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Brevard County Parks and Recreation Department ,
OTHER INFORMATION AND CONDITIONS FOR ISSUANCE OF USE PERMIT
Prior to granting a permit,the individual and/or organization sponsoring the activities or events shall agree to indemnify and
hold Brevard County harmless from any and all liability, claims, damages, expenses (including attorney fees)proceedings
and causes of action of every kind and nature arising out of or connected with said sponsor's use, occupation or control of
the park or recreational facility(or any improvements thereon or any furniture,furnishings, equipment and fixtures utilized
in connection therewith), unless liability, claims, damages, or expenses are a result of Brevard County's sole negligence.
The sponsor shall further agree that it will, at its own expense, defend any and all actions, suits or proceedings which may
be brought against Brevard County in connection with said parks and facilities arising from said sponsor's activities and will
satisfy,pay,and discharge any and all judgements that may be entered against Brevard County in any such proceeding.
Any material misrepresentation, whether written or oral, by a permit applicant on an application or during the application
process,where the Department relied on such misrepresentation in granting a permit, shall be grounds for the Department's
immediate revocation of such permit and/or deposit, and is punishable pursuant to Chapter 78-101, Code of Ordinances of
Brevard County.
Five business days are required to communicate whether an applicant's permit is granted or denied and,if denied,the reason
for such denial. Applicant may appeal the refusal of a permit by written notice to the County Manager.
In any event, liability will be assumed by the sponsoring individual and/or organization with regard to any personal injury,
liability,and/or property damage arising from the activities of such sponsoring group or individual.
All persons granted a permit to use a county park or recreational facility must agree to abide by all applicable established
rules,regulations, laws and ordinances of state, federal, county and city governments and their respective agencies.
Upon completion of the activity,the facility and adjacent area must be clean, orderly and free of any obstruction, or litter.
Applicant shall be responsible for all costs associated with damages to park facilities and grounds. These costs shall include
the personnel hours,materials and equipment required to complete repairs.
Cancellation of a reservation may be initiated by applicant not less than 10 working days prior to the scheduled use;however,
a$20.00 administration fee will be assessed and/or deducted when the reservation fee is refunded.
Individuals, groups and/or organizations utilizing facilities for High Risk or Commercial Activities are required to provide !,
General Comprehensive Liability Insurance in an amount up to$1,000,000.00,and not less than$500,000.00,per occurrence
to cover any and all claims and costs arising in connection with any accident or occurrence related to such activities must be
provided. Coverage amount will be determined by the Area Operations Manager and Insurance Director. Brevard County
Board of County Commissioners shall be named as an additional insured on any such policy. Also,Fire Liability Insurance
not less than$50,000 per occurrence must be provided. Also, Brevard County must be named as additional insured on the
Certificate of Insurance. A copy of a certificate(s) of insurance or letter(s) of binder shall be provided to the County prior
to the issuance of the permit.
Insurance provided by:
A copy of the insurance policy binder must be provided to Area Parks Operations Office by:
Date
Security Plan required if event has commercial activity, is open to the public, and 50 or more persons expected to
attend event.
Security provided by:
Use Permits are not transferable.
COMMENTS:
.--, :'w.,r t.:. ,,t.e,; . ,� %1X4;),;,:;:.,` ''.., ,� ;'�y''i / 'rt[k.$?%-- :*f,h jar Ilx ;�,trvr: , ae�r,rel- ,,,,,!_r 74,g s6-' re,.-;.�r,
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Breva>rd,,County Parks & Recreation Department CENTRAL A REA PARKS OPERATIONS
APP ICATION FOR USE PERMIT MERRITTI R :S= °R
951TOW ANTS-I lD
PARK ROAD
Date , . •• ME'RRITT ISLAND, FL 32953 I
Applicant's e `r • 1 .�(_ PH: 321-455-1380 Fx: 321-455-1384 ,
Email 1r21 . I,L d Driver's License# )4 400 -0-70 gZ -6Z7--0
Day Phone 403(— 2 i O Evening Phone •_ 0 Fax 63) -Zoe. 7
Organization/Group Name(if applicable) a- A . , �a Non-Profit Corp. V' Yes El No
Applicant's position/connection with Organization/Group(if applicable) ,r.:a j/, _ • _ I • "AI i •i
Mailing Address A . • r I . -• o i
'et/'O Box City tate Zip
i
Park Name and Facilities Requested i_, _♦ •• am• .
