Parks Special Event Web Permit
  • Application Date*
     - -
  • Move In Date *
     - -
  • Move Out Date *
     - -
  • Format: (000) 000-0000.
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  • Will a temporary building or tent be used? (Only tents larger than 900 sq ft require a building permit)*
  • Will electrical lighting/wiring be used?*
  • Will Roads or Sidewalks need to be closed? Activities and events may include but are not limited to marches, races, parades and overweight/over-dimension hauls.*
  • TYPE “D” INSURANCE REQUIREMENTS

    "Licensee and Tenants"

     

    Licensee shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the Licensee’s operation and use of the licensed premises. The cost of such insurance shall be borne by the Licensee.

    I. COMMERCIAL GENERAL LIABILITY.
    Coverage must be afforded under a per occurrence form policy for limits not less than $300,000 General Aggregate, $100,0000 Products / Completed Operations Aggregate, $100,000 Personal and Advertising Injury Liability, $100,000 each Occurrence, $100,000 Fire Damage Liability and $5,000 Medical Expense.


    II. AUTOMOBILE LIABILITY. (While Operating Vehicles on County Owned Property)
    Coverage must be afforded including coverage for all Owned vehicles, Hired and Non-Owned vehicles for Bodily Injury and Property Damage of not less than $500,000 combined single limit each accident.


    III. WORKERS COMPENSATION AND EMPLOYER’S LIABILITY. (While on County owned Property)

    1. Coverage to apply for all employees at STATUTORY Limits in compliance with applicable state and federal laws; if any operations are to be undertaken on or about navigable waters, coverage must be included for the USA Longshoremen & Harbor Workers Act.
    2. Employer’s Liability limits for not less than $100,000 each accident; $500,000 disease policy limit and $100,000 disease each employee must be included.
      OR:
    3. As an independent contractor outside the construction industry with fewer than four employees choosing not to secure worker’s compensation coverage under the Florida Workers’ Compensation Act, the Licensee may choose to post clear written notice in a conspicuous location accessible to all employees telling employees and others of their lack of entitlement to work’s compensation benefits.


    IV. CYBER LIABILITY COVERAGE (when applicable)
    Vendor shall procure and maintain for the life of the contract in an amount not less than $1,000,000 per loss for negligent retention of data as well as notification and related costs for actual or alleged breaches of data.

    Technology/Professional Liability: with limits of $1 million. Coverage is for the life of the contract and must continue for five (5) years after contract expiration. This coverage must include Cyber Liability coverage for negligent retention of data as well as notification and related costs for actual or alleged breaches of data.


    V. OTHER INSURANCE PROVISIONS.
    The policies are to contain, or be endorsed to contain, the following provisions:

    A. Commercial General Liability Coverages

    The Alachua County Board of County Commissioners, its officials, employees and volunteers are to be covered as an Additional Insured as respects: Liability arising out of activities performed by or on behalf of the Licensee and premises owned, leased or used by the Licensee. This applies to both General liability and Automobile liability.

    The Licensee’s insurance coverage shall be primary insurance as respects the County, its officials, employees and volunteers. Any insurance or self-insurance maintained by the County, its officials, employees or volunteers shall be excess of Licensee’s insurance and shall be non-contributory.

    B. Workers’ Compensation and Employers’ Liability Coverages
    The insurer shall agree to waive all rights of subrogation against the County, its officials, employees and volunteers for losses arising from work performed by the Licensee for the County.

     

    C. All Coverages
    The Licensee shall provide a Certificate of Insurance to the County with a notice of cancellation. The certificate shall indicate if cover is provided under a “claims made” or “per occurrence” form. If any cover is provided under a claim made from the certificate will show a retroactive date, which should be the same date of the contract (original if contact is renewed) or prior.


    SUBCONTRACTORS
    Licensee shall include all subcontractors as insured under its policies. All coverages for subcontractors shall be subject to all the requirements stated herein.


    CERTIFICATE HOLDER:
    Alachua County Board of County Commissioners

     

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  • Upon submitting this Application, the Applicant agrees to indemnify, defend, and hold harmless Alachua County, its officers, employees, agents, contractors, and commissioners, from and against any and all claims, demands, losses, damages (including but not limited to personal injury resulting in death), liabilities (including those arising from releases of hazardous materials), suits, fines, penalties, charges, administrative and judicial proceedings and orders, judgments and all costs and expenses incurred in connection therewith, including without limitation reasonable attorneys' fees and costs (collectively, the "losses") arising from acts or omissions of the Applicant or its agents, contractors or employees, in connection with or related to the event, except to the extent any losses arise from the negligent or wrongful act or omission of the County or its employees acting within the course and scope of their employment. The foregoing obligation shall extend, but shall not be limited to, claims for the following: damages to persons or property; invasion of the right of privacy; loss of ticket sales; failure to comply with the provisions of applicable law. Each plan for the event shall be continuously implemented throughout the event duration. Applicant will notify the County prior to the event of any and all plan modifications. Applicant acknowledges that failure to do so shall result in the automatic suspension of the permit and canceling of the special event. Applicant agrees to comply with the Alachua County Park Rules at all times, during the event.

  • Sign Here

  • *
  • FOR PARKS USE ONLY

  • Insurance Required?
  • Is Approved?
  • Applicant Must Keep Restrooms Cleaned and Stocked During Event?
  • Date
     - -
  • Should be Empty: