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06-01-04 Item 8City of South Miami TO: Honorable Mayor, Vice Mayor and City Commission FROM: Maria V. Davis City Manager rE DATE: June 1, 2004 ITEM NO. 13 RE: Approval Special Event Twilight 5K Run/Walk Race Japanese Evening Festival A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, AUTHORIZING THE CITY MANAGER TO APPROVE A SPECIAL EVENT PROVIDED BY TEAM FOOTWORKS, TWILIGHT 5 K RUN/WALK FOR A RACE THAT WOULD BE HELD ON SATURDAY, JUNE 12, 2004, LOCATED ALONG SW 58 AVENUE & CLOSING THE STREETS BETWEEN SW 74 STREET & SW 73 STREET, FOLLOWED BY A JAPANESE EVENING FESTIVAL LOCATED ON THE FLAG-LOT OF FIRST NATIONAL BANK OF SOUTH MIAMI; PROVIDING AN EFFECTIVE DATE. BACKGROUND & ANALYSIS The City of South Miami City Commission on February 18, 2003, adopted a Resolution No.(27-03-11576), providing guidelines for Special Events. Team FootWorks would like to close down portions of SW 58" Avenue from SW 73 Street to SW 74 Street for a Twilight 5 K Run/Walk from 4:00 p.m. to 10:00 p.m. (actual event runs from 6:00 p.m. — 9:00 p.m.), and to provide a Japanese Evening Festival located on the flag-lot of First National Bank of South Miami.(See attached map and diagram). The following costs will be covered by the applicant: Meters: 15 X $15.00 $ 225.00 Barricades: (Team Foofforks has a company that will provide barricades) $ 0 Police: I Supervisor @ $35.00 per hr for 3 hours 10 Officers @ $25.50 per hr for 3 hours 11 radios @ $3.00 per day for I day Estimated cost $ 903.00 Street Closure- SW 58 Avenue from SW 73 Street to SW 74 Street; 10,255 square feet X .10 per sq. feet X or .05 per sq. feet (Non-profit) $ 512.75 Public Works No personnel required $ 0 (Team Footworks will provide manpower) Total Estimated Cost: $1,640.75 Footnote: Please be advised that the fee of $512.75 for street closure, will be distributed to the South Miami Community Center. A donation will be given to the After School House after this event is completed. Please note that street closure, police, and meter fees have already been paid by the gpplicant). RECOMMENDATION Approval is recommended. Attachment: Application South Miami Police Dept. Inter-Office Memorandum Resolution No. (27-03-11576) MST/ C­..Sp-.dE­AF..t-fl. 5KEv 04 1 2 3 4 5 6 7 8 9 10 11 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37- 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 99 Resolution No. WHEREAS, The City of South Miami City Commission on February 18, 2003, adopted a Resolution (No. 27-03-11576), providing guidelines for Special Events; and WHEREAS, Team Footworks has requested the use of the streets hi the City of South Miami; and WHEREAS,, The Twilight 5 K Run / Walk will take place on Saturday, June 12th, 2004, from 6:00 p.m. to 9:00 p.m.; and WHEREAS, This event is geared towards family and community involvement and will showcase downtown South Miami coinciding with an Evening Japanese Festival that will be located on the flag-lot of First National Bank of South Miami; and WHEREAS, The cost of street closures, police, and parking meters has been assessed to the applicant; and WHEREAS, The fee for the street closure will be distributed to the South Miami Community Center. NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA: Section 1. That the City Manager is hereby authorized to approve a special events permit to allow Team FootWorks to hold the Twilight 5 K ' Run/Walk followed by an Evening Japanese Festival located on the flag-lot of First National Bank of South Miami on June 12, 2004, in the City of South Miami, approving the closing of portions of SW 58 Avenue from SW 74 Street to SW 73 Street. (Please note map). Section 2. The fee for street closure of $512.75 will be distributed to the Community Center. Section 3. This resolution shall take effect immediately upon approval. SPWWEv T- r-M.1.5 KR,*W.kR..M_ - day of June, 2004. APPROVED: Commission Vote: Mayor Russell: Vice Mayor Palmer: Commissioner Wiscombe: Commissioner