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06/17/2023 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT.SUMMARY FORM FOR CONTRACTS $100,000.00 and Under Fireworks Di la,s Unli Effective Date: Expiration Date: Contract Purpose/Description: Bicenttnniai Punic bf Rowell'8 Park in Kay Largo at part of the 200th anniversary trf Mnmcoe County.Firework display is to begin at 5:15p.rh, Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: -Lindsey Ballard 4443 Admin Stop 1 CONTRACT COSTS Total Dollar Value of Contract: $ 18,000.00 Current Year Portion: $ 18�0,0 J 00 (must be$100,000.00 or less) (If multiyear agreement then requires BOCC approval,unless the gos�fl cuwuk e wrr,auw c E'd00,000 00 or Budgeted? Yes❑■ No ❑ Grant: $ County Match: $ Fund/Cost Center/Spend Categry: F�,,l 15/CG 75043/ o 00039 ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (e.g. maintenance,utilities,janitorial,salaries,etc.) Insurance Required: YES 0 NO ❑ CONTRACT REVIEW Reviewer Date In Department Head Signature: Roman Gastesi Dataa 202 ly 306.05ned Roman C-04D5 Date:2023.06.05 15:12'.34-04'Og' Patricia Eables Digitally signed by Patricia Eables County Attorney Signature: Date.2023.06.051538:03-04'00' Risk Management Signature: Jaclyn Flatt ae l as Lisa Abreu Digitally signed by Lisa Abreu Purchasing Signature: Date:2023.06.06 10:07:04-04'00' John Quinn Digitally signed by John oulnn OMB 1T/gyp) Signature: Date:2023.06 06 10 24:18-04.00' Comments: Revised BOCC 4/19/2023 Page 84 of 105 Pamela G. Hancock From: Eables-Patricia <Eables-Patricia@ Mon roeCounty-FL.Gov> Sent: Tuesday, June 13, 2023 2:16 PM To: Small Contracts; Livengood-Kristen Cc: Pam Radloff; Liz Yongue; Ballard-Lindsey Subject: RE: Small Contract Pam, This email is to follow up on my conversation just now with you, Pam Radloff, and Kevin Madok regarding the fireworks contract. As I explained the line at the top stating "Deposit Required -$9,000"was basically just a scrivener's error on my part. Our agreement with the vendor had been modified to not require a $9,000 deposit, but rather to just pay the full $18,000 after the event within five (5) days as set out in paragraph 1 of the terms. In modifying the contract, I inadvertently missed deleting that line. While the amount could be paid on a purchase order,we are requesting that the small contract also be included in the Clerk's records due to the services being provided. As I understand it, there are times that you would have a contract and a purchase order issued as well. I appreciate the explanation from the finance standpoint too. Anyway, please process the small contract, along with this email,to note that the$9,000 deposit is just a scrivener's error. I am available if you have any further questions. Thanks again. Patricia Eables Assistant County Attorney Monroe County Attorney's Office 1111 12th Street,Suite 408 Key West, FL 33040 (305)292-3470(Phone) (305)292-3516(Fax) Email:eables-patricia@monroecounty-fl.gov From: Eables-Patricia Sent:Tuesday,June 13, 2023 9:00 AM To: Small Contracts<smallcontracts@monroe-clerk.com>; Live ngood-Kristen <Livengood-Kristen@ Mon roeCounty- Fl.gov> Cc: Pam Radloff<pradloff@monroe-clerk.com>; Liz Yongue<eyongue@monroe-clerk.com>; Ballard-Lindsey<Ballard- Li ndsey@ Mon roeCou nty-FL.Gov> Subject: RE: Small Contract Pam, The full contract price is for$18,000 to be paid after the event. I see though that we missed changing that one place at the top where it states that a $9,000 deposit is required. I did not catch that so that is my fault. Lindsey and I were working to modify this contract in Kristen's absence when we ran into the issue of the deposit payment. I was not aware that it was to be