HomeMy WebLinkAboutDocumentation_Regular_Tab 05_2/13/2025 Agenda Item #5.
Regular Council
STAFF MEMO
Meeting: Regular Council - Feb 13 2025
Staff Contact: Wayne Cameron Department: Building
IMEW
Consider approval for this Special Event application for an annual July 4, 2025 four-mile running race
by Believe With Me, a registered Florida Not-For-Profit Corporation, to take place at Constitution
Park. The event is to be held on Friday July 4, 2025 from 7:00 a.m. - 10:00 a.m. No alcohol will be
served. The projected number of attendees for the event is 1500. The purpose of the event is to
honor families of fallen soldiers and all proceeds will directly benefit families that have lost a loved
one in the line of service.
Consider approval for this Special Event application for an annual July 4, 2025 four-mile running race
by Believe With Me, a registered Florida Not-For-Profit Corporation, to take place at Constitution
Park. The event is to be held on Friday July 4, 2025 from 7:00 a.m. - 10:00 a.m. No alcohol will be
served. The projected number of attendees for the event is 1500. The applicant has provided proof of
insurance and will hire Police and Fire Detail for the event. The purpose of the event is to honor
families of fallen soldiers and all proceeds will directly benefit families that have lost a loved one in the
line of service.
Please see attached completed special event permit application reviewed and signed by Fire
Department, Police Department, Building Department and the Village Manager.
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.
BUDGET • - •
BUDGET AMOUNT N/A AMOUNT AVAILABLE N/A EXPENDITURE AMOUNT: N/A
FUNDING SOURCES: N/A IS THIS A PIGGYBACK:
❑ Yes ❑ N/A
DID YOU OBTAIN 3 QUOTES?
❑ Yes ❑ N/A
COMMENTS/EXPLANATION ON SELECTIONN/A
Page 39 of 347
Agenda Item #5.
ATTACHMENTS: J
Believe with Me - Approved Special Event Application
Page 40 of 347
Agenda Item #5.
V *111age of T
r
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
J
1
•
TO: Jeremy Allen, Village Manager
FROM: Wayne Cameron, Director, Building Department
DATE: January 16th, 2024
SUBJECT: Special Event Permit Application for Believe With Me - July 4, 2025 - 4 Mile
Running Race ("'*"1500 Attendees)
This is a Special Event application for an annual July 4, 2025 4 mile running race by Believe
With Me, a registered Florida Not-For-Profit Corporation, signed by its President, Lyette
Reback, (see attached Special Event Permit Application), to take place at Constitution Park
on Dover Rd. The event is to be held on July 4, 2025 from 07:00 a.m. - 10:00 a.m. No
alcohol will be served.
Free food will be provided at the 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 1500. There will be 3 open tents set up at the event (i.e.,
without sides).
The purpose of the event is to honor families of fallen soldiers and all proceeds will directly
benefit families that have lost a loved one in the line of service. The applicant, Believe With
me, has provided General Liability and Umbrella Liability insurance. The fee for the Special
Event Application in the amount of$50.00 has been paid by the applicant.
Page 41 of 347
Agenda Item #5.
Village
��� Tequesta
Building
Department
�� '
Special
�— �� �� ^f_ Application
{^������ � ����kr��� � �
345 TequesLa Drive
Tequesta' FL35469
(56I) 746'0450 Fax: (5Gl) 7G8-O698
Any Village resident, Village business holding Village business i Chapter
70, Article U, iseligible to apply for and obtain o special event permit pursuant to Sec 78-562. Any such
resident Or business that desires to O]DdUCt any type Of special event within the Village DlUSt obtain 3 pe[rnb
from the Village in order that the Village may adequately provide for the potential impacts created by the
proposed event. A maximum 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 special event permit.
"'Special Event" is any outdoor activity, gathering or group of persons, vehicles or both, organized and
having a common purpose, upon public or private property, 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 limited to block parties,
parades, races or walks,grand opening events, charity fundraisers, and other-similar events not specifically
permitted by the Village's zoning ordinance. Special Events that are sponsored by the Village and held On
Village property shall be exempt from the provisions of this 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 is proposed; at the discretion of the Building department,, an application
may be submitted less than forty five (45) days in advance if extenuating circumstance are present.The
application shall contain the following information:
Page 42 Of 347
Agenda Item #5.
Event Details
U� 'U�� ^� 2025Deteofevent'~"^~"� -^'
7ankl - 1arn��Hours ofevent: " ~"
Type of event:Run
Constitution
Park Loca�ion of event'
Vi.. Tequesta
||age of Pmp�r� mwnername'
You must attach the written consent of the property owner on record.
Contact Information:
� — Sp-onsor/persons responsible fo-r-event:-Befileve Wlth-M-e Lyette Reback
Mailing address: 11420 [1S Hwy 1 PMB 122 North Palm Beach, FL 33408
��1-7���?DO�
Phone number: ~~ ' �~~ �~~~
Fax number:
�8�@C���[��(i�V������K�8 CODl
Email address' -y��ms' �� '
�
������
Projectednumberofattendees� U ������
'
b Village Council approval needed? Yes[W No[-]
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; or approve the application with conditions.
