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HomeMy WebLinkAboutCity of Tamarac Resolution R-92-178Y 0 Temp. Reso. # 6393 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-92 -120 A RESOLUTION AUTHORIZING ST. MALACHY CHURCH TO CONDUCT A CARNIVAL ON WEDNESDAY NOVEMBER 18, THROUGH SUNDAY, NOVEMBER 22, 1992; CONTINGENT UPON APPROVAL AND THE EXECUTION OF A HOLD HARMLESS AGREEMENT; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, Saint Malachy Parish wishes to promote a carnival to benefit the Saint Malachy Parish and other worthy causes; and WHEREAS, Saint Malachy Parish has requested authoriza- tion to conduct a carnival on Wednesday, November 18, through Sunday, November 22, 1992 on a portion of vacant property, located on University Drive, North of Saint Malachy church, as identified on Exhibit "A", Whereas, Saint Malachy Parish has submitted a Hold Harmless Agreement to the City for this event and has agreed to hold the City harmless of any claims whatsoever arising form the location, sale and operation of the carnival function. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF TAMARAC, FLORIDA: SECTION 1 : That the granting of the approval for t'he carnival is subject to an executed' Hold Harmless Agreement between the City, Saint Malachy Parish, Lawrence J. Carr Amusement Co., Inc.; and Bruce Eagen, Property Owner. SECTION 2 That the City Council hereby grants authorization for Saint Malachy Parish to conduct a carnival on Wednesday, November18, through Sunday, November 22, 1992 on vacant property, located on University Drive, North of St. Malachy Church. Temp. Reso. # 5393 SECTION. 3 That proper insurance coverage will provided. to the City in connection with the operation of th Carnival, as shown in Exhibit "B". SECTION 4 : The hours of operation for the carniva shall not be conducted between the hours of 10:00 p.m. an 6:00 a.m. during the set-up, operation of the carnival, an dismantling of equipment. SECTION 5 : This Resolution shall become effective immediately upon adoption. PASSED, ADOPTED AND APPROVED this k( * day Of )°1avehr\3'e'r,199a,. ATTEST: CAROL A. EVANS CITY CLERK I HEREBY CERTIFY that I have approved this Resolution as t form. MIT HELL RA CITY ATTORNEY ST.MALACHY-CAR/JY H.L )KENDER MAYOR RECORD OF COUNCIL VOTE MAYOR _ 11 -N DISTRICT , :�Q T7 DISTRICT 2:ij Ai�;Zi DISTRICT 3: __CM +. a1 F�R DISTRICT 4: C/M ARRAKAnWM7 HOLD HARMLESS AGREEMENT This agreement entered into on the J564-,day of no2en&JA,�-- 1992, is made by and between the City of Tamarac, a municipal corporation, hereinafter, '"CITY", the St. Malachy Church, hereinafter, ST. MALACHY, Lawrence J. Carr Amusements Co.,Inc hereinafter, "Amusements," and Bruce Eagen, property owner, hereinafter, "Eagen." WHEREAS, ST. MALACHY, wishes to sponsor a Carnival on Wednesday, November 18 through Sunday, November 22, 1992 to benefit St. Malachy Church and other worthy causes; and WHEREAS, ST. MALACHY wishes to stage