HomeMy WebLinkAboutCity of Tamarac Resolution R-83-1461
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Introduced by Temp. #_
CITY OF TAMARAC, FLORIDA
RESOLUTION N0. R-Y3 -
A4
A RESOLUTION APPROVING A LEASE AGREEMENT WITH THE BROWARD
COUNTY SCHOOL BOARD FOR USE OF TAMARAC ELEMENTARY SCHOOL;
AND PROVIDING AN EFFECTIVE DATE.
2740
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF TAMARAC, FLORIDA:
SECTION 1: That the Lease Agreement with the Broward County School Board
for use of Tamarac Elementary School for the City Summer Recreation Program - 1983
is hereby approved.
SECTION 2: This Resolution shall become effective immediately upon
adoption. The Summer Recreation Program begins June 20, 1983 through August 5,
PASSED, ADAPTED AND APPROVED this yday of '' 1983.
ATTEST:
ASSISTANT CITY —CLERK
I HEREBY CERTIFY th t I have approved
the form and corr tness of this
Res P'Tr
.
'WW'divatimm
RECORD OF Cowal. VOTE
MAYOR,
DISTRICT I.
DISTRICT 2:
DISTRICT 3:
DISTRICT d:
APPLICATION AND LEASE FOR USE OF PUBLIC SCHOOL FACILITIES �S�•� 3./tf�,j
TO: Superintendent of Broward County Schools
1320 Southwest Fourth Street (Complete forms in triplicate)
Fort Lauderdale, Florida 33312
The applicant requests authorization for use of the public school facilities indicated for
the purpose and at the times shown below: Cafetorium and stage
School Tamarac Elementary School Facilities needed (1) portable
__Cl)_Classroom adjacent to cafe
Dates June 20, 1983 - August 5, 1983 From 8:00am P.M. To 4:00pm P.M.
No program July 4, 1983 Additional: Fri ay, Upry 29, FaMily lqtght 6pm-
ture and purpose of use City summer youth program 9:30pm
Name(s) of Speaker(s) N / A
Yes
Help required: Custodian x To be paid by City Special Police No x
*for Family Night only
Others none To be paid by
Name of applicant City of Tamarac
Broward County headquarters 5811 NW 88th Avenue Tamarac, Florida 33321
If an organization, is it nationwide? N A When formed? N/A
Total Members N/A
Is there a permanent organization in Broward County? N/A Number of local members N / A
it164M9 Er Ms. Laura Z. Stuurmans Phone No.
&R Director
X:fiftWXVtA1tVt Ms. Sharon W. Ellis Phone No.
rayakkwR Walter W. Falck
722-5900
722-2735
Phone No. 722-5900
Charges: Rental S Utilities $ Custodian $
Extra help S Other S
lieposit in the amount of $ N / A must be submitted with application or no later
than he�deposrt will apply toward the -total charges.
LIABILITY INSURANCE REQUIREMENTS:
LIMITS: Bodily Injury S100,000 per person, $300,000 per occurrence
Property Damage S 25,000 per occurrence
NOTE: A Certificate of Insurance reflecting the above limits and naming the
School Board of Broward County as an Additional Insured must be furnished
to the Risk Management Department of the School Board at least 48 hours
prior to use of facilities referred to herein.
I (person requesting
permit), Laura Z. Stuurmans
, signing on
behalf of myself
and the organization
I represent, do hereby solemnly swear or
affirm that we
support the
Constitution of the
United States and of the State of Florida.
1 do hereby
also swear or
affirm on behalf of
the organization named herein that no person
is excluded
from membership
in such organization
nor from participating in the activity or
program covered
by this agree-
ment on the grounds
of sex, race, color or national origin.
