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Item D2BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: FEBRUARY 15, 2012 Division: TDC Bulk Item: Yes X No Department: _ Staff Contact Person/Phone #: Maxine Pacini 296-1552 AGENDA ITEM WORDING: Approval to advertise a Request for Proposal for FY 2013 Destination and Turnkey Funding ITEM BACKGROUND: TDC approved same at their meeting of January 31, 2012 PREVIOUS RELEVANT BOCC ACTION: CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: Approval TOTAL COST: $ BUDGETED: Yes X No COST TO COUNTY: $ REVENUE PRODUCING: Yes X No SOURCE OF FUNDS: TDC AMOUNT PER MONTH Year APPROVED BY: County Atty X OMB/Purchasing N/A Risk Management N/A DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # Revised 11 /06 NOTICE OF REQUEST FOR APPLICATIONS NOTICE IS HEREBY GIVEN TO PROSPECTIVE APPLICANTS that no later than 5:00 P.M. on Thursday, June 28, 2012 the Monroe County Purchasing Office will receive sealed applications for the following: DESTINATION/TURNKEY EVENT FUNDING FOR EVENTS TAKING PLACE BETWEEN JANUARY 1, 2013 - DECEMER 31, 2013 RFA-TDC- --2013-PUR/CV Requirements for submission and the selection criteria may be requested from DemandStar by Onvia at www.demandstar.com or call toll -free at 1-800-711-1712. The Request for Applications and all supporting documentation are public records and may be obtained from the Monroe County Purchasing Office, located at 1100 Simonton St., Key West, FL 33040. Technical questions should be directed, via e-mail, to the Administrative Office of the Tourist Development Council at adminasst(Vla-ke s.com. Any addenda to this Request for Applications (RFA) shall be distributed to vendors on the list of DemandStar distributees for this RFA. Applicant must submit all of the following: A. One (1) disk OR (1) USB flash drive with complete copy of application as a .pdf (all attachments must be merged into one document: Please DO NOT include the instruction pages) and........ B. One (1) signed ORIGINAL paper copy and. C. The correct number of paper copies for the district for which you are applying: District I requires paper copies of application District II requires 6 paper copies of application District III requires 4 paper copies of application District IV requires 3 paper copies of application District V requires 6 paper copies of application Applicant must place items in a sealed envelope clearly marked on the outside, "Sealed Applications for Destination/Turnkey Event Funding" addressed to: Monroe County Purchasing Office 1100 Simonton Street, Room 1-213 Key West, FL 33040 Phone: (305) 292-4464 Fax: (305) 292-4465 All Applications must be received by the County Purchasing Office before 5:00 P.M. on Thursday, June 28, 2012. Any applications received after this date and time will be automatically rejected. Materials may be delivered by certified mail, return receipt requested, hand -delivered or couriered. Faxed or e-mailed applications will be automatically rejected. Dated at Key West this day of 2012. Monroe County Purchasing Department Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 1 EVENT FUNDING APPLICATION REQUEST FOR APPLICATIONS FOR DESTINATION AND TURNKEY EVENTS DEADLINE FOR APPLICATIONS: JUNE 287 2012 OVERVIEW AND INSTRUCTIONS INQUIRIES AND CORRESPONDENCE All questions pertaining to this solicitation should be directed to: Maxine Pacini or Lynda Stuart at (305) 296-1552 (AdminAsst(cr�.fla-keys.com,) All applications submitted in response to this solicitation should be addressed to: Monroe County Purchasing Department 1100 Simonton Street, 1st Floor, Room 213 Key West, Florida 33040 Attention: DESTINATION/TURNKEY EVENT APPLICATION All applications should be received no later than 5:00 p.m. (close of business day) June 28, 2012 EVENT FUNDING PROCEDURE The Monroe County Tourist Development Council (TDC) administers the four (4) cent bed tax collected for the purpose of promoting the Florida Keys as a tourist destination. Each year, the TDC invites organizations registered to do business in Florida, to apply for funding for Destination or Turnkey events in the Florida Keys. All applications will be reviewed by the appropriate District Advisory Committees (DAC's), who shall make recommendations on funding the event to the TDC. Upon approval of recommended funding allocation by the TDC, the administrative office will coordinate with the event coordinator to establish a contract for the event, and will present proposed contract to the Monroe County Board of County Commissioners for final approval. DEFINITIONS OF DESTINATION AND TURNKEY EVENTS Destination Events (Advertising and Public Relations Funding Only): (Bocc 2i16i05) For the purposes of this solicitation, a Destination Event is developed and produced to entertain the public and promotes tourism in the Florida Keys and Key West by drawing out -of -county tourists into the Keys. Such an event may or may not receive national or international media exposure, however, the professional agencies of the TDC shall review and approve all media advertising and public relations for the event, to help ensure the success of said event based on the amount of allocated funds. Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 2 The event coordinator, for purposes of this RFA and any resulting contract, shall be the production agent or other person or organization primarily responsible for the production of the event, and the entity soliciting event funding under this process. Funds awarded for this event are utilized for hard media and public relations related expenditures through the TDC agencies of record to promote the event. For the Destination category, Monroe County shall fund advertising and promotional activity up to 10% in -county, and the balance shall be spent out -of -county. A copy of the permissible expenditures can be viewed in Exhibit A of the sample contract at http://fl-monroecounty.civicplus.com/index.aspx?nid=328. If your event is awarded funding, the agencies of record shall approve the budget for the event that will be included in your contract as an exhibit, so advance discussions are beneficial for your application. For our Advertising Agency of Record: (Tinsley Advertising), contact Jessica Taylor -Smith or John Underwood at (305) 856-6060 (JessicaC@,TinsIey.com,) or (JohnC@Jinsley.com). For our Public Relations Agency of Record: (Newmanpr), contact Carol Shaughnessy at (305) 797-0579 (Carol _newmanpr.com) or Andy Newman at (305) 461-3300 (AndyCc�newmanpr.com). Turnkey Events - (national marketing exposure) (BOCC 2/16/05) For purposes of this solicitation, a Turnkey Event is designed and produced to entertain the public, and promotes tourism in the Florida Keys and Key West by drawing out -of -county tourists into the Keys. Turnkey operations shall include one of the following: national TV show; national sponsorship nationwide promotion; or national or international unpaid marketing exposure excluding websites, blogs and social media sites. Such event shall be considered an all-inclusive event where the promoter has financial responsibility for every facet of the management and production of the event. For purposes of this RFA and all contracts awarded pursuant to it, the event coordinator shall be the production agent primarily responsible for the production of the event and is the entity with whom Monroe County shall contract. Involvement by the TDC agencies of record would only be provided at the request of the TDC and/or the District Advisory Committee and not as a requirement by the event coordinator or any sponsor to insure the success of the event. Payment under a contract for a Turnkey Event will be made upon the completion of the event and upon proof of national and/or international marketing. If the scope of services within the contract guarantees a national television show, the airing of the show shall be within ninety (90) days of completion of the event in order to be paid. If an event is canceled for any reason, no payment shall be forthcoming. Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 3 APPLICANT RESPONSIBILITIES AND IMPORTANT INFORMATION FOR THE PREPARATION OF THE APPLICATION • Eligibility: A public entity governed by a county or municipality; or a profit or not -for -profit, Florida Corporation in good standing with Division of Corporations. Prior to filling out application, please go to www.sunbiz.org to ensure that your organization is registered to do business in the State of Florida. Only applicants that are duly registered will be accepted. • An event workshop will be scheduled by each of the five District Advisory Committees and duly advertised in the local media. Each District Advisory Committee has specific marketing goals and it is strongly recommended that all prospective applicants attend the workshop in the district where you plan to apply for funding to ascertain the marketing direction and expectations of that District as it pertains to event applications. Please call the Administrative Office (305-296-1552) or http://fl-monroecounty.civicplus.com/index.aspx?nid=328 for workshop dates and venues. • Applicant shall complete, copy, sign (by an authorized officer) and submit the correct number of copies of the application to the Monroe County Purchasing Department. (NO BINDERS). • Applicant shall familiarize him/herself with referenced online materials noted in this application. A sample contract/sample of scoring system used in determining funding eligibility is available at: http://fl-monroecounty.civicplus.com/index.aspx?nid=328. • Cost of preparation and submission of the application is the responsibility of the applicant. • All information furnished or disclosed as part of the application process is considered public record by the laws of