Birts-Cooper: Commissioner Sherar: SPECIAL EVENT PERMIT APPLICATION F South Miami F l o r i d a Ah- a 2001 Application for the purpose of conducting a Special Event in the City of South Miami shall be filed in the City Manager's Office, not less than twenty -one (21L4ays prior to the effective date together with all the requirements. Name of Organization Telephone .30-5' �,4CS 1 7 Z K, � (Office) S,,GM 6' (Home) Address of Organization s %Z!i� c Vij SS % ix P o- Name of Principal Officers and/or manager of Organization: President �%„tyc� 1 ' H_Oj S",& % Secretary ��" t 6'4� �N /� Address _Aq?6- , A, c&T, Address S jr: -, Ae)tk6 Office Phone ZtXjjt!r Office Phone S4,Y) L:3� E -mail Address E -mail Address — Briefly describe event and purpose: `TX-M AAA) U IALk 4E� �jZ ZEji2 Location of Event: (Name Streets /City Park) &,4 07 j`le`S7- A/4-10944, 4, tJ '584/s ➢ (A rental fee will be anulicable if a Citv Park is being utilized. Reservations are made through the Parks & Recreation Department (305) 663- 6319). The proposed date(s) and hours of operation: Set -up dates and times n9s /2 Zc7 (o oo am Clean -up completed by e�� /L zm®4 `/; 00PV, Time of Actual Event: From: ; , (am,(oi ) To: (anio City of South Miami 6130 Sunset Drive, :4 Tarty, 1F �; �gv�, South Miami, Florida 33143 ._ 'VAC XX2 X220 SPECIAL EVENT PERMIT APPLICATION F South Miami F l o r i d a Ah- a 2001 Application for the purpose of conducting a Special Event in the City of South Miami shall be filed in the City Manager's Office, not less than twenty -one (21L4ays prior to the effective date together with all the requirements. Name of Organization Telephone .30-5' �,4CS 1 7 Z K, � (Office) S,,GM 6' (Home) Address of Organization s %Z!i� c Vij SS % ix P o- Name of Principal Officers and/or manager of Organization: President �%„tyc� 1 ' H_Oj S",& % Secretary ��" t 6'4� �N /� Address _Aq?6- , A, c&T, Address S jr: -, Ae)tk6 Office Phone ZtXjjt!r Office Phone S4,Y) L:3� E -mail Address E -mail Address — Briefly describe event and purpose: `TX-M AAA) U IALk 4E� �jZ ZEji2 Location of Event: (Name Streets /City Park) &,4 07 j`le`S7- A/4-10944, 4, tJ '584/s ➢ (A rental fee will be anulicable if a Citv Park is being utilized. Reservations are made through the Parks & Recreation Department (305) 663- 6319). The proposed date(s) and hours of operation: Set -up dates and times n9s /2 Zc7 (o oo am Clean -up completed by e�� /L zm®4 `/; 00PV, Time of Actual Event: From: ; , (am,(oi ) To: (anio Page # 2 To what extent, if any, would the City benefit: i�16 % LJl /l &1tf;' -5k W A GAS Please give anv additional information deemed pertinent to this application: The following person(s) will be in direct charge of the conducting the activities: Name ` Add r ss qr Phone c Name (s) of person(s) who must be on site with authority other than applicant to expend funds or make major changes in case of an emergency: Name AA6n7 Address Phone /lOnt NCI ids' S4 .s The following firm(s) will be utilized to promote this event: Name Address Phone Approximate number of Participants /a2k® Spectators General Requirements: In the event of a parade, a permit from the South Miami Police Department must be obtained. Contact person: Lieutenant Bruce Ross 305- 663 -6313. When marking any public street, curb and/or right -of -way no permanent marking substance may be used. All markinIzes must be removed immediately after the completion of the event. Please initial Barricades shall require an additional rental fee established by the Public Works Department. Page 3 Any temporary cover for stations such as a canopy shall be flame retardant and applicant shall provide proof of such certifi cate No pegs, stakes, or ancho i evices shall be driven into concrete, asphalt, or City hardened right - of -way. Please initial If Police service for traffic and/or crowd control is required, arrangements will be made through the City of South Miami Police Department for off: duty Police officers. The Police Department will determine the number