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5851 Nathan Benderson Circle | Sarasota, FL 34235 www.NathanBendersonPark.org | 941-358-7275 NathanBendersonPark @myNBP #myNBP Annual NBP Partners: Robert J. Sullivan, CFE President & CEO Ext: 5815 C: 941.724.6113 [email protected] Sarah Kupiec Event & Volunteer Manager Ext: 5806 C: 941.224.9395 [email protected] Nick Cannavo Event & Volunteer Coordinator Ext: 5808 C: 941.893.7063 [email protected] Meghan Farrell Program Manager Ext: 5812 C: 480.203.3650 [email protected] Robert “Bob” Whitford Director of Operations & Facilities Ext: 5805 C: 941.224.4938 [email protected] Jessica Shorin Director of Business Development Ext: 5801 C: 941.374.3743 [email protected] Melissa Mitchell Marketing & Communications Manager Ext: 5802 C: 770.910.0421 [email protected] Brenda Ward Business Administrator Ext: 5804 C: 941.705.9557 [email protected] COUNTY STAFF CONTACT LIST Office: 941.358.PARK (7275) Fax: 941.358.4988

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Page 1: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

5851 Nathan Benderson Circle | Sarasota, FL 34235

www.NathanBendersonPark.org | 941-358-7275

NathanBendersonPark @myNBP#myNBP

Annual NBP Partners:

Robert J. Sullivan, CFE President & CEO

Ext: 5815

C: 941.724.6113

[email protected]

Sarah KupiecEvent & Volunteer Manager

Ext: 5806

C: 941.224.9395

[email protected]

Nick CannavoEvent & Volunteer Coordinator

Ext: 5808

C: 941.893.7063

[email protected]

Meghan FarrellProgram Manager

Ext: 5812

C: 480.203.3650

[email protected]

Robert “Bob” WhitfordDirector of Operations & Facilities

Ext: 5805

C: 941.224.4938

[email protected]

Jessica ShorinDirector of Business Development

Ext: 5801

C: 941.374.3743

[email protected]

Melissa MitchellMarketing & Communications Manager

Ext: 5802

C: 770.910.0421

[email protected]

Brenda WardBusiness Administrator

Ext: 5804

C: 941.705.9557

[email protected]

C O U N T Y

STAFF CONTACT LIST

Office: 941.358.PARK (7275)Fax: 941.358.4988

Page 2: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

Billing Form for All Tent Rentals

Event Name(s):

Name of Organization:

Contact Person:

Address:

Email:

Phone #:

Tax Exempt: yes=0, no=1 1

Tax Exempt Form Included: YES NO

Cost for One Weekend Rental

Quantity Cost Amount

o 10’x10’ tent/per event 140.00$ -$

o 10’x20’ tent/per event 215.00$ -$

o 20’x20’ tent/per event 240.00$ -$

o 20’x40’ tent/per event 460.00$ -$

o 2 tables/2 chairs/per event 25.00$ -$

o 2 chairs/ per event 3.00$ -$

o 20 chairs/per event 35.00$ -$

o side walls /per foot 1.00$ -$

Cost for Monthly Calendar Rental(Must be same size tent)

o 10’x10’ tent/ month 200.00$ -$

o 10’x20’ tent/ month 300.00$ -$

o 20’x20’ tent/ month 375.00$ -$

o 20’x40’ tent/ month 800.00$ -$

o 2 tables/2 chairs/ month 50.00$ -$

o 2 chairs/ month 5.00$ -$

o 20 chairs/ month 50.00$ -$

o side walls/per foot on tent/month 2.00$ -$

Subtotal -$

Tax 7.00% -$

Total Amount Due -$

Submitted By: ___________________________________Date: ___________

SANCA mandates that any tent larger than two combined 10x10 EZ set up tents must meet specific safety standards

regarding fire and wind load. In order to ensure that these requirements are met, larger tents are required to be

rented through SANCA and installed by the SANCA approved tent contractor. Below you will find the pricing for tent

rentals, please provide your request 10 days prior to the event to ensure availability.

Page 3: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

CERTIFICATE HOLDER

© 1988-2009 ACORD CORPORATION. All rights reserved.ACORD 25 (2009/09)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTION

DEDUCTIBLE

CLAIMS-MADE

OCCUR

$

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

WC STATU-TORY LIMITS

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS

$

COMBINED SINGLE LIMIT(Ea accident)

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE(Per accident) $

$

$

$

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.

