~.PtV/IA~t: $ HIREDAUroS AllrOS I-
$
Ule~l!LLA LW! ~=-M;DE £>CH OCCURRENCE s I-
EXCEISSI.IAB ~B:l,>;TE $ -·· I-
[ED r · 1 ~ION$ $ -~-l~nrre i~H-AtmE!191.0VERS LIAEILITT 'f ~Ni ANY~ETORIPAlfiNERJEXECUTIVE D!"'A -~-EACH~~!~---$
_, Cfflcau..D!EER E>;CLVDED?
EL[:;~-9.-0YE $ ~"'lall
~~.!:a~~TIONS~ EL m,E.As.: , POUcv uwr s
A Liquor l..ia.bi.lity LFZ-BP .. 0034663-5 09/28/2022: 09/28/2023 Oc:,c;:urren.ce. $500,000
Aggregate, $1,000,000
llESCRJPIIONOfOPSIATION&/LOCATllNSl\lliliK:US!AO(lRD101,Add-Rllmorloi-lo,maybl-W-.-lsroq.-J
Soyt.h Miami Post No . :n dha American Leqion Posit 131. to ho1d Memorial Ettent h-ald on Ja.nu.a.ry 14th, 2023.
'rh1c1 C.i ty of S:outb H:iami is: an Additional Insurad..-
of the referenced g-ener.:..l lillil.ity policy.
CERTIFICATE HOLDER
City of South lti;::uai
613 D Sunscit Dri v•
South Miami r FL 33143
wh11o1r11o1 ~equi(:~ by llfritten contract., pe, th.a t•rma, c:andi,.ti,.10nt1 anct e-xcl.usions
93038
CANCELLATION
SHOULD ANY OF 1HE ABOVE DescRIIIE) POLICES BE CANCELLED BEFORE
11ff! l!Xl'!AA110N DA1E THEREOF, rtemc:E WU. 8E DaJI/EflEI) l<rl
AOCORD/INCE WITH 11il! l'OLICY PROVISIONS.
RATION. Al lights reserved.
ACORD 25 (201..wi)
&34814.58
Th<> ACORD name and logo are registered
93038
18
-. 492 fl OBIM !4QT FOB PROF[[ COBPONlJPtl tlEIDfQANNlW, , BEPOBI FILED
Oct24,.2022
Secretary of $fate
8348089415CC
D0CUMEN1W N21121
Entity Nlnle: SOUTH MIAMI POST NO. 31, INC. TtE .MER1CAN LEGION DEPARTMENTOFR..ORIDA ·· · ·· · ··· -·· ····· .. ~ ... ______ · · ---~--
CUrrtlntPl1nclpal Pllceof Bullnea:
7710 SW 5911-1 AVENUE
SOUJH ........ Fl.38148
CUmant llalllng Adch11:
n10 SW 59TH AVENUE
SOUTH MIAMI. Fl 33143
Fa N!wher: II-M1 .. Ceftlllcale of 8tlllua Deshd: Yee
NaneandAdth ■■ of Clll'IWltRql•red Apftl:
ZEPEDA. RUDOLPH PEI.IX .R.
7710 rNi 59TH AVENlE
SOUTH IMAIII. R. 33143 US
TIie._.....,..., ...... 1118nnb'llltputpaatJfdtMtln(/la1 ..... IICf.aa:eo,-1"'4" I Gd..,.,_ artdr, ln,__ofFladda.
SIGNATURE: RUDOLPH FELix ZEPEDA. JR 10J24f.2022
flec:31allc----d~ll &d.Aa-: &iit
OllloenDlntotor Detail :
TIiie PRa8IOENT TIie VP
Name ZEPEDA. RtD'JLPH FELIX .ll Name WASSON, ROY DALI!!
,..._ 8081 SW7lml ST ~ 28 WEST Fl.AGLER
City BIiia ZJp: SOUTH MIAMI FL 38143 COLRTH0USE PLAZASI.ITE600
ClySla2ip: MW8 Fl 33130
Tile D
lite SECRETARY
Hane tlO/AY, STEWART
Name DERESZ, DONALD A
Adlhla 8901 fM82ND STREET
Addre9a 7710 SW 59TH AVENUE
Cl:J,,S1a.,Zfp: W FL 33173 ClySlalllZlp: SOUTH t.lAMI FL 331'13
·=__..., .. _____ ,....,zr-••i.-•---.... ,., ....................... _...,...,_ .... ..,.
