Item D3 P W
D.3
;� w 1rJ� BOARD OF COUNTY COMMISSIONERS
County of Monroe
r,�� Mayor Craig Cates,District 1
The Florida Keys Mayor Pro Tem Holly Merrill Raschein,District 5
y Michelle Lincoln,District 2
James K.Scholl,District 3
Ij David Rice,District 4
County Commission Meeting
January 18, 2023
Agenda Item Number: D.3
Agenda Item Summary #11522
BULK ITEM: Yes DEPARTMENT: Tourist Development Council
TIME APPROXIMATE: STAFF CONTACT: Ammie Machan (305) 296-1552
N/A
AGENDA ITEM WORDING: Approval to Advertise a Request for Applications for FY 2024
Fishing Event Funding Applications.
ITEM BACKGROUND: Attached is a list of revisions and a copy of the FY 2024 Fishing Event
Funding Application.
FAC approved same at their meeting of November 2, 2022
TDC approved same at their meeting of December 13, 2022.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
FY 2024 Fishing Event Funding Application
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
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Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: If yes, amount:
Grant:
County Match:
Insurance Required:
Additional Details:
REVIEWED BY:
Maxine Pacini Completed 12/19/2022 11:01 AM
Christine Limbert Completed 12/19/2022 1:37 PM
Lindsey Ballard Completed 12/21/2022 3:39 PM
Board of County Commissioners Pending 01/18/2023 9:00 AM
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The following revisions have been made to the application:
• Updated dates throughout
• Page 2: added language to clarify only rod/reel and no dive/spear fish events
• Page 3: added contact information for Agencies of Record
• Page 5: Clarified DAC II boundaries by adding "From"
• Page 6 & 7: added a box to check to indicate that it is a new event and they have no
Tournament history to provide
• Page 6: Removed "Number of Days of Registered Anglers". This question was a repeated
question. CL
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• Page : Revised question "Total number of Targeted Specie(s) Caught or Released"
• Page 6: Added table for estimated room nights for FY 2024 (in addition to table for how
many room nights for previous event). Updated average number of visitors to a room
from 3 to 4 on both tables.
• Page 8: Removed "Modified Release" and "Fish" from Tournament Format
• Page 8: Removed "Sea Trout" from Species 0
• Page 18: Added note that Statement of Income and Expense can be provided as
attachment in different format if needed. -
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FY 2024.
FAC APPROVAL: November 2, 2022
TDC APPROVAL: December 13, 2022
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BOCC APPROVAL: January 18, 2023
NOTICES SENT TO INTERESTED PERSONS January 30, 2023
ADVERTISE APPLICATION February 13, 2023 U-
FAC WORKSHOPS: March 15, 2023 >
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Advertise for 51 Days U-
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APPLICATION 1)1,'Al)LINI,,: April 5, 2023 CN
FAC DEADLINE: May 5, 2023
FAC APPROVAL: May 17, 2023 .2
TDC APPROVAL: July 18, 2023
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BOCC APPROVAL AFTER OCTOBER 2023
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APPLICATION DEADLINE: April 5, 2023
All applications should be received no later than 5:00 p.m.
All applications should be submitted by oinc of the following methods:
• IEly einiaiilll "to: Il ui ,Ihu,„irm,,,,,, , „irm,, R, lll, ,,1 y ,cour m (preferred method)
• IllhlHuinU III':: clllui curcUIIIUuiIIIcU:
Fishing Event Application
TDC Administrative Office M
1201 White St. Suite 102
Key West, FL 33040CN
If mailing your application, we encourage you to send with delivery confirmation or >-
tracking as applications received after the deadline date and time will not be
accepted.
I III III taints iniust uulll ui mur'
Ill)!!r0f0!!riii:�:q q)IIL':!!LU::: ::
of ulbrnu �lin0 Itemsy ernaH1 One completed copy of the application CL
as a .pdf (all attachments must be merged into one document. Please DO NOT
include the instruction pages). If you do not receive an automated response
confirming receipt of your application or if your file size is 25MB or larger please
call our office (305-296-1552). Please plan accordingly to allow sufficient time to
ensure that the application is successfully delivered or to allow for
accommodations to be made in advance for files that exceed 25MB. Please be W
advised that it is the applicant's sole responsibility to ensure delivery of their
application and waiting until the deadline to address or confirm your application
submission delivery will result in your bid being rejected.