Is alcohol being served?YesF-] NoFN_1
� The service of alcoholic beverages at any special event shall require the issuance of the appropriate
state alcoholic beverage permit, a copy of which must be provided to the village in conjunction with
the special event permit application. The Village may require the use of physical barriers to define and
contain the outdoor area within which alcoholic beverages may be consumed and/or the use of
security or off-duty |avv enforcement personnel at the special event. It is the applicant's responsibility
to monitor for and prevent excessive as well as underage consumption of alcoholic beverages at all
times.
Page 43 of 347
Agenda Item #5.
x ��
How many tents will be used at event? � ��
Will tents have sides? Yes[—] N~*
m Should the event include the use of one or more tents, a $35.00 Fire Inspection Fee, due at time of
application, and a certificate of flame resistance is required for each tent. Inspection to be done on the
first day of event.
w By submitting a complete application, the applicant expressly agrees that it shall |ndemnify, 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 in conjunction with the special, event.
Non-Profit Enterprises:
The Village | non-profit permits to any person or organization for the conduct or operation of
OCCa3|OD8] sales and/or fundraising projects held by non-profit enterprises, either regularly Or
temporarily, when the applicant signs an affidavit that the applicant operates without private profit,
fora civic, public, charitable, youth, service, educational, literary,fraternal, or religious purpose.
o A person 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 of the Village.
Required Documents
The following items must be submitted at the time of application:
w Summary of event on official letterhead of organization, signed by the applicant
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 (not a certificate holder).
w Expected traffic, fire-rescue, and utilities impact, if any, and proposed mitigation plans.
m 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 be left in a dean and orderly manner upon completion of event.
Special Event Fees
• Under2OO attendees' $40.00
.
� Over 200 attendees: $100.00
m Per Village Resolution 36-19, fees for property owners that are S01/cV3\ non for profit entities shall be
reduced bv5D%.
. Page 44 Of 347
Agenda Item #5.
Applicant Signature
Applicant name: Lyette Reback_
Applicant signature:
Date:10/23/2024
Office Use only
Permit number:
Submittal Date:
Deposit amount:
Recommended for Approval
Building Department;:
71
Date:
r t
Police Chief: Zr _
Date: 'L
Fire Chief-,
Date: I'A'l__/ 5
Parks & Recreation:
Date:
Approved by
Digitally signed by Jeremy Allen
Jeremy Al 2025.01.23 12:23:12-05'00'
Village Manager:
Date:
Approval notes:
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Page 45 of 347
Agenda Item #5.
0000003 04/20/21
DR-14
Consumer's Certificate of Exemption-1 R.01/18
5
Issued pursuant to Chapter 212,Florida Statutes
ROMDA
85-8017039136c-5 06/3012021 06/30/2026 501(c)(3)ORGANIZATION
Certificate Number Effective Date Expiration Fate Exemption category
This certifies that F
BELIEVE WITH ME INC
11420 US HIGHWAY 1 PMB 122
NORTH PALM BEACH FL 33408-3226
Is exempt from the payment of Florida sales and use tax on real property rented,transient rental roperty rented,tangible
personal property purchased or rented,or services purchased.
DR-14
i Important Information for .. tempt Organizations Pi.01/18
n0R10A
1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases.
See Rule 12A-1.038,Florida Administrative Code(F.A,C.).
2. Your Consumer's Certfcate of Exempiion Is to be used solely by your organization for your organization's
customary nonprofit activities.
3. Purchases made by an individual on behalf of the organization are taxable,even if the individual will be
reimbursed by the organization.
4. This exemption applies only to purchases your organization manes. The sale or lease to others 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: Churches are exempt from this
requirement except when they are the lessor of real property(Rule 12A-1.070,FA. .).
5. 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 Iiable for
payment of the sates tax plus a penalty of 200 f of the'tax,and may be subject to convi+ct(on of a third-degree
felony. Any violation will require the revocation of this certificate.
6. if you have questions about your exemption certificate)please call Taxpayer Services at 860-488-6800. The
mailing address is Po Box 6480,Tallahassee,FL 3231 4-6480.
}
Page 46 of 347
Agenda Item #5.
Believe With Me
A 50 1 c3 non-profit organization
Gold Star Familin
Dedicafed to Pringing Hope 8nd Help fo Erica's
aot 9
-To the Village-of Tequest-a-2,!--
Believe With Me has been actively engaging the community about our
upcoming July 4th event at the beautiful Constitution Park. Our efforts
have been well received and many have commented about their
excitement to help families of fallen soldiers. The support for our cause is
unwavering. Registrations have been ongoing and successful and we are
excited about all of our sponsorships and media attention. Within the last
month we have been featured on most major media outlets including Fox
News, Inside Edition, The New York Post, The Washington Post, and all the
major media networks and radio morning shows across the country.
