Item D18
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: OCTOBER 17,2007
Division:
TDC
Bulk Item: Yes X No
Department:
Staff Contact Person/Phone #: Maxine Pacini
296-1552
AGENDA ITEM WORDING:
Approval of an Amendment to Agreement with Florida Keys Birding and Wildlife Festival to revise
date of event.
ITEM BACKGROUND:
PREVIOUS RELEVANT BOCC ACTION:
BOCC approved original agreement at their meeting of October 18, 2006
CONTRACT/AGREEMENT CHANGES:
Amendment to revise date of event
ST AFF RECOMMENDATIONS:
Approval
TOTAL COST:
$8,738
BUDGETED: Yes X No
COST TO COUNTY:
$8,738
SOURCE OF FUNDS:
TDC
REVENUE PRODUCING: Yes ~ No
AMOUNT PER MONTH_ Year
APPROVED BY: County Arty ~ OMB/Purchasing ~
Risk Management X
DOCUMENTATION:
Included X
Not Required_
DISPOSITION:
AGENDA ITEM #
Revised 11/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with:
Florida Keys Birding and
Wildlife Festival, Inc.
Contract # _ ---.:..
Effective Date:
Expiration Date:
TDt-:Ft : 2~
10/18/06
12/31/07
Contract Purpose/Description:
Approval of an Amendment to Agreement with Florida Keys Birding and Wildlife
Festival to revise date of event.
Contract Manager: Maxine Pacini
(Name)
3523
(Ext. )
TDC # 3
(Department/Stop #)
for BOCC meeting on
10/1 7/07
Agenda Deadline: 10/2/07
CONTRACT COSTS
Total Dollar Value of Contract: $ 8,738
Budgeted? Yesr8J No D Account Codes:
Grant: $
County Match: $
Current Year Portion: $
115-75011-530340- T75C-419- Y-53041O
115-75011-530340-T75C-419-Y-530480
- -
-----
- - - -
-----
ADDITIONAL COSTS
Estimated Ongoing Costs: $~yr For:
(Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Changes
Date In Needed :ffi' fiViewer
Division Director ~ YesD No[E '} p tv-
Risk Manage~ent ,5'\ q- (J-o ') Y esD NO~ -__
j;(J ~O,/'" Of /" I --r:-- \~
O.M~B./Purchasing ~/tfrYesDNO~ ~ -- ~
County Attorney ~ YesD NO~ S.Grimsley
Date Out
/1
Comments:
OMB Form Revised 2/27/01 Mep #2
AMENDMENT (1st AMENDMENT) TO AGREEMENT
THIS AMENDMENT to agreement dated the day of 2007, is entered into by
and between the Board of County Commissioners for Monroe County, on behalf of the Tourist
Development Council, and Florida Keys Birding and Wildlife Festival, Inc.
WHEREAS, there was a contract entered into on October 18, 2006 between the parties,
awarding $8,738 for the production of the Florida Keys Birding and Wildlife Festival on
September 28-30, 2007; and
WHEREAS, it has become necessary to revise the dates of event; and
NOW, THEREFORE, in consideration of the mutual covenants contained herein the
parties agree to the amended agreement as follows:
1. Paragraph 1 of the agreement shall be revised as follows:
County shall pay a sum not to exceed $8,738 (Eight Thousand, Seven Hundred and
Thirty Eight Dollars) for promotion and related expenditures, as described in the event
budget, attached hereto as Exhibit B, for production of the Florida Keys Birding and
Wildlife Festival on October 12 - 14, 2007. Payment will be made only after Event
Sponsor submits invoices and support documentation acceptable to the County's
Finance Department. The advertising and promotion budget using County funding may
be altered as to the individual line items, or components, within 10% of the amount
stated for that item or component, without increasing the total dollar amount and without
requiring a written amendment to this agreement. The general non-allocated section of
an Umbrella event budget may be utilized for unforeseen permissible expenditures and
for those budget lines that may require additional funds. Monroe County's performance
and obligation to pay under this agreement is contingent upon an annual appropriation
by the County.
2. The remaining provisions of the contract dated October 18, 2006 remain in full force and
effect.
IN WITNESS WHEREOF, the parties have set their hands and seal on the day and year
first above written.
(SEAL)
Attest: Danny L. Kolhage, Clerk
Board of County Commissioners
of Monroe County
Deputy Clerk
Mayor/Chairman
Amendment # I
Florida Keys Birding and Wildlife Festival, Inc.