of officers required. ➢ Specific Requirements: All organizations sponsoring special events using public property or public streets within the City of South Miami must receive prior approval by resolution from the South Miami City Commission. The resolution must include the estimated reimbursement amount to be paid to the City for all City revenue loses and City expenditures associated with the approved special event. The adopted resolution may also specify an additional monetary contribution to be made by the organization to the City; the resolution shall specify as how the additional monetary contribution is to be used by the City. ✓ Map of route or site plan of the scheduled event including all stations and descriptions of activities. ✓ A majority vote of approval (one -month in advance) by the City Commission will be required for large events. ✓ Deposit of Six Hundred Dollars ($600.00) to defray cost of litter clean -up, must accompany application plus permit fee of $60.00. If clean -up is not required, deposit may be refunded. The litter deposit may differ depending upon the event. ❖ The foIIowing schedules of fees could be imposed for any special event; they are as followed: ❖ Public Works — The average hourly rates are approximate $20.00 per employee, per hour. ❖ Barricades: The average hourly rate for 125 Barricades for one 1 da y usage is approximately $75.00. ❖ Approximate dollar(s) for Police Officers: Extra dutypU for Supervisor is $35.00 per hour. ❖ One time radio fee: Extra duty 12M for Officer is $25.50 per hour. $3.00 per officer, per day, per radio •:° Cost of Meters: $15.00 per day, per meter. Page 4 Banner fee: $75.00 (This fee does not include the placement of the banner). • ;• Hanging and Removal of a banner: $200.00 (Cost incurred by the City) > For Grant Recipients: Payment of these charges could be deducted from the designated grant amount approved by the City. ➢ Public liability insurance coverage certificate naming the City of South Miami as an additional insured for the time, date, place and name of the event, in the amount of $1,000,000 is required prior to the event! Signed: Nam Title < Ott tis Address 5-7 2-f{ SOAJ �� Phone S 7 ZZ. ell ;� o'° �ub,c bed and sworn, before m this day of , 200 ti o ary Public State Florida at Large ' MISSIONNUMBER DD038028 � PAY COMMISSM EXPIRES � Aipplication Fee: $60.00 OF F" ' JULY 14,2005 Received by Date l Time REVIEW BY CITY OF SOUTH MIAMI DEPARTMENTS (Provide estimate of number of personnel required from your department to provide appropriate services for this event, along with an estimate of cost to applicant). City of South Miami Police Department Authorized Signature Recreation Department Authorized Signature APPL 1.0N ft Sp.W E-a 2003 Public Works Department Authorized Signature APPROVAL BY CITY MANAGER Date SOUTH MIAMI POLICE DEPARTMENT INTER- OFFICE MEMORANDUM TO: Maria Davis City Manager VIA: Orlando Martinez de a tr Chief of Police FROM: Lieutenant Bruce H. R DATE: May 6, 2004 SUBJE Special Event Permit -Team Footworks 5 K Run/Walk - 200° Estimate for extra -duty Police Officers Over the last few years, this event has become very popular and the number of participants as well as the spectators have increased. Also, I have taken into account the increase traffic from the Shops at Sunset Place and the decreased parking due to construction. I am recommending one (1) supervisor and ten (10) police officers for traffic control for this event which will be held on Saturday June /3, 2004 from 1830 to approximately 2130 hours at SW 58 AV & SW 74 ST. * *1 supervisor @ $35.00 per hour for 3 Hours = $105.00 * *10 officers @ $25.50 per hour for 3 hours = $765.00 * *11 radios @ $ 3.00 per day for 1 day = $ 33.00 Total Estimated Cost $903.00 Note: Estimated cost does not include the cost of barricades or cleanup. RESOLUTION NO. 27 -03 -11576 A RESOLUTION OF THE MAYOR AND CITY COMNIISSION OF THE CITY OF SOUTH. NIIANII, FLORIDA, RELATED TO EC -124L �� 5� SETTING FORTH A POLICY ON