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HomeMy WebLinkAboutCity of Tamarac Resolution R-83-1461 Pa 3 4 5 1 8 9 10 11 12 099A 14 15 16 17 B 20 21 22 23 24 25 26 P*I 0*1 29 30 ;12 33 34 35 36 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.