Contract #: 244
MONROE COUNTY ATTORNEY
. APPROVED ~S TO FORM:
Jd-n~/(~
SU.9 N loA GRIMSLEY
AS::'S:t;~T C('IJi'iTY. ATTOR. NEY
Date c1l:L.:. /.~/ 2...';'[ "Y
Sap 11 07 11 :07a
CD-lo-zeOl QZ;36pm From-TOURIST DEYElOP~T counCil
(CORPORATE SEAL)
Attest:
By.
Secretary
Print Name
OR TWO WITNESSES
(1 )
(1)
Print Name
Amendment #1
Florida Key! Birding and Wildlife Festival, mc.
CODtract"fl.: Z44
p,3
T-ZI7 P.OD3/DD3 ~639
Florida Keys Birding and Wildlife FHtival. Inc.
By f1d.~.. ~
ident ^ J
Eh"ZABEnJ. /-1 ooeG'
Print Name
(2)
(2)
Print Name
Page 1 of 1
Pacini-Maxine
From: Florida Keys Council of the Arts [DavidWharton@keysarts.com]
Sent: Monday, September 10, 2007 11 :23 AM
To: Maxine Pacini
Subject: TDC Ammendment
Attachments: Birding Festival change in dates.eml (148 KB)
To: Maxine Pacini, Monroe County Tourist Development Council
From: David Wharton, Cultural Umbrella Administrator
Re: Florida Keys Wildlife Birding Festival - Requested Change to Contract
The attached request by Florida Keys Wildlife Birding Festival for a venue date change from September
28-30, 2007 to October 12-14, 2007 is accepted by the Cultural Umbrella.
Please process an amendment to incorporate this information into the Florida Keys Birding and Wildlife
Festival contract.
Sincerely,
David Wharton
Executive Director
FKAC
Q!l 0/')007
Pacini-Maxine
From:
Sent:
To:
Cc:
Subject:
James_Bell@fws.gov
Thursday, September 06, 2007 3:41 PM
Oavidwharton@keysarts.com
Joy Tatgenhorst
Birding Festival change in dates
Attachments:
TOC Change in 07 date. doc
~
TDC Change in 07
date. doc (141...
Mr. Wharton,
As your requested. I have also included the letter as an attachment on the Festival letterhead. See
below.
Joy
for your records as the interiem Treasurer for the Birding Festival
Thanks
Jim
Florida Keys Birding and Wildlife Festival P. O. Box 500953 Marathon, FL 33050-0953 September 7,
2007
David Wharton
Florida Keys Council of the Arts
1100 Simonton Street
Key West, FL 33040
Dear Mr. Wharton:
I am writing to inform you of a change in the date for our event the 9th Annual Florida Keys Birding
and Wildlife Festival. The old date listed in the FY 2007 Cultural Events Policy and
Reimbursement/Direct Payment Packet lists the dates as September 28 - 30,2007. The Festival
committee has concluded that a more effective date for the event is October 12 - 14,2007. We feel
that this date is better for bird observations and would attract more birders to the Keys than the
September date. Also, we have usually held this event in mid October and were unaware that the
September date was submitted to the Council of the Arts or the TDC.
The old date may have been provided to the Council of the Arts and the TDC by a previous Festival
committee member who signed the contract. This person and the treasurer have resigned from the
Festival committee in August and new officers have been elected and have taken over. They were
unaware of the September date written on the contract. Also, our grant proposal, which I am the
author, did not list specific days of the week in September, so I was unaware of the specific
1
September date.
This will not affect any invoice submittal requirements. We will be able to meet the invoice
requirements as spelled out in the FY 2007 Cultural Events Policy and Reimbursement/Direct
Payment Packet. We hope this does not cause any concern with the Council of the Arts nor the TDC.
Sincerely,
Signed James Bell
James Bell
Committee member
Mission
To create an awareness of the unique birds and wildlife of the Florida Keys through education and
conservation
(See attached file: TDC Change in 07 date.doc)
Sincerely,
James Bell, Refuge Ranger
National Key Deer Refuge
179 Key Deer Blvd.
Big Pine Key, FI 33043-0510
305-872-0774
FAX 305-872-2154
james _ bell@fws.gov
2
FUNDING AGREEMENT
THIS AGREEMENT is made and entered into by and between the Board of County
Commissioners of Monroe County, Florida, a political subdivision of the state of Florida, ("County")
and Florida Keys Birding and Wildlife Festival, Inc., a Florida corporation ("Event Sponsor").