Date of Application:
roved by:
Principal
Approved by:
Superintendent or designee
'JL
(:l
Walter W. F'al ck, May , Citv of Tamarac
e
5811 NW 88 Avenue, Tamarac, Florida 33321
Applicant's mailing address
AUTHORIZATION FOR USE OF 'PUBLIC SCHOOL FACILITIES IS CONDITIONED UPON ADVANCE PAYMENT OF
THE CHARGE(S) SHOWN ABOVE AND COMPLIANCE WITH THE TERMS AND CONDITIONS OF THE LEASE AGREEMENT
ATTACHED HERETO.
Original for school file
('opv Risk Management Department - Copy and Provisions to Lessee
Rev. 3/5/1976
W18777
o+Vr c), a
NAME AND ADDRESS OF AGENCY
Admiral'lnsurance Agency, Inc.
2330 Wilton Manor Drive
Wilton Manor, Florida 33305
NAME AND ADDRESS OF INSURED
COMPANIES AFFORDING COVERAGES
COMPANY A
LETTER
COMPANY
LETTER B
COMPANY ( -
LETTER V
City of Tamarac COMPANY D
5811 N. W. 88th Avenue LETTER
Tamarac, Florida 33321 COMPANY E
LETTER
is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or condition
ny 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
1—inne a 1'—i4innc of enrh r Iiriac
Limits of Liability inhousands
COMPANY
LETTER
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
EACH
AGGREGATE
OCCURRENCE
GENERAL LIABILITY
BODILY INJURY
$
$
❑ COMPREHENSIVE FORM
❑ PREMISES —OPERATIONS
PROPERTY DAMAGE
$
$
❑EXPLOSION AND COLLAPSE
HAZARD
❑
UNDERGROUND HAZARD
❑ PRODUCTS/COMPLETED
OPERATIONS HAZARD
BODILY INJURY AND
❑ CONTRACTUAL INSURANCE
PROPERTY DAMAGE
$
$
BROAD FORM PROPERTY
COMBINED
DAMAGE
❑
INDEPENDENT CONTRACTORS
PERSONAL INJURY
s
❑ PERSONAL INJURY
AUTOMOBILE LIABILITY
BODILY INJURY
$
(EACH PERSON)
❑ COMPREHENSIVE FORM
BODILY INJURY
$
❑
(EACH ACCIDENT)
OWNED
PROPERTY DAMAGE
$
HIRED
BODILY INJURY AND
❑ NON -OWNED
PROPERTY DAMAGE
$
COMBINED
EXCESS LIABILITY
BODILY INJURY AND
$1 QQ , OQO
Combined
❑ UMBRELLA FORM
PROPERTY DAMAGE
$Sing 1 e L
Ikn I t
OTHER THAN UMBRELLA
XL 55038
10/1/83
COMBINED
Excess
Of
FORM
WORKERS' COMPENSATION
STATUTORY
and
$
EMPLOYERS' LIABILITY
it ACH ACCIDLNT)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
Activities of.the Recreation Department
Location includes Tamarac Elementary School
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _l days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
ADDITIONAL INSURED
NAME AND ADDRESS OF CERTIFICATE HOLDER:
Broward County Schools
c/o Risk Management
1320 S. W. 4th Avenue
Fort Lauderdale, Florida 33312
DATE
11/83 nw
L & COMPANY, IN .
I
AUTHORIZED REP ESENTA IVE
ACORD 25 (1-79)
LIABILITY EXCESS INDEMNITY POLICY
Greer • • T SOUTHW'FIRE INSURANCE COMPANY
(fly MESA. ARIZONA Is A STOCK COMPANY
95r CC
r aed Insured, Address and Zip Cod J 0 3 8
.pity of Tamirac
5811 N. W. 88th AV W M1
• Tel wac, Florida 33321 Renewal of Number
Agent of Insured, Address and Zip Code
%11 & Cazpmy. Inn.
P _ 0. Drawler 5888
Fort Iry I-rdale, Florida 33310
ITEM x. 12:01 A.M., Standard Time at the
Policy Pe�81: ISO Dy/Yr address of the named insured as
,
From UU/j //��33ZZ stated herein, union sooner termi.