paid by a Purchase Order or that if paid from a purchase order then a small contract is not needed. We can correct this contract in that one place as to the $9,000 if needed. Thanks. Patricia Eables Assistant County Attorney Monroe County Attorney's Office 1111 12th Street,Suite 408 Key West, FL 33040 (305)292-3470(Phone) (305)292-3516(Fax) Email:eables-patricia@monroecounty-fl.gov 1 From: Small Contracts Sent:Tuesday,June IlZUZ38BAM To: Live n800d'Kristen Cc: Eab|es'Patrida � PamRad|off ; Liz Yon8ue Subject: FVV: Small Contract — CAUTION:This email originated from outside of the County. Whether you know the sender or not, do not click links or U open attachments you were not expecting. Hello Kristen & Patricia, I spoke to our finance departinent about this contract as it states that a $9,000.00 deposit isrequired. luaa inforined that this agTeenient will be paid after the fact by Purchase Order, therefore no siliall contract is required. Pamela G. Hancock Ezcoodvc Administrator to the Clerk Kevin Modok, CPA Clerk of the Circuit Court 8iComptroller 500 Whitehead Street, Key West, F|oddu, 33040 - Phone: 305'292'3550 PLEASE NOTE: The information contained in this message and any accompanying attachments may contain privileged, private, and/or confidential information protected by state and federal law. If you have received this information in error, please notify the sender immediately and destroy the information. Florida has a very broad public records law. Most written communications with any public agency in the course of its official business are public record, and available to the public and media upon request. Your e-mail communication with this office may be subject to public disclosure. From: Ballard-Lindsey< x Sent:Tuesday,June 6, ZUZ31U:53AM To: Small Contracts< x Cc: Live n800dKristen < x Subject: Small Contract Good morning please see the attached small contract for your records.Thank you. Sincerely, [ Ballc+d' Aide to Roman Gmstmsi, County Administrator BusinessManager-Adrninistration 11OO Simonton Street, Suite 2-2O5 Key West, FL33O4O (305)393-4442 (Cell Phone) (305)292-4544 (Fax) Courier Stop#1 Monroe County, Florida "The Florida Keys" "We may encounter many defeats, but we must not be defeated." Maya Angelou PLEASE NOTE: FLORIDA HAS A VERY BROAD RECORDS LAW. MOST WRITTEN COMMUNICATIONS TO OR FROM T}EE COUNTY 2E(�ARDIN COUNTY BUSINESS ARE PUBLIC RECORDS AVAILABLE TO THE PUBLIC AND MEDIA UPON REQUEST. YOUR EMAIL COMMUNICATION MAY 93E SUBJECT'TO PUBLIC DISCLOSURE. 0 Please consider the ervironrymit when 0 deciding whether to print this ema:aiL 3 M ¢ POWER -1 WORKS DISPLAYS ill i � P^ I S yrv"pp'� ,KK W IWMY���, C01 ,4 `,,,� � �Wk �( FOR FIREWORKS FIREWORKS DISPLAYS UNLIMITED, LLC d.b.a. FIREPOWER FIREWORKS DISPLAYS SPECTACULAR CUSTOM FIREWORKS DISPLAYS FOR ANY OCCASION! Sponsor(Legal Name) Monroe County BOCC Day of Event Contact Cell# : (305)680-8226 Contact Person Kristen Livengood Alternative Contact Cell#: Date of Display June 17, 2023 Sponsor's Address : 1100 Simonton Street Location of Display Offshore from Rowells Key Largo Key West, FL 33040 Shoot Time 9:15pm Duration Approx. 15+ Minutes Contract Price $18,000 Deposit Required $9,000 Event Type/Notes 1 Additional Minute of Fireworks Donated by Firepower Fireworks Displays We the undersigned, being interested in a fireworks display for Monroe County BOCC agree to pay a price of $18,000 for the display agreed upon, which will be furnished by Firepower Fireworks Displays. The undersigned, intending to be legally bound, agree as follows: 1. Sponsor to make payment in full of$18,000 within five (5)days of completion of the event/firework display scheduled to occur on June 17, 2023, or any subsequent agreed upon date due to any cancellation. 