R06-161
1 RESOLUTION R06-/61
2
3 A RESOLUTION OF THE CITY OF BOYNTON BEACH,
4 FLORIDA, AUTHORIZING AND DIRECTING THE CITY
5 MANAGER TO EXECUTE AN AGREEMENT BETWEEN
6 PALM BEACH COUNTY AND THE CITY OF BOYNTON
7 BEACH, PROVIDING FOR FUNDING TO OFFSET
8 COSTS OF THE 2006 HERITAGE FESTIVAL; AND
9 PROVIDING AN EFFECTIVE DATE.
10
11 WHEREAS, the City of Boynton Beach sponsored the annual Heritage
12 Festival during the month of February 2006, to provide a cultural celebration to
13 motivate, empower and inform the public of the ties that bind the Boynton Beach
14 community together through education and enjoyment of the arts; and
15 WHEREAS, the City has requested an amount not to exceed $3,700.00 to
16 offset the costs for contractual services and miscellaneous expenses for the 2006
17 Heritage Festival and the County is desirous of providing funding in an amount not
18 to exceed $3,700.00 to assist the City in this event.
19
NOW, THEREFORE, BE IT RESOLVED BY THE CITY
20 COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
21
Section 1.
The foregoing "WHEREAS" clauses are true and correct and
22 hereby ratified and confirmed by the City Commission.
23
Section 2.
The City Commission of the City of Boynton Beach does
24 hereby authorize and direct the Mayor to execute an Agreement between Palm
25 Beach County and the City of Boynton Beach, for funding to offset the costs of the
26 2006 Heritage Festival, a copy of said Agreement is attached hereto as Exhibit "A".
27
Section 3.
That this Resolution shall become effective immediately upon
28 passage.
S:\CA\RESO\Agreements\lnterlocals\Heritage Festival 2006 funding.doc
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PASSED AND ADOPTED this 11- day of September, 2006.
CITY OF BOYNTON BEACH, FLORIDA
--
S:\CA\RESO\Agreements\lnterlocals\Heritage Festival 2006 funding.doc
R2006~2490
AGREEMENT BETWEEN PALM BEACH COUNTY AND
THE CITY OF BOYNTON BEACH FOR FUNDING OF THE 2006 HERITAGE FESTIVAL
NOV 2 1 2006
THIS AGREEMENT is made and entered into on , by and between Palm Beach
County, a political subdivision of the State of Florida, hereinafter referred to as "County", and
the City of Boynton Beach, a Florida Municipal Corporation, hereinafter referred to as
"Boynton Beach".
WIT N E SSE T H:
WHEREAS, Boynton Beach sponsored the month long 2006 Heritage Festival in
February of 2006 to provide a celebration designed to motivate, empower, and inform the public
regarding the City's heritage and to encourage families to come together to promote cultural
diversity in a family friendly, intergenerational atmosphere; and
WHEREAS, the 2006 Heritage Festival promoted cultural diversity at various locations
throughout the City of Boynton Beach, celebrated various cultures through sports, music, dance,
and other art forms, provided an education component for students to learn about the
contribution of minorities toward math and science, and sponsored academic games; and
WHEREAS, approximately 4,000 persons participated in the 2006 Heritage Festival; and
WHEREAS, Boynton Beach has requested from County an amount not to exceed $3,700
to help offset costs for contractual services and miscellaneous expenses for the 2006 Heritage
Festival; and
WHEREAS, County desires to provide funding to help offset costs for the 2006 Heritage
Festival; and
WHEREAS, funding for said program in an amount not to exceed $3,700 is available
from the Recreation Assistance Program (RAP) - District 7; and
WHEREAS, community events and cultural diversity programs and activities are deemed
to serve a public purpose; and
WHEREAS, both parties desire to enter into this Agreement.
NOW THEREFORE, in consideration of the covenants and promises contained herein,
the parties hereby agree to the following terms and conditions:
1. County agrees to fund an amount not to exceed $3,700 to Boynton Beach for the 2006
Heritage Festival for contractual services and miscellaneous expenses, as set forth in Exhibit
"A", attached hereto and incorporated herein, hereinafter referred to as the "Project".
2. County will use its best efforts to provide said funds to Boynton Beach on a
reimbursement basis within forty-five (45) days of receipt of the following information:
a. A written statement that the Project, as specified herein, was carried out in .
accordance with this Agreement; and
b. A Contract Payment Request Form and a Contractual Services Purchases Schedule
Form, attached hereto and made a part hereof as Exhibit "B", which are required for each and
every reimbursement requested by Boynton Beach. Said information shall list each invoice paid
by Boynton Beach and shall include the vendor invoice number; invoice date; and the amount
paid by Boynton Beach along with the number and date of the respective check or proof of
payment for said payment. Boynton Beach shall attach a copy of each vendor invoice paid by
Boynton Beach along with a copy of the respective check or proof of payment and shall make
reference thereof to the applicable item listed on the Contractual Services Purchases Schedule.