the Carnival on a portion of vacant property located on University Drive, North Of St. Malachy Church on Wednesday, November 18 through Sunday, November 22, 1992; and WHEREAS, the City Council of the City of Tamarac has determined that the execution of this Hold Harmless Agreement is in the public interest. NOW, THEREFORE, in consideration of the sum of one dollar ($1.00) and other good and valuable consideration received from ST. MALACHY and in consideration of the mutual convenants contained herein, the parties agree as follows: SECTION 1 That ST. MALACHY, AMUSEMENTS, and EAGEN, shall indemnify, hold the CITY harmless and defend the CITY from any and all claims, causes of action, damages, costs, • expenses and attorney fees which 'the CITY shall suffer by virture of the defense of, or response to, any claim being made against it in connection with the Carnival sponsored by ST. MALACHY and AMUSEMENTS, their agents, employees, members, participating businesses, or the general public in connection therewith. ,ie—g4,2-/7e?ry SECTION 2 The above provisions shall survive the termination of this Agreement and shall pertain to any occurrence during the term of this Agreement, even though the claim may be made after the termination hereof. SECTION 3 ST. MALACHY, AMUSEMENTS, and EAGEN shall provide the City Risk Manager all necessary Certificates of • Insurance in such form and amounts as required by the Risk Manager. SECTION 4 : ST. MALACHY, AMUSEMENTS, and EAGEN shall keep such policies of insurance in full force and effect during the term of this Agreement and shall provide to the City Risk Manager proof of payment of the required documents. SECTION 5 : ST. MALACHY, AMUSEMENTS, and EAGEN shall provide the CITY with the requisite document evidencing that the signatory for ST. MALACHY, AMUSEMENTS, and EAGEN has the authority to enter into this Agreement. SECTION 6 This Agreement shall not be assigned without receiving City Council approval. . Signed, sealed and delivered in e prese ce of: ATTEST: CAROL A. EVANS CITY CLERK �rcrved ao 1,44-7r MITCHELL KRA`P CITY ATTORNEY Witnesse LION -HLDHRM-91/JY CITY OF TAMARAC APPROVED AT MEETING OF 9 THE CITY OF TAMARAC B Y W.L. RENDER MA OR B Y : l� J N P. KELLY 67 ITY MANAGER DATE: z --u ST. MALACiY C UR H DATE: Z-� LAWRENCE J. CARR AMUSEMENT 0. , INC. BY: DATE: —a4� B R U C E fFk� PROPS OWNE r BY: p � -- �UIIL______ DATE: _ / 0 "/9.2. EN(U;w 4"'Ouple-M M Fi rig �r9n1 � G1/iNT vv Ht; L. (it r 901�-- iiqf It r 11 0 0 EXHIBIT r W W � C d Z •w f=1 CA CLL i c s f i m a n� g c E N X E 4 S Z;i FA CD r i C �ro o _ C . r° �4s � '+ +Ev El #- .M....}i.~^.-y S d (W � •`{ ! is t " .. ..� .tom � "•f „ ... _' HAAS VVlLKEASON WOHLBEAG, INC, 4300 SIa'r;r66 %l;ssion Parkway S~alvnGO Mission, Kansas 66205 7 8 ii 9/22/92... THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFOFMATIpN ONLY AND C6kf f "! L NO MIG14TS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE not$ .VuT ArvIENG EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FORDING COVERAGE COMPANY �ETTER A CONTINENTAL CASUALTY COMPANY M.SjwIa - ------ — � COManrIY LETTEn 8 CONTINENxAI, CASUALTY COMPANY LA%+RE::CE J. CARR A.