GIit; , ........... ., .. .,.,..,.... • ... , ·-~·""'·-----..... •c:llll!Mlr"'·fllllll---------........ _ .. _ ..... __ , ...
SIGNATURE: RUDa.PH FBJX ZEPEDA, JR PRESIDENT 1ot24/2022
--.. .. -.-...,,,1111a11m111 a ... w Dalt
19
IIOOOllt5 12 /l6:/21
I Consumer's Certificate of Exemption I
Issued Pursuant to Chapter 212, Florida S1atutN
DR-14
A. 01/18
I 8S-8016794996C-9 02/28/2022 02/28/2!J2J I VETERANS ORGANIZATION Ca1ilicateNumbllr
This certifleS that
Effective Data Expilallon 0ete
SOUTH MIAMI POST 31 INC THE AMERICAN LEGION DEPARTMENT OF FLORIDA
7710 SW 59TH AVE
SOUTH MIAMI FL33143--5409
ls exempt from the payment of FJorlda sales and .use tax on real .property rented.. tra ISlent rental property rented, tangtble personal property purchased or rented, or services purchased.
1.
2.
3.
4.
I Important Information for Exempt Organizations I DR-14
R.01/18
You must provide au vendors and suppliers with an exemption certfflcate before making tax.exempt purcnases. See Rule 12A-1 .038. Florida Administrative COde (F AC.).
Your Consumer's Certificate of Exemption is to be used sotely by your organization for your organization's customaly nonprofit activities.
Purchases made by an Individual on behalf of the. c»ganlzation are taxable, even if the indMdual will be reimbursed by the organization.
This exemption applies only to purchases your organization makes. The sale or lease to othei-s of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must register, and oollect and remit sales. and use tax on such taxable transactions. Note: Chun:)hee are exempt from thi8 requirement except when they are the lessor of real property (Rule 12A-1.070. FAC.) •.
· ·i · · --· tt ~-~ ~;,,inal offense to ~-pcesent this certificate to evac1e tt1e payment of sa1as· tax. uncter no -ciroumstaneeS-should this certificate be used for the persona) benefit of any individual. Violators wm be liable tor payment of the sales tax pJus a penalty of 200'6 of the tax. and may be subject to conviction of a "thtrckiegree felony. Arft/ violation will require tile revocation of this certfflcata.
6. If you have questions abOut your exemptton certlflcate, please call Taxpayer Services at 850--488-6800. The mailing address is PO Box 6480, Tallahassee. FL 32314-6480. ,
20
DMJICB
SOllfll Mlwi PGlt No. 31 tii...Allldcaieg 7710 Sallda West 58111 Awae , , . • • - -. •· -
Soatll Mwnl, '1. 33143
~.DIie·
1wa-c,apn9:
Naleallsi td. Palley Pedad: · ,-, ,.. ... n.:
Bllidlwe Dale:
I · .. , PL Sa lmr I..1iii11 Ta
IIIPA1Pee Senlai Pee·--------· --
NM•llala 1-
----------....., ____ ..., ___ -·-----, ,
~'9AY ONUNB ATt M•••·•••llllli •IIITlllll11'lrr.•••••--•••
NMIPPRl♦JtP§?Pi
t.am.Mlll;r.U.C
HAPsJO;
,OBQ'Xl'JNU
S...~MO...,_.
.--_______ .,._ .·--·-·
·--· ·--···,.··
CmtOllla~ Paae -1-
...... Ila!
Lr:l.aDIIII:
1111111:eTalll:
..... •.-:• -
CU.. ¢ C ......... U..._......._ ....... •••• ... ~ .. ~-_T,lf!'!!.c~--ka --.. ---•·'·-r f U __ ... __ ? z_z, l ___ ,r ..... s .,5._.,_, "IIIU
--a:-w1a11111•11NC1a:,_. .. ,. c T n ,_,._.,__'-"tat TF--~-.-----•--i.-_._.,..._.._ .....
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~·--•• ea·•·-....-.wsad, a n, ._....._._., ,, _ _._-~el!-....,._w= .'-.. ... ..._..__.,._..,_.,..._,...,._. ..... _.a._ a sas•-w.s -r•= a, -1 e:w .... ..--.
·" -,.; lliis. -~·-... .• ; ..,.,..-,--raiir-=...-....-...-. II iaiiitii .. al• mF• w', r?i ■Hil?iiiii:l'iin •.