Further, Boynton Beach's Program Administrator and Project Financial Officer shall certify the
total funds spent by Boynton Beach on the Project and shall also certify that each vendor
invoice, as listed on the Contractual Services Purchases Schedule was paid by Boynton Beach
and approved by Boynton Beach as indicated.
3. Boynton Beach incurred expenses for the Project beginning on January 25, 2006.
Those costs incurred by Boynton Beach for the Project, approved and submitted accordingly by
Boynton Beach subsequent to January 25, 2006, are eligible for reimbursement by County
pursuant to the terms and conditions hereof.
4. RAP funds may be used as a match for other local, state, or federal grant programs,
but Boynton Beach may not submit reimbursement requests for the same expenses to the
County as other fund sources to receive duplicate reimbursement for the same expenses.
5. Boynton Beach agrees, warrants, and represents that all of the employees and
participants in the Project were treated equally during employment, and for the provision of
services without regard to residency, race, color, religion, disability, sex, age, national origin,
ancestry, marital status, or sexual orientation.
6. Boynton Beach shall be responsible for all costs of operation and maintenance of the
Project.
7. The term of this Agreement shall be until December 30,2006, commencing upon the
date of execution by the parties hereto.
8. The parties agree that, in the event Boynton Beach is in default of its obligations
under this Agreement, the County shall provide Boynton Beach thirty (30) days written notice to
cure the default. In the event Boynton Beach fails to cure the default within the thirty (30) day
cure period, the County shall have no further obligation to honor reimbursement requests
2
submitted by Boynton Beach for the Project deemed to be in default and Boynton Beach shall
return any County RAP funds already collected by Boynton Beach for the Project.
9. Notwithstanding any provision of this Agreement to the contrary, this Agreement may
be terminated by the County, without cause, upon thirty (30) days prior written notice to the other
party. This Agreement may be terminated by the County with cause, upon expiration of the thirty
(30) day cure period provided for in Section 8 above.
10. Boynton Beach shall complete the Project by September 30, 2006, and invoices and
checks submitted for reimbursement must be dated within the project time frame of January 25,
2006, through September 30, 2006. Boynton Beach shall provide its final reimbursement
request(s), including a project completion statement and reimbursement documentation as
indicated in Section 2 above on or before December 30, 2006. Upon written notification to
County at least ninety (90) days prior to that date Boynton Beach may request an extension
beyond this period for the purpose of completing the Project. County shall not unreasonably
deny Boynton Beach's request for said extension.
11. In the event Boynton Beach ceases to exist, or ceases or suspends the Project for
any reason, any remaining unpaid portion of the Agreement shall be retained by County, and
County shall have no further obligation to honor reimbursement requests submitted by Boynton
Beach. The determination that Boynton Beach has ceased or suspended the Project shall be
made by County and Boynton Beach agrees to be bound by County's determination.
12. Boynton Beach agrees to abide by, and be governed by, all applicable federal, state,
county, and municipal laws, including but not limited to, Palm Beach County's ordinances, as
said laws and ordinances exist and are amended from time to time. In entering into this
Agreement, Palm Beach County does not waive the requirements of any County or local
ordinance or the requirements of obtaining any permits or licenses normally required to conduct
business or activity conducted by Boynton Beach. Failure to comply may result in County's
refusal to honor reimbursement requests for the Project.
13. County reserves the right to withhold reimbursement if the Project is not completed
as specified in Exhibit "A".
14. It is understood and agreed that Boynton Beach is merely a recipient of County
funding and is an independent contractor and is not an agent, servant or employee of County or
its Board of County Commissioners. It is further acknowledged that the County only contributes
funding under this Agreement and operates no control over the Project. To the extent permitted
3
by law and without waiving the right to sovereign immunity as provided by Section 768.28,
Florida Statutes, in the event a claim or lawsuit is brought against County or any of its officers,
agents or employees, Boynton Beach shall indemnify, save and hold harmless and defend the
County, its officers, agents, and/or employees from and against any and all claims, liabilities,
losses, judgments, and/or causes of action of any type arising out of or relating to any act or
omission of Boynton Beach, its agents, servants and/or employees in the performance of this
Agreement. The foregoing indemnification shall survive termination of this Agreement.
In consideration for reimbursement of costs incurred prior to the term of this Agreement,
the foregoing indemnification shall apply not only during the term of this Agreement but also for
the period prior to the Agreement for which Boynton Beach is eligible to receive reimbursement
from the County.
15. Without waiving the right to sovereign immunity as provided by Section 768.28,
Florida Statutes, Boynton Beach acknowledges to be self-insured for General Liability and
Automobile Liability under Florida sovereign immunity statutes with coverage limits of $1 00,000
Per Person and $200,000 Per Occurrence; or such monetary waiver limits that may change and
be set forth by the legislature.
In the event Boynton Beach maintains third-party commercial General Liability and
Business Auto Liability in lieu of exclusive reliance on self-insurance under Section 768.28,
Florida Statutes, Boynton Beach shall agree to maintain said insurance policies at limits not less
than $500,000 combined single limit for bodily injury or property damage.
