HomeMy WebLinkAboutDocumentation_Regular_Tab 05_7/14/2022Agenda Item #5.
Regular Council
STAFF MEMO
Meeting: Regular Council - Jul 14 2022
Staff Contact: Jose Rodriguez, Building Official Department: Building
11
SE 05-22 -Run 4 The Pies special event permit application by Palm Beach Roadrunners for an annual
11/24/2022 four -mile road race, one -mile kids race and hundred -yard toddler dash to take place at
Constitution Park on Dover Road from 6:00 a.m. - 11:00 a.m. There will be 2,200 attendees. No alcohol
will be served. Water and Gatorade will be provided along the course route. There will be 10 open tents
set up at the event (i.e., without sides) and a truck with a ladder to display a flag. The applicant has
provided for Police Detail (10 officers including supervisor) and EMS services.
SE 05-22 -Special event permit application by Palm Beach Roadrunners for an annual 11/24/2022
four -mile road race, one -mile kids race and hundred -yard toddler dash to take place at Constitution
Park on Dover Road from 6:00 a.m. - 11:00 a.m. There will be 2,200 attendees. No alcohol will be
served. Water and Gatorade will be provided along the course route. There will be 10 open tents set
up at the event (i.e., without sides) and a truck with a ladder to display a flag. The applicant has
provided for Police Detail (10 officers including supervisor) and EMS services.
This document and any attachments may be reproduced upon request in an alternative format by completing
our Accessibility Feedback Form, sending an e-mail to the Village Clerk or calling 561-768-0443.
BUDGETED AMOUNT: N/A AVAILABLE AMOUNT: N/A EXPENDITURE AMOUNT: N/A
Additional Budgetary Information: Funding Source(s):
N/A
N/A
PSEP22-0007 - RUN 4 THE PIES - SPECIAL EVENT PERMIT APPLICATION.ada
Page 235 of 524
Agenda Item #5.
V'15
I
I
age
345TmqueutmDrive
Tmquemtm, FL 33469
561-768'0700
wvvm^toqumutaonm
To: Jeremy Allen, Village Manager
From: Jose Rodriguez, Building Director
CC: Honorable Mayor and Village Council
Date: May Gth,2O2Z
ReSpecial Event Permit Application for Palm Beach Roadrunners - Novemnber24,
2022 Run 4The Pies 4Mile Running Race (—Z,ZOOAttendees)
This is a Special Event permit application for an annual November 24, 2022 4 mile adult road
race, l mile kids race and lOO yard toddler dash organized by Palm Beach Roadrunners, a
registered Florida Not -For -Profit Corporation, signed by its President, Dave Masterson (see
attached Special Event permit application) to take place at Constitution Perk on Dover Road in
The event is to be held on Thursday, November 24, 2022 from 6:00 a.m. - 11.-00 a.m. No alcohol
will beserved. Free food will beprovided etthe event, and water and Gatorade will be
provided along the course route as well as within the Park to spectators and participants. The
projected number of attendees for the event is 2,200. There will be2Oopen tents set upetthe
event (i.e.,without sides) and atruck with aladder todisplay eflag. The applicant has provided
for Police Detail (10 officers including supervisor) and Fire detail.
The applicant, Palm Beach Roadrunners, has provided proof of General Liability (see Certificate
ofLiability Insurance, attached). The fee for the Special Event permit application inthe amount
of$2OOwill bepaid bythe applicant.
Vice -Mayor Kyie Stone Mayor Molly Young Council Member Laurie Brandon
Council Member Frank D/Ambna Council Member Aaron Johnson
Village Manager Jeremy Allen
Page 236 of 524
Agenda Item #5.