WHEREAS, the umbrella organization under contract to the County has recommended to
the Monroe County Tourist Development Council ("TDC"), which has endorsed the
recommendation, that certain monies be allocated for promotion of an event by Event Sponsor;
NOW THEREFORE, in consideration of the mutual promises contained herein, the parties
agree as follows:
1. Amount: County shall pay a sum not to exceed $8,738 (Eight Thousand, Seven
Hundred and Thirty Eight Dollars) for promotion and related expenditures, as described in the
event budget, attached hereto as Exhibit B, for production of the Florida Keys Birding and
Wildlife Festival on September 28 - 30, 2007. Payment will be made only after Event Sponsor
submits invoices and support documentation acceptable to the County's Finance Department.
The advertising and promotion budget using County funding may be altered as to the individual
line items, or components, within 10% of the amount stated for that item or component, without
increasing the total dollar amount and without requiring a written amendment to this agreement.
The general non-allocated section of an Umbrella event budget may be utilized for unforeseen
permissible expenditures and for those budget lines that may require additional funds. Monroe
County's performance and obligation to pay under this agreement is contingent upon an annual
appropriation by the County.
2. Duties of Event Sponsor: Event Sponsor shall provide promotion and related
services as described in the Sponsor's application for funding, Exhibit A, attached hereto. All
advertising and public relations services or supervision of advertising and public relations will be
provided through the contracted agencies of the TDC and County.
3. InvoicinQ: The contracted agencies of record shall receive payment of work in
progress upon submission of documented invoices associated with the event. Event sponsor fully
understands that funding is obtained from tourist development taxes for which the fiscal year ends
September 30, 2007. Event sponsor also understands that the funding process through which this
contract was made available by County requires event sponsors to submit their payment requests
as quickly as possible and to finalize all such requests before the end of the fiscal year, if at all
possible. In order for the tourist development taxes to be utilized most effectively for the purpose
for which they were authorized, attracting and promoting tourism, the budgeting process of the
County requires the event's funding to be concluded in a timely manner. In recognition that the
timeliness of payment requests is of extreme importance to the funding of future advertising and
promotion for the stability of the tourist-based economy, Event Sponsor agrees to submit by
September 30, 2007, all invoices and support documentation as required by the County's Finance
Department rules and policies. Event Sponsor shall not be reimbursed nor will Event Sponsor's
vendors be paid directly for any invoices received by the County after September 30, 2007, except
Florida Keys Birding and Wildlife Festival
Cultural Umbrella Funding FY 2007
that for events with promotional expenditures incurred between July 1 and September 30, 2007,
invoices must be submitted within ninety (90) days of the conclusion of the event.
4. Reimbursement to County: Event Sponsor shall reimburse County for any amount of
funds expended by County in connection with an event which does not occur as a result of any act
or omission by Event Sponsor.
5. Indemnification: Event Sponsor covenants and agrees to indemnify and hold
harmless Monroe County Board of County Commissioners from any and all claims for bodily injury
(including death), personal injury, and property damage (including property owned by Monroe
County) and any other losses, damages, and expenses (including attorney's fees) which arise out
of, in connection with, or by reason of the services provided, event sponsored, or other activities
and funding associated with this agreement. Should event involve the serving or distribution of
alcoholic beverages, Event Sponsor shall obtain prior to the event a Liquor Liability insurance
policy naming Monroe County as a co-insured.
6. Records: Event Sponsor shall maintain records pursuant to generally accepted
accounting principles for three (3) years after the event and shall permit County and its agents and
employees access to said records at reasonable times.
7. Termination: County may terminate this agreement without cause by providing
written notice to Event Sponsor, through its officer, agent, or representative, no less than sixty (60)
days prior to the event and may terminate for breach upon providing to Event Sponsor, through its
officer, agent or representative, notice at least seven (7) days prior to the effective date of the
termination. Notice is deemed received by Event Sponsor when hand delivered, delivered by
national courier with proof of delivery, or by U.S. mail upon verified receipt or upon the date of
refusal or non-acceptance of delivery.
8. Conflicts: Event sponsor is an independent contractor and shall disclose any
potential conflicts of interest as defined by Florida Statutes, Chapter 112 and Monroe County
Code, Article XXI.