^tUSEMENT CC. INC. COPAPANY P . 0. BOX 456 WILMIN3TON, MA 01887 COMPANY ^— LETTER D COMPANY LETTER w4 I :TR THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H THISE BEEN INDICATED NOTWITHSTANDING ANY RMAY P. RTAI, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY n 199UEp OR R1AV PFpTAIN, THL INSURAN EVAFFORDED BYISSUEDTHE POLICIES DISC HEREIN S SUBJECT /T0 ALL THE TERMS EXCLUSIONS AND COItOIT10N8 OF t�Cn PpLICIE>♦ TYPE OFINS-RANCE I POLICY NOMBER LIneILI I Y A X COWW;C.A:OE';E'aI.AB:LITY i �• :sr.:r ; ];�•IAAl't; CAR 00 305 7700 S d r : "'S PiL"EG"rE A(JTOMOB;LE LIABILITY r� I $ Aiy &Il'0 I RUA 90 123 8428 ALL OrhE: -;70S I . Jj:nECaEC ALITCS I X -FIE^ A41OS X k^-%-0AmC AJTO$ �- vAItA:E l ABIL'� I I EXCEr:l1 LIABILITY `��-^^•�--�� PG�K• EFEECTr�! I PO:ICY Elt►�IATICrI ! �FTE lfdM.pDn / 7rlE 1A, OB h Y) ALL WITS IN THOUSANDS OENEE4L a WOATE ca,Ir,as 0� Ii 7/11/92 7/11/93 FL1►IMaucTs nccr,EeATe `PEPSOtiAL►AaveR'�slv0m.unr ;S EACH OCOPRCHel I jI /r9f ""AGE 'RN1' :rNE °M( qO ��•, j 7/11/92 7/21/93 I ' I I ' JT-fR •rAA rA'B�E:..A rCRf,�, , $ 0 �. PEA �ERSAi I s � occuiiai..0 �. I s I %VOFKERi COMMENSATION AND 9'.Atu'GRY _ EM�40YERS LIABILITY `t-'t"•- .P .:L�Cr t rai' OTHER ADD171oNAL INS' REDS r CITY OF TAMARA gz.. MALA sty 1 t cHtn9.�•tE I; IS AGREED IN T$F EV£"7T OF LAt3Y CHURCH —____ NOTICE WILL B* CANCELL. 'PION, A TIM ATY (30) Dj9Y PRIOR WRITTEN ;GIVEN TC THE CITY C!� 14NIARAC .nTES: NOVc^:15£TZ 17 C0EP„';0`S LCCATrC:vS;VE g pE5 rT� TsaoS SPEe R ITEMS 24 1992 j Of the Pc^y Inclueea aS an eddltional insured with respoct to an D Any Carnival LiabtlltY In� aurenco matyl; a art ASSaCIAtivn, iponsor�r CCurrence taking place at a Carrdval site (1) The Fair Or Exnit liar. 9 organization or t ommitte6 (2) The owner or lessee therOOf and (3) A municipalltY granting the Hamad M1iNfYC Germissl0n to operate a Carnival. CITY 01: TAMl+RAC JAUTH 0ul0 ANY OF THE ABOVE CESCRIB[q POLICIES 6E. CardCELIEb pEFOFE ) EXPIRATION DATE THEREOF. THE: ISSUING COMPANY WILL (klidexyxxtik S� • !'•T+�ACHX t:tiURCH IL 30 DAYS WRITTEN NOTICE TO THE CERTII<ICATE HOLDEp µEL•,E� FT, BUT FAILURE TU Mall SUCH NOTICE SHALL IMPOSED TO The` BILITY OF ANY KIND LIPON THE COMPANY, ITS A NO DBLIGAiIOIv OR ORISED R pRESE TiVQ GENT$ OR REPRESE►.TAT� IVeSS EXHIBIT "B" P1+OWCER I� HAAS WILKERS01N W( MLSERd, INC. 4300 Shown" Mlsolon parkway Shawnai Mission, Kanaae 8E205 11AAMRENCE J. CARR AMUjZMENT C0.1 INC. P. 0. BOX 466 WIWaWGTON' MA p1887 f t ��Ib +UI WA 11. (MM�Utn Y rl {.a' 9/22/112 1 THIS CERTIFICATE 151115MO AS A MATTER OF PJPORMATM7N ONLY AND CONFERS NO RIONTS UPON THE CERTIFICATE 1401.0111, TWIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER T11E COVERAGE AFPORDID BY THE POLICIES BELOW, I COMPANIES AFFORDING COVERAGE I '9gANY