2. In the event Sponsor shall fail to pay any sum when due under the terms of this contract, Sponsor shall pay, in addition to such amount, interest at the rate of 1-112% per month on the unpaid amount from the original due date. Sponsor does further agree that it shall pay Firepower Fireworks Displays reasonable attorney fees and court costs in the event Firepower Fireworks Displays shall commence suit or incur fees to compel Sponsor to pay any sums due hereunder or otherwise as a result of Sponsor's default of any of the terms and provisions herein contained. 3. SPONSOR'S AGENT: be designated as sponsor's agent to whom all questions and inquiries shall relay all questions %iff .c%onsor's agent shall be the only agent of sponsor authorized to request rescheduling of the delivery and exhibition of the fireworks on the part of the sponsor. 4. If event is on land,sponsor to furnish police and/or crowd security personnel, provide proper parking supervision, and insure adequate patrol of the safety zone as marked and secured by the sponsor until Firepower Fireworks Displays advises that it is no longer necessary. Firepower Fireworks Displays is not responsible for clean-up of land-based shows other than company equipment, supplies and packing materials. A land based fireworks show produces debris. Sponsor shall be responsible for the clean-up of any such debris. Firepower Fireworks Displays 14240 SW 256th Street, Princeton, FL 33032 Monroe County BOCC (305)258-8820 1 info@firepowerdisplays.com Pagel of 3 5. If event is over water, Firepower Fireworks Displays will be responsible for marine permit (Coast Guard), and for control of safety zone (Marine Police)where applicable. 6. Firepower Fireworks Displays. reserves the right to stop the display in the event persons, vehicles or animals enter the secured safety zone and security is unable or unwilling to remove them and enforce the safety regulations. 7. Firepower Fireworks Displays will furnish all applicable licenses, permits(does not include special event permit), and pyrotechnics for your electronically fired display. We will also furnish a certificate of insurance. All individuals/entities listed on the certificate of insurance as an additional insured will be deemed an additional insured per this contract. 8. NOTE: In accordance with local regulations and ordinances, fireworks displays shall not take place later than 11:00 pm unless approval is obtained from the governing authority, some weekday ordinances are at 9:30pm. The restrictions shall not be applicable with regards to holidays such as December 31, January 1, or other national holidays where the ordinance is not active. If for some reason, shoot time does not occur before the allotted time and shoot is canceled due to local authority or expiration of permit, Sponsor is liable for full payment of display. 9. Hold harmless Firepower Fireworks Displays from any claims that do not directly relate to damages produced by its staff, equipment or pyrotechnic material. 10. CREDITS: As a material inducementto Firepower Fireworks Displays, agreeing to enter into thisagreement,Sponsorshall give Firepower Fireworks Displays program credit as sole fireworks supplier and producer in all press releases, advertising, and any other program announcements, printed or otherwise. Firepower Fireworks Displays has authorization to post photos/videos of the firework display provided to Sponsor on social media(ie. Facebook, YouTube, Company Website,etc) 11. If show is canceled, Sponsor is responsible for any permit, firewatch or barge/tug fees,truck/equipment rental fees, if applicable. Additionally,sponsor will be responsible for show design fees, material/equipment palletization, load in/load out expenses, and permit processing fees. If show is stopped while in progress for any reason, Sponsor will still be responsible for contract amount minus the cost of material not discharged. NOTE: 4th of July contracts that are canceled after May 1st and New Years contracts that are canceled after October 1st will be penalized additionally for cancellation in the amount of$3,000. 