FUNDING SPECIAL EVENTS AND COSTS ASSOCIATED WITH SPECIAL EVENTS AND; PROVIDING AN EFFECTIVE DATE. WHEREAS, public property and public street locations within the City of South Miami are used by organizations for special events which are beneficial to the City and its residents; and WHEREAS, such special events may require City services and resources to be expended in order to provide security, clean up, banner hanging, street blocking, covering of parking meters; and WHEREAS, the Mayor and City Commission desire set forth a policy requiring reimbursement to the City for all revenues lost or expenditures made for special events. NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMNIISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, AS FOLLOWS: Section 1. All organizations sponsoring approved special events using public property or public streets within the City of South Miami must reimburse the City for all City revenue loses, and City expenditures associated with the approved special event. Section 2. All organizations sponsoring special events using public property or public streets within the City of South Miami must receive approval by resolution from the South Miami City Commission. The resolution must include the estimated reimbursement amount to be paid to the City for all City revenue loses and City expenditures associated with the approved special event. Section 3. The resolution described in Section 2 above may also specify an additional monetary contribution to be made by the organization to the City; the resolution shall specify as how the additional monetary contribution is to be used by the City. Section 4. All organizations sponsoring an approved special event which closes a public street within the City of South Miami, must provide in advance; a petition signed by a majority of businesses facing the street affected by the approved special event. Section 5. All organizations sponsoring approved special events using public property or public streets within the City of South Miami must agree in writing as to pay the actual the amount of City revenue loses and final City expenditures associated with the approved special event. 7 -03 -11576 (2) Section 6. All or streets within the City of South Miami which have been allocated monetary grants in the adopted City Budget, should pay for the required reimbursement from the designated monetary grant. Section 7. This resolution shall be effective immediately after the adoption hereof. PASSED AND ADOPTED this 18th , day of February , 2003. ATTEST: APPROVED: G C)71,-., e, CI CLERK MAYOR READ AS TO FORM: Commission Vote: \/ 5 -0 Mayor Feliu Yea Vice Mayor Russell Yea Commission Bethel Yea �i ��ATTORNEY Commission McCrea Yea Commissioner Wiscombe Yea City of South Miami 6130 Sunset Drive South Miami, Florida 33143 305— 668-2510 Fax # 305 - 663 -6345 Banner Reauest South Miami F l o r i d a 1! IN ftftA s� -s�lca t 2001 Application for the purpose of requesting permission from the City to display banners promoting events. Priority will be given to businesses and organizations in South Miami. Name of Organization: zoojip ?""tks Telephone 3 OS to C,& 0 2,1-3 J Address of Organization S 7 2.4 Contact Person: Title of above mentioned: PA 6-3 Phone Number &,),5 &lob 7,P3 Cell # OS 714:17 Briefly describe event for which you wish to display a banner in South Miami. i Li®L dr S* 4.J LOU./ ont -f®uF,# M14-M Event Date (s) < acJ g ` L O f Dates you want banner displayed: From 14,dh C2 o!