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1pplllicat�iron laniild(1)�USB Flash
�I� e �"IlUulill: One (1) completed paper copy of CN
with completed copy of application as a .pdf
(all attachments must be merged into one document. Please DO NOT include the
instruction pages)
All inquiries and correspondence should be made to the TDC Administrative office via
email to I �axi.ne�c:fBa..:. W s. : � r or ��r��ru�„�� : Ba � W s. III is fl,,iie Illnlll llluiu ui :: ''u ui culll oui uuilll uilllui°
Ito f6HOw ullln via lnlli°iiioinc a lllll� (305::::::293:::::1552) uif a rcull4 oinuc its not urec6 cU ufll°iuuiin "' 2
[,°iouiru Please do not hesitate to contact the Administrative Office with any
questions.
FY 2024 Fishing Event Funding Application
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APPLICANT IRE ; IIHIII,, I I IIII1�°°
Applications may be submitted by the following entities:
1. Fishing Tournament Event applicants under their own name can apply but must
be aware that the contract will be entered into in their name, and they will
become the event contractor within the final funding contract. All invoices and �?
documentation must show their name (event contractor) as written within the
final funding contract.
2. A governmental public entity (e.g. a county or municipality); a for profit or not-
for profit organization; or a business in good standing with the Division of
Florida Corporations. Prior to completing a Fishing Tournament Event
Application, please go to ......................................................
... U..n.bi. ....o!q to ensure that your organization is
registered to do business in the State of Florida. Only entities (applicants) that
are duly registered will be accepted. The Contract will be entered into with the
name exactly as it appears on Sunbiz.org and that official name will become
the event contractor within the final funding contract. All invoices and Q
documentation must be in the event contractor name as written within the >-
contract.
It is important that every tournament fill out completely the enclosed funding agreement
application, attach all the proper information that is requested and return to the TDC
Administrative Office. Refer to the application check list at the back of this application.
It is the responsibility of the event applicant and the event contractors (contracted entity)
to keep apprised of all Monroe County Tourist Development Council's policies and
procedures pertaining to event funding.
When event applications are received, they will be distributed to the Fishing Advisory
Committee for review and their recommendations for funding allocations will be placed
before the TDC for approval. Upon approval by the TDC a contract will be submitted to
the Monroe County Board of County Commissioners (BOCC) for final approval. N
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Only events held entirely within Monroe County shall be considered for event funding. U-
Events that use ONLY rod, reel, line and hook are eligible to apply for Fishing Tournament
Event Funding. Spearfishing and Dive Events are not eligible to apply for Fishing
Tournament Event Funding.
FY 2024 Fishing Event Funding Application
2
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C014 FAC I°° I111101 11l��01111 I°IID1111 1°° I°t I ;IIII�� I IIII E O1�l ll�
The TDC Agencies of Record listed below are available to answer questions and assist
with the marketing of your event. Event coordinators are not obligated to utilize the
services of the TDC Agencies of Record.
Advertising Agency of Record: (Tinsley Advertising and Marketing) contact Danielle
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Salman (JCIiicallllca„ 1f liislleaor�rn) or John Underwood Jolri 1f liislleaor�rn) at 305-856 CL
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6060.
Public Relations Agency of Record: NewmanPR contact Carol Shaughnessy
( IrII„ Il�earr�ryaiir.cor�rn) at 305-797-0579 or Andy Newman ( .ir . . 11�earr�ryai „ir r�rn„) at
305-461-3300.
Internet Agency of Record: (Two Oceans Digital) contact Clint Barras
( „Iliilr „ If rooceaaisdli liall.cor�rn) at 305-292-1880.
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FY 2024 Fishing Event Funding Application
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USA Holidays and Observances
09 Oct, 23 Columbus Day 31 Oct, 23 Halloween 1123 v' Veterans Day Q
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Thanksgiving Day 25 Dec, Christmas 01 Jan, 24 New Year's Day
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15 Jan, 24 M L King Day 14 Feb, 24 Valentine's Day 19 Feb, 24 Presidents' Day
29 Mar, Good Friday 31 Mar, Easter Sunday 12 May, Mother's Day
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27 May,24 Memorial Day 16 Jun, 24 Father's Day 19 Jun, 24 Juneteenth
04 Jul, 24 Independence Day 022 ep, Labor Day
FY 2024 Fishing Event Funding Application
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11L( T( IIN
cui a must "taIke Ill Ill uc betweein Oct6beir 1, 2023 aind Selpteuiumlll cuir 30, 2024.