12. If the delivery and/or exhibition of the fireworks are postponed by reason of inclement weather or if wind exceeds 20 miles per hour (ocean/barge displays may be canceled at less than 20 miles per hour), fireworks display will be postponed to an agreed date between sponsor and Firepower Fireworks Displays or canceled if a rain date is not possible. Postponement fees may include additional travel expense, permit fees, logistic expenses. Such fees are due at time of postponement. (Cancellation fees are listed on Line 11). Otherwise, Firepower Fireworks Displays will allow time to pass for inclement weather to subside, not to exceed applicable ordinance time. 13. IMPORTANTNOTE: Items listed in this proposal assume afiring area that conforms to NFPA Code 1123-1995,which statesthat there must be at least 70 feet per inch of shell diameter between firing site and any spectators,cars or buildings. This program requires a safety zone that has aradiusof 420 feet because of the inclusion of 6" shells. Adjustmentswill bemadetothe content of this program if necessary to conform to NFPA 1123-1995. 14. Firepower Fireworks Displays is ONLY responsible for permits pertaining to fireworks, such as a fireworks permit through the local Fire Department and/or City, Coast Guard Permits and hiring of a Fire Inspector and/or Off Duty Police, when required. Firepower Fireworks Displays is not responsible for any other types of permits such as a special event permit.Sponsor must make sure any other required permits are submitted. 15. Sponsor is responsible for notifying neighborhood residents/venue of firework display, if applicable. 6/2/2023 Date C C t�twlTNAT1°OANEY' OFFICE " . � m . .... 11 011A Sponsor PATRICIA�t ASSISTANTCOUNTYA�T'ORNEy �� '. DATE: 6/2/2023 Firepower Fireworks Displays Allyson Acosta,Director Firepower Fireworks Displays 14240 SW 256th Street, Princeton, FL 33032 Monroe County BOCC (305)258-8820 1 info@firepowerdisplays.com Page 2 of 3 l ASSORTED MINES,ASSORTED COLOR, PEONIES &CHRYSANTHEMUMS—bursts resembling a round and weeping flower pattern, WHISTLES—a break of color,followed by whistles, SCREAMING DRAGONS—a break of bright magnesium colors followed by loud screaming whistle, GOLD FLITTER,SILVER OR GLITTER CROSSETTES -exploding comets crackling into crisscrossing effects, FANCY STAR SHELLS—Assorted brilliant colors in various patterns, SPIDERWEBS—long hanging fine webs of gold or silver, TOURBILLIONS—titanium silver spinning effects, RINGSHELLS—assorted ring patterns of different colors of one, two, three or five different colors, GOLDEN, SILVER, GLITTERING OR CRACKLING PALM TREES—a palm tree image with trunk-like different forms, ASSORTED TWO and THREE COLOR CHANGING CHRYSANTHEMUMS&PEONIES—two or three distinct color changes that resemble a round and weeping flower pattern, STROBES—a variety of bright twinkling shells, ASSORTED COLOR BROCADES —a dense golden, silver or assorted color effect ending at the tips with an umbrella-like canopy cascading and falling low, MULTI- BREAK SALUTE SHELLS—a variety of salute effects that incorporate multiple powerful reports into the display, ASSORTED COMETS, bright luminous thick tail with