* To N Q-4 Location -5 01SUCT 40t hdc'T L-09=7- -91,66" ➢ A fee of $75.00 is required to reserve one (1) banner space (3 pole areas are available: one (1) on the west side of Sunset Drive, and two (2) on the east side of Sunset Drive. A A fee of $200.00 is required to cover cost incurred by the City to hang and remove the banner. Received by Check # 090 A Attachments Required: Proof of Insurance Banner design Approved City Manager Received Received Date ➢ Banners must be delivered to: City of South Miami Public Works Department 4795 SW 75 Avenue South Miami, Florida 33143 (305) 663 -6350 > Banners will be displayed 10 14 days prior to the Event. i Banner Specifications — 30 Feet Long X 3 Feet Wide, 100 Feet of 3/4 "nylon rope with hooks and banners must have vents_ JI Twilight 5K & Saturday, June , 2002° • 7:OOPM • South Miami register online at www.footworksmiami.com TeamF�oofWorks footworksmiamixom • (305) 666- RACE(7223) 83 ST 84 ST 85 ST SNAPPER CREEK 84 ST 87 ST W Q CO W STAGING , AREA DANTF.. FASCELL PARK A RDM CERTIFICATE OF LIABILITY INSURANCE 02/03/2 0 ' PRODUCER (260) 482 -5455 FAX (260) 483 -6297 Diller-Smith & Associates 2526 Scotswo I de Dr. . P.O. Box 8517 Ft. Wayne, IN 46808 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED American Association of Running Clubs 3097 E. Shadowlawn Ave. Atlanta, GA 30305 INSURERA: GREAT AMERICAN ASSURANCE COMPAN POLICY EXPIRATION INSURERB: NATIONWIDE LIFE INSURANCE COMPANY INSURER C: GENERAL LIABILITY INSURER D: 12:01 AM INSURER E: EACH OCCURRENCE r(1VFRA(:FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY PAC0000566222200 12:01 AM 12:01 AM EACH OCCURRENCE $ 1,000,0001 COMMERCIAL GENERAL LIABILITY 12/31/2003 12/31 /2004 DAMAGE TO RENTED $ 300,000 CLAIMS MADE l X J OCCUR MED EXP (Any one person) $ 5,00 A X PART I C I PANT LEGAL PERSONAL a ADV INJURY $ 1,000,000 LIABILITY INCLUDED GENERAL AGGREGATE $ NONE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO PAC0000566222200 12:01 AM 12/31/2003 12:01 AM 12/31/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00C BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X F1 PROPERTY DAMAGE (Per accident) $ GE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR � CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATL OTH- EMPLOYERS' LIABILITY E.L. EACH AC00EN'i $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ B CCIDENT /MEDICAL- EXCESS SPX0000000478500 12:01 AM 12/31/2003 12:01 AM 12/31/2004 $10,000 WITH A $250 PER CLAIM DEDUCTIBLE - $2,500 ACCIDENTAL DEATH & DISMEMBERMENT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTERESTS IN THE OPERATIONS F THE NAMED INSURED. EVENT:5K RUN WALK ATE OF EVENT: 6/12/04 - INSURED CLUB:TEAM FOOT WORKS, ATT JOHN HANS HUSEBY, 5724 SUNSET DRIVE, SOUTH MIAMI, FL. 33143 -5316 6/12/04 CITY OF SOUTH MIAMI 6130 SUNSET DRIVE ATT MARIA STOUT -TATE SO. MIAMI , FL 33143 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John Lefever /SAA ACORD 25 (2001 /08) © ACORD CORPORATION 1988 TeamFootWorks www.footworksmiami.com 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143 -5316 • (305) 666 -RACE FAX: 667 -9760 May 18, 2004 To: City of South Miami Re: Twilight 5K Run Saturday June, 12, 2004 5:00 —10:00 pm The Twilight 5K Run/Walk and the Japan Summer Festival are healthy, fun and entertaining events for families and individuals of all athlete abilities and cultural backgrounds. The Run will take its traditional course through the south residential area near Fascell Park while the festival will take place in the flag lot of the First National Bank of South Miami. As before, contingent on the sponsorship and expenses, TeamFootWorks will make a donation to the South Miami After School House We look forward to another successful event. Sinc rel John Hans Huseby A NOT- FOR - PROFIT CORPORATION 501(C)(3). PROCEEDS ARE DONATED TO LOCAL CHARITY ORGANIZATIONS AND RUNNING RELATED PROGRAMS. INTERNAL REVENUE SERVICE DISTRICT DIRECTOR P. 0. BOX 2508 CINCINNATI, OH 45201 Dater AU6 21 lose. TEAM FOOTWORK EDUCATIONAL & FITNESS CORPORATION 5724 SUNSET DR SOUTH MIAMI, FL 33143 -5316 Dear Applicant: DEPARTMENT OF THE Employer Identification Number: 65- 0455073 DLN: 17053213718008 Contact Person: D. A. DOWNING Contact Telephone Number: (513) 241 -5199 Our Letter Dated: November 1994 Addendum Applies: No TREASUX V This modifies our letter of the above date in which we stated that you would be treated as an organization that is not a private foundation until the expiration of your advance ruling period. Your exempt status