ITTER LCOMPANY A CONTINaNTAL cASQALTY cOMPAny LF.TTIA CONTINUTAL CASUALTY COMPANY Y LE r+ TTIp %A►RTFORD UNDERWRITERS INSURANCE CO. COMPANY D LIETTRA COMPANY LETTER ; THIS is TO CERTIFY TWAT POLICIES OF RIISURANCI LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE -FOR THE POLICY PERIOD INDICATIZD. NOTWITHSTANDING ANY RIOUIREMFNT, TERM OR CONDITION OF ANY CONTRACT OR OTHAR DOCUMENT WITH RESPECT TO WHICH THIS CERTWCATI MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFOADID BY THE. POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE MME, EXCLUSIONS, AND CONDITxONS OF SUCH ►OLDIES, TM TV" OF INPA ANCE POLICY NIRABER oft" 111ECTIA, OAT1 nw+m,vn FOXY RX1100 CM DAyr WminnNyl ALL LSIMTB Rt THOUSANDS GENERAL LI►BI{,fTr xcomillmou OFWAAL LUBA.FrY D,-411 m ® ocw"M dwMF S i COMIIIACTOA! MahellUt CAR 00 305 7700 7/11/92 7/11/93 (WWRAL MMICATI FMOOYC1SC011F OFt AOORfOATE =11"AL 1 Am"Tm" w.Ar'Iv $ -1,900 eeaunR m IImm OW DAMMM loft OIL[ ME) 1AIDIOAI, 0111461 INT ow PENN" AU'rbMOallS UAKILITY AW NM ALL OWM M AMBS 1C11iD11lED ALIIDf fIMKD ALlTp1 111000owm mm OARAME UANILTTY -- SSA 90 123 6428 :. 7/11/92 i 7111/93 PI7 y IprA f1poll I huh x ZMAICAIv w EXCESS UABILr Y lL — Onrnurrra tnMER IMAM WMUA MPM tIYDRKSRe' COMPEMSATIDN OVATUTVRY C AND 77 W2 ZA2730 4/20/92 4/20/93 $ igg 1EAGIAcdDENn SWLOWRV UANILNY S S Q0 .....'•IO mm-POEM Lull $ 100 T1aeEAEE lAI I1WWY1I: OT/ISR AZM2TIONAL ilia REDE I CITY O! TAMARAC A gT. ItJ►LA iSY ClNItQR ..� . IT I/ AOR1120 I THE VMT DIP CANCELL TION, A TR 1RTY (30) ray PRIOR WRITTEN NOTICE WILL iE GIVISM TO "I CITY OP AURiAC 1► �.�..rT�Q�ME� 4.A�Ag. 01WAIPTION Of OKRATK>NSILOCA�TIONS/VEHICLEAIRIATRICTIONS/SPICIAL ITIMB Any Cmr111VaI Dimity 9-00 a dart Of the POiby IM0144" aB an addltk MAI Insured with re&Wt to Ern mcurrms taking place at a Carnival ft (1) The Mali Or Exhibition AasOaistian, BOOMOOf ng apanl:ation or cc in,Ilttee (2) The owner or lesser thereof and (3) A mLmicipalfty g w*n the named hm"d pwrMsaton to operate a Cenllvat. CITY OF TAMARAC SHOV0 ANY OF THE ABOVE OtSCRINED POLICIES 41E CANCELLED BEFORE TWIt EXPIRATION BATT THSREOF. THE ISSUIMO CDMPIINY WILL ��CIAt IT. RALACEY CRURCff 2 MAIL 30 D" WR'rMN NOTICE TO THE CEBATE MOLDER NAMED TO THE LEFT. NUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAT10N OR LIABILITY OF ANY RIND UPON THE COMMNV, rM AGENTS OR REMESENTATIVMB. AVTHORfiEO RFPaR1tE TIVE .EXHIBIT "Bn 1.1 30 . �;j 2 _ u 3 0$ b •t 6 U 4 b b GALLAGHER BASSEIt 7�- i � ����{• *,�ww.�..w.....r_...._r..:..M.tiw.. �....:.r+.._r.�.... ,... r .. .+.....w .+w.+..:.1:�J...��'w1+ (i tl 't � 4t. � !: �.r• .. 51. ,..:.,•.. z. CERTIFICATE OF INSURANCE �y x� T +• � ' � � "' ~T ISSUE I rk.,. `(' 3� .kt.�•ti ray 1 ATE(MMrJO/TT } }. 