~-Cl a a ••. 3 ----~-~-.!& .. ....__, _ I I ,. ........... a _ .... CI • LI -,, .. :-
................ ,...._ ______ _,_......,~-~·· •• .__ ..... ajC!SIUalad I II .... _.,.__
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~ • ......_ -a net• ..... .,. ............. au..ee ___ _
9IJS: amm
21
B. ·a,an,a1r
,. Insurer: ADC Spec, Ins, 0>, ------------·--·--------·-··-----·-······ ---··
Polley Number: l,FZ-BP-0034663·$
Insured: Sguth.Mjami Post No, 31 dba AmeriaJn 1 '!J TralisactlOnEfrecl:Ne: ,..0912812022_-._· --·' __ ,. ___ . __ ._-..... -, ____________ ....;.... ___ _
.. •,,:•,•·-___ .., __ ,~ .. ··~~'-,¼•~-•--... -./·.J.,.-·------~~ -· -·-,·-·,'· '· ........ ..,..... -~······~··-· ~ . ,.. -···· ...
Jhls page constitm:s Page 1 d the applcable transadion attad1ed henm.
. ···•·'····· --·· .... -·--~-...... -------.... -·•·--'•· ... . ---········
Tht.J~--__....._IDllleF.Jarida .. SUrplusUnesLaw. ,._....,..bt .. ,..uw
Clntars do not bavetlla paalmlon oftlle floddll i-ace _., AdtD\tleexllllltofany
rlglat af ntCDillllY for Ille. ollllgatioa .ofan.iaaallt .anflmnllll.inamlr. ·--· .. ·-.. --..... --~---. _ '. ........ -
SllrplusliMsh--.rs'pollcf 1'11111SandfonM .. notappn,ued.br_any Flodda .,....__, aganc.y.
surp1us unes Agent Jeffrev Bryon Hewitt
SUrptus LJnes AQert LJa!nSe I: A118219
Stl'plusUnes ~ AddreE.. .10895..1.awell Avenue, SUlte 300 Olerland Park, KS 66210
.Ptodudng.AQertNllme: lelfrevBryon.ttewttt . .. -·
Producing AgnAddns: 10895 l.aNell Avenue, SUlte 300 CNertancl Park, KS 66210
.
Premium:
Fees: Inspedion:
Polley Fee:
,(lther; .. -,_,., .
Other.
TGl:lllfels:
.$
$
$
.$
$ ... · ..
7,225.00
500.00 (Specify) prgpm AdrnlHlsbattw Scr,dg! AwPe
{Specify} Mt[nbarshlp Duas tf apgliglble""'"'
• _L725AO
Assessments: Citizens: $
catastrophe Fund: $
Other: ... ..,. _.,. ---· $
surp1us unes Tax:
senria!Offla!~
,EMPA-fee: . -·-~-·
$
$
$
381~61 · .. cl Premium .and Fees
4.64 % d Premium and Fees
4.00 $2.00 Pers or $4.00 comm
O>nflrmatlon Number: ---:;.::·· =;..;;;;;;;;;;,--------------;;::;:;:aa---------------
9,
----rs _r~ __ :., .. -
·-SUrplusUnesAQerlt'sSlgnatUre: -----------------------
~ldl--lmllalil::187
\
22
AIX SPECIAL TV INSURANCE COMPANY
726 EXCHANGE STREET. SUJTE 1020 BUFFALO, NY 14210
Jame J)mcl:-08/.UJ.2-022
Policy No.: Ll"I-BP-0034663-5
Item ·1, Named lmured & Address:
south Miami Poat No. 31
DBA: A'llerican Legion Post #31
7710 south West 59th Avenue
SOUth lliami.r PL 331'3
•• ~ .... --.~..,.,... ---~---.... ~ ... --·!'""""·-... -__ ,..
Item 2: Polley Period: from 09/28/2022
.Jinceptlon dale}
BUSINF.SSOWNERS POLICY
DECLARATIONS
Prociuc:er Lockton Affinity, LLC
PO BOX 410679
~as I=ig1 .. ~ t•Hl-Q§.'Z
Renewal of: LPZ-BP-0034663-4
to 09/28/2023 at 12:01 AK sbmdardtimeattlleaddress
~ date) of the insured stated above. ----------~
DescriptiGD. of Bu.tines&:. Club Bstab1isbl89nt
_:g.g_ ~_; .t~• !_QDD5.t:bat .fm:m a .pad of this poliqr: --.