comet-like appearance with various colors, ASSORTED TIGERTAILS, similar to comets, ASSORTED MINES, projects various types of effect and colored stars that are launched and ignited at a low altitude, TITANIUM SALUTES—these shells explode into a burst of brilliant white lights and booming reports, ASSORTED COLOR&CRACKLING EFFECTS—assorted color peonies and chrysanthemums with crackling effects, WILLOWS-very fine lines with an umbrella like effect cascading slowly, ETC. SHELL COUNT OPENING BODY FINALE TOTAL SHELLS 2" 2.5" 3" 60 240 300 4" 108 36 144 5" 72 12 84 6" 30 6 36 7" 8" CAKES 2 ck 6 ck 2 ck 10 ck 600+ Shots 1,000+ Shots 600+Shots 2,200+Shots STAG EITHEATRI CAL MODULES Firepower Fireworks Displays 14240 SW 256th Street, Princeton, FL 33032 Monroe County BOCC (305)258-8820 1 info@firepowerdisplays.com Page 3 of 3 ACCOR" CERTIFICATE OF LIABILITY INSURANCE 76/1/2023(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jeremy Bryant Britton-Gallagher and Associates, Inc. PHONE FAX One Cleveland Center, Floor 30 A/C No Ext: 216-658-7100 A/c No:216-658-7101 1375 East 9th Street ADMDRESS: info@brittongaIlagher.com Cleveland OH 44114 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Everest Indemnity Insurance Co. 10851 INSURED INSURERB:Everest Denali Insurance Company 16044 Firepower Displays Unlimited, Inc&Fireworks Displays Unlimited, INSURERC: Gen Star Insurance Company d/b/a Firepower Fireworks Displays INSURERD: 14240 SW 256th Street INSURER E: Princeton FL 33032 INSURER F COVERAGES CERTIFICATE NUMBER:738838823 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY A GENERAL LIABILITY S18GLO1709-221 11/1/2022 11/1/2023 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $500,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO LOC $ JECT B AUTOMOBILE LIABILITY S18CA00240-221 11/1/2022 11/1/2023 COMBINED SINGLE LIMIT Ea accident $1 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NOTOSWNED Per a RTY DAMAGE $ C UMBRELLA LAB X OCCUR IXG673365A 11/1/2022 11/1/2023 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ Excess Auto ONLY $ WORKERS COMPENSATION ° "� ! WC STATU- OTH- ", AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER� 9 """'""� ,."-�^,,,,� ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) rJ 2 3 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under m DESCRIPTION OF OPERATIONS below TII ^--``^ E.L.DISEASE-POLICY LIMIT $ WAM, �r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. ADDITIONAL INSURED: Monroe County Board of County Commissioners, Rowells Waterfront Park DISPLAY DATE:June 17,2023 LOCATION: Offshore from Rowells Waterfront Park CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street#268 Key West FL 33040 AUTHORIZED REPRESENTATIVE USA @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF' LIABILITY IN SURAN CE, F1m1A1T15Et2(0m2m2FDD,1YhYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE (DOES NOT AFFIRMATIVELY OR (NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE (DOE'S NOT CONS'TIIT'UE A CONTRACT' BETWEEN THE ISSUING INSURE'R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER„AND THE CERTIFICATE HOLDER, IMPORTANT: If the certiificate holder its an ADDITIONAL INSURED,the pollicy(ies)must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on This certificate does net confer nights to the certificate Iholder in,lieu l of such,an endorsement(s). PRODUCER CONTACT NAME: ALLIED INSURANCE PHONE FAX PO BOX 3561 (Ada:,.No.Ext.):(561)453-3769 (AJC.No.Ext.): LANTANA, FL 33465-3561 E-MAIL ADDRESS: INSURED INSURER(S)AFFORDING COVERAGE NAIC I# INSURER A:FLORIDA.W.C..JUA FIREPOWER DISPLAYS UNLIMITED INC DB'A FIREPOWER DISPLAYS& 14240 SW 256 STREET INSURER B: PRIINCETON, FIL 33032 