Village
ofTequesta
Building
Department
Special
�_����^��Application
34STequestaDrive
7equesta'FL334Gg
(5G1)748-O45OFax: (561)768-0698
Any Village resident, or any Village business holding a current Village business tax receipt pursuant to Chapter
70Article U, is eligible to apply for and obtain a special event permit pursuant to Sec. 78-56I. Any such
resident or business that desires to conduct any type of special event within the Village must obtain a permit
from the Village in order that the Village may adequately provide for the potential impacts created by the
proposed event. A rnax|mnunn of four (4) such permits shall be allowed per address or per business in any
single calendar year. A special event that includes multiple addresses, for example within a shopping center,
shall count as one event for each address captured by the specia I event permit.
"Speda|Event"isany outdoor activity, gathering orgroup ofpersons, vehicles orboth, organized and
having a common purpose, upon public or private pnopedy, which is likely to inhibit the usual flow of
vehicular or pedestrian traffic, which is likely to create noise in excess of that typically associated with the
areas upon which the vent is to occur, or which is likely to preempt or restrict use of property typically
accessible by the general public. Examples of special events include, but are not Urnbed to block parties,
parades, races or walks, grand opening events, charity fundraisers, and other similar events not specific -ally
permitted bythe Village's zoning ordinance. Special Events that are sponsored b»the Village and held on
Village property shall beexempt from the provisions ofthis section.
Written application MUst be submitted to the Village Building Department at least forty five (45) days prior to
the date for which the special event isproposed; atthe discretion ofthe Building department, anapplication
may be submitted less than forty five (45) days in advance if extenuating circumstance are present. The
application shall contain the following information:
Page 237 of 524
Agenda Item #5.
Event Details
Date of event:
Hours of event*.— 64 !!1 - 114
TypeofevenL
Location of event:
Property owner name:
You must attach the written consent of the property owner on record.
Contact Information:
Sponsor/persons responsible for event:
/~�~ //_ Alin
FL"�:������&4�UinQaddress u=`� / `~'=^ /=�r � =�^ »/� � r=^ ^~ = ^ ^�
Phone number:
;z-
^�
Fax numb�
Email address:
Projected number of attendees.
�
|sViUage[ound��
|epprove}needcd?Ye�' No| 1
Any proposed special event whose attendance is contemplated to exceed ZOO people in total shall require
final approval by the Village Council which, after considering the recommendations of the Building Director,
the Police Chief and the Village Manager, may approve the application, deny the application in whole or in
part; orapprove the application with conditions.
is alcohol being served? YesF-] N o
The service of alcoholic beverages at any special event shall require the issuance of the appropriate
state alcoholic beverage permit, acopy ofwhich must beprovided tothe village inconjunction with
the special event permit application, The Village may require the use ofphysical barriers todefine and
contain the outdoor area within which alcoholic beverages may be consumed and/or the use of
security oroff-duty law enforcement personnel at the special event. Itisthe applicant's responsibility
to monitor for and prevent excessive as well as underage consumption of alcoholic beverages at all
Limes.
Page 238 of 524
Agenda Item #5.
How many tents will beused atevent?
Will tents have sides? YesFJ NoMI/
w Should the event include the use ofone ormore tents, a$35I0Fire Inspection Fee, due ettime of
application, and a certificate of flame resistance is required for each tent. Inspection to be done on the
first day of event.
• By submitting a complete application, the applicant expressly agrees that it shall indemnify, defend and
hold the Village harmless from any and all damage to any real or personal property,and from any and
all injury or death suffered by any person directly or indirectly related to the consumption of alcoholic
beverages inconjunction with the special event.
Non -Prof itEnterprises:
w The Village may issue non-profit permits to any person or organization for the conduct or operation of
occaskzno|sa/esand/orfundraisingprojectshe|db«non-profitenterpr1ses either regularly or
temporarily, when the applicant signs an affidavit that the applicant operates without private profit,
for civic, public, charitable, youth, service, educational, literary, fraternal, or religious purpose.
9 Aperson making application under this section must comply with all rules and procedures for the
granting of special event permits as set forth in this section. All persons operating under a non-profit
permit shall operate their non-profit enterprise in compliance with this section and all other rules and
regulations ofthe Village.