Boynton Beach agrees to maintain or to be self-insured for Worker's Compensation &
Employer's Liability insurance in accordance with Florida Statutes 440.
Prior to execution of this Agreement by the County, Boynton Beach shall deliver to the
County an affidavit or Certificate of Insurance evidencing insurance, self-insurance, and/or
sovereign immunity status, which County agrees to recognize as acceptable for the above
mentioned coverages. Certificate holder's address shall read Palm Beach County, c/o Parks
and Recreation Department, 2700 Sixth Avenue South, Lake Worth, FL 33461, Attention:
Administrative Support Manager.
Compliance with the foregoing requirements shall not relieve Boynton Beach of its liability
and obligations under this Agreement.
16. Upon request by County, Boynton Beach shall demonstrate financial accountability
through the submission of acceptable financial audits performed by an independent auditor.
4
17. Boynton Beach shall maintain books, records, documents and other evidence that
sufficiently and properly reflect all costs of any nature expended in the performance of this
Agreement for a period of not less than five (5) years. Upon advance notice to Boynton Beach,
County shall have the right to inspect and audit said books, records, documents and other
evidence during normal business hours.
18. The County and Boynton Beach may pursue any and all actions available under law
to enforce this Agreement including, but not limited to, actions arising from the breach of any
provision set forth herein.
19. This Agreement shall be governed by the laws of the State of Florida and any and all
legal action necessary to enforce this Agreement shall be held in Palm Beach County.
20. As provided in Section 287.132-133, Florida Statutes, by entering into this Agreement
or performing any work in furtherance hereof, Boynton Beach certifies that it, its affiliates,
suppliers, subcontractors and consultants who will perform hereunder, have not been placed on
the convicted vendor list maintained by the State of Florida Department of Management
Services within the thirty six (36) months immediately preceding the date hereof. This notice is
required by Section 287.133 (3) (a), Florida Statutes.
21. This Agreement represents the entire agreement between the parties and
supersedes all other negotiations, representations, or agreements, either written or oral, relating
to this Agreement. The Agreement may be modified and amended only by written instrument
executed by the parties hereto.
22. Any notice given pursuant to the terms of this Agreement shall be in writing and hand
delivered or sent by U.S. mail. All notices shall be addressed to the following:
As to the County:
Director of Parks and Recreation
Palm Beach County Parks and Recreation Department
2700 Sixth Avenue South
Lake Worth, Florida 33461
As to Boynton Beach:
City Manager
City of Boynton Beach
P.O. Box 310
Boynton Beach, FL 33425
23. This Agreement is made solely and specifically among and for the benefit of the
parties hereto, and no other person shall have any rights, interest, or claims hereunder or be
entitled to any benefits under or on account of this Agreement as a third-party beneficiary or
otherwise.
5
IN WITNESS WHEREOF, the undersigned parties have signeg this
,:.........","',,,\\\, -
~......, NTl""" n.2006-2 90
Agreement on the4>>rsrabG.~4;itten." ","- ~.
1"",/ ~ 8 ....~1\ NOV 2 1 2006
ATTEST:fO( <l ~c:;. "~~ PALM BEACH COUNTY, FLORIDA, BY ITS
SHARON R. B<W:: C~~iY }~l BOARD OF COUNTY COMMISSIONERS
Comptroller . ~ .c', ID^ f {lJ. V. J-fJ
~ : By dthl.-- ()( .lJ~
Addie L. Greene, Chairperson
CITY OF BOYNTON BEACH
~
AP TO FORM AND
LEGAL SUFFICIENCY
BY:~~
County Att ney
By:
RMS AND CONDITIONS:
By:
~~~
Dennis L. Eshleman, Director
Parks and Recreation Department
APPROVED AS TO FORM:
\
~\.<::...
CITY ATTORNEY
6
n Yin er - ExhibitAForm-Munici alities.doc
Pa e.
Recreation Assistance Program (RAP)
Exhibit "A" to Agreement
BACKGROUND INFORMATION
Name and address of Municipality: Boynton Beach
100 E. Boynton Beach Blvd.
Boynton Beach, FI. 33435
Name of Municipality: City of Boynton Beach
Mailing Address: P.O. Box 310
Boynton Beach, FI. 33425-0310
Name of Mayor: Jerry Taylor
Name of City Manager: Kurt Bressner
ProjecVProject Liaison Information:
Name: Wayne Segal
Telephone #: 742-6000
Fax #: 742-6233
e-mail: Segalw@cLboynton-beach.fl.us
PROJECT/PROGRAM INFORMATION
1. Name of ProjecVProgram: 2006 Heritage Festival
2. ProjecV Program Description
· General (Project Scope):The miSSion of the HeritageFest is to
promote cultural diversity that exists in the City of Boynton Beach
while celebrating each culture's splendor through sports, music,
dance and other art forms. The goal of the education component is
to present opportunities for students to learn through research and
presentation the contribution of minorities have made in the world
of math and science. Academic games allowed the participants to
"show off" their acquired knowled.ge in an encouraging atmosphere.