To 10/1/83 noted by any termination of the
primary insurance.
Agency No. 802
Location of Insured premises (or garaged location) is as stated in Item 1., unless otherwise stated herein:
Same
Occupation of named Insured is:
ITEM 3. PRIMARY INSURANCE. The named insured warrants that primary insurance with limits equal to the amounts shown in
Column I below is in force on the effective date of this policy:
NAME OF PRIMARY INSURER ADDRESS OF PRIMARY INSURER POLICY NUMBER POLICY PER.OD PREMIUM
Penirivlar Fire M From:
Thstwan ce CQ DM'rV To:
ITEM 4. COVERAGE — LIMITS. The insurance afforded is only with respect to such of the fo a s a 1 dicated by a
�Vfl� he r rtl:t
specific premium charge or charges. The limit of the company's liability against such coverage sh a s a ed he eir�, I e
terms of this policy having reference thereto. Surplus Lines Agent
TYPE OF INSURANCE: (Check One) 0 Automobile Liability
POLICY I. UNDERLYING LIMITS
COVERAGE OF PRIMARY INSURANCE
A. BODILY
INJURY $
$
$
.PROPERTY
DAMAGE $
$
,000. (Each Person
JI General LiabilitlDrOducing Agent g
II. COMPANY'S LIMIT OF LIABILITY
(^MOUNr�Nr__�&S COMPANY MPANY
EXCESS OF UNDE Q((
This insurance is i W r5krill, we
$ ,0oahe Florida Surplus lines Law
,000. (Each Accident
or Occurrence)
1000. (Aggregate)
000 (Each Accident
or Occurrence)
tss
Form Numbers of Endorsements attached at issue
ti. s s s '131 a( 11 • 'Ty —10 NAOTIMI
$ '000. $
(Aggrep� r UliesCarriers do not We the
pp to tM
o Y,i;,n of the Florida Insurance Guaranty
. _ n:—La wa ba�hv,gi&W §AkettbiwnMNilZatiOM 0500.00
IMPORTANT NOTICES TO POLICYHOLDER (Please read carelpilloiveht Unlicensed Insurer, % `'j"' ''""`-" J�,
A. This policy covers excess limits only as shown in Column II after and only after the limits, as shown in Column I, of another insurance
company, referred to as the primary insurer, are fully used and exhausted.
B. This policy does not and is not intended to satisfy financial responsibility or compulsory insurance laws or requirements of any govern-
mental jurisdiction.
C. Any misrepresentation or any concealment or fraud on the part of the insured which misrepresentation, concealment or fraud affects
either the acceptance of the risk or the hazard assumed by the company shall render this policy void.
D. Notice of all accidents or occurrences must immediately be given to Great Southwest Fire Insurance Company whether or not such
accidents or occurrences appear likely to involve this policy.
Crs�r SNutlusarr Flits. TANCAELlATIOT�
+ ►.� _ L -
GSW 351 (10.75) 10/26/82 T617 ,
Countersignature Date Countersigned by
Pepe 2 of 4
Licensed Resident Agent
..ten.. a .m rW vvrrir ^113.
HOME OFFICE • JACKSONVILLE, FLORIDA
bECLARATIONS
SPECIAL MULTI -PERIL POLICY
No. SMP 815 49 80
Itam 1. Named Insured and Mailing Address (No., Strr.t, Town, county, ststa, zip)
City of Tamarac, all employees, all
elected and appointed officials
5811 N.W. 88th Avenue
Tamarac, Florida 33321
Item 2. Policy Paried: Year(s) 1
From 10-1-82 To 10-1-83
❑ 12:01 A.M. / ❑ noon, Standard Time at location of designated premises.