'
Event Name ?-09 Q t,, a stay'\ Type of Activity SK
Event Date(s)Requested 12 )2 J 0 l M Estimated Attendance 5-613 Times(Including Preparation/Clea p) .
G.a I t
. Received Facility Rental Rules Yes ❑ No {!
THE FOLLOWING TO BE COMPLETED BY STAFF {
PERMIT CATEGORIES(CHECK ONE)
❑CATEGORY I Sponsored/Co-Sponsored ❑CATEGORY IV Private(Private Groups,Organizations,Individuals)
❑CATEGORY II Recreation Partner ❑CATEGORY V Public Issue Speech i
\g CATEGORY III Not-for-Profit/Exempt(Must qualify for tax exempt I
status pursuant to 501(c)criteria of the IRS Code) 501(c)( )
Consumers Certificate of Exemption(Florida) 501(c)Criteria# 1
C NDITIONS(CHECK ALL APPLICABLE) HIGH RISK CONDITIONS: INSURANCE REQUIRED(CHECKALLAPPLICABLE)
Activity open to public ❑ Letter of Request ❑Activities that involve physical contact and/or inflatable structures
Admission charged ❑ Security ❑Alcoholic beverages and open to the public:liquor liability required
Alcohol ❑Other ❑ Sale of food items and/or beverages at functions open to the public
❑ Food/beverage sales ❑Amplified music primary to function with over 200 people expected open ',
14 Music(Type bk,Cick ) to the public (
❑Commercial activities as defined in Chapter 78-76,Code of Ordinances of 1
Brevard County,and herein,where such activities are open to the public
THE PARK/FACILITY YOU HAVE REQUESTED IS LOCATED WITHIN THE CITY LIMITS OF . PLEASE CONTACT THAT
CITY TO DETERMINE IF IT HAS ANY REQUIREMENT(S)YOU MUST MEET.
(A)TAXABLE FEES TAXABLE FEES FROM COLUMN A $ /, -) (C)DEPOSITS 1
(B)Non-Taxable Fees A separate payment is always required F
for deposits
Facility Rental Fee: $ Facility Rental Fee: $
Employee Fee: $ Cleanup/Damage --,r-„, Cash heck
Deposit S _ -._)O ❑ i
Additional Fees: Additional Fees: Receipt# � .7.7) Date -"h1 "') `(
$ $
$ $ Cash Check
Tourist Tax $ $ Key Deposit $ ❑ ❑ I
Fla.State Sales Tax: $ $ Receipt# Date
Sub Total $ Sub Total $
PURSUANT TO CHAPTER 119, FLORIDA'S PUBLIC RECORDS I'
GRAND TOTAL $ ACT, THIS RECORD IS A PUBLIC DOCUMENT THAT MAY BE
j }� c/ INSPECTED AND/OR COPIED. IF YOU BELIEVE ANY PORTION OF
�� I?�fM r 9 / THIS DOCUMENT CONTAINS INFORMATION THAT IS EXEMPT FROM I.
RECEIPT# DATE RECEIPT# AT 1
_ DISCLOSURE,PLEASE NOTIFY US IN WRITING AT:
AMOUNT$ AMOUNT$ �CENTRAL AREA PARKS OPERATIONS
840 FORREST AVENUE,COCOA,FL 32922
I
I am 18 years of age(21 years of age if alcohol will be present)or over and understand as a representative of said event/organization,that I take full
responsibility for each and every participant of said function. I have read and agree to follow the rental rules I have been given for my activity. I hereby
waive a and all claims against t e Board of County Commissioners and its employees and agents arising out of any personal injury or property damage
hat i• rreid luring said i n. I have also read the inform tion n the reverse ' e of this permit and a ree to the terms and conditions hereof.
Applicant ignature Pin our Name As Signed
c� h;Y,s Ott L J5/") t
Parks and Recreation Approval itle Date
YELLOW COPY-CUSTOMER COPY t
PR-108-CB-INDD(10/30/08) t
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City Manager's
Office
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1 M e mo
To: HONORABLE MAYOR AND MEMBERS OF �COUNCIL
1 From: BENNETT BOUCHER, CITY MANAGER AR
Date: December 1, 2009 OF
I Re: CITY MANAGER EVALUATION ACTION ITEMS
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Attached is a compilation of the nine evaluation review categories from individual
council members. There are over 58 items for your review and consideration.