We are writing to the Village of Tecluesta not only to report on our good
success but to also request we be able to add signage around the village
for additional community involvement. We want the Village residents to
continue to support the race and even choose to participate bigger and
better than last year!
Below is the signage we are requesting be approved:
This is a mock up of a 44"x45" sign to be placed
outside the Country Club.
July 4th
■
7a 15am start
Constitution Park
S,
io.colil
V
1whove
41
Page 47 of 347
Agenda Item #5.
•'� y Y f� These
signsw i! • iw• and we
would like to hang them on the lamp
posts over the bridge.They are the
recommended 3'x5' size.
1 '
And the last sign is one that we would like
1
�. to place 2 of outside the municipal
complex 'in front of the f'Ire station and
hang another on the fence outside of
Constitution Park.This is r standard
4
i B size.
.... .....__.._._ ...- .. -.. ,..._..,..-..-.�....._...•....__.��_...-_-- .,....... ..r�._._......�--.....ter....- .....-.,.,,........�... ... .. .. ..
dr
Believe With Me would like to sincerely thank the Village of Tequesta for
this
consideration r ■ we look forward to serving your residents
' " • ■
featuring your beautiful park as a venue bringing gratitude and true help to
our families fallen soldiers.
Respectfully,
Founder, Believe
Aw w
Page
ae 4
Agenda Item #5.
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Agen-oal4em #5.
�,���m DATE(MMrDD1YYYY)
--
CERTIFICATE OF LIABILITY IN URANCE 01/15/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: 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 the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
561-459-7609 NAME: maves_Event Insurance-
Mayes Event Insurance vim;No,Ext): 561-459-7609� - - FAX No),: - - -- --
E-MAIL b ma eseventinsurance.Com
752 Lake Brim Drive an-ADDRESS: � y ---
INSURER(S)AFFORDING COVERAGE NAIL#
Winter-Garden,-FL 34787 INSURER A: Great American Insurance Company 16691 --
INSURED 561-236-2005 INSURER B;
Believe With Me, Inc. INSURER C=
11420 US H WY 1 P M B 122 INSURER D
INSURER E
North Palm Beach FL 33498 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.. NOTW-__I-T_HS_T_AND-ING-ANY—REQLIIREMEN-T_,_T_ERM OR CQNDITIONOF_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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR TYPE OF INSURANCE ADDL.SUBR POLICY NUMBER POLICY
IYYFYFY POLI CY EXY I ---
LTR LIMITS
✓ ; COMMERCIAL GENERAL LIABILITY ✓ EACH OCCURRENCE I S 1,000,000
-^- DAMAGE TO RENTED
A CLAIMS-N1ADE V OCCUR PREMISES(Ea occurrence) S 300,000
MED EXP(Any one person) S 5,000
- SRPGAML-103-0326 06/28/2025 06/28/2026 PERSONAL&ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: [GENERAL AGGREGATE S 2,000,000
POLICY PRO- LOC PRODUCTS-COMPlOP AGG S�,000,000
JECT _ - —
OTHER: S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I Ea_accident) S 1,00C),600
ANY AUTO BODILY INJURY(Per person) S
A ! OWNED - SCHEDULED SRPGAML-1 C)3-0326 06/28/2025 06/28/2026 BODILY INJURY(Per accident) S
AUTOS ONLY AUTOS
f HIRED ✓ NON-OWNED PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY Per accident)-
UMBRELLA LIAB `_
OCCUR EACH OCCURRENCE S
EXCESS LIAB__ CLAIMS-MADE AGGREGATE S
❑ED j RETENTION S S
WORKERS COMPENSATION PER OTH-
AN❑EMPLOYERS'LIABILITY ` STATUTE ER
YrN !
j ANYPROPRIETORIPARTNERJEX ECUTIVE N J A E.L.EACH ACCIDENT
OFFICERIMEMBEREXCLUDED.
(Mandatary in NH) E.L.DISEASE-EA EMPLOYEE; S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S
A Participant Liabiltity f ' SRPGAML-103-0326 06/28/2025 06/28/2026 $25,000 Max Med
A j Professional Liability $1,000,000
I �
I
DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
RE: Freedom 4 Miler Running Race- Constitutional Park Tequesta, Florida
Date: Friday July 4, 2625
The Certificate Holder and The Village of Tequesta are listed as an additional insured but only with respects to liability
arising out of Claims during the policy period.
CERTIFICATE HOLDER CANCELLATION
The Village Of Tequesta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
399 Seabrook Drive ACCORDANCE WITH THE POLICY PROVISIONS.
Tequesta,FL 33469
AUTHORIZED REPRESENTATIVE
C?1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(201+6/03) The ACORD name and logo are registered marks of ACORD
Page 51 of 347