9. Non-Collusion: By signing below, Event Sponsor warrants that he/she/it has not
employed, retained or otherwise had act on his/her/its behalf any former County officer or
employee in violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in
violation of Section 3 of Ordinance No. 10-1990. For breach or violation of the provision the
County may, at its discretion terminate this contract without liability and may also, at its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former or present County officer or
employee.
10. Public Entities Crimes: A person or affiliate who has been placed on the convicted
vendor list following a conviction for public entity crime may not submit a bid on a contract to
provide any goods or services to a public entity, may not submit a bid on a contract with a public
entity for the construction or repair of a public building or public work, may not submit bids on
leases of real property to public entity, may not be awarded or perform work as a contractor,
supplier, subcontractor, or consultant under a contract with any public entity, and may not transact
business with any public entity in excess of the threshold amount provided in Section 287.017, for
Florida Keys Birding and Wildlife Festival
Cultural Umbrella Funding FY 2007
2
CATEGORY TWO for a period of 36 months from the date of being placed on the convicted
vendor list.
11. Loqo Requirement: All promotional literature and advertising must display the
'The Florida Keys & Key West, Monroe County Tourist Development Council, Come as You
Are", logo/trade mark adopted by the TDC and County on November, 2000, (as per attached).
Radio Advertising shall quote, "Brought to you by the Monroe County Tourist Development
Council". No reimbursement or direct payment will be considered unless this logo/trade mark
or slogan is utilized.
12. Insurance Requirements: Event Sponsor, as a pre-requisite of the Special Event
governed by this agreement, shall obtain, at its own expense, insurance as specified in this
section.
Event Sponsor will not be permitted to commence work associated with the Event
(including pre-staging of personnel and material) until satisfactory evidence of the required
insurance has been furnished to the county as specified below. Event Sponsor shall maintain the
required insurance throughout the entire duration of the Special Event and any extensions
specified in any attached schedules. Failure to comply with this provision may result in the
immediate suspension of the Event until the required insurance has been reinstated or replaced.
Event Sponsor shall provide, to the County, as satisfactory evidence of the required insurance,
either:
Certificate of Insurance
or
* Certified copy of the actual insurance policy
A certified copy of any or all insurance policies required by this contract shall be filed with the Clerk
of the BOCC prior to the Event.
All insurance policies must specify that they are not subject to cancellation, non-renewal,
material change or reduction in coverage unless a minimum of thirty (30) days prior notification is
given to the County by the insurer.
Acceptance and/or approval of Event Sponsor's insurance shall not be construed as
relieving Event Sponsor from any liability or obligation assumed under this contract or imposed by
law.
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on all policies.
Any deviations from these General Insurance Requirements must be requested in writing on
the County form titled "Request for Waiver of Insurance Requirements" and must be approved by
Monroe County Risk Management.
Event Sponsor shall furnish the County with a certificate evidencing the insurance required
by this paragraph not later than twenty (20) days prior to the event.
Prior to commencement of work governed by this contract, Event Sponsor shall obtain
General Liability Insurance. Coverage shall be maintained through out the life of the contract and
include, as a minimum:
* Premises Operations
* Products and Completed Operations
* Blanket contractual Liability
* Personal Injury Liability
* Expanded Definition of Property Damage
The minimum limits acceptable shall be:
Florida Keys Birding and Wildlife Festival
Cultural Umbrella Funding FY 2007
*
3
*
$1,000,000.00 combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
* $500,000.00 per person
* $1,000,000.00 per Occurrence
* $100,000.00 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made
policy, its provisions should include coverage for claims filed on or after the effective date of this
contract. In addition, the period for which claims may be reported should extend for a minimum of
twelve (12) months following the acceptance of work by the County.
Recognizing that the work governed by this contract involves the sales and/or distribution of
alcoholic beverages, the Contractor's General Liability Insurance policy shall include Liquor
Liability with limits equal to those of the basic coverage.
A separate Liquor Liability policy is acceptable if the coverage is not more restrictive than
the contractor's General Liability policy.
IN WITNESS WHEREOF, each party has cause~~ment to be executed by its
duly authorized representative, the \. ~~'" day of v . 2006.
(SEAL)
Attest: Danny L. Kolhage, Clerk
({~
Deputy Clerk
Board of County Commissioners
of Monroe Coun!y
ql,
Mayor/Chakman
(CORPORATE SEAL)
Florida Keys Birding and Wildlife
Festival, Inc.
Attest:
Secretary
By ~1d_'-Y~ '>,&lYfJL
President \
By.