NAME OF EVENT CONTRACTOR:
(Event applicant or as it appears on
wwwww„;,,su�,in,bi�;,;,oir, or name of individual/sole
proprietor)
TITLE OF TOURNAMENT-
DATE(S) OF TOURNAMENT-
dates of eveint you aire aIpIpIIIyuiing four fuindm uin fouir, uiefeir "to calleindair oin pg,, 3)
*If registered on Sunbiz.org, are you a: ❑ Non-Profit ❑ For Profit
FUNDS REQUESTED: $
(IIII uinds requested inlay not exceed 9,999) M
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This application is to request funding from the following District(s): N
❑ District I: Key West— (shall encompass the city limits of Key West)
❑ District II: Lower Keys — (from city limits of Key West to West end of Seven Mile
Bridge)
❑ District III: Marathon — (from West end of Seven Mile Bridge to Long Key Bridge)
❑ District IV: Islamorada — (between Long Key Bridge and Mile Marker 90.939)
❑ District V: Key Largo— (from Mile Marker 90.940 to the Dade/Monroe County line and W
any portions of mainland Monroe County)
DESIGNATED TOURNAMENT CONTACT PERSON
Please note that the TDC Administrative Office conducts most of its correspondence, N
including contract and reimbursement materials by email, so the person listed below N
should be able to accept responsibility for receipt of this information.
Name & Title-
Telephone/Mobile No.:
E-Mail:
Address: °
FY 2024 Fishing Event Funding Application
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i curnuuo e t II is'tnry
❑ This is a new event and has no Tournament History.
Date(s) of Last Tournament:
Location of Last Tournament:
❑ District I ❑ District II ❑ District III ❑ District IV ❑ District V
Age of Tournament
Amount of Entry Fees Collected Last Tournament $
Number of Fishing Days
What was your Target Specie(s)
Total Number of Targeted Specie(s) Caught
or Released
Tackle Requirements
Daily Fishing Hours
How Many Vessels Participated?
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Use the table below to calculate number of room nights for last eventCL
a. How many out of County visitors/Registered
Anglers to this district
b. How many visitors to a room Note: avg. is 4
c. How many nights will visitors stay? >
d. Calculate: Room Nights = (a/b) x c
divide line a by line b. Then multiple by line c
*room nights will automatically calculate U-
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Use the table below to calculate number of room nights estimated for FY 2024 N
Event (both new and established events should complete table below): LL
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a. How many out of County visitors/Registered
Anglers to this district
b. How many visitors to a room Note: avg. is 4
c. How many nights will visitors stay?
d. Calculate. Room Nights = (a/b) x c
divide line a by line b. Then multiple by line c
*room nights will automatically calculate
FY 2024 Fishing Event Funding Application
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I �LIN T" REP OR I FOR LAS°I EVENT
IIII' IS PY TE-C P
❑ This is a new event and has no Tournament History
DATE OF TOURNAMENT RESULTS:
2
CHAMPION:
NAME:
CITY/STATE:
CATCH: W
CAPT/BOAT:
1st Place:
NAME:
CITY/STATE:
CATCH:
2
CAPT/BOAT: CL
2nd Place:
NAME:
CITY/STATE: >
CATCH:
CAPT/BOAT:
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3rd Place:
NAME:
CITY/STATE:
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CATCH:
CAPT/BOAT:
FY 2024 Fishing Event Funding Application
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IU°t I °dd f° I� III IIIII IlYf 11MATION
Check the box below for the format of your proposed tournament:
❑ Release ❑ Weight
0
❑ Other, pleases ecif
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Check the box below that shows your target species:
❑ Blue Marlin ❑ White Marlin ❑ Sailfish ❑ Spearfish ❑Sword Fish
❑ Kingfish ❑ Dolphin ❑ Wahoo ❑ Tuna ❑ Barracuda
❑ Cobia ❑ Grouper ❑ Snapper ❑ Jacks and Sharks LU
❑ Cero ❑ Mackerel ❑ Tarpon ❑ Permit ❑ Bonefish
❑ Redfish ❑ Snook N
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❑ Other, pleasespecify-
Are tournament entry fees: ❑ per Angler ❑ per Boat
Below, Enter your Entry Fees:
Adult Child Social Boat
Fee: $ Fee: $ Fee: $ Fee: $
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IIII [M*E� 1I ' t°f F D ° p ull ENS '
In the space below describe the soundness of your tournament and how it will benefit
and expand tourism within the district you are applying for funding.