the State of Florida. • The applicant shall not lobby, solicit, or act to influence TDC board and/or advisory committee members in any way that may have an effect on the outcome of the competition, discussion, or negotiations leading to the award of a contract. Such action could lead to an automatic withdrawal of the application from consideration. • All attachments should be noted as such in the top right hand corner of each sheet — please do not use tab inserts. CRITERIA FOR EVALUATION OF APPLICATION Scoring will be considered under the following criteria: 1 - unacceptable 2 - below average 3 - average 4 - above average 5-7 - excellent Upon evaluation, the total scores will be tabulated and applications not scoring 29 points or above by the majority of the sitting members, will not be considered for funding. Those events that meet the minimum scoring requirements noted above will be ranked starting with the highest average score. In the case of a tie, the highest score in the Commitment to the Off Season will be the determining factor. Points are listed at each segment for ease of scoring by reviewers. View sample scoring sheet at http://fl monroecounty.civicplus.com/index.aspx?nid=328. Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 4 APPLICATION FOR EVENT FUNDING Events taking place between January 1, 2013 through December 31, 2013 TITLE OF EVENT: VENUE: (Location/City): DATE(S) OF EVENT: When evaluating funding allocations, it is important to understand how the revenue was derived. The chart at right demonstrates, given average hotel rates, length of stay and party size, approximately how many overnight visitors your district welcomed in order to MAAA AMAM� �/A MAMMA/ t%AA 4 4:AM Funding Level Total Visitors $ 21500 375 $ 5,000 750 $ 73500 1,125 $ 103000 13500 $ 153000 21250 $ 173000 23550 $ 203000 3, 000 $ 25,000 3,750 Funding Level Total Visitors $ 303000 43500 $ 353000 532501 $ 403000 63000 $ 503000 73500 $ 751000 113250 $ 1003000 153000 $ 1203000 183001 IIJC CIIVllyWV-r.JClllly FJCQ11 ICVCIIIIC IVI each level of event funding. Please note: It is not necessary for an event to project participants equal to the number of visitors approximated in order to apply for that funding level. This chart is provided simply to give a more clear context to each funding level. Applicants must submit: A. One (1) disc OR (1) USB flash drive with complete copy of application as a (all attachments must be merged into one document: Please DO NOT include the instruction pages) and........ One (1) signed and marked as ORIGINAL paper copy PLUS....:.... The correct number of paper copies for the district for which you are applying: District I requires 3 paper copies of application District II requires 6 paper copies of application District III requires 4 paper copies of application District IV requires 3 paper copies of application District V requires 6 paper copies of application Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 5 District I: (encompasses the city limits of Key West) Check this box if your event meets the definition of a New Event. Definition of new event: An event that has not taken place in this district previously. Anew event choosing this category will be considered with other new event applications from a separate resource specifically allocated for new events. OR.... A new event may choose to apply under the regular event funding process wherein the new event will compete with previously funded events. Category of Event: Destination Event � Turnkey Event (check one) I understand that as a new event this is a $10,000 grant request. Regular Event Funding: Complete this section if your event is NOT applying as a New Event Category of Event: check the appropriate category and grant level you are applying for. The DAC has the right to decline funding at any level, or to fund at a level lower than requested. Destination Event � Turnkey Event �Level1: $107000 �Level2: $171000 �Level3: $251000 �Level4: $357000 Level 7: $1001000 �Level5: $507000 �Level 8: $1207000 �Level6: $757000 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 6 District II: (from city limits of Key West to the west end of the Seven Mile Bridge) Category of Event: Check the appropriate category and grant level you are applying for. The DAC has the right to decline funding at any level, or to fund at a level lower than requested. Destination Event � Turnkey Event Level 1: $27500 � Level 2: $57000 Level 3: $77500 Level 4: $107000 � Level 5: $151000 � Level 6: $207000 District III: (from the west end of the Seven Mile Bridge to the Long Key Bridge) Category of Event: Check the appropriate category and grant level you are applying for. The DAC has the right to decline funding at any level, or to fund at a level lower than requested. Destination Event � Turnkey Event Level 1: $101000 � Level 2: $207000 Level 3: $307000 Level 4: $407000 � Level 5: $501000 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 7 District IV: (between the Long Key Bridge and mile marker 90.939) Category of Event: Check the appropriate category and grant level you are applying for. The DAC has the right to decline funding at any level, or to fund at a level lower than requested. Destination Event � Turnkey Event Level 1: $107000 � Level 2: $157000 � Level 3: $207000 Level 4: $257000 Level 5: $307000 � Level 6: $407000 Level 7: $507000 District V: (from mile marker 90.940 to the Dade/Monroe County line &any mainland portions of Monroe County) Category of Event: Check the appropriate category and grant level you are applying for. The DAC has the right to decline funding at any level, or to fund at a level lower than requested. Destination Event � Turnkey Event Level 1: $107000 � Level 2: $207000 Level 3: $307000 Level 4: $407000 � Level 5: $507000 TOTAL AMOUNT REQUESTED (add the totals for each of the districts you are requesting funds from) Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 8 APPLICANT ORGANIZATION: (Registered business name exactly as it appears on www.sunbiz.orq ) For Profit � Not for Profit Please note that the TDC Administrative Office conducts most of its correspondence, including contract and reimbursement material by e-mail, so the person listed below should be able to accept responsibility for receipt of this information CONTACT PERSON: E-MAIL: (for correspondence): TELEPHONE NUMBER: (Daytime/mobile): ADDRESS: SUMMARIZE ORGANIZATION HISTORY Enter Text HAS THIS EVENT BEEN PRODUCED IN THE PAST? Yes ❑* No ❑ *IF YES, WHEN? Enter Year DID THE SAME ORGANIZATION PRODUCE IT? Yes ❑ No ❑ List name of President and other individuals authorized to execute contracts and otherwise act on behalf of Applicant: Name Enter Name Enter Title Title Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 9 List staff members, including volunteers responsible for administering and organizing this event with evidence of their qualifications and capabilities to accommodate the demands of the event. Name Qualifications Capabilities Enter Name Enter Qualifications Enter Capabilities List previous funding by the Monroe County Tourist Development Council, and by any other State or Federal agencies, if any, and list applications that have not been funded. Source of funding Amount Requested Amount Received Year Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 10 EXHIBIT A A. WHAT IS THE PRIMARY PURPOSE OF YOUR EVENT Destination and Turnkey Applicants shall select number 1, 2 OR 3 below and give a brief explanation under the area you have chosen. EXHIBIT A-1 1. ❑ The primary purpose of my event is to draw out -of -county visitors to the Destination and put "Heads in Beds". Enter Text Enter the total number of participants you have referenced in Exhibit B: OR 1 9 1 A 9 A 7 EXHIBIT A-2 2. ❑ The primary purpose of my event is to provide something to do for the visitor who is already here and enhance their experience while visiting the destination. Enter Text 1234 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 11 OR EXHIBIT A-3 3. F-1 The primary purpose of my event is to help brand the destination. Enter Text 4. Turnkey Applicants Only: One (national TV show, national sponsorshi marketing exposure excluding websites, efforts you will be utilizing and how: Enter Text 123 EXHIBIT A-4 p of the following is required for Turnkey applicant - nationwide promotion, national or international unpaid blogs & social media). Below, describe the marketing 1234567 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 12 EXHIBIT A-5 5. Timing of Event: Below, under the District(s) from which you are seeking funding from, please check the box(s) to indicate when your event will take place. Then calculate your score using the table to the right of the District. (Shoulder and off season events to receive higher scoring). (Bocc 4/20/05). District I Table: � January 15-31 February Score=1 March April � May June Score=2 � August November Score=3 December January 1-14 ❑ September October Score=4 District II Tab' : � February March Score=1 April � January June Score=2 July � May August Score=3 November � September October Score=4 December District III Table: � February March Score=1 April F-1 January May Score=2 June Jul❑ August November Score=3 � September October Score=4 December Enter your score from the District Table (if more than one box was 1. checked, add all scores together and Enter Score divide by the number of boxes checked) Mid -week days are Sunday -Thursday E:1 Add two (2) points if your event E:] +2 2. falls on at least 2 mid -week days E:1 Add one (1) point if your event falls on MI 1 mid -week day El +1 3 District I Total Score Enter Score Enter your score from the District II Table (if more than one box was 1. checked, add all scores together and Enter Score divide by the number of boxes