Print Name
\ }z(~}nJ~\~:}, (.\ L) t ct.
Print Name
4
I .
~t- Q~~-~
:=:J It fh P <: p.. J)I) IJ IS (fr--..,
Prj~~ COUNTY ATTORNEY
APPROVED AS TO FORM:
~
../ SU N M. GRIMSLEY
ASSIST 2:-T COt,lNTY ATl,ORNEY
Date -- /() /' 0
OR TWO WITNESSES
/) \\('~
(1 ) '1; ,LLJ ( . (l.\.- . ~
\
c-')
lL. l ~l- 'I'J{J.~-r'> [, {... ~~, '''.' ["O-'.'T/ Sll.
Print Name
Florida Keys Birding and Wildlife Festival
Cultural Umbrella Funding FY 2007
EXHIBIT A
D.
MONROE COUNTY TOURIST DEVELOPMENT COUNCIL
CULTURAL UMBRELLA
SCHEDULE OF EVENTS
FISCAL YEAR 2007
EVENT NAME: Florida Keys Birdina and Wildlife Festival
List scheduled event activities in date order. If pre-promotion is included, indicate the event
dates of the next season. If funded, funds will be reimbursed only for the promotion of event
activities listed here.
During event
· Provide a registration booth for event participants, free admission to Curry Hammock State Park,
Festival t-shirt and a raffle ticket, information and directions to Festival events.
September (or October rain date) 2007
Friday
· Evening social and program with noted guest lecturer at the Marathon Garden Club.
Saturday
· Host an environmental fair at the Curry Hammock State Park with vendors and exhibits.
· Provide approximately 10 wildlife oriented field trips from Key Largo to the Lower Florida
Keys. Field trips may include offshore for pelagic birds. National Key Deer Refuge, The Nature
Conservancy lands, Boot Key, Ohio Key for birding, Bahia Honda State Park for butterflies,
Curry Hammock State Park, trips at Crane Point Hammock, and kayak trips.
· Provide approximately 10 lectures and programs at the Marathon Garden Club and/or Curry
Hammock State Park on the natural resources of the Florida Keys.
· The Friends of Islam orad a State Parks will arrange for food and beverages to be sold to
participants
Sunday
· Host the Children's Day event at Curry Hammock State Park to educate local school children
about wildlife in the Florida Keys. This event will include visiting parents and children from the
outside the keys.
IF FUNDED, EXHIBITS A AND B WILL BECOME PART OF YOUR CONTRACT AND TRANSMITTED TO THE
OFFICE OF THE CLERK OF THE COURT.
Monroe County Tourist Development Council Cultural Umbrella Application
EXHIBIT B
MONROE COUNTY TOUIST DEVELOPMENT COUNCIL
CULTURAL UMBRELLA EVENT FUNDS
BUDGET BREAKDOWN
FISCAL YEAR 2007
EVENT NAME: FLORIDA KEYS BIRDING & WILDLIFE FESTIVAL
MEDIA ADVERTISING
BROCHURES, POSTERS, PROGRAMS
DIRECT MAIL & POSTAGE
PHOTO PROGRAM
PUBLIC RELATIONS
PROMOTIONAL ITEMS
(As approved by the advertising agency)
$
$
$
$
$
$
6,638
1,000
400
700
TOTAL:
$
8,738
ACTUAL EXPENDITURES MAY DEVIATE NO MORE THAN 10% FROM THE BUDGETED LINE ITEMS
NOTED ABOVE.
THE MAXIMUM REQUEST IS $25,000.00.
FUNDS ARE PAID ON A REIMBURSEMENT BASIS.
ALL PRINT AND TELEVISION MATERIALS MUST DISPLAY THE CURRENT TDC LOGO
ALL BROADCAST ADVERTISING PLACED OUTSIDE MONROE COUNTY MUST INCLUDE THE LINE
"SPONSORED IN PART BY THE FLORIDA KEYS AND KEY WEST, MONROE COUNTY TOURIST
DEVELOPMENT COUNCIL."
IF FUNDED, EXHIBITS A AND B WILL BECOME PART OF YOUR CONTRACT AND TRANSMITTED TO THE
OFFICE OF THE CLERK OF THE COURT
TUf nORIDA KfYS & KfY WfST
MONRO[ COUNTY TOURIST OfYHOPM[NT COUNCIL
Come as you are8
TUf [lORIDA KfYS & KfY WfST
MONRO[ COUNTY TOURIST OfYHOPM[NT COUNCIL
Come as you are'!>
mf nOR IDA KfYS & KfYWfST
MONRO[ COUNTY TOURIST OfYHOPMOH COUNCIL
Come as you are\!)