· Public Purpose: To provide a celebration that motivates,
empowers, and informs the public of the ties that bind our
community together through the enjoyment of arts, and education.
This month long celebration encourages families to come together
and promote cultural diversity while providing events that are family
friendly and bridge the generation gap.
· Location: Various arenas throughout the city of Boynton Beach.
Boynton Beach Women's Club (Book Signing and reception)
Boynton Beach Civic Center (Art in the Park, Student Contests)
EXHIBIT A
Page 1 of 2
Pa e ~
Ezell Hester Community Center (Soccer Tournament)
St. John Missionary Baptist Church/RM Lee CDC (Student Awards
Reception)
Wilson Park (Walker Brothers Circus)
· Anticipated Number of Participants/Users: 4000 persons
3. Project/Program Elements: List anticipated broad categories of
Expenditure Items such as capital outlay, contractual services, personnel
costs, operational expenses, equipment, and "Other Miscellaneous
Project/Program expenses". Do not include expenditure line item budQet/
amounts.
Contractual services
Miscellaneous Expenses
4.
Estimated Lump Sum Total for Project/Program
~3, 71')0.00 J P<j
$ . 3,500.00""
5. Project/Program Initiation date (date of first invoice for which
reimbursement will be requested) and End date (date which
project/program will be completed and all invoices paid). This will become
the project time frame. January 25.2006 to Aeril29. 2QQ9 .s~r+eVhfJ-e,.. ~, "2.r7b I.lzA
month/day/year month/day/year r
Note: Invoices and copies of proof of payment documents are required for
Project/Program reimbursement. All invoices and checks must be dated within
the stated project/program time frame AND Categories for Project/Program
Elements must be listed in Section 3 above in order to be eligible for RAP
reimbursement.
6. Required Attachments:
Certificate of Insurance (previously submitted)
Amount of Recreation Assistance Program Funding awarded
/~;:~~()O/~
District 7
(filled in by Gounty)
Form available online by request. Contact Susan Yinger at syinaer@obcaov.com
EXHIBIT A
Page 2 of 2
PALM BEACH COUNTY
PARKS AND RECREATION DEPARTMENT
EXHIBIT B
CONTRACT PAYMENT REQUEST
Date
Grantee
Project Name:
Submission #:
Reimbursement Period:
Item
~
Project Costs
This Submission
Cumulative
Project Costs
Contractual Services
(C)
Salary & Wages (% of salaries)
(S)
Materials, Supplies, Direct Purchases
(M)
Equipment
(E)
Travel
(T)
Indirect Costs
(I)
TOTAL PROJECT COSTS
Kev LeQend
[".C.;;;..Con.tractuaj..seiVic.e.s....................................................................i
! S = Salary & Wages i
i M = Materials, Supplies, Direct Purchases I
i E = Equipment !
j T = Travel i
i I = Indirect Costs I
i..................................................................................................................................,
Certification: I hereby certify that the above
expenses were incurred for the work identified as
being accomplished in the attached progress
reports.
Certification: I hereby certify that the documentation has
been maintained as required to support the project
expenses reported above and is available for audit upon
request.
Administrator
Date
Financial Officer
Date
PBC USE ONLY
County Funding Participation
$
Total Project Costs To Date:
$
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Designated Member
City of Boynton Beach
P.O. Box 310
Boynton Beach, FL 334250310
\.....~.Kll.rl\.....r\.l~ UJ:1 \."UV EKAl:d~.1 ISSUED ON 11/4/05
Administrator"" Producer
Public Risk Underwriters Acordia Southeast
P.O. Box 958455 501 S. Flagler Dr. #600
Lake Mary, FL 32795-8455 West Palm Beach, FL 33401
COVERAGES: TIllS IS TO CERTIFY TIIAT TIfE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTIfER DOCUMENT WITH RESPECT TO WIDCH
TIllS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIIE COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL TIn
TERMS, EXCLUSIONS AND CONDmONS OF SUCH AGREEMENT. '
COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST
AGREEMENT NUMBER: PK FL1 050200305-02 I COVERAGE PERIOD: FROM 10/0112005 TO 10/0112006 12:01 AM STANDARD TIME
LIABILITY COVERAGE WORKERS' COMPENSATION COVERAGE
o Comprehensive General Liability, Bodily Injury, Property Damage and Personal
Inj ury
Limit Deductible
o Public Officials Liability
Limit
o Employment Practices Liability
Limit
o Employee Benefits Liability
Limit
o Law Enforcement Liability
Limit
Deductible
o Self Insured Workers' Compensation
Self Insured Retention
o Statutory Workers' Compensation
Deductible
o Employers Liability
...~._-_. ---- ... -$1 ,OOO,OOO-Each-Accidcmt---
$1,000,000 By Disease
$1.000000 AJ;tlUeJ;tatc Disease
Deductible
Deductible
AUTOMOBILE COVERAGE
Deductible
Automobile Liability
Limit
o All Owned Autos
o SpecificaIIy Described Autos
o Hired Autos
Deductible
PROPERTY COVERAGE
51 Buildings & Personal Property
Limit $134,629.379 TN
Deductible $10,000
o Non-Owned Autos
Note: See caverage agreementfor details on wind,jIood, and other deductibles
51 Rented, Borrowed and Leased Equipment
Limit $50,000 TN Deductible See S<;:hedule
51 All other Inland Marine
Automobile Physical Damage
o Comprehensive Deductible
o Collision
Deductible
Limit $7,371,808 TN
Deductible See Schedule
o Hired & Non-Owned Autos, with limit of
NOTE: The limit of liability is $100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These
specific limits of liability are increased to limits shown above per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida
Statutes or liability imposed pursuant to Federal Law or actions outside the State of-Florida.