Required Documents
The following items must be submitted at the time of application:
w 5ummaryofevent onoff icia|ieiterheadoforganizat)on, sign edbvtheeppUcant
w Proof of insurance in amounts acceptable to the Village for the type of event. The Village shall be
named as additional insured on all liability insurance (nota certificate holder).
w Expected traffic, f|re-rcscue,and utilities impact, ifany, and proposed mitigation plans.
* Copy of all required state and county permits if event will be held on or utilize state and/or county -
controlled property.
� A refundable deposit is required if the event is held on any Village property.
w Site Plan required with each application accompanied with drawing indicating layout for event.
o All event sites shall beleft inaclean and orderly manner upon completion ofevent.
Special Event Fees
* Under 2O0attendees: $40.00
m Over 2OOattendees: $100.00
* Per Village Resolution 36-19, fees for property owners that are 501(c)(3) non for profit entities shall be
reduced by5O%'
Page 239 of 524
Agenda Item #5.
Applicant name:
Applicant signature: jvj
Date:
Permit number:
Submittal Date:
Deposit amount:
R.ecornryiended for
Building Department:
Date:
Police Chief: Q�7e- poa-
Date., L� - / 7-- 2 Z-,
Fire Chief:
Date:
Parks & Recreation: Greg_Corbitt
Applicant Signature
Off ice Use Only
5e C- ie, /L•' ''
Digitally signed by Jeremy Allen
Village Manager: Jeremy Allen Date: 2022.05.23 15:04:54 -04'001
Date:
Approval notes: re!e t4,Vp/t -CjAoe I ve, /I
%o$ 1,-fAo-Q cAo,- .Y'eGj�a a,,PWI�f jejE r C _7
e g!A' Z AAoi
A.5 5 1gw '0. so'ov 1-cp Aeg, r
F-q e se, We V &4 A We — ed
el) liAol-4 .5 C, 5 Aool
01, e_Al V
64.j t 1eA'V!N'w 4f-OLO
L
A ----- -
EV x
N'
it
Page 240 of 524
Agenda Item #5.
May 5 th 12022
Village of Tequesta
345 Tequesta Drive
Tequesta, FL 33469
To Whom It May Concern,
This letter is submitted with our permit application to summarize the nature and purpose of the
Palm Beach Roadrunners "22 "d Annual Run 4 The Pies Race." The race will be held on
Thanksgiving Day, November 24 th , 2022. The start and finish for the race is slated to be on Dover
Road and use Constitution Park for awards and post -race food and drinks. The event consists of
three races, a Toddler 25 yard dash, a Kids Pumpkin I mile race and the 4 mile Run 4 The Pies.
Each year the 501 (c)(3) Palm Beach Roadrunners designate a charity as the beneficiary of funds
from each of our races. As has been customary, the Run 4 The Pies beneficiary is again Church
of the Good Shepherd Food Pantry.
Dave Masterson
President
ID Ut
Palm Beach Roadrunners
The Premier Running Club of the Palm Beaches
dave@pali-nbeachroadrunners.com
cell - 561-818-3567
Page 241 of 524
Agenda Item #5.
1 cl
CERTIFICATE OF LIABILITY INSURANCE
.
DATE IMWDD1YVYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TIDE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTAN-P. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, subject to tfic terms and conditions of tho policy, certain policies may roquire an Gndorsoniont, A statement on
this cerfificato does not confer rights to th,a certificate holderilin fiau of such endorsemant(s).