1a 3a 92 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTE R OF INFORMATION ONLY AND CON FE R5 N RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEN[ ArthurJ. Gallagher & Co. EXTEND ORALTEkTHECOVJ4AGJASIFOROEDOTTHEPOLICIES AELOW, Vo Gallagher Bassett Services, Inc. P.O. Box 02-5298 Miami, FL 33102-52QU Phone: (305) 592-6080 -K$ JRE D archdiocese of Miami f401 Biscayne Blvd. Miami, FL 33138 LUMPANIbS AFFORDING COVERAGE Company A Lloyds of London/Centennial Ins. Co. Company Letter Company C Letter Company D Lotter Company E Letter r1.7YLJ1A\iG5 IP1.iM y �r l ♦ t t I�.�...�w..i ' ^ ra-r. •k0l *6 i TO aa'JT ThAT P000IS W 1-0UAANU W%T(p SLLDA• HAVE SEEM ff UED?aInI lot$phi 0 MI►µEbaIDVI fO+ITnI POLICY riyOD INDIC.ATID ?R C.]t:r0 W Awr EDhi Da pS.AIl GCCU,,,Is WttnS7A040m ; Awr S10V14LAE,:7 t!U C 70 TO wrllG+l,uS CEA7J,CATt µAT u IStyIP ILICh 44/ A; 1.'1 0A YAT •L A7A1I1. 1ME WSW.►tiCa A._ 7raE 7[ W ),Ell Ci VS+ONS. Alrb CpNOltlp+rf 0r SUCh POLICIES, $ Of O o-�(p eT THE PO,-1rAl 0(wiLilEo Mia.IM. d .711L TwP( ly rluAA,IGI MICYOUAIlEA 1111o641 1591 V( POLICV 91M tuft DATI LpI-JW TVLlurnT W rftW$AbDS jbl PATE EYY.DtW T) µ General Liability C�rrp:ehens ve F'rlTl Qualified self Insurer 4/1/92 bodily s s injury Frer.. ;s O.mdEx [� L'r.zerwrD.nd ExpiSs,on 4/1/93 ISL 5175 & ICO 6822/ izSrIs A C-1JJ;%1 Masard 287012511 Property Damage s S Z Prw-, M cm;ieted O.paratlonl g G7ntranwal Inc I tI S, PD SbDO SapO Combined Int)udinp e;endenT Cora ntctors SIR Bros: Form Property Darriags Per=nal In;;,ry $600 0 GalTI Ma9e Form Personal Injury A -tornobile Liability Indudin9 SIR ® Anya.rlo �] All Owvned Ahnol (Frv. Pass) 1 ISL 5775 ICO 6822/ 4/1/92 4/1/93 ('"'�'"' s D A11 owned A,;.%oi (Other than $7 25 11 Pry Pass) 4e 1ly s ,: D MiredAlrtol COf1)p. g Coll 0 N0n'n•rn00 AbtOS 0 Garagewbilt!y . Deductible $500 Ea°.":o7 g CIaIr7 S Maye Form s' abilit Ind. SIRells 78r7u, Fom AafP Than umbrella Form S = cAaMrw Workers' Compensation , And t YS O Employers, Uabilily : n.wA�f.w,) Other►+•+`, *BTlpti0n of 0 rations✓LocstionsNehicleslpeCi*I Itemr St. Malachy Church -- a" crrace Tamarac FL RTIFICATI MQLDER .:;: Addttional Wenrtsd Soielq An Respect To This Event: Citr of Tamarac 5611 N.N. 86th Avenue Tamarac, FL 33321 rim Veanyquertions.NaacaCa4 Carrllv&l November 18 - 22, 1992 CANCELLATION SHOULD ANr OF THE ABOVE DESCRIAED POLICIES aE CANCELED fEFORE THE DAYS WRITN1EN NOTICJ ToATE FTHEECERTIFICA E NO DER NAMEOETOtHEp MTILAla FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF AHy KIND UPON THE COMPANY, ffs AG NTS OR REPRO 1NTATIVES. A a4rel ReMefentAtivr f ! 4 / / f _ -m i LAV70N CHILIES GOVERNOR f u STATE OF FLORIDA DEPARTMENT OF BUSINESS REGULATION DIVISION OF ALCOM iq vEe�►m & TOBACCO TALLAHA$dit, R0 IDpa TWORAIAL•lCllf9i � . I J NEW 11 TRANISIrER I I R J ONE ! TWO ! THAIE DAY PERMI LICENSE ! ��. PERMIT NO. 16 ISSUED TO; St. Malachy Catholic Church St. ".alachy Fair 'KS UCENSE I PEAEIIT is roq A SINGLE PLACE OF atr�INsaB INGI�T +'hst'riw;x- hnL or 4101115 io GOYS Sal oppp* of vi1 DPI <. rll� "WIN,vrrn �� pry Io not flow OWN t"� ate ft +veuo�Uon ht • Ncv. 18 and 19 1991� Nnt, a t«.ctti. u- pomp wwtrta --Cq -I-µi. -gla!!