checked) Mid -week days are Sunday -Thursday E:1 Add two (2) points if your event E:] +2 2. falls on at least 2 mid -week days E:1 Add one (1) point if your event falls on o 1 mid -week day El +1 I District II Total Score Enter Score Enter your score from the District III Table (if more than one box was 1. checked, add all scores together and Enter Score divide by the number of boxes checked) Mid -week days are Sunday -Thursday E:1 Add two (2) points if your event E:] +2 2. falls on at least 2 mid -week days or E:1 Add one (1) point if your event falls on MI 1 mid -week day El +1 I District III Total Score Enter Score Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 13 District IV Table: � February March Score=1 April � January June Score=2 July � May August Score=3 November � September October Score=4 December District V Table: � February March Score=1 April � January June Score=2 July � May August Score=3 November � September October Score=4 December Enter your score from the District IV Table (if more than one box was 1. checked, add all scores together and Enter Score divide by the number of boxes checked) Mid -week days are Sunday -Thursday E:1 Add two (2) points if your event ❑ +2 2. falls on at least 2 mid -week days or E:1 Add one (1) point if your event falls on MI 1 mid -week day ❑ +1 I District IV Total Score Enter Score Enter your score from the District V Table (if more than one box was 1. checked, add all scores together and Enter Score divide by the number of boxes checked) Mid -week days are Sunday -Thursday E:1 Add two (2) points if your event ❑ +2 2. falls on at least 2 mid -week days E:1 Add one (1) point if your event falls on MI 1 mid -week day El +1 3 District V Total Score Enter Score Timing of event: Season, shoulder, off season, Mid -week (Sun-Thurs.) Below, provide a written explanation of the reason you are holding your event in the time period indicated above: Enter Text Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 14 EXHIBIT B B. NUMBER OF OUT- OF- COUNTY VISITORS ANTICIPATED TO ATTEND THE EVENT 1. If your event has been produced prior to this application, please list below how many out - of -county visitors participated in your last event and check the appropriate box for the method you've used to calculate that estimate. (If you are a new event, please skip to question 2 below): Number of out -of -county participants in last event: Capacity of venue Ticket sales Crowd photos of attendance Registrations Police crowd estimate Survey of participants Other, please specify 2. For the event for which this application refers, what number of out -of -county attendees do you anticipate to attend this event? 3. Below, explain why you believe your event will attract the number of out -of -county attendees you stated above: Enter Text 123456 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 15 EXHIBIT C C. FINANCIAL COMMITMENT OF ORGANIZATION TO THE MARKETING OF THIS EVENT Without consideration to funds that you may receive from the Tourist Development Council, please describe in detail, how your organization plans to market your event to appeal to your target market, and include ratio of your organization's contribution to amount of funds requested from TDC. If you require more space than provided, please attach as Exhibit C. Example: media placement; newspapers (list the publication and cost); magazines (list the publication and cost); brochures (direct mail — cost); posters/signs (cost); social media Twitter/Facebook, blogs, websites, internet — (cost); TV; radio; public relations; other (provide details). Highest points will be awarded for soundness of plan. The ratio of your contribution to TDC contribution will be considered in this score. Description Estimated Cost Enter Text Enter Amount Total estimated direct cost/value of hard media/marketing and public relations: $ 123456 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 16 EXHIBIT D D. HOW YOUR ORGANIZATION WILL UTILIZE TDC FUNDING TO EXPAND YOUR MARKETING EFFORTS If you should receive funding from the Tourist Development Council, how would you expand your marketing plan? If you require any further space, please attach as Exhibit D. Use specific examples as outlined in Exhibit C. Description Estimated Cost Enter Text Enter Amount 123456 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 17 EXHIBIT E E. COMMITMENTS FOR CONTRIBUTION EXHIBIT E-1 E.1. COMMITMENTS FOR HARD DOLLAR CONTRIBUTIONS 1. List all contributors (HARD DOLLARS) supporting the proposed event and the amount committed by those contributions. Contributor Amount Enter Contributor 0.00 SUB -TOTAL VALUE OF CONTRIBUTORS $ 12345 EXHIBIT E-2 E.2. COMMITMENTS FOR IN -KIND CONTRIBUTIONS 2. List all in -kind contributions: (including complimentary rooms, functions, services) Contributor Tvpe Value Enter Contributor Enter Type SUB -TOTAL VALUE OF IN -KIND SERVICES $ TOTAL VALUE OF CONTRIBUTION $ 12345 FURNISH LETTERS OF SPECIFIC COMMITMENT FROM CONTRIBUTORS AND SPONSORS FOR BOTH HARD DOLLAR AND IN -KIND SERVICES. Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 18 EXHIBIT F F. ITINERARY OF THE EVENT Specifically outline the activities/events that will take place during your event. If your event encompasses several days, breakout each day including the venue. Example: Day 1: Bar crawl (Sloppy's Joes; The Bull; etc. 5 pm to close) Day 2: Food and wine tasting (Michael's; Antonia's, etc) Day 3: Art festival — street closing — 8 am — 4 pm Enter Text 123 Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 19 EXHIBIT G G. EVENT BUDGETS EXHIBIT G-1 G.1. RE -OCCURRING EVENT BUDGET Attach as Exhibit G-1 your organization's operating budget and all inclusive income/expense report for the last event. OR EXHIBIT G-2 G.2. NEW EVENT BUDGET Attached as Exhibit G-2 your organization's projected operating budget including all inclusive projected income/expense for the proposed new event. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ACTION PLAN: PARKING/ROAD CLOSURES/SECURITY/TRASH Submit a detailed action plan including appropriate permit(s) if applicable, as to how parking/security/road closures and trash/recycling will be handled during your event. The plan should include the following information: 1. If your event will require road closures, enclose a copy of the approval by the appropriate county/municipal entity: 2. Describe how your marketing plan will accommodate parking and transportation as it relates to your event: 3. 2W How will your event staff and organization handle security? now will your organization nanaie irasn removaurecyciing Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 20 NON -COLLUSION AFFIDAVIT and VERIFICATION I, , of the city of according to law on my oath, and under penalty of perjury, depose and say that: 1) 1 am the applicant making the application for the event. 2) The prices in this application have been arrived at independently without collusion, consultation, communication or contract for the purpose of restricting competition, as to any matter relating to such prices with any other applicant or with any competitor; 3) Unless otherwise required by law, the prices which have been quoted in this application have not been knowingly disclosed by the applicant and will not knowingly be disclosed by the applicant prior to application opening, directly or indirectly, to any other applicant or to any competitor; 4) No attempt has been made or will be made by the applicant to induce any other person, partnership or corporation to submit, or not to submit, a application for the purpose of restricting competition; and 5) The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. VERIFICATION HEREBY CERTIFY that I have read the forgoing application and that the facts stated herein are true and correct to the best of my knowledge and belief. President's Name Typed Sworn to and subscribed before me this day of personally appeared President's Signature and , 20 known to be the persons named in and who executed the foregoing document. My commission expires: Notary Public State of Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 21 DRUG FREE WORKPLACE FORM The undersigned applicant in accordance with Section 287.087 Florida Statutes hereby certifies that: Enter Business Name (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services that are under application a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that are under proposal, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Makes a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Applicant's Signature Date Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 22 APPLICATION CHECK LIST (submit with application) have completed the following items: F-I Each section of the application has been completed. F-I Applicant has reviewed the sample Contract at http://fl-monroecounty.civicplus.com/index.aspx?nid=328. F-I Applicant has reviewed the scoring sheet at http://fl-monroecounty.civicplus.com/index.aspx?nid=328, that is utilized by the District Advisory Committees and understands that the application must score 29 points or above by the majority of the sitting members in order to qualify for funding. F-I Applicant has submitted the event's budget and income/expense report for the last event. Re -occurring events should submit Exhibit G.1. and new events should submit Exhibit G.2. F-I Applicant has completed and signed the Non -Collusion Affidavit and Verification form included within the application. F-I Applicant has reviewed and signed the Drug Free Workplace form included within the application. Print off this page, sign below, and include as part of application Signed By: Type Name: Type Name Here Monroe County Tourist Development Council - Destination/Turnkey Event Funding Application for FY 2013 23