INSRADDL

WVDSUBR

N / A

$

$

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

The ACORD name and logo are registered marks of ACORD

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

PRODUCERCUSTOMER ID #:

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

dpn
Typewritten Text
AGENT
dpn
Typewritten Text
Named Insured
dpn
Typewritten Text
Y
dpn
Typewritten Text
Policy#
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
2,000,000
dpn
Typewritten Text
X
dpn
Typewritten Text
Suncoast Aquatic Nature Center Associates, Inc. 5851 Nathan Benderson Circle Sarasota FL 34235
dpn
Typewritten Text
The certificate holder is included as an additional insured as required by written contact or written agreement for the following event (please include event, date and location i.e. 4/5/13 Triathlon, Nathan Benderson Park)
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
SAMPLE CERTIFICATE
Page 4: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

SARASOTA COUNTY GOVERNMENT

REQUIREMENTS FOR CERTIFICATES OF INSURANCE

(FOR DISTRIBUTION TO CONTRACTORS, AND/OR THEIR INSURANCE PROVIDERS)

For those applicable Contracts/Agreements where insurance coverage is required, the Certificate

of Insurance should include the following:

Specific date(s) of the event must be stated clearly on the certificate, if blanket coverage is not already in effect. Type of Insurance Required: General Liability and Occurrence should be checked Each Occurrence = $1,000,000 or more Damage to Rented Premises (Ea Occurrence) = $50,000 Personal & Adv Injury = $250,000 or more General Aggregate = $1,000,000 and up to $2,000,000 is required, this amount will be determined by the County based on the nature of the event.

In the “Description of Operations/Special Provisions” section:

• Sarasota County Government is named as an additional insured, as their interests may

appear on Commercial General Liability

In the “Certificate Holder” section:

Sarasota County Government

Attn: Risk Management

1660 Ringling Blvd., 3rd floor

Sarasota, FL 34236

Certificates of Insurance can be faxed to:

(941)745(3728 Attn: Programs and Policies Coordinator

Page 5: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

1 Revised 12/8/2016

Event Vendor Application For Food and Specialty Products

2016-2017 Event Season

PLEASE PRINT: Company Name______________________________________________________________________________

Contact Name _______________________________________________________________________________

Address_____________________________________________________________________________________

Phone________________________ Fax ____________________E-mail________________________________

Website/Facebook________________________________________ Please check appropriate line: _________ _ Food (consumables) (must meet all County Health & Fire Marshall regulations) ____________ Specialty Items (non- Consumables) Food Vendors Only: List in order of preference, the top 5 items you would like to sell and asking price. 1. ____________________________________ $ ____________ 2. ____________________________________ $ ____________ 3. ____________________________________ $ ____________ 4. ____________________________________ $ ____________ 5. ____________________________________ $ ____________ Space(s) requested (max size allowed 20x20): __________________ Additional fees applied for larger spaces $25/10 ft SANCA mandates that any tent larger than two combined 10x10 EZ set up tents must meet specific safety standards regarding fire and wind load. In order to ensure that these requirements are met, larger tents are required to be rented through SANCA and installed by the SANCA approved tent contractor. Below you will find the pricing for tent rentals, please provide your request 10 days prior to the event to ensure availability.

Tent Rental Size Quantity Cost

o 10’x10’ tent/per event $140.00

o 10’x20’ tent/per event $215.00

o 20’x20’ tent/per event $240.00

o 20’x40’ tent/per event $460.00

Electricity Needs: (please check all that apply) ____Electricity needed (During event only)* ____ Electricity needed (During event & OVERNIGHT)* ___ No electricity needed *If yes, please specify what type of electrical connection & the types of items (coffee pots, crock pots, freezers, trucks): _________________________________

Page 6: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

2 Revised 12/8/2016

Equipment used (refrigerator, trailer, grill & tables, heat press, etc.) ______________________ List any special requirements that you may have: ______________________________________________________________ ______________________________________________________________________________________________________ VENDOR AREA: Please sketch a diagram of your vendor layout

PROOF OF INSURANCE: Commercial Liability and Auto is required for all Vendors, see below (page 