This policy conslsls of the following Coverap Forms. The premium shown below may be subject to acijustment. Co!JDle Forms/Polic;ies
See-attach.ad Schedule of Ponas SP zi.74
fnmium
Terrorism. -certified Ac-t.s
TQ!rAI,,s·PGJ.r.CY--PRBHnllf·•
Pragrm Adni.nietr•tor Siarviea Charge' T0'lA.L ~:J~-.J:,~JfflS 'l:UBS( SE! !~~~~) ! ~ PA:t:a.BLBt .
&12.00
-s.1;2ls.oo
$500.00
.S.390 .. 25 ·
$8,115.25
In return for the payment of the premium. and subject to all the terms of 1his policy. we ag,a with you to provide the insuRUJ.Oe as stated in this policy.
,Countersigned ____________ by
. ___ ,Authorized Represeuhdive.
23
. -----·····
PROPERTY COVEllAGES AND LIMITS OF LIABWTY
Addldonal Coverages applicable to all locations:
Coverage ----Unlit .....
Debris Removal;ffl:ooo each Iocatioo
Preservation of Property-Ju tranlit or widdn 120 days of being li'ioYe8 F'ue Oopertment Service 0Jarge:$1S.OOO ---------···,, ~---.-=.,c_•~=Collapse:Iociudedwbh~--------------------
Wider l)amage:Inckml with IJmitatinm Busuws . ..-md Bx!n lhper.-Aetulll--l.cu Susbdned-up--ta-t2 mamhuftarth:, . dale of direct physical km ,. .P.m .... CanllplUJdRcmonf:.U1ito-SlO.OOO-..c:llk:M:olial
Money OJders and Coui1tierfeit P9pers:$2S.(D} Businmlni:omeb~=f½~~----· .. ,.... ·• -
Rmldmn Glass:Ineluded 'It. each location tbr which hnild~ • . -.-c•, ._r.,:;...·~-"~--.,x;.~--~•'t:!1:~---~~1,-...:.7'!L"'!Jiisbtid .•~~-:.::!."".:. -.,:_~_,_.._--=-::---·-·if';.~~-"":~~-~~--
fm Bmnpisber,Systems 13xpenre: ,----,...~..,_,-, · !tcdml,D~S15,000
Clean-upExp:n&as:$15,000
Busit=lcalneeme-anrl&dra,Bspense:$1.S.OOO -··--~---·------
Elcdnmic Dota:Sl0.000 any ompalicy year ·ttd.~~~~=:lt~~_,rm,-,JW -·&w~b::-~~m= at.:tldr:scribed panua one policy year Thd Demap to Bllildmp for Teomt:lncJudcd witbia tbe Busbm PmontrJ8tope,,-ay LimiL. TcmpouujRdocafidnof Ptopeaty.Wilhin l20dsya of being moved · ---·· •·· · ·· _ ~-~~=~~Business~~~-~
Proparty of Odlen:S?S.000 Lest.l[ey ~.~--$1'1800· -·~~ -•----~ .-----•---n• .• , .. ~~-· ......... ••p;,•~--
Utllity Service lnlerruptiodlOO.(JOO fix any Direct Pbylical Loss Utility Se:nice lntatuprion:$10().000 fir Busmess. Intmupti.on and Bnra BxP8D111
Coverage Extensic:lns applicable to all locations:
--•-·
Optional Coverages applicable to all locations: Comiae -.~ ---_. -. .... Umlt
Outdoor Signs:SlS,000
Maney·--' &::curities Inside lhe Pranllw.-$5&,00B
Money am Socurities Outlide t11e Pnmtiises: ~ooo
~----·--· ·• . , ·--~.Disbonlllsty:SU0,000
~!!.~~
&duded
Tncluded
Included
Inaiiaia
Ioc!nded
·IRHRled
Included
Included
-IDJ;luded =
li,cluded
Induded
lnctuaid
Inc:ludcd
-1:nduded
Includel!
lneludcci
Included
Inchtded
IncJuded
Inchlded
lilc:luded
mcluded
Iocluded
Included
Included
Prtmlulb
Included
Included
Included
Included
1nciu.i
Incl~ = rnchidcd -~ . .; ..
Inc:ludcd
Pranlulll
Included
tii:liided
Included
biclbded
The above ananclawy Coveraa-, Opdona1 Coverages, Additianal Cova ages and Coverage Emmons are subjed totheflmits, cover~~ Um~~~ ~-i:'!~~.~-~ ~ ~flc~tkls policy;· . ' . ------...... ····---------~ ~ "----------------· ----·---------·--------. -·-· --., ..
24
laSH Datecl: 08/16/2022
_. •" ..