Description of OperationslLocationsN ehicles/Special items:
Certificate holder is named as additional covered party per the attached form PGIT 902 (10 04)
THIS CERTIFICATE IS ISSUED AS A MATI'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. nus CERTIFICATE DOES NOT
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE.
Certificate Holder CANCBLLATION$
SHOULD ANYPART OF nIB ABOVE DBSCIUBIlD AClIUlBMI!NT Bl! CANCBLLIlD BBI'ORE nIB
Palm Beach County BOCC BXPIRATIONDATBilmRBQF.PREPPI!1UUlDGOVIlRMENTALINSURANCBTRUSTwnJ..
Ris k Management Dept. ENDBA VOB; TO MAIL 45 DAYS ~NOTICB TO nIB CIlRTlFICATB HOLDIlR NAMED ABOVE,
BUI' FAILUlU! TO MAIL SUCHNOTICB SHALL IMPOSE NO OBUGATION OR UAllIL1TY OF ANY
Richard Cohen KIND tJPONTHIlPllOGRAM, rrs AGENTS ORR.IlPRBSl!NTATIVBS.
160 Australian Ave. I1JI' I. # (. :/. ~/.
West Palm Beach,FL 33408 /~ J ~
AUTHORttED REPRESENTATIVE
PGIT-CERT (08/0~)
09130/2005
THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY.
AUTOMATIC ADDITIONAL COVERED PARTIES
This endorsement modifies coverage provided under the following:
PUBLIC ENTITY AUTOMOBILE COVERAGE PART
PUBLIC ENTITY LIABILITY COVERAGE PART
PUBLIC ENTITY PROPERTY COVERAGE PART
Where indicated by (x) below, coverage applies to theperson(s) or organization(s) as their interest may appear. The
provisions in this endorsement do not supersede Florida Statute 768.28, or any other Statute limiting whom a Public
Entity can indemnify.
..L AQPIIJQ~~L CO~I;RED PA~~: BY CONTRACT, AGREE~ENT O~~_I;~~___ ____________
SECTION II - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s)
(hereinafter called Additional Covered Party) with whom you agree in a written .insured contract" to name as a
Covered Party, but only with respect to liability arising, in whole or in part, out of your operations, .your work"
or facilities owned or used by you.
The coverage afforded to the Additional Covered Party does not apply:
(1 )Unless the written .Insured contract", agreement or permit was executed prior to the .bodily injury,"
.property damage," .personal injury" or .advertising injury;"
(2) To any person(s) or organization(s) included as a Covered Party under this coverage agreement or by
an endorsement made part of this coverage agreement.
..L ADDITIONAL COVERED PARTY - OWNERS OF LEASED EQUIPMENT
SECTION" - WHO IS A COVERED PARTY is amended to include any person(s) or organization(s)
(hereinafter called Additional Covered Party) with whom you agree in a written equipment lease or rental
agreement to name as a Covered Party, but only with respect to liability arising out of the sole negligence of
the Covered Party, and only while such equipment is in the care, custody or control of the Covered Party, or
any employee or agent of the Covered Party.
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or .property damage" occurring after you cease to lease or rent the equipment;
(2) .Bodily injury" or .property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage" to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or agents,
or of which the Additional Covered Party, its employees or agents are for any purpose exercising
physical control.
PGIT 902 (1004)
Includes copyrighted material of Insurance Services Office, Inc. with its permissione
Page 1
..
L ADDITIONAL COVERED PARTY - MANAGERS OR LESSORS OF PREMISES
SECTION 11- WHO IS A COVERED PARTY is amended to include any person(s) or organization(s)
(hereinafter called Additional Covered Party) with whom you agree in a wHtten agreement to name as a
Covered Party, but only with respect to liability arising, in whole or in part, out of the "premises" leased to you
by such person(s) or organization(s).
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or "property damage" occurring after you cease to be a tenant in that "premises";
(2) "Bodily injury" or "property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage" to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b )_PrQJ;lertyjnlh_e_~Ie, c!JstQd~ or control of thQ...AggrnQnaLC.9VeIe.Q_Palty~Oljls_empJ()YeefLQL~9~nts'---------_
or of which the Additional Covered Party, its employees or agents. are for any purpose exercising
physical control.
Notwithstanding any other provision of this agreement, nothing in this agreement shall be construed
as a waiver of the Covered Party's sovereign immunity nor shall any provision of this agreement
increase the liability of the covered party, or the sums for which the covered party may be liable,
beyond the limits provided in ~768.28, Florida Statutes.