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FY 2024 Fishing Event Funding Application
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I OUI INAMEN`F` IRULES
In the space below, tell us about your Tournament Rules:
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FY 2024 Fishing Event Funding Application
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In the space below, tell us about your Tournament Scoring System:
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FY 2024 Fishing Event Funding Application
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Exhibit A
CEP( III!) E EVEIN I MAIWE I IING EXPENSES1°° 11 IIII ISIJ IIIIIEVENTS
The following are the only acceptable expenses. This will become part of your approved
contract
Media Placement & Production Costs: Newspapers and magazines (inserts will also be
considered), radio and TV. The TDC will pay for the following digital advertising on websites,
website links, pre roll video, banners, mobile, social media promoted posts, and email blasts.
Digital advertising links may go to the event website. The TDC Logo must be placed on all print, 2
TV, websites, pre roll video, social media promoted posts, banners and email blasts. Radio
advertising does not require the logo but all radio announcements must say "Brought to you by
the Monroe County Tourist Development Council". No payment will be made for development or
operations (hosting) of websites. At least 30% of total funding allocation must be placed within
the Media Placement and Production Cost line item and shall be expended on advertising media "
cost attributable to out of county placement.
Promotional Signs: Posters and banners (hanging and displayed outdoors).
Promotional Items: T-shirts and hats*, trophies (Fishing Tournaments Only).
*Sales/Resale of TDC funded items: Items funded by the BOCC/TDC, including creative and
resulting work product, are owned by the BOCC/TDC and as such may not be sold. N
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Direct Mail Promotions: Brochures, postcards and pamphlets including postage and shipping. U`
This is a direct mail promotional brochure, postcard or pamphlet utilized for pre-event advertising.
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Programs: TDC will pay up to fifty percent (50%) for the cost of production or printing of an
event program showing scheduled activities and information on the event as outlined in contract
budget. Digital Programs: TDC will pay up to fifty percent (50%) of the production only (on click
through cost) for digital programs showing scheduled activities and information as outlined in the
contract and contact budget. TDC will pay for print or digital programs, but not both. "
Public Relations (PR): Print and electronic public relations materials for distribution to media,
such as, but not limited to, press releases, public service announcements, photography and
videography as approved by the public relations agency of record. Only permissible PR material
produced by the TDC agency of record and/or a professional public relations agency shall be
acceptable.
In-House Production: In-house production of any permissible expenditure will not be considered CN
for reimbursement. cN
Trophies: Framed art work, framed photography, engraved crystal and glass, plaques, trophies,
sculptures (fiberglass, metal, glass & wood) and framed certificates shall constitute a trophy. All
such trophies must include the appropriate information as outlined in the policies (tournament
name, date (year), and location). For trophy reimbursement, Tournament Directors must present
the original invoice of the trophies, a notarized list of winners of the event, and a notarized list of
the plates and/or glass etching from the engraving company.
Amendments to Contract Budgets: No amendments to the line item budget will be permitted
after the contract has been reviewed and approved.
FY 2024 Fishing Event Funding Application
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Exhibit B
II, O/ACI�I i LEA E �I4 I°° USAGE GUIl L, IHINE
This will become part of your approved contract
Color ads four (4) color processing printing
Black & white ads shall include the Florida Keys and Key West logo in high resolution
Use on all printed material as listed under the Acceptable Event Marketing Expenses list
TV: logo must appear at the conclusion of commercial 2
Hats and t-shirts: must carry the "The Florida Keys & Key West" Out-of-County logo
Radio Advertising: No logo is required. All radio announcements must say "Brought to you by
the Monroe County Tourist Development Council"
Trophies: Logos are not required on trophies.