••• ,..:,..,m.: __ .,_,._ __ • •->n-• ___ ,.,. ••••--•-• -•-•••• •
Polley No.: Ll'Z-BP-0034663-5
ClusJ.floatiop
Looatic:m IIUll1Nrt001
B1tilding lhlllbara.001 ..... -• " ......... ---···-• u .. ,-•-·--·• ----•
Club -Civic, Hrvi.ce or aaai'a.1 -having buildings or
~~-· Oll'D_:!~.!!~ -~••ed -~~.,~= ~-~~~ .. ~~1
BUSINESSOWNERS POLICY
DECLARATIONS
.···-.. ~--""'·•>-•-· .... ~ .. --.-·. ---·. ~--,,-. --.. . ......
Clw Code Bate
41668
:Includes official alub aetivitiee·au.d event• inaJ.dental to normal a1ub operatione auch ••
bingo, athletic or sporting eventsJ paradeaJ poppy ■al.e■1 COJWantione or COD.f•rena••J
sk~~, -trap or turby shoots.
--......... ..,.,._,
25
JssueBatecl: Oi3Ll6l2022
Policy No.: tn-BP-0034663-5
'
BUSINESSOWNERS POUCY
DECLAR.ATIONS
Effective Date: 09/28/2022
..... ·---------~ _ .... -· --------------~ ~
SECTION ll -LIABRJTY COVEB.AG&5 AND LIMITS OF INSUllANCE
-r -~ -• •• ----• ---..,._.,_ __ ------• .... ~ -•.,. .. • -... IP • .. • -
•
0 ... ..
-'---••• 1"
oc ___ ,_ ___ .,__..,., __ ,~ -·----· ----~-~----··•·= . Eadl-paid datm· for the following coverages reckaces the amount of insurance we provide during the applicable ~.~ ~ mer: toJxdim II -.Liability In die Bushwlowners Cova age Fonn and any· iffilched ~ ---·-•• ·-.--------·--·•--.-· ----,•-.. -~-·•.-. ·--·----· _ .. _____________ ... ·--·---------~
Cover!zS_e
·····.--·'".·
Each CkanTenee
Genentl ~ (Other tlien P'roduds/Completed Operations)
Produds/Completed Opentions Aggregate
Medical Eipenses (PB Person)
Taiant's Lial),ility
Lhnjb; ofhaM;p;e
ii~000,000
$2,000,000
$2,000,000
$1,000
JJ00,000.
r -"'
26
llsae Dated: 08/16/2022
Polfc:j No.: Ll'Z--BP-0034663-5
BUSINESSOWNDlS POLICY
DECLARATIONS
Effedhe Date: 09/28/2022
SICTION I • PROPERTY COVERAGES AND LIIIITS OP INSURANCE
Loaatian Property De4aat.1hl•• 82,500
Wind Bzcluioa A,ppl.1•
au1a ..... ~ Ps:vperty ■•uoaal ta~ Perea.~, 2s1
~Clllt001 BIJILDIIIQ1001 ~OR• Joisted MasOllZy
aDDBB8111
7710 south ... ~ 59th &venue
South llimlli, l'L 33U,3
llalldatoiy coverages
Building
Limit $432,700
val.uati.on Actual cash value
coverage Includes:
-Automatic Increase -building limit applies up to 0% per year
Personal Property
Liait
Valuation
Optional coverages
$25,000
Replao8118llt cost
27
Submitted To:
Name of Event:
Police Department
Event Cost Estimate
Yvette Valdes, Special Events Coordinator
American Legion
Event Day/Date (s): January 14, 2023
Times Hours
3 Officers 1600-5
2100hrs
FICA:
Equipment:
Barricades Flat Rate (Per Order)
Additional fee per Barricade -$3.00 (Qty. Q)
(2) Police Vehicle
Hourly Cost
$47.00
Extended Cost
$705.00
$
$
$
$
Total
$705.00
!Grand Total: $705.00
Prepared by: Capt. Larry Corbin Approved by: __________ _
Chief Rene Landa
28
Submitted To:
Name of Event:
Event Date (s):
Equipments:
CITY OF SOUTH MIAMI
Public Works Department
Event Cost Estimate
Yvette Valdes
American Legion
January 14, 2023
Barricades Flat Rate (Per Order)
Day 1-Additional fee per Barricade
$75.00
$9.00
1Grand Total: $84.00
Date Prepared: ____ 12 __ /_12=/ __ 2 .... 02_.2..__ Approved by:~ L4_
/ Public Works
V