-_.._ 110wi D CQUNTY NAME TION I I CIGARETTE PERMIT 2� NON-MEMEER BALES PERMIT Ilo�r+M M Mtowl; a ft do ft 00"w oe Iw rya,"', v,dw ■rah r m r, qw, 011114,42C30 �A1) SrATE OF FLORIDA LAW'TON CHILE$ DEPARTMENT OF 15US,NE93 RSaUUTION GOVERNOR DIVISION OF 'AL p�'' OOIIMri NAME TALI,A B TOBACCO I I NEW ( 1 TRAN F 41� `,* • ::� I X1 ONE ! TWO / THAEJ DAY PEAMI 'r" aE LICENSE! ?Z PE 1 TION I j CIGARETTE PERMIT PERMIT NO. 16� Mt = NON'MEA13E8 BALES PERMIT ISSUED TO; a - RM..Sts St. lrtala�hy Catholic Churcj 0 ''4lhi Y Fair ♦ ' ... b,�'.1Vd; 4f Drive THIS P[AMR IS fOR A AINGLI PLACE OF tN[Eit • " . � � i 1Mypr r rnl I1101fp 14 dot's '- loan" On r �"-' �%E tt o MM14tllon M Mt1wrM iwtit y CTyap M Iqt -wow. whw tjppq A btltlort •f �MPPttw Hov. 20 21 tr►d 22 +� N x t,o 1 l:92 ter. M+► t wom ti M"&,7 _ x•R. a! • n 9 92 09-13472 u EAW M MR 702L ITAn OF FLORIDA Rev. 7-84 v DIVISION Cr BUSINESS RE=JLS�jATIoN ION OF ALCMOLIC SEVERh= AND TOSiACGO AAPPLICATION FOR NON-PRWIT CIVIC ORMNIZATION This application is prepared in original only. It nwt be typed or legibly pz,.. in ink. Illegible applications will Pot be accepted for processing by the Division. I. roll Us= of Organisationsdpw- 7. Business dame or Nsme of ivent:/A2 3. Location of smt 40_-A1&4tzr%,i-[.}1� Zttyl& ! moll. 4. If Corporations 5. Date(s) ft=it desired s C X MY (date) : TOM DAYS (dates) : Health Approval- To be Acted by the State/County Health Authorities if required. Inspection of this establishment was made on rand it was found that the sanitary facilities of the establishment ( LY O DO Wr CMVLY with the sainitm requirements of the Florida State Sanitary Code for a permit not to exaed three (3) days, ginlWlan « County ftalEEr pa Was Tax - Zb be empleted by Department of Rs mug. Certification by Florida Department of Revenue: plena" review the records of your Department for the current status of the afore- "Mtioned aocotat. The Division of AlCoholic Srverages and Tobacco of the De.- part=n of Regulation needs this info=ati in order to proms& this awlication. Ibis is to certify that this account /14 pe 9, 0 0� Is in good ataming. or Au r gnature BYs Compartment of Rswenue Titles C s7z sty y Data: oct z v vit DEPARTMENT OF REVENUE r affirmation under penalty of perjury as provided for in fior- " 559.791 that the foregoing information is trus' to the best 0 r LJ APTIDWIT OF APPLIC.A= "This is to certify ghat the applicant requestir� the permit in the above " fort- goirg application is a non-profit civic organization and that the permit, if issued, will be used only by the organization making application, on the date(s) requested and at the locatioh as stated. This is to further certify that the applicant orga- nization has not received more than two (2) permits within the calendar year. "I# the undMigned individual, hereby swsar or affirm that I am duly authorized to mats the above and foregoing statements on behalf of the applicant organization. "I F~ user oath o ida Statutes 837.06 of my kn Mledge."