In-County Logo
The logo below indicating the "Monroe County Tourist Development Council" designation is to be
utilized on in-county print newspaper and magazine ads, brochures, postcards, pamphlets,
programs, posters, banners (hanging and displayed outdoors), and digital advertising on
websites, website links, pre roll video, banners, mobile and email blasts. Radio commercials
should include "Brought to you by The Monroe County Tourist Development Council". Logos are cN
availble to download at: 11,1!11 , .11 ,a, ,,,,,a„p, iii„pm, Ill, y,a,,a,lr ,/III, , / �'
The
FloriddKeys .2
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&KevestCL
come as you are
MONROE COUNTY TOURIST DEVELOPMENT COUNCIL C:
Out-of-County Logo
The logo below that does NOT include the "Monroe County Tourist Development Council"
designation is to be utilized in out-of-county newspapers and magazines, brochures, postcards,
pamphlets, programs, posters and digital advertising on websites, website links, pre roll video,
social media promoted posts, banners, mobile and email blasts. Radio commercials should U)
include "Brought to you by The Monroe County Tourist Development Council". Logos are availble
to download at: II;m, ,lll , ;;;,//,Il ,y, ',M, D,::, D„p,,,,jiii„Pam, III, , ,,,,a.�,2.!M/Ill, ��,.2.=ZCN
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The
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.,. come ds YOU are
FY 2024 Fishing Event Funding Application
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Exhibit C
�' i°iN�IpILI � IIII�� E ' HIT
This will becomueua aura ofu auyour uapproved contract
TOURNAMENT SCHEDULE OF EVENTS
FISCAL YEAR 2024
PRINT OFFICIAL TOURNAMENT NAME
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Day 1 —AM LINES IN WATER Day 2 —:—AM LINES IN WATER
PM LINES OUT OF WATER PM LINES OUT OF WATER
PM EVENING EVENT PM EVENING EVENT
PM WEIGH-IN OVER PM WEIGH-IN OVER
PM OTHER EVENT: PM OTHER EVENT: W
Day 3 —AM LINES IN WATER Day 4 —:—AM LINES IN WATER -
PM LINES OUT OF WATER PM LINES OUT OF WATER Q
-- -- N
PM EVENING EVENT PM EVENING EVENT
PM WEIGH-IN OVER PM WEIGH-IN OVER
PM OTHER EVENT: PM OTHER EVENT: 2
Below describe any activities, not outlined above, that will take place during your event
that will draw overnight out of county visitors (examples: Welcome/Kick-off Party, Awards
Ceremony, Dinner Events, etc.). These activities will become a part of your final contract:
Example:
Day 1 — Welcome Party
Day 3 —Awards Ceremony
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EXHIBIT D
BUIl 'LT
Approved revised budget after allocations will become part of your approved contract
Below, fill in the line items as to where you will spend the dollars you have requested.
This budget may need revising depending on your final funding allocation. Prior to
completing your line item budget — refer to Exhibit A of this application for
allowable event marketing expenditures under the individual line items.
FISHING EVENT BUDGET— FISCAL YEAR 2024
I imeiime wi1H1 be no aiixieimdii ieimto t.o 114fls IlMddO a teiim Il,30CC aIppiimovam1 of agiimeeiimiieiia .
OFFICIAL TOURNAMENT NAME
`MEDIA PLACEMENT & PRODUCTION COST $
PROMOTIONAL SIGNS $
PROMOTIONAL ITEMS $ W
DIRECT MAIL PROMOTIONS $
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PROGRAMS $
PUBLIC RELATIONS $ CN
"TROPHIES $
***GENERAL NON-ALLOCATED $
Total: $ U
* At least 30% of total funding allocation must be placed in the Media Placement & Production
Cost line item and be utilized for out of County advertising
**Tournaments may not place more than 30% of their total funding allocation in the Trophy line
item, except when special approval from Fishing Advisory Committee has been received
***The General Non-Allocated line item should not exceed 15% of the total funding allocation, and
may only be utilized for acceptable event marking expenses (see Exhibit A of application)
Actual expenditures may deviate no more than 10% from the budgeted line items noted above. N
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What is the total amount of your Marketing Plan: $ U_
How much is the applicant contributing to the
marketing of this event in "Hard Dollars"? Please do
not include funds requested from TDC or other grants
— funds listed on this line should only include what the
applicant organization itself is providing towards the
marketing of the event. $
FY 2024 Fishing Event Funding Application
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Packet Pg. 1804
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Ac,tluon IU31ar
Submit a detailed action plan including appropriate permit(s) if applicable, as to how
parking/security and road closures will be handled during your event. The plan should
include the following email:
1. Describe how your event plan will handle road closures. If applicable, enclose a
copy the approval by the appropriate county/municipality entity.
2. Describe how your event plan will accommodate parking and transportation.
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3. Describe how your event will handle security.
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4. Event Sustainability.
Our visitors come to enjoy events, but in the process, a tremendous amount of
waste is generated, much of it recyclable. The single most effective tool in reducing waste
at special evens is planning ahead. On the next page (page 16), complete a narrative on
how you plan to reduce waste during your event by doing the following: >
a. Encourage recycling message within programs and brochures to recycle
during the event and also at home. -
b. Encourage "Green" advertising (broadcast and digital) CN
c. Encourage vendors to use biodegradable and compostable products CN
(utensils; plates and cups; paper or canvas bags). U-
d. Encourage the use of clearly identified recycling containers.
e. Discourage the use of single use plastic bags and other products.