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These items are divided into what can be accomplished within 30 days, 90 days, 180
days as well as items that will need more deliberation and will require appropriation
of funds to complete. I want to thank each council member for providing me with
feedback, and I will make every effort to achieve the desired results.
I
recommend that a workshop be scheduled to review and agree upon the items as
noted. Please keep in mind that the City has no Operating General Reserve Funds
to fall back on in order to implement these action items. It may be necessary for
council to review and amend the 09/10 budget.
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BB:kmm
Attachment
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Organizational Management
Improve the City's human resources, information technology, economic development,grant writing and
public relations capabilities. (Council Member Roberts)
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Inventory the City's core business processes in each Department, mapping of those core processes, and
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1 improvements of those core processes. (Council Member Roberts)
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I Activate the City's business data base. (Council Member Roberts)
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Comprehensive document management system,which aligns City ordinances, inherent processes, and 1
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1 associated forms in a City-wide system. (Council Member Roberts)
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4 Adopt customer service standards; (1)a 24 hour minimal response time to customer inquiries, even if it
I is just an acknowledgement that the customer's inquiry has been received, (2)clearly defined business
i processes and roles and responsibilities in the City, (3) business simplification to the greatest extent
iI possible; and (4) "one-stop shopping" for the City's customers. (Council Member Roberts)
.1 Full year planning calendar, project management tools and an Action Tracking System. (Council Member
i Walsh)
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iLeveraging the functions and/or modules across departments that are available in the Springbrook Fund
Accounting software suite. (Council Member Walsh)
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i Fiscal Management
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I Publish departmental budget issues before each budget workshop. (Council Member Petsos)
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i Prepare a detailed program budget with metrics. (Council Member Roberts)
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I Pursue professional recognition of the City's budget and financial practices. (Council Member Roberts)
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4 Consider using"scenario planning" with respect to the budget formulation process. (Council Member
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i Roberts)
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I Submit quarterly reports to the Council by all of the Departments at the same time. (Council Member
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Roberts)
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1 Development of a five year detailed plan. (Council Member Walsh)
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i Planning
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More timely communication between the City Manager and Council. (Council Member Petsos)
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Master status project planning System. (Council Member Roberts)
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Council to set its policies,goals and objectives for the year earlier in the year(January/February).
(Council Member Roberts)
Enable Council to plan for multi-years. (Council Member Roberts)
Project planning software. (Council Member Roberts)
The development of a Council action tracking system. (Council Member Roberts)
"Events planning"or"Upcoming Events" section on the City's web site, so that the community and
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visitors are better informed about upcoming events in the City in which they might want to participate.
(Council Member Roberts)
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Summary report of the City's Goals and Objectives with regular updates. (Council Member Walsh)
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Staffing
1 Increased oversight of departments without micromanagement. (Council Member Petsos)
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The availability of a full-time, part-time, or contractual human resource professional. (Council Member
I Roberts)
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Development of a City recognition program,which provides for individual and group recognition of
employees. (Council Member Roberts)
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Supervision
iEmployee suggestion systems and Council recognition of Department-level initiatives to improve the
City's business. (Council Member Roberts)
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Ii Consideration of a 360 degree feedback system with the employees and community. (Council Member
1 Roberts)
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iCity-wide employee development standard which provides a minimum of 40 hours of professional
development training for each employee each year. (Council Member Roberts)
City wide report of employee certifications and professional enhancement goals and achievements.
(Council Member Roberts)
Improve information flow between departments effectively and efficiently. (Council Member Walsh)
A
Implement operational controls and checks and balances. (Council Member Walsh)
Relations with Council
' Weekly updates from the City Manager and the Department heads, so that Council receives a summary
of major initiatives and accomplishments during the week. (Council Member Roberts)
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That Council inquiry is responded to within 24 hours. (Council Member Roberts)
The development of professional City human resource services and updated materials. (Council
Member Roberts)
Timely performance reviews, so that staff is aware of improvement opportunities suggested by Council
and the City Manager and can take corrective action accordingly. (Council Member Roberts)
Development of a City-wide individual and team recognition program so that outstanding performance
can be recognized through monetary and non-monetary means. (Council Member Roberts)
Provide a summary of Goals and Objective with the document being regularly updated. (Council
Member Walsh)
Provide a full fiscal year calendar of scheduled workshops, meetings etc. (Council Member Walsh)
Reporting
Provide a daily report to City Council. (Council Member Petsos)
Ensure each City Council Member gets information equally. (Council Member Petsos)
Provide an emergency contact on the City web site,so that residents know who to contact 24 hours a
day when communications with the City are necessary. (Council Member Roberts)
An expanded "Frequently Asked Questions and Answers" section on the City Web Site so that residents,
businesses, and visitors will know what to do and where to go with respect to questions they may have.