INSURER C: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUIMBEIR: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION',OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY IPIERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH(POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IRSR ADDIL. SUBR POLICY EFF POLICY EXP LTR TYPE OF INSUiRANCE INSD WVD POLICY NUMBER IMIMIDDNYYY) QMMFDDNYYY) LIMITS COMMERCIAL GENERAL(LIABILITY EACH OCCURRENCE: $ DAMAGE TO RENTED CLAIMS-MADE OCCUR. PREMISES IF. OccuinrenceI $ MED EXP(Any c!neperson) $ PERSONAL&ADV(INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER-. GENERAL AGGREGATE. $ POLICY F-1 PROJECT F_]LOC PRODUCTS-COMP/OP AGOG $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea.accudent)i $ OWNED SCHEDULED I± " BODILY INJURY P'ereosan $ AUTOS ONLY AUTOS �I d° „�. BODILY INJURY Per accident $ HARED NOON-OWNED ,ir PROPERTY DAMAGE AUTOS ONLY .AUTOS ONLY — Per accident $ UMBRELLA LIAR OCCUR DA I ". rJ . 2 3 �""mm-n,`..-` ,..",T=_,�_.���� $ .�WANN _ EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE: - AGGREGATE $ DED ❑RETENTION $ WORKERS COMPENSATION PER OTH AND EMIPiLOYEIRS'LIABILITY Y)N N/A UB-6G47142-8-22 U�8dD4Q022' 08'10412023 " STATUTE -ER ANY PROPRIIETO�WPARTNEREXECUTIVE OFFICERdME:MB'ER.E:XCLUDED? `�'` . IMandatory in NH) E.L.EACH ACCIDENT $1000,000... ff yes,desenbe uinder. DESCRIPTION OF OPERATIONS BELOW/ E.L..DISEASE-EA.EMPLOYEE $1'.....0000,000.. E.L.DIISEASE-POLICY LIMIT $'IUUf1 00 $ $ $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remalrtlks Schedule,may be attached!if more space is required) CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OIF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOYVE DESCRIBED POLICIES BE CANCELLED 1100 SIMONTON ST.#268 BEFORE THE EXPIRATION DATE THEREOF,(NOTICE WALL BE DELIVERED IN (KEY WEST,IFL330440 ACCORDANCE WITH THE PCILIICY PROVISIONS AUTHORIZED REPRESENTATIVE 74f�� Q 19,93-2015 ACORD CORPORATION.All rights reserved., ACORD 25(201613) The Acord name and logo are registered l marks of ACORD 6/1/23, 11:46AM Detail by Entity Name a IV 1S IC)IN rtl rtl*I"rtlI AI IC)INS i hn� ill a`t�QP,t�r nab �;n IGa paalitlr na1lrA oa w taata, / IDiivii.>iioi n of Col[Trcalraa�iiaalrn.>, / "aa aalrC[l IFRa1coj[rds / I; aalra;lhn Itry IF.irr�ii�y INaalr na / I[:)etalil by IEE;iirvfl- Name Florida Limited Liability Company FIREWORKS DISPLAYS UNLIMITED, LLC Flling Information Document Number L08000028807 FEI/EIN Number 26-2272848 Date Filed 03/20/2008 State FL Status ACTIVE Principal Address 14240 SW 256TH STREET PRINCETON, FL 33032 Changed: 01/25/2012 Mailing Address 14240 SW 256TH STREET PRINCETON, FL 33032 Changed: 01/25/2012 Registered Agent Name&Address AVINS, GARY STEVEN 14240 SW 256TH STREET PRINCETON, FL 33032 Name Changed: 01/28/2019 Address Changed: 01/28/2019 Authorized Persons) Detail Name&Address Title OWNER, MANAGER AVINS, GARY STEVEN 22001 SW 144th AVE MIAMI, FL 33170 Title DIRECTOR OF OPERATIONS,AUTHORIZED REPRESENTATIVE https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaiI?inquirytype=EntityName&directionType=Initial&search NameOrder=FIREWO... 1/2 6/1/23, 11:46 AM Detail by Entity Name ACOSTA,ALLYSON REBECCA 27504 SW 162 PL MIAMI, FL 33031 Title AUTHORIZED OFFICER ACOSTA-QUIRCH, MARCOS ANTONIO 27504 SW 162 PL MIAMI, FL 33032 Annual Reports Report Year Filed Date 2022 02/09/2022 2022 08/23/2022 2023 02/22/2023 Document Images 02/22/2023: -AININUAIL REPOIR11 Vlowlirnago in IPIDIF kxirna� 08/23/2022-AIMENIDIED AININUAL.IRIEIPOIRIF blow lirnSalo in IPIDIF kxirna................ 02/09/2022--ANNUAI IREPOIRIF Viowirnago uirn PIDIF-kxirna� ............... 01/29/2021 -AININUAILIREPOIRIF Vlowlirnago uirn IPIDIF kxirna ............... 