under section 501(a) of -the Internal Revenue Code as an organization described in section 501(c)(3) is still in effect. Based on the information you submitted, we have determined that you are not a private foundation within the meaning of section 509(a) of the Code because you are an organization of the type described in section 509(a)(2). Grantors and contributors may rely on this determination unless the Internal Revenue Service publishes notice to the contrary. However, if you lose your section 509(a)(2) status, a grantor or contributor may not rely on this determination if he or she was in part, responsible for, or was aware of, the act or failure to act, or the substantial or material change on the part of the organization that resulted in your loss of such status, or if he or she acquired knowledge that the Internal Revenue Service had given notice that you would no longer be classified as a section 509(a)(2) organization. If we have indicated in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Because this letter could help resolve any questions about your private foundation status, please keep it in your permanent records. If you have any questions, please contact the person whose name and telephone number are shown above. Sincerely yours, d"7 71,10�01 District Director Letter 1050 (DO /CG) r uonsumer•s uertiticate of txemptlon !I R. 10/99 _-Y T_� Issued Pursuant to Chapter 212, Florida Statutes DEPARTMENT iE REVENLE 23 -19- 518364 -85C I 01/01/01. I 01/01/06 501(C)(3)-ORGANIZATION _M-� [IEPARTMENT C;F RE'vENLE Important Information for Exempt Organizations DR -14 R. 10/99 1 . You must provide all vendors and suppliers with an exemption certificate before making tax - exempt purchases. See Rule 12A- 1.039, Florida Administrative Code (FAC), or request Form DR -97, Suggested Format for Blanket Certificate of Exemption. 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. Your organization's purchases will only be exempt when a signed exemption certificate is presented to the seller and payment is made directly by your organization. 4. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be reimbursed by the organization. 5. This exemption applies only to purchases your organization makes. The sale or lease to others by your organization of tangible personal property, sleeping accommodations or other real property is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churcries are exempt from this requirement except when they are the lessor of real property (Rule 12A- 1.070, FAC). 6. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third degree felony. Any violation will necessitate the revocation of this certificate. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Central Registration, at 850 - 487 -4130. The mailing address is 5050 West Tennessee Street, Tallahassee, FL 32399 -0100. TeamFootWorks 8079 EDUCATIONAL & FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143-5316 (305) 666 -RACE FAx: 667 -9760 63 -5871 DATE 670 PAY TO THE ORDER OF t 714 DOLLARS LJ o,v.o First National 5750 Sunset Drive of nk South Miami, FL 33143 South 305.667.5511 Miami www.fnbsm.com F C,LN --- �\.--------- - - - - -- ----- - --"-r 11100E10 79111 1:06 700 SB 7 31:11'0 L 0091,727 Sill T eamootWRPF orks EDUCATIONA &FITNESS R ATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33 1 43 -53 16 (305) 666 -RACE FAx: 667 -9760 PAY TO THE ORDER OF �FV So 8080 I DATE ztnt - 1 $%S'0'0 63-5671 670 DOLLARS u owo ate. First `� National 5750 Sunset Drive oBf nk South Miami, FL 33143 South 305.667.5511 Miami www.fnbsm.com FOW 1 O1 1 ?.'MV e0 4 - -- � - ------ - - - - -- ----- - - - - -- R Nr 11'00aoB0115 1:06 700 SB 7 31:11'0 L 00"N727 Silo Teg mFoo tWorks ATIONAL &FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143-5316 (305) 666-RACE FAx: 667 -9760 PAY TO THE fir. ORDER OF DATE , L '14� 1 $ too 8081 63-5671 670 DOLLARS 6) .="K.