(Council Member Roberts)
Provide a Consolidated Staff/Update Report generated on a certain day after Quarter end consolidated
by the City Manager rather than getting individual reports from the depts. (Council Member Walsh)
Provide a full year planning calendar would come into play here for cross department planning of
deliverables. (Council Member Walsh)
Citizen and Intergovernmental Relations
See better relations with Canaveral Port Authority. (Council Member Hoog)
A call or e-mail advising that residents concern will be/is being addressed. (Council Member Petsos)
Provide a 24-hour response standard to citizen inquiries, so citizens know their communications have
been received. (Council Member Roberts)
The development of an expanded, improved upon "Frequently Asked Questions and Answers" section
on the City web site, so residents, businesses, and visitors would know what to do, where to go, etc.
(Council Member Roberts)
The development of a City newsletter to inform the community more effectively about initiatives,
celebrations, upcoming events and meetings. (Council Member Roberts)
Professional/Personal Characteristics
See more cooperation with the Port. (Council Member Petsos)
Professional participation in national and state city manager and league of cities forums that would be j
of benefit to him in his professional development and awareness of"best practices"that would be 1I
beneficial to the City of Cape Canaveral. (Council Member Roberts)
Two things that the Manager does not do now that I would most like him to do:
Maintain a goal/objective list of projects working on and report current status on them
monthly. (Mayor Randels)
Even out flow of items as to time needed to complete them on agenda. (Mayor Randels)
Provide daily report to Council. (Council Member Petsos)
Get out into the community, particularly the business community to become more aware of
issues/concerns and what we as a City can do to help/assist them. (Council Member Petsos)
Action tracking per City Council meeting and results-driven planning for Council. (Council
Member Roberts)
Master Planning for the City, which provides a perspective and performance trends and
metrics for the Council and the Community of where the City is with respect to (Council
Member Roberts)
5
-- Sidewalks,
-- Bikeways;
-- Crosswalks;
-- Lighting;
-- Streets;
-- Bus shelters;
--Water and sewer;
-- Parks;
-- Streetscapes;
-- Redevelopment
-- Green space;
1
-- Municipal signage;
-- Ordinance reviews and updates;
-- Short and long-term planning;
-- Document system and forms management development.
Full year calendaring of dates and meetings for city business, budgeting, etc. This should also
be on the website. (Council Member Walsh)
Provide more consolidated reports for management purposes as well as overall management
reports. (Council Member Walsh)
Summary of the 2010 City Goals and Objectives and ongoing status of same. This should also
be on the website and updated regularly. (Council Member Walsh)
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Items that can be completed within 30 days.
Submit quarterly reports to the Council by all of the Departments at the same time. (Council Member
Roberts)
More timely communication between the City Manager and Council. (Council Member Petsos)
Council to set its policies,goals and objectives for the year earlier in the year(January/February).
(Council Member Roberts)
Project planning software. (Council Member Roberts)
"Events planning" or"Upcoming Events" section on the City's web site, so that the community and
visitors are better informed about upcoming events in the City in which they might want to participate.
(Council Member Roberts)
( Summary report of the City's Goals and Objectives with regular updates. (Council Member Walsh)
Increased oversight of departments without micromanagement. (Council Member Petsos)
Development of a City recognition program,which provides for individual and group recognition of
employees. (Council Member Roberts)
Employee suggestion systems and Council recognition of Department-level initiatives to improve the
City's business. (Council Member Roberts)
City wide report of employee certifications and professional enhancement goals and achievements.