01/20/2020-AININUAIL REPOIRIF Viowirnago uirn IPIDIF-kxirna� ............... 01/28/2019--AINIRVU AI IREIPOIIR11 Vlowlirnago in IPIDIF kxirna1 07/13/2018-AIMENIDIED AININUAL.RIEPOIRIF Vlowlirnago uirn IPIDIF kxirna................ 01/17/2018--AINIRVU AI IREIPOIIR11 Viowirngala in IPIDIF-kxirna� 0 1/16/2017--ANNUAL REPOIRIF Vlowlirnago uirn IPIDIF kxirna ............... 01/21/2016-AININUAIL REPOIRIF Viowirnago uirn IPIDIF-kxirna� ............... 0110712015-AININUAIL REPOIRIF Vlowlirnago uirn IPIDIF kxirna ............... 0 1/08/2014--AININUAIL.REPOIRIF Vlowlirnago uirn IPIDIF kxirna� ................ 02/04/2013-AININUAIL REPOIRIF Vlowlirnago iiirn IPIDIF kxirnal 0 1/25/2012--ANNUAL.REPOIRIF 11ua;w firm g uirn IPIDIF kxirna................ 01/12/2011 -AININUAILREPOIR11 Viowirngala in IPIDIF-kxirna� 01/05/2010-AININUAIL REPOIRIF Vlowlirnago uirn IPIDIF kxirna................ 01/08/2009-AININUAIL IREIPOIhe11 Viowirnago uirn IPIDIF-kxirna� ................ 03/20/2008--IFlhairda Lirniftod LablIfty Vlowlirnago in IPIDIF kxirna� ............... https://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder=FIREWO... 2/2 6/1/23, 12:17 PM sunbiz.org-Florida Department of State I11V11SI110"1 0 II' .",. 0 1:?. 0 111,J S �0 1 Fill'IP gu G 1 g a 'Org rwg......... . . ...... !I M ... 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Fictitious ti �114aiinne Detail Fictitious Name FIREPOWER FIREWORKS DISPLAYS Filing Information Registration Number G19000064810 Status ACTIVE Filed Date 06/05/2019 Expiration Date 12/31/2024 Current Owners 1 County MULTIPLE Total Pages 1 Events Filed NONE FEI/EIN Number NONE Mailing Address 14240 SW 256TH STREET PRINCETON, FL 33032 Owner Information FIREWORKS DISPLAYS UNLIMITED, LLC 14240 SW 256TH STREET PRINCETON, FL 33032 FEI/EIN Number: 26-2272848 Document Number: L08000028807 Document Images 06/05/2019 -- Flictlrtjou.os INaime IFlillliingi I View image in PDF format ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... lullr'u"yiO S on List Next on List Return to List Fictitious Name Search No Filing History Submit https://dos.sunbiz.org/scripts/ficidet.exe?action=DETREG&docnum=Gl 9000064810&rdocnum=Gl 9000064810 1/1 U.S. Department ol'Justice Federal Explosives License/Permit Bureau of'Alcohol,Tobacco,Firearms and Explosives (18 U.S.C Chapter 40) In accordance with the provisions of"Title XI,Organized Crime Control Act of 1970.and the regulations issued thereunder(27 CFR Part:555),;'OLI may engage in the activity specified in this license or permit within the limitations of'Chapter 40,,Title 18,United States Code and the regulations issued thereunder. until the expiration date shown. 11TIPS IS Tl(A!N SF I",RA BLE I "Id)EHII 2" ( F14, 55s,,53, See"WARNINGTS"and"NO'I'ICES"on reverse. ---------------------------- Direct An ATF -Chief'FELC License/Pernril Correspondence To 244 Need.v Road Number ��������86-24-3%G-1 25-082 Martinsburg,WV 25405-9431 Chief,}ederal I?xplosi���([T LC) Expiration ——-—-------------------_-_--- -- Date July 1 , 2022�LA Narne FIREPOWER FIREWORKS DISPLAYS Premises Address(Cluu,iges? Nofil,the Ft,.1,Catleast 10 clays before the rnove) 14240 SW 256 STREET PRINCETON, EL.33032-0000 Type of License or Permit 24-IMPORTER OF EXPLOSIVES Purchasing Certification Statement Mailing Address(Changes? NotifN the FEILC of any changes.) The licensee or Permittee narned above shall use a copy ofthis license or perinit to a&sisl a transfcror of explosives to ver&v the identity and the licensed status ofthe licensee or pLnTfittee as providedby 27 CFR Part 555. 