PGIT 902 (10 04)
Includes copyrighted material of Insurance Services Office. Inc. with its permission
Page 2
a~llUh
. NATIONf\L
I-..cl~
STATE NATIONAL INSURANCE CO.
!
~ERTIFICATE OF INSURANCE
DATE ISSUED: 10/10/1
PRODUCER
Arthur J. Gallagher & Co
2255 Glades Road
Suite 400 E.
Boca Raton, FL 33431
This ce~cate Is Issued as a matter of Information only and confers no rights UpOI
the ce cate holder. This certificate DOES NOT amend, extend or alter the coveragE
afforded by the policles'below.
COMPANIES AFFORDING COVERAGE
INSURED
City of Boynton Beach. FL
100 E. Boynton Beach Blvd.
Boynton Beach, FL 33435
COMP
(A)
(B)
(C)
(D)
STATE NATIONAL INSURANCE COMPANY
~;"'.:~ll~~~_"::_~~>:i'~~:d-~\'o'_~ ~:,~~,--",-,__J~'~-:.._ -.~--,~:'- ~ .; :, -_.0-_ _ _ -.-.:,'" __ _ ,,~.. ~ , . _~,.+ . 1"_ C"'.. ~. ~ '. .-_~ ~ ~ -". ~ \~~
COVERAGES
This Is to certify that the policies. of Insurance listed. below ave been Issued to the Insured named above for the policy period Indicated,
notwithstanding any requirement. tenn or condition of any con ct or other document with respect to which this certificate may be Issued or may
pertaln,-the-Insuranee-afforded-by-the-polleles-descrlbed-hereln sl1bJeeHo-all-th~xcluslons.-and--condltlons-of-such pollcles;-l:Imits-shown
may have been reduced by paid claims.
~;}:,:r:~ ~_ ,,~~v -, ; '.... ~ .' , .. - '- - - . - -
'" ~.'*-, .."' ~'" " .. ' I.... . [ - ~ '. - . - .. . "- '. ~"YL. ~ '
co TYPE OF INSURANCE POLICY NUMBER POll ':'( EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATI IUMlDDIVVl DATE lMUIIlfl/VYl
GENERAL LIABILITY
A 1m COMMERCIAL GENERAL LIABILITY MDB02e6814 10ms 1011J06 GENERAl AGGREGATE ~
o CLAIMS MADE IllI OCCUR. PRODUCT&COMProPAGG
DOWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE
FIRE DAMAGE (anyone. fire)
MED. EXPENSE (any one pe~)
AUTOMOBILE lIABILITY
A o ANY AUTO Not ApplIcable Nol,ol lpllcabJe Not Applicable COMBINED SINGLE LIMIT ~
o AU OWNED AUTOS BODILY INJURY (OW_I
[j SCHEDULED AUTOS PODILY INJURY (por_)
o HIRED AUTOS PROPERTY DAMAGE
o NON-oWNED AUTOS
o GARAGE LIABILITY
EXCESS LIABILITY
A o UMBRELLA FORM EACilJ;l OCCURRENCE $5,000,000.
IllI OTHER THAN UMBRELLA FORM MOB 0266814 1011~ Ii 10101/06 AGG~GATE $10,000,000.
WORKERS' COMPENSATION MOB 02668 14 101MS 10101/06 STATUTORY LIMITS Statutory
AND
EMPLOYERS' LIABILITY EACH ACCIDENT
DISEASE-POLICE LIMIT
DISEASE.EACH EMPLOYEE
XXX)( - POLICY SUBJECT TO SIR As per General Endorsemen SNS GEN 01.
.. ................n......................................_..............__......._....__..___.................._.........................._ ..-...........-.......-.........................................-----...........-.....................................-............................................................
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLE S/SPECIAL ITEMS - All operations usual to a City Government including
Palm Beach County Board of cOunty Commissioners, a political subdivision of the State of Florida, its officers, employees and
agents as additional insured as their Interests may appear throughout the policy period for municipal activities In coordination and/or
.....~~.~J.~!].~~!.9.~..~!!!:!,.~~~..~.~~~~..~~!l~~~~~..9.!..9.9.~~.!l_Y.2.r !!.'l~!~.!!~~.:n~!.E.!~~E.!~~~~~!],~~~~~~~.!~~.~.~..~.f..e~!!9.y...~~'!!~.!~~.~!].~~~!).Q~~':.n..'...
CERTIFICATE HOLDER
S' ould any of the above described policies be cancelled before the expiration
Palm Beach County BOard of County d2 te thereof, the Issuing company will endeavor to mall ~ days written notice to
Commissioners th ~ certiftcate holder named to the left, but failure to mall such notice shall Impose
Risk Mgt. Dept. nc obligation or liability of any kind upon the company, lis agents or
160 Australian Ave. re resentatlves.
West Palm Beach, FL 33406
Attention: Dick Cohen L ~JJ2,-
ArthOrlzed signature: ..a.-
",/ Sandra M. Donaghy
I
MeadoW4 'iJrook Insurance Group
. I
~I::RiIFICA TE OF COj\lERAGE
Certificate Holder !
i
. Administrator
Issue Date 10/10/05
ATTN DICK COHEN !