TUf [lORIDA KfYS &KfY WfST
MONRO[ COUNTY TOURIST OfYHOPM[NTCOUNCIL
Come as you are~
TUf [lORIDA KfYS & KfY WfST
MONRO[ COUNTY TOURIST OfYHOPM[NT COUNCIL
Come as you are8
TUf [lORIDA KfYS & KfY WfST
MONRO[ COUNTY TOURIST OfYHOPM[NT COUNCIL
Come as you are~
THf [lORIDA KHS & KH WfST THf [lORIDA KfYS & KH WfST THf [lORIDA KHS & KfY WfST
MONRO[ COUNTY TOURIST OmLOPM[NT COUNCIL MONRO[ COUNTY TOURIST OmLOPM[NT COUNCIL MONRO[ COUNTY TOURIST OmLOPM[NT COUNCIL
Come as you are~ Come as you are@ Come as you are~
THf [lORIDA KHS & KfY WfST THf [lORIDA KHS & KfY WfST THf [lORIDA KHS & KfY WfST
MONRO[ COUNTY TOURIST Offil0PM[NT COUNCIL MONRO[ COUNTY TOURIST OmLOPMrNT COUNCIL MONRO[ COUNTY TOURIST OmLOPM[NT COUNCIL
Come as you are@ Come as you are@ Come as you are@
THE flORIDA KEYS & KfY WEST THE flORIDA KEYS & KEY WEST THE flORIDA KEYS & KEY WEST
MONRO[ COUNTY TOURIST O[V[lOPH[NT COUNCIL MONRO[ COUNTY TOURIST O[V[lOPM[NT COUNCIL MONRO[ COUNTY TOURIST O[V[lOPM[NT COUNCil
Come as you are@ Come as you are@ Come as you are@
THE flORIDA KEYS & KEY WEST THE flORIDA KEYS & KEY WEST THE flORIDA KEYS & KEY WEST
MONRO[ COUNTY TOURIST O[V[lOPH[NT COUNCIL MONRO[ COUNTY TOURIST O[V[lOPM[NT COUNCIL MONRO[ COUNTY TOURIST O[V[lOPM[NT COUNCIL
Come as you are@ Come as you are@ Come as you are@
TU[ [lORIDAKnS &KnW[ST
MONRO[ COUNTY TOURIST D[VnOPM[NT COUNCIL
Come as you are@
TU[ [lORIDA KnS & Kn W[ST
MONRO[ COUNTY TOURIST D[VnOPM[NT COUNCIL
Come as you are@
TU[ [lORIDA K[YS & Kn W[ST
MONRO[ COUNTY TOURIST D[VnOPM[NT COUNCIL
Come as you are@
TU[ [lORIDA K[YS & Kn W[ST
MONRO[ COUNTY TOURIST D[VnOPM[NT COUNCIL
Come as you are@
MCTG-3125 New Logo Slick L01
1996 Edidoa
:\'IONROE COUNTY, FLORIDA
Request For Waiver
or
Insurance Requirements
It is r~qu~sted that the insurance require~nts, as specified in the County's S,h~dule ofrnsurance
R~quir~ments, be \\<aiv~d or modified on the following contract.
Contractor: See Event Attachment
:\Tame o( Entity: Fk><l (J(~ t-e \/ ~ '61 (cl i 1/) c~ ,vi LJ i lei / I (k' tt'') -h v(:J, if
:\Tameo(Event: \=" \(;(\C\~ ik' \-1 \ i-S\t (:, 1I1J OJY\ ~l,k\ 1 \ Pc h)()il\dd
Contract (or: Services
c/o TDC Att: Maxine
Address o( Contractor:
Phone: 305-296-1552
Scope of Work: Advertising and Promotion
Reason for Waiver: Providing funds to promote event onlv.... Minimal exposure to
county
Policies Waiver will
apply to: See Attached
Signature o( Contractor:
'--
Approved Not Approved
- -, - ~ .,
, ( i
Risk Management: ~-I..O-~.z....-.,
Date:
iv---l~yCr;,
County Administrator Appeal:
Approved
:'lot Approved
Date:
Board of County Commissioners Appeal:
Approved
:'lot Approved
"Iceting Date:
Administration Instruction
#"709,2