9. The Named Insured is;
❑ Individual ❑ Partnership ❑ Corporation ❑ Joint Venture x❑ Other: Municipality
is4. Designated Premises <aNTnR BELOW) Occupancy of Premises
No.I See MP1205
No. 2
No. 3
No. 4
Item 5. INSURANCE IS PROVIDED WITH RESPECT TO THE DESIGNATED PREMISES AND WITH RESPECT TO THOSE COVERAGES AND KINDS OF PROPERTY FOR WHICH A
SPECIFIC LIMIT OF LIABILITY IS SHOWN, SUBJECT TO ALL OF THE TERMS OF THIS POLICY INCLUDING FORMS AND ENDORSEMENTS MADE A PART HEREOF.
SECTION
I — PROPERTY
COVERAGE Limit of Lisbility
DEDUCTIBLE
Loc. No.
Bldg. No.
Loc. No.
Bldg. No.
Loc. No.
Bldg. No.
Loc. No.
Bldg, No.
COINSURANCE
PERCENTAGE
APPLICABLE
$ See MP12
$
$
%
Building(s)
each occurrence
aggregate each occurrence
Personal Property:
$
S
$
$
%
of the Insured
S See MP0091D,
If no deductible stated
MP0336 & GF173
above, the deductible shall be
$
$
$
$
%
of Others
Additional Cov. (Specify)
S See IM21
c
$
$
Misc. Prop.
F1
ater$100
$1,000
S
$
$
$
each occurrence
aggregate each occurrence
s
a
s
a
SECTION II
SMP-LIABILITY INSURANCE
Bodily Injury
Property Damage
Premises Medical
Bodily Injury and Property Damage Liability
Liability
Liability
Payments
LIABILITY COVERAGE
Premises
Medical Payments
IF NO LIMIT SHOWN FOR SMP-
LIABILITY INSURANCE REFER TO
Combined Single Limit
each occurrence
aggregate
each person
each accident
Limit of Liability
$200,000
$ 200,000
$ — — — — — —
$
COVERAGE PART OR ENDORSEMENT
itional Cov. (Specify)p
anal In •ur
it Period: Non Auditable Unless Indicated By X ❑ Annual
[] Semi -Annual Quarterly
❑ Monthly C1 Other:
11M. Forms and Endorsements made part of this policy at time of issue in addition to Special Multi -Peril Policy Conditions and Definitions LINaNT No. AND 9PITioN DATFI
MP0090(7-77)MP0336(7-77)MP1205(7-77)MP0013(12--79)MP0014(5-81)IM2141c(4-63)IM2006(1-44)
MP0093(7-77)L6394a(1-73)L9287(1-73)GC-1(7-67)GF173(8-80)
Item 7. Mortgage Clause: Subject to the provisions of the mortgage clause, loss on building items shall be payable to: (Insert Name(s) of Mortgagees) and mailing address(es))
None
Item II. The Total Advance Premium is- 1ENTEI1 r[LOW 1
i 35,201. , and is payable $ 35,201. at inception, and $ at each anniversary.
p NOT APPLICABLE UNLESS INDICATED BY AN X IN THE BOX AS "NOT APPLICABLE", THE PREMIUM FOR INSTALLMENTS SUBSEQUENT TO THE INITIAL
INSTALLMENT SHALL BE SUBJECT TO ADJUSTMENT ON THE BASIS OF THE RATES IN EFFECT AT EACH ANNIVERSARY DATE,
Countersignature Date 10-1-82 CLH Agency at Ft. La le, Florida 0902043
11-$-82 gab edmi 1 urance
A05101 / esentative
In Consideration of the premium, Insurance is provided the named insured with respect to the designated premises shown in Item 4 above and with respect to those coverages
and kinds of property for which a specific limit of liability is shown, subject to all of the terms of this policy including forms and endorsements made a part hereof.
JDL193(4}X-A THIS DECLARATIONS PAGE WITH SPECIAL MULTI -PERIL CONDITIONS AND DEFINITIONS AND FORMS AND ENDORSEMENTS, IF ANY,
(Ed. 5-79) ISSUED TO FORM A PART THEREOF, COMPLETES THE ABOVE NUMBERED POLICY.