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u[ a Illn „n (305 2 Ilarn r u..11 Il 11 ii .
FY 2024 Fishing Event Funding Application
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Apphcant amay XuIbrns it Staternent of incorne and II :XIp nX X as an attadhiment in a dfferent
forimat li f needed.
Oct. 1, 2021 Oct.1, 2022 Oct. 1, 2023
Sep. 30, 2022 Sept. 30, 2023 Sept. 30, 2024
Actual Projected Projected o
INCOME:
c2
SPONSORS (CASH) $ $ $ CL
CL
ENTRY FEES $ $ $
T-SHIRTS &CAPS
(EXCLUDING TDC ITEMS) $ $ $
BANQUET $ $ $ y
OTHER $ $ $
A
TOTAL $ $ $
N
OTHER FUNDS: a
FISHING ADVISORY $ $ $ >-
COMMITTEE
Total Income $ $ $ g
c2
Expenses:
POSTAGE $ $ $
T-SHIRTS &CAPS $ $ $ E
DIRECTOR FEES $ $ $
BROCHURES & PATCHES $ $ $ >
KICKOFF/AWARDS BANQUET $ $ $
PRIZES AND/OR TROPHIES $ $ $
N
KICK-OFF TOURNAMENT $ $ $ N
DUES, LICENSES, INSURANCES $ $ $ ;
MEDIA ADVERTISEMENTS $ $ $ E
c�
STATIONARY, OFFICE
SUPPLIES $ $ $
PHOTO PROGRAM $ $ $
BROCHURE, PRINTING $ $ $
SIGNAGE $ $ $
FY 2024 Fishing Event Funding Application
18
Packet Pg. 1807
D.3.a
Oct. 1, 2021 Oct.1, 2022 Oct. 1, 2023
Sep. 30, 2022 Sept. 30, 2023 Sept. 30, 2024
Actual Projected Projected
OTHER $ $ $
OTHER $ $ $
TOTAL EXPENSES $ $ $
INCOME LESS EXPENSES $ $ $ 2
DONATED SERVICES:
MEDIA ADVERTISING $ $ $
OTHER $ $ $
OTHER $ $ $ W
TOTAL $ $ $
NET PROFIT(LOSS) $ $ $
RETAINED PROFIT(LOSS) N
FROM PRIOR YEAR $ $ $
RETAINED PROFIT AT END OF g
EACH YEAR $ $ $
I certify that the above financial information is correct to the best of my knowledge:
Applicants Signature
Subscribed and sworn to (or affirmed) before me, by means of ❑ physical presence or
❑ online notarization, on (date) by
(name of affiant). He/She is personally known to me or has produced
(type of identification) as identification. >-
c�
NOTARY PUBLIC
My Commission Expires:
FY 2024 Fishing Event Funding Application
19
Packet Pg. 1808
D.3.a
140 AGI�ZEEMEN I
Name of Tournament:
Name of Event Contractor
2
1 HERBY CERTIFY that I understand that any items purchased with Monroe County
Tourist Development Council and Board of County Commission Funds cannot be sold.
Applicants Name Typed Applicants Signature
Subscribed and sworn to (or affirmed) before me, by means of ❑ physical presence or
❑ online notarization, on (date) by
(name of affiant). He/She is personally known to me or has produced
(type of identification) as identification.
2
NOTARY PUBLIC
My Commission Expires:
c�
c�
c�
FY 2024 Fishing Event Funding Application
20
Packet Pg. 1809
D.3.a
L II .LL S1 IIII lI° IIII�ID III
L IIII u u
L IL°°uiu uu 'T'!1 Q Ill
I, of the city of according to
law on my oath, and under penalty of perjury, depose and say that:
a. I am the applicant
making the application for the event and that I executed the said proposal
with full authority to do so;
b. the prices in this bid have been arrived at independently without collusion >
consultation, communication or agreement for the purpose of restricting
competition, as to any matter relating to such prices with any other bidder or
with any competitor;
C. unless otherwise required by law, the prices which have been quoted in this Q
bid have not been knowingly disclosed by the bidder and will not knowingly >_
be disclosed by the bidder prior to bid opening, directly or indirectly, to any
other bidder or to any competitor; and
d. no attempt has been made or will be made by the bidder to induce any other
person, partnership or corporation to submit, or not to submit, a bid for the
purpose of restricting competition;
e. 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.