'I"he signature on each cop%must be an original signature, A Ilaxed,scanned or e-mailed copy ofthe ficense or pLnnit with a signature FIREPOWER DISPLAYS UNLIMITED INC intcridedtobean original signature isZIC"TtabIC, 'I'hCSigl.'ItLit�Ciiiustbetlialof'tlieFed("raI FIREPOWER FIREWORKS DISPLAYS Icertif)lhatthisis,'Inue 14240 SW 256 STREET ATTN: ALLYSON ACOSTA copy of license or permitissued to the licensee engageinthe PRINCETON, FL 33032- business or operations specified above under"Type ot'License of llennif." z P e Person Signal ure Position"Fitle A Ilrintcd Nan-ne Mae A i J,iir In 4ot 14',400 t i Pxul I Prev ious Edit ion is f ibsolete FIREPOWER DIS PUY&UNIL I A I HF11 MC,14240 SW 256 STREET 331132 1-FL 086-243G12582:h IV i,2D23:24 FIA PORTER OF EXPLUIVE'S kcvocd oYepiembei 2ol 1 Federal Explosives license(FEL)Customer Service information Federal E'Xplosrves Licensing Center(FE1,C) Toll-free Telephone Number (977)293-3352 ATF Flonrepage: Awx.atl'gm 244 Needy Road Fax Number: (304)6164401 MarfinsbUig,WV 25405-9431 F"-mail: FFLC�aYatfgo% (hangeol'Address (27C1q?555,54(a)(1),1. Licensees or pernutrees may during Ili e t ei in ofth eir current license of perm if rern o\e their bUSj I)CSS or operations to a nev,location at which the} intend regularly to carn,on such business of operation,;. The licensee or permittee is required to give notification ofthe ne'A location ofthe business or operations not less than 10&iys prior to such removal%vith the Chief Federal Fxplosi\es Licensing Center. The license or permit will be valid R)i the remainder ofthe term ofthe original license or permit. (The(Iiief, FELC,shall,if the licensee oi-pernintee is not qualified,refer the request for amended license or permit to the Director cif Industry Operations for denial in accordance with§555.54.) Right of Succession (27(7,7?55.5.59). (a)Certain persons other than the licensee or perrintlee may secure the fight to cart-, on the same explosive materials business or operations al the sarne address shown on.and For the remainder ofthe term of.,a current license or permit. Such persons are: (I)The surviving s'I)OUSe of child,Of CXeeUt0f.administrator,or other legal representative of"a deceased licensee or pernintee-,and(2)A reCCiVCr or trustee in bankruptcy, V,or assignee for operations ofereditors. (b)[it order to secure the right provided by this section.the person or persons continuing the business or operalion shall Furnish the license or permit for for that business or operations for endorsement of'such succession to the Chief.IT1,C_\N ithin 30 days From the date on which the SUCCeSSOr begins to earr,v on the business or operations. (Contirlued on reverse ude) Cut Here X I___ ______________.,.__ .__ ———————————— Federal Explosives License/Pernrit(FEL)Information Card Licensellern-fit Narne: FIREPOWER DISPLAYS UNLIMITED INC B Usiness Narne: FIREPOWER FIREWORKS DISPLAYS License PermitNurnbcr:1-FL-086-24-3G-12582 l,iceiise-Periiiit'l'.�,pe:24-IMPORTER OF EXPLOSIVES Expiration: July 1,2023 Please Note: Not Valisi far the Sale or Other Disposition ofEAlflo"'ives. ———— ————————— ———————————— — ————————— Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY 7285403 RECEIPT NO. \ILBTJ RENEWAL BUSINESS NAME/LOCATION 7573800 EXPIRES FIREPOWER FIREWORKS SEPTEMBER 30, 2023 DISPLAYS 14240 SW 256TH ST Must be displayed at place of business Pursuant to County Code PRINCETON, FL 33032-6506 ' ' Chapter 8A—Art.9&10 ❑'b` , OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED FIREWORKS DISPLAYS UNLIMITED 220 TANGIBLE PERSONAL BY TAX COLLECTOR LLC, FIREWORKS DISPLAYS PROP DLR 75.00 08/08/2022 LINT IMITFn I I C Employee(s) 5 INT-22-384165 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles—Miami—Dade Code Sec Ba-276. MIAMI•DADE For more information,visit www.miamidade.gov/taxcollector