(Council Member Roberts)
Improve information flow between departments effectively and efficiently. (Council Member Walsh)
Weekly updates from the City Manager and the Department heads,so that Council receives a summary
of major initiatives and accomplishments during the week. (Council Member Roberts)
That Council inquiry is responded to within 24 hours. (Council Member Roberts)
Development of a City-wide individual and team recognition program so that outstanding performance
can be recognized through monetary and non-monetary means. (Council Member Roberts)
Provide a summary of Goals and Objective with the document being regularly updated. (Council
Member Walsh)
Provide a daily report to City Council. (Council Member Petsos)
Ensure each City Council Member gets information equally. (Council Member Petsos)
Provide an emergency contact on the City web site, so that residents know who to contact 24 hours a
day when communications with the City are necessary. (Council Member Roberts)
Provide a Consolidated Staff/Update Report generated on a certain day after Quarter end consolidated
by the City Manager rather than getting individual reports from the depts. (Council Member Walsh)
See better relations with Canaveral Port Authority. (Council Member Hoog)
A call or e-mail advising that residents concern will be/is being addressed. (Council Member Petsos)
Provide a 24-hour response standard to citizen inquiries, so citizens know their communications have
been received. (Council Member Roberts)
The development of a City newsletter to inform the community more effectively about initiatives,
celebrations, upcoming events and meetings. (Council Member Roberts)
See more cooperation with the Port. (Council Member Petsos)
Professional participation in national and state city manager and league of cities forums that would be
of benefit to him in his professional development and awareness of"best practices"that would be
beneficial to the City of Cape Canaveral. (Council Member Roberts)
Maintain a goal/objective list of projects working on and report current status on them
monthly. (Mayor Randels)
Even out flow of items as to time needed to complete them on agenda. (Mayor Randels)
Provide daily report to Council. (Council Member Petsos)
Get out into the community, particularly the business community to become more aware of
issues/concerns and what we as a City can do to help/assist them. (Council Member Petsos)
Provide more consolidated reports for management purposes as well as overall management
reports. (Council Member Walsh)
Summary of the 2010 City Goals and Objectives and ongoing status of same. This should also
be on the website and updated regularly. (Council Member Walsh)
3
Items that can be completed within 90 days.
Activate the City's business data base. (Council Member Roberts)
Enable Council to plan for multi-years. (Council Member Roberts)
An expanded "Frequently Asked Questions and Answers" section on the City Web Site so that residents,
businesses, and visitors will know what to do and where to go with respect to questions they may have.
(Council Member Roberts)
Provide a full year planning calendar would come into play here for cross department planning of
deliverables. (Council Member Walsh)
1 Items that can be completed within 180 days.
Full year planning calendar, project management tools and an Action Tracking System. (Council Member
Walsh)
I Publish departmental budget issues before each budget workshop. (Council Member Petsos)
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Consider using"scenario planning" with respect to the budget formulation process. (Council Member
i Roberts)
Development of a five year detailed plan. (Council Member Walsh)
Master status project planning System. (Council Member Roberts)
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The development of a Council action tracking system. (Council Member Roberts)
Action tracking per City Council meeting and results-driven planning for Council. (Council
Member Roberts)
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Items that will need an appropriation of funds to complete.
Improve the City's human resources, information technology, economic development,grant writing and
public relations capabilities. (Council Member Roberts)
Inventory the City's core business processes in each Department, mapping of those core processes, and
improvements of those core processes. (Council Member Roberts)
Comprehensive document management system, which aligns City ordinances, inherent processes, and
associated forms in a City-wide system. (Council Member Roberts)
Adopt customer service standards; (1)a 24 hour minimal response time to customer inquiries, even if it
is just an acknowledgement that the customer's inquiry has been received, (2) clearly defined business
processes and roles and responsibilities in the City, (3) business simplification to the greatest extent
possible;and (4) "one-stop shopping" for the City's customers. (Council Member Roberts)
Leveraging the functions and/or modules across departments that are available in the Springbrook Fund
Accounting software suite. (Council Member Walsh)
Pursue professional recognition of the City's budget and financial practices. (Council Member Roberts)
The availability of a full-time, part-time, or contractual human resource professional. (Council Member
Roberts)
Consideration of a 360 degree feedback system with the employees and community. (Council Member
Roberts)
City-wide employee development standard which provides a minimum of 40 hours of professional
development training for each employee each year. (Council Member Roberts)
Implement operational controls and checks and balances. (Council Member Walsh)
The development of professional City human resource services and updated materials. (Council
Member Roberts)
Master Planning for the City, which provides a perspective and performance trends and metrics
for the Council and the Community of where the City is with respect to: (Council Member
Roberts)
-- Sidewalks,
-- Bikeways;
-- Crosswalks;
-- Lighting;
-- Streets;
-- Bus shelters;
-- Water and sewer;
-- Parks;
- Streetscapes;
-- Redevelopment
-- Green space;
-- Municipal signage;
-- Ordinance reviews and updates;
-- Short and long-term planning;
-- Document system and forms management development.
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