Subscribed and sworn to (or affirmed) before me, by means of ❑ physical presence or
❑ online notarization, on (date) by
N
(name of affiant). He/She is personally known to me or has produced N
(type of identification) as identification.
c�
NOTARY PUBLIC
My Commission Expires:
FY 2024 Fishing Event Funding Application
21
Packet Pg. 1810
traren
W111111191 Request for Taixpayer GliveFormitother
Identification Number aln,d Certification requester.Do not
=rntenl I*T!�atury send tra the IRS.
iaa'Rewr ure,se'ite, I Go to wwwAsgav1Fwrn INO furr instructions and the aresk inlarmiation.
i Ito 1161-:dd6bt k A-Ih IIi"TONI'difik.
2 Mqirtess narnw.ld. ep.,lod rfaN1 narne,If,dil`Perw, &c,n�ab 0,.-
C
0
CW6 k aopn,, 4 11,13-11 18,1-1111,81k,11,1� L, M, 'A 4 Apply NreIy tO
uerljaA�i rmdfle�,, lridvidua�!,�.;see
3 1" Cn
Or 1 c c,..Wpormkon s ObVIPudliun Padna^ndlip
Mw 1ii1r1I1-rr11111bL4,LLC- D.P.ropi I7""e TRMYS'N l'l CL
CL
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Nbhv-. ftpI..xop A.b'—In he Mealx.,"Ix ffi U. uw Du rol O k Eminpilun ftirri FWMA reparling
LLC it ffi,i LLC IsIm..rwt 9 A A skpl,—Inljefb,l LICIfoU& hem rrw d,tho I Ik
'U.S.&MkAl Ni�p&f,.� Mflht,-q,�,A 'ftw,b,.V LLC lh�.�P
60dO hr C_
all.., -.1 vt�.Ole,
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.... .................................... :3
Addrrl.,�As inurber,1jr,ee.,And�.%pt o�mulle w'kj.11 Site InHnxlluria. narrl,.altdaddress U-
6 C"Ay i.�rld ZIP rfAdo
11 Luml luell,,ro,V,�lh&-- W
T au Yaye,r Identification Number(TINS
Enter your TIN in the appropriate box..The TIN pravided must im Ich the iname given oil fine I to avold I Sd6allmcurilty muftibet Mn
backup withholding.For ncfividus�s,this iis generatly your saaal securty number(SSN).However'form � U-
ar
antilles,!it is your sAmployer ideniffication number(EWN� H you do not have a number,see How to C14
resident aliemi,sda proprletor,or disreqardad-nfiry,see the instructions tar Part 1,later..For ofin
TIN,Isle%
Nola:It the account m in more then one narni
e.see the instructions for 11.Also,see WhBit Name and C14
Number To Gwe MY--Requestar for guidelines on whosp number luenler
Certification C_
Undsy. penafties of perjury,I cerikly that: .0
1.The number shiown on this bmi m nny con-ert taxpayeir Idenhficmtuon num&-ir for I am wmting for a number to be issued to-net;and
2.1 am nal subject rD barkup whMilhoiding because la,l tam exempt Inorn backup withholding,or lb)I have miot been notified lby the Inlernall Revenue
Service 1IRS)than'.I ami subject to backup wilhholding as a result od a taOure to reborn all inne4est or dividends,or(c)the IRS has nal,ified me that.f arn CL
no ILnger subject to hackup withholding;and CL
3.1 am a U S1.arluzanor other U.S.person YJdellined bdaWg and <
4.The FAT CA rodairl,entered on thIs form(If anVj Indirsfing that.i am emyntol.from FATCA repor,fing is corrart.