-7 IjFIFst 5750 Subset Drive National of nk South Miami, FL 33143 South 305.667.5511 Miami www.fnbsm.com FO T-,2 T�•r ,ja�--------------- - - - - -- - "° 11000190B L11' 1:06 700 SB 7 31:11'0 L 009472? Slim EDUCATIONAL &FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143-5316 (305) 666 -RACE FAx: 667 -9760 PAY THE ORDER OF First 5750 Sunset Drive V National South Miami, FL 33143 South 305.667.5511 Miami wwwfnbsm com 63 -5871 DATE 670 FOR—. 11'008 Z8 7ii' x:06 700 5B ? 31:11'0 L 0094 ? 2 ? 5ii' EDUCATIONAL &FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143-5316 (305) 666 -RACE FAx: 667 -9760 PAY TO THE ORDER OF <:2 F-1 �n -A RIMP �r �f 63 -5871 DATE �L� ► L� 670 rr '9d'� .J _ DOLLARS 8 25C- 1jFirst 5750 Sunset Drive National South Miami, FL 33143 S ®uth 305.667.5511 Miami www.fnbsm.com FOR - 1��C,t �! i ems}• -- -�.jG� -- -- Im 111008 28 5ii' 406 ?00 58 ? 3i:ii'0 l 009472? 5ii' TeamFootWorks 8286 EDUCATIONAL & FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH MIAMI, FL 33143-5316 (305) 666 -RACE FAx: 667 -9760 66 DATE 0871 PAY TO THE ORDER OF CL r"7 �41 11�aV4 DOLLARS an Bazk First National 5750 Sunset Drive ®tank South Miami, FL 33143 South 305.667.5511 Mg., www.fnbsm.com F1 -- -71�f 11'008 28611' 1:06 ?00 58 7 3i:ii'0 L 0094 7 2 7 5ii' Mar 11 04 06:09p TeamFcotWorks 305--667-9760 EDUCATIONAL & FITNESS CORPORATION 5724 SUNSET DRIVE, SOUTH WAW FL 33143-5316 • (305) 666-RACE FAX: 667-9760 To: Number of pages: 2— (Including, cover page) 0 Per your request [-] Original in mail — /L,.i ij 3//012004 8:08 :44 PM 1 305 668 -7388 Page 1 * * * U` GE.'V T Ili l`'ES TUEN T ALERT!******* Thursday March 11 2004 Stock Symbol OTCBB: ASCT Shares outstanding (est) 45,000,000 Float (estimate) 21500,000 Current Price $0.71 Price Trend Upward Investment Rating Strong Buy Today's recommendation: Anscott Industries (NASDAQ Symbol: ASCT) is another golden opportunity for savvy investors to see big returns. ASCT is poised to explode! BREAKING NEWS. "WAYNE, N.J., .Anscott announced that it has begun selling its new, product Hydroclene Cleaning Solvent. Hydroclene, available exclusively through Anscott's U.S. and Canadian distribution channel, began its industry roll -out this past weekend at the Texas `Big 2004 Show'. "It's very exciting to bring such a well received alternative solution to the market." Said Jeffery Battiston, Anscott's Product Line manager. "Anscott has taken a proven technology and made it better." The Hydroclene foundation is made with proven products from industry giant Shell Chemical. "Having the Hydroclene base come from a major petrochemical company positions Anscott to dominate the textile cleaning industry with the best available technology while delivering price and performance." Said Jack Belluscio, President of Anscott. The textile cleaning industry currently uses over 400,000 pound of cleaning solvent per year. The industries solvent process has come under increasing regulatory pressure because of its risks to humans and the environment. Nfanv states around the U.S. have begun taxing current methods by up to $15.00 per gallon and California has taken the lead by mandating that the current solvent process be totally eliminated. Anscott believes that this regulator, and financial pressure will encourage over 30,000 end users to change to a safer, more environmentally friendly solvent. By providing several alternative - cleaning solvents Anscott believes it can gain market share in the $17.7 billion dollar textile cleaning industry. "?vlany of our investments in new cleaning technology are coming on stream over the next few years and we plan on being in position to provide maximum return to our shareholders and customers." said Belluscio. BREAKING NEWS! BUY RECOMMENDATION! .NASDAQ SYMBOL: ASCT TARGET PRICE: tf.Tt DO NOT MISS THIS TRADE! :`[lF d1 &>k * *949k i61i>k.E *i9>4 *�94 *>4 ** *new *�iF 9k *ii iF >k >49k * *>4 >4941� �[>t * *i. At current trading levels this stools seems to be five to eight times undervalued right now. Chemical companies in these sectors are trading at $16 to $22! �c s494 *iewk *ie 14941! 