PALM BEACH COUNlY ~OARD OF COUNlY
COMMISSIONERS. !
. I
RISK MANAGEMENT DErARTMENT
160 AUSTRALIAN AVEN~E
WEST PALM BEACH FL 133406
i
I
COVERAGES I
THIS IS TO CERTIFY THAT THE AGREEMENT B~LOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTRACT OR ( THER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT 0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT.
Florida League of Cities, Inc.
Public Risk Services
P.O. Box 530065
Orlando, Florida 32853-0065
AGREEMENT NUMBER: FMIT 0055
TYPE OF COVERAGE - LIABILITY
FLORIDA MUNICIPAL INSURANCE TRUST
I I COVERAGE PERIOD: FROM 1011105 I COVERAGE PERIOD: TO 10/1/0612:01 AM STANDARD TIME
!
COVERAGE PROVIDED BY:
General Liability
TYPE OF COVERAGE - PROPERTY
,
I
o Comprehensive General Liability, $odily Injury, Property Damage and
Personal Injury I
o Errors and Omissions Liability I
o Supplemental Employment Practi4e
I
o Employee Benefits Program Ad:li istration Liability
o Medical Attendants'lMedical Di ors' Malpractice Liability
o Broad Form Property Damage I
o Law Enforcement Liability I
o Underground, Explosion & collapJe Hazard
1
Limits of Liability I
. Combined Single Limit
Deductible N/A I
I
o Buildings
o Basic Form
o Special Form
o Personal Property
o Basic Form
o Special Form
o Agreed Amount
o Deductible N1A
o Coinsurance N/A
o Blanket
o Specific
o Replacement Cost
o Actual Cash Value
o Miscellaneous
o Inland.Marine
o Electronic Data Processing
o Bond
o
Automobile Liability
LImits of liability on File with Administrator
I
i
~ All owned Autos (Private PassenQer)
~ All owned Autos (Other than PrivC',\te Passenger)
IZI
IZI
TYPE OF COVERAGE - WORKERS' COMPENSATION
Non-Owned Autos
o Statutory Workers' Compensation
o Employers Liability $1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
Hired Autos
Limits of Liability
. Combined Single Limit
D. Deductible N/A
Deductible N/A
o
I
Automobile/Equipment - Deductible:
IZI Physical Damage Per Schedule - Comprehensive - Auto Per Schedule - Collision - Auto Per Schedule - Miscellaneous Equipment
Other I .
i
. The limit of liability is $2,OO<J'OOO (combined single limit) bodily injury and/or property damage each occurrence in excess of a self-insured retention of
$ 100,000. This limit is sOlefy for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability imposed
pursuant to~Federal Law or rctions outside the State of Florida.
Description of operationslLOCatlonLvehiCles/speClalltems
I
n_. r..~_.._ _-J.:..:":__ _I__.L!_____JLI.__L:__'- _....I~__:___II_..LL_ __.~!.r.__J._ '-_I_I_.! .l.!_ 11 I _. _I '" 1" ..
Department of
Parks and Recreation
2700 6th Avenue South
Lake Worth, FL 33461
(561) 966-6600
Fax: (561) 642-2640
www.pbcparks.com
.
Palm Beach County
Board of County
Commissioners
Addie L. Greene, Chairperson
Jeff Koons, Vice Chair
Karen T. Marcus
Warren H. Newell
Mary McCarty
Burt Aaronson
Jess R. Santamaria
County Administrator
Robert Weisman
"An Equal Opportunity
/If/innative Action Employer"
@ printed on recycled paper
~[J~'I-I~((~~ r~r.. r.i .C:..~:~~- _
II ') r-----.-: -. '- .' -
j,o '\ I
j:ll I!
UUi JAN-52007
I
v~,
I/S/07
\A.h,,~ -
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~
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i '-,:! i ~
December 28, 2006
Mr. Kurt Bressner, City Manager
City of Boynton Beach
100 East Boynton Beach Boulevard
Boynton Beach, FL 33435
RE: PALM BEACH COUNTY RECREATION ASSISTANCE PROGRAM
FUNDING AGREEMENT FOR THE 2006 HERITAGE FESTIVAL
Dear Mr. Bressner:
Attached for your records is a fully executed original of the funding Agreement in
an amount not to exceed $3,700 to assist with costs for the Boynton Beach
Heritage Festival held during the month of February 2006. This funding is from
the Recreation Assistance Program (RAP) - District 7.
Expenses eligible for reimbursement include contractual services and
miscellaneous expenses associated with the Heritage Festival events. All
invoices and checks must be dated within the project time frame of January 25,
2006, through September 30, 2006, and the reimbursement requ~st and
statement of project completion need to be submitted to this office on or before
December 30, 2006. An instruction sheet for Documentation Procedure is
attached to assist you with preparation of your reimbursement request.