Cerfificarlron Instruction&YOU must crossout hem 2 above ffyou have been noflired by the IRS rh�you are currEndy subjEcA to backup whhhOiding because
5,ou have FeOed 1c,rAporl all!interest ard divIdends,on your nano VVLIM For real estate IransadIonE,henn 2 doea nat apply.For mortgage irrarest pfNd,
RrqUISMOni or @bandI d secured property,cancellation of dEbt,contribuMons to an individual retwamerl auangemeol III and generafly,paymerls
other 1han interest and dividands,you are iniot recLaIrsd try sign the c W- loadon,but you must proOde youff correct TIN.See this iinrstrudons for Paql III,later
U-
Sign
C
Her Malre I. CD
GenIeralli Instructions -Form 1099 DIV(dividends.including ihose frum slocks of mulual W
lunde)
Secfion references are to the kiter-nal Revenue Code willess offiermse Form 1030 MI!SC(varlous types M inuorne,prices,mvands,or gross
norted.
proceedal
Future,developments.For the Impel iWL�frnafion about develclpments -Form io39 e,(stark cw rnulual fund nales and cartaln othe, Mn
related to Formi W-9 and I retractions,such as legisla6on enacted liransscWns by II U-
attar they were published,go,to www.pra gow'Forrn W9. -Form 1090-5(proceeds tram real estanp transactions) V
Purpose of Form -Form 10fi9-K hrTerchant send and third party nelwcq�k wansactions) C14
CD
An individuall orr entity(Form W-9 requester),who iis required lo fIre an -Form 1098 loome mortgage rileresti.10198-E Msludenl loan lines escl, C14
Information return with the IRS 111LOSA o131&ln Your 00fr--C I tsXPEr`leEr 1 096-T Ourhcnl >-
dentifiralron number 71Ni wNrIl rnary be your so6al securily number -Form 101N9-C banceled debl) LL
(SSI`%rl,ncirvidual taxpayer xdenhficsfion number(ITIN).adoption
taxpaye�r derififiranlon nuymb�m(ATINI,or errlipoyer dantifirstlon numbar -Farm I COO Afacqueluor,ar abandonment of secured propenyl,
(EIN,to report on an Infor=nlion return the amount beat to you,or other Use Fan-n W-9 only If,yaw.are a U.S.person uncluding a resident', CD
arna,urh reportable,on an iniorn-ratron return.Examples of nlormalrean atern,to prudde yrvur corrart TN. E
raturnr Inducle,but are nol 111mill led to,the fallbwlng. ff you db not remain Form IN 9 ro,'.he feq sstpr Mtn a TIN,you ghr
•Form 1099ANT linterest earned or p/ach be subjecttoo oackup hsdhrlcd&ng.See what is hankup withholding,
later,.
CiM.No tOP,31.K Funt, <
FY 2024 Fishing Event Funding Application
22
1 Packet Pg. 1811
D.3.a
AITI.,11CATION CIIII(EC)IECK ) S"I
,,(submit with app!jlcafion,
Check the box below to show that you have completed the following items:
❑ Applicant has reviewed the sample contract at: �7„ttr�..// uw,rnoiniroecou nt
�,qov/C)o uniointC pinteir/Vie w/25444/ arTi��2lo f isl/7iin.rl F�oint l u�ninr Ar1ir° ° n��inu
....
❑ Attached printed advertising from last event (scanned as attachment to the electronic version
and placed as paper attachments in the paper copies) CL
CL
❑ Brochures of last event (scanned as attachment to the electronic version and placed as paper
attachments in the paper copies)
❑ Brochures of proposed event (if available) ❑ Not available at this time
(scanned as attachment to the electronic version and placed as paper attachments in the paper
copies)
❑ Poster of last event (if applicable) (scanned as an attachment to the electronic version and
MA
placed as paper attachment to paper copies)
CN
❑ Poster of proposed event (if available) ❑ Not available at this time N
(scanned as an attachment to the electronic version and placed as paper attachment in paper >_
copies)
❑ Tournament Rules — page 10
❑ Tournament scoring system — page 11 .2
CL
❑ Schedule of events — Exhibit C — page 14 CL
❑ Budget — Exhibit D — page 15
❑ Statement of Income and Expenses — notarized — page 18/19 (scanned as attachment to
the electronic version and placed as paper attachments in paper copies) ,
❑ No-resale Agreement—notarized —page 20 (scanned as attachment to the electronic version W
and placed as paper attachments in paper copies)
❑ Non-Collusion Affidavit and Verification Form — notarized — page 21 (scanned as
attachment to the electronic version and placed as paper attachments in paper copies)
N
❑ Applicant has printed and completed the W-9 form - page 22 >~
❑ Each section of the application has been completed
uITiiun/off/Ihn s I�wage, align Ilw6oww, and iinallude an Iwairt of apl�Nl caflon (scan and add to your appl caflon
for the 6lectronlia veirnlian(
Signed by:
Applicant Name:
FY 2024 Fishing Event Funding Application
23
Packet Pg. 1812