PRODUCER
NA�3RTAGT Margaret Moyers
ME;
PHNEo- Ext): FAX
O(260) 330-2925 (765.) 66CA-137r>1
fAlil N
Insurance Nfanagement GrDup
_I
ADDRESS-mi-nayc rs-Cyj I nsi-n gt co rn
12730 Colcwator Road, Stille 103
INSURER(S.) AFFORDING COVERAGE
NAIC ft
INSURER A; National Casualty Company
11991
Furl %Vayne IN 4 G845
INSURED
INSURPIR 13 -- Natiorwilde. Loto Irist-irance Coniparly
668691
Ro;3� Run ners Club of Amedc,-a?202212 a nd Iqs I'viembei- Clu bs
INSURER C -
INSURER D,-
INSURM E:
1501 Langston Boulevard, Suito 140
ArIj n 9(an VA 22209
INSURER F:
rnV99AnPA
lq[tM-RF:R. ZLr2Z ji I M A. 1.
RFVI.ql()N MI)MRFR-
-THIS IS TO CERTIFY THAT THE. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
JNO[CATED, NOTV0 TH$TAN DING ANY R F-QUIREMIENT. TERM OR CON 111110N (IF ANY CON TF�ACT OR OTHER FDOCLA-i EN T VVITH: RESPECT To WHICH THM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBF-D HEREIN 19 SUBJECT TO ALL THE TERMS,
EXCLU01ONS AND CONDITIONS OF SUCH POLICIES LIMIT5:5HO%1%1N MAY HAVE BEEN REDUCED BY PAID CLAMIS.
INSR
AT R
TYPE OF INSUR"CE
INS-0
VWWVD
POLICY NUMBF=R
POLICY EFF
(MMj'DDNYYY)
POLICY F;xp
(M&b1DDfY-V-YY)
X1
COMMERCIAL 15ENERAIL LIABILITY
PACD-I OCCURRENCE
11 1,00C1,000
jUAIMGk;l0
occup�
R�;N I fz 1)
PRENII-SES (Ea o-xurrevice-1
500,000
><
t-AED ExP rAry or-* co.4rsoni
5,000,
Legal 1-11-,-ibillty to
A
K R00-0 00 t) 08 9 712 0 0
12'. r: ? 1
12t3100-22
Pq rticipant t,000,000
PERSONAL & ADV INJURY
1
3ENTAGGRE&WE
LIMITAPPLIES F4ER,
F--R0
J- F] LIX.
—1 F�CT
GENERAL AGGREGATE
F, 5'000'`C®0
PRUUUG-T5 - GIUMPMP ACielj
S-1.0001,000
Ahtise- and Male.-A,91iori
S 500.,000
X
OTHER- Per Evetit Rgz-.i-s
A[JTCRA10iBILF- LIABILITY
GOPASINED SINGLr. LIMIT
(Eq aceldefitl
10001.000
1
ACCliLY INJURY ePer pamwi'l
.91
MAY NUTO
A
OINNED SCHEDULE0
AUTOS ONO' AjJTOS
K R 0 LXJ 0 n 13 D, 6 .9 7 1200
12 i3, -1 rl, fl. 12 1
*'3-1 i2L)22
ncoziLy iwuw (Ferurcidtmu
S
PROPERTY DAPIAGL
g*2)f;-deo1)
><HIRED x NON-CYONED
AUTUS 0- NLY 4,11 tos oKr.y
19
MORELLA 049
OCCUR
EACH CKCURRENCE,
AGGREGATE-
S
EXCESS LIAR
CLAIMS -MADE
DED RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
PEP 01H-
STATUTE ER
AN'Y PROPRlr-70R'Po1RT1IERoF-XE-:CLJTI'i.C-
EX(XL10ED?