94 ss ie ie ie *94 ie 1i ie lk *#cis#ie ie{ a ie il{e *e4 ie fs ie ie 9F 9414 is i1 *14 >rc Investment Analysis Recent SEC filings show Anscott's revenues up to $3.4 million as compared to $1.9 million for the nine months ended December 31, 2002. This year Anscott is in the process of expanding it's service base and technology and that should double its customer base to 10,000 within two years. The alliance with industry giant Shell Chemical and the anticipated regulatory pressure by the states should bring 30,000 end users to the market. This gives Anscott the potential for explosive growth and large gains to investors. Chemical companies in these sectors are trading at $16 to $22! Small cap investments are hot! Jim Furey of Lehman Brothers offers this advice: "You want to own small stocks versus large stocks when economic growth is accelerating, which is exactly the period we are in now." At current trading levels this stock seems to be five to eight times undervalued. Put this one on your strong buy list! About The Com p any Anscott is one of the world's leading manufacturers of specialty chemicals that clean with non - hazardous technology. Founded in 1900, Anscott is a leader within Textile Care Industry with traditional detergents, finishing agents, and filtration systems for the fabric care industry°. Reasons To (awn ASCT: 1) Anscott Industries revenues are up to $3.4 million 2) Anscott Industries believes that the company can dominate the$17.7 billion dollar textile cleaning industry with the best available technology. 3) Anscott Industries believes that states will increase regulatory pressure and encourage over 30,000 end - users to change from the current method to Hydroclene, an environmentally friendly solvent. Visit www.a nscott.net for more information She Harbor° statement under the Private Securities Litigation Reform Act of 1495: This release contains forward looking statements identified by the use ofivcwd, such as should, believes, plans, goals, expects, may, will, objectives, missions, or the negative thereof, other variations thereon or comparable terminology. Such statements are based on ctuTently available information which management has assessed but which is dynamic and subject to rapid change due to risks and uncertainties that affect our business, including, but not limited to, the impact of competitive products and pricing, limited visibility into fume product demand, slower economic growth generally, difficulties inherent in the development of complex technology, new products sufficiency, availability of capital to fund operations, research and development, fluctuations in operating results, and other risks detailed from time to time in the co nnparnp's filings with the Securities and Exchange Corrnnission. Any statements that express or involve discussions withrespect to predictions, expectations, beliefs, plan, projection, objectives, goals, assumptions or future evens or performance are net statements of historical fact and may be forward looking statements. Forward- looking statements involve a number of risks and uncertainties, which could cause actual results or events to differ materially from those presently anticipated. T he Wall Street Bulletin is a promotional opinion based newsletter. The Wall Street Bulletin was paid $77,500 by a third party for the cost of this promotion. The third party may buy or sell stock at any time. The W all Street Bulletin has not received, and will not receive any shares e.f stock in Anscott Industries. The Wall Street Bulletin emplovees will no buy or Nell arty stock in Anscott Industries. Copyright 2004 To have your name removed from our database, please call our automated toll -free center at 1- 800 -658 -8133 v w I } I; d" �sy LAJ 3/10/2004 10:01:40 AM- 1 305 668 -7388 -> Page 1 q� V CD M 3 o Y X O 3 0 T pC� r P r� n'I i q� yV+'yo V• W r l7J C CL I s 1 C 3 7 Ui =i N S cn Q= CL %4 en CD j1m�{ LPL 3 md C co 1 Mar 11 04 06:09p I TeamFootWorks Nil Vz %i M�� m -Fl,jpd cg)s cv, W- m ME O UO