If you have any questions on the Agreement or the reimbursement process,
please contact Susan Yinger, Administrative Support Manager, at 966-6653. On
behalf of Commissioner Addie L. Greene and the Board of County
Commissioners, we are pleased to again assist Boynton Beach with costs for this
annual community event.
a~
Dennis L. Eshleman, Director
Parks and Recreation Department
DLE/SWY:vjk
Attachment - Fully executed RAP Agreement
Copy to:
Commissioner Addie L. Greene, District 7
Central File
Itemllssue
Submission for
reimbursement
Sequence of back-up
documentation received
When an Agency Credit
Card or Debit Card is
used
When a Credit Card or
i' Debit Card is used to
purchase items by a third
party.
RAP/Bond Reimbursement Request
Documentation Procedures
Description/Explanation
Please include the following...
Required Documentation
1. Letter of submittal and/or completion
Listed in order of placement in 2. Complete "Contract Payment Request"
reimbursement packet form - Exhibit 8, Page 1
Please do not use staples on
any of the documents.
Documentation can be secured
using other means, such as
paper clips.
3. Complete "Contractual Services
Purchase Schedule" - Exhibit 8, Page 2,
3, etc.
4. Copy of check
5. Copy of itemized invoicelreceipt
List each invoice on the blank Attached documentation should be placed in
lines as indicated on Contractual the same sequence as stated on Exhibit B,
Services Purchase Schedule Page 2; Example:
form.
1. Check (place this first)
Each Exhibit 8 form must be
2 Itemized invoicelreceipt (placed behind
completed in its entirety by the . applicable check)
grantee.
Invoicelreceipt must be clearly legible to
qualify for reimbursement.
Credit card statement and 1. Include a copy of check made payable to
required back-up documentation the credit card company or banking
required institution.
2. Include credit card/bank statement that
indicates the item(s) purchased
3. Include itemized invoicelreceipt of the
purchase
( over)
1. Include copy of check made payable to
the person who made the purchase
2. Include credit card/bank statement that
indicates the item(s) purchased
3. Include itemized invoicelreceipt of the
purchase
G:\SYINGER\FORMS\Documentation Procedure - Exhibit B (RAP) or C(Bond) .doc
Name of Your Agency/Municipality:
Project Name:
LETTER OF COMPLETION
Enclosed please find our final Request for Reimbursement which includes Contract Payment
Request and Contractual Services Purchase Schedule form and back-up documentation. The
project has been completed accordingly.
The above is being submitted in accordance with terms of Agreement
Board of County Commissioners and Palm Beach County Parks &
Signature
Name of Your Agency/Municipality: C / ry ()P- ."gt9,Y /1./ TZJ/I/ .(j> -E~ /.,;
Project Name: oJtJCJ6 /7..€.A>//.4~/': FE..(T/J/.4-<"
-
LETTER OF COMPLETION
Enclosed please find our final Request for Reimbursement which includes Contract Payment
Request and Contractual Services Purchase Schedule form and back-up documentation. The
project has been completed accordingly.
The above is being submitted in accordance with terms of Agreement with Palm Beach County
Board of County Commissioners and Palm Beach County Parks & Recreation Department.
u/~~ ~~~
Signature
/;; -, .;p LJ - t:'J tb
Date
PALM BEACH COUNTY
PARKS AND RECREATION DEPARTMENT
EXHIBIT B
CONTRACT PAYMENT REQUEST
floc; /f'. c1CJt'Jf
, .
Date
Grantee C / IV "p...A>1? Y/V 7'LM/ .B K:'1JC1f
Project Name: c2~CJth /7e.1<?/T~k /.:::;eSJ7J/'rJ-<.
Reimbursement Period: --I/-t/'V ~\:r-S/E;Or d/J a2LJtJ./
/
Submission #:
Cumulative
Project Costs
0(' 9 f t:J. "V.~
/ t1 ~.:3 .,-:f6
TOT AL PROJECT COSTS
.y tJ'1-4/()~
~. tJJ .y. tJ .y
Kev Leqend
["C'~"Co'ii'tractuai"seiVic'es"""""''''''''''''''''''''''''''''..............................1
j S = Salary & Wages !
1 M = Materials, Supplies, Direct Purchases !
j E = Equipment !
! T = Travel !
i I = Indirect Costs 1
\......................................................._........................................................................1
Certification: I hereby certify that the above
expenses were incurred for the work identified as
being accomplished in the attached progress
reports.
Certification: I hereby certify that the documentation has
been maintained as required to support the project
expen es reported above and is available for audit upon
request
U~~~~J ~~~
Admini ator .
(.:213 t') ~ 06
Date ~
Financial Officer
/ -.j~6
mate
PBC USE ONLY
County Funding Participation
$
$
$
$
$
$
Total Project Costs To Date:
County Obligation To Date
County Retainage ( _ %)
County Funds Previously Disbursed
County Funds Due this Billing
Reviewed and Approved By:
PBC Project Administrator
Date
Department Director
Date
G:\SYINGER\FORMS\3 Pg - Exhibit B.xls
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