N A
E.L. EACH ACCIDE14T
S
E L. OK,-'-EA;5E - EA 1EMPL O-YEE
IfAandnlory In 1414)
I F -1 d E! s tu 1 *1 bu (i dw- t
rjE-SC-R-,,PTIQN G'-ti OPERIATIONG bplr,.%-
E.L-. DISEASE - Pi IC? LIMIT
Excc-ss Medical
$10.000
Excess Medic -al R. AcxM-ent
0250 DuducLible.'Claim)
SAX0r-oXj0031815D(1400
12.f_rl rZC121
121f3l.r2(122
AD & Spi�c-ifjc Loss
$2.500
DE SC RIPMR 0 F 0 PE RATIO N G I LOCAT 10 N S I V U IC L F-S (ACORD 101, Add N a n a] 114amarks Sc he d U1 0. mad ha att3c h ad if mom space is raqu'rad)
1-` CERTIFICATE HOLDER IS1 NAMED AS AN ADDITIONAL INSUREDAS' RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED
IN5L.-IRED, DATE OF EVENT(5)' 1V2412.2 Rijn 4 Thp., Pie 5 4 ruliteRace and Kid's Dash IN 5U RED RRC-A CIA] B.IEVFNT Ni EMB ER: Palm Beach
Roadrunners, ATTN. Dave Ma:sterson, 8209 Caltarra Drive, Palm Be-ach Carden :S FL 33418
Proceed by RNIV
CERTIFICATE HOLDER CANCELLATION
5"Q4JLG ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE
THE EXPtRATION DATE THEREOF, NTOTICE WILL BE D EUVERED IN
11)'2-4)-22 Village of Teqtjasla ACCORDANCE WfTH THE POLICY PROVISIONS.
; 5 Toquosta Clrke.
ALITtIORIZED REPRESENTATIVE
Tequesta FL 3,346:9
1t�: 1988w2-015 ACORD CORPORATION. All rights reserved,
*g4
ACORD 25 (2016103) The ACORD name and logo are r isterod marks of ACORD
Page 242 of 524
Agenda Item #5.
DepartmentofState / Division of Corporations / Search Records / Search by Entity Name /
�L_
DivisiON OF CORPORATIONS
Page 243 of 524
Agenda Item #5.
82O8CehenoDrive
Palm Beach Gardens, FL33418
Title Secretary
Flynn, Maureen
285Bougo/nviUea
Jupiter, FL 33458
Title VP
VVa|k' Gory
515N.Flag|erDrive
2OthFbor
West Palm Beach, FL334O1
Title Treasurer
Carroll, Anne M
38OONOcean Dr
#1653
Riviera Beach, FL334O4
AmzualJReFm�m
Report Year Filed Date
2020 01/19/2020
2021 0108/2021
2022 01/10/2022
Document Izaogm
View image mpop�rm�
|
01/08/2021 --ANNUAL REPORT
��������������
View image mpopmm��
�����������
|
View image / popfonna
02/15/2019 --ANNUAL REPORT
------------------
wow/ma o/npopmnna
------------ -------
01/23/2018 --ANNUAL REPORTView
—
image ipoF�nma
'-----'-------------'--
01/17/2017 --ANNUAL REPORT
wew/mouempo��mn�
|
�~
image in PoF format
02109/2015 6MENDED ANNUAL REPORT
View image in PDF format
---
View /mo image in
~
�
mew/mu empopfonna
|
02/14/2012 --ANNUAL REPORT
rmat
View mpop fo
�
-------------------
12-/12/2011 --ANNUAL REPORT
View image in PDF format
02/1712011 --ANNUAL REPORT
—
--
11 /23/2010 ANNUAL REPORT
view image mPoFformat
|
0 1/06/2010 ANNUAL REPORT
--------`----'---
View image mpopformat
i
05/28/2009 --ANNUAL REPORT
—
v���a�mpop�nmm
---- --- ...
---|
\
Page 244 of 524
Agenda Item #5.
02/06Z2008 —ANNUAL REPORT
0 1 /18/2008 — ANNUAL REPORT
04/17/2007 — ANNUAL REPORT
03/20/2006 —ANNUAL BEEQET
07/08/2005---REINSTATEMENT
03/10/2003 — ANNUAL REPORT
04/18/2002 — ANNUAL BE-P-Q[3T
07/19/2001 — Name Changg
02/02/2001 —ANNUAL REPORT
04/10/2000 — ANNUAL REPORT
03/11/1999 —ANNUAL REPORT
02/04/1998 —ANNUAL REPO
01/23/1997 —ANNUAL REPORT
03/20/1996 — ANNUAL REPORT
05/31/1995 — ANNUAL REPORT
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format____,__
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
_�
Page 245 of 524
Agenda Item #5.
cB
Q
N
v
N
4J
N
L
U
0
d
Q
W
N
U
H
LU
CL
LU
FM
Rr
z
cd
-j
!L
i�
L.� 1
W
D
cr
LU
C�
z
l
U)
z
F-
N- a
< U
Ix
J9
9
�
H
p:
�y � • i
flQi �FF
yy
W: %y.4
a r Ave
cc
a
b
_
CT
c
y
Li.
�
cardcn
H
Elm Ave
JQ aualpo
Jp 0P1SJaateN
U
v
H
*p wrth Fork Lo
t
v,
i
t
Dr
Guifstrearn Dr
W Indies Ln
r
'
NS
Caribbean Ct
Pa A,4,tic 8
f
ry Club Of
Country Club Dr
Pine Tree PI
y
y 'AL a,
�rf
`r?
rr
as M41MI
f
,let pc
U
Q
c
i3
r-
ro
ai
tU
2
�-j
L
�
L
—
�
i
�
E
L
0
_ +
(U
.0
0
aj
LA
M
U
0
-W
ru
Qj
a3
E
0
e F-
L
0
c:
v
V)
+�
Q
Z t0
L
D
0
ai
M
4-j
4
W
a)
U-
{�
U
E
a—
0 Ln
L ai
Gj
U
E
-c �
� -0
+-P
ai
ti
t
�
ai
o
aj
ULO
c:
,c
a -a
ro
c
(U
M
0
ru
0
'
ro
ai
0
0
Vi
•�
0
L
ru
V)a)
a
L
0
U
V1
.
LA-0
ai
0
0 CL
cj
a) ra
0
U
-0
cL
C
rZ
U
a)
cn
Lr -
-0 fll>
0
(D
0 ) ro
W
LU
V7
.4
—
-0
b-0J
w
W
V)
ai
U
0 C)
�
Go
OLJ
CL
M
.>
ra
U U
— —
Vi A
L
41 0
-
Z3
a- J
ra
ai
U a)
CU ~
V
- —.3:
ro 0
i
,...,.
M
CA CDL
L
aiC)
0
�
0.3
U
`
3:
U
ai
4- J o
0 Ln
0
ai
__.._
0 TU
V)
-3 c
� 0-0
�
u)
6-
U
U
a
r
ai
V
U ai
te
►+�r U
� U
Ca-
�
a-J
�
ro
L
L
LL
ro
0- �
U -0
0
�
o
at 0
Mro
v
a3
Of
i— U
C1' ro
V) M
Q L-.
I—
LU
i
IL
W
d
J
U
of
a
�
a
'"
°'
twD
(a a
V rw
cc
p
cr
V
o
r�
o
Page 246 of 524
Agenda Item #5.
Ul
O
U
V)
ul
LLJ
D
2i
<
LU
Cy
ui
00
<
Q
CL
UL,
Lr)
Lr)
WQ
�
�
ry
�
C)
q;zj-
w
LU
L/)
<
z
CL
Lu
Zz
ry
�Q
��.J
rl
L- V.-
0
4-J
tj Lr)
(3)
0
a) �-
U
(10
cy- Lr)
w 0
w �
Ln
��, t
0-
_0 0
M -0
2 M
0
u
C:4-J (pj
0 (1)
u c
FU
aj
_0
ru
E
W
Page 247 of 524
Agenda Item #5.
" V---
0 r.-
4-J Ln
u
0) r--
U
M flo
QC Ln
>1 E
LU 0
a) y
-J
a) 0
_0 OL
ro V)
_0
ru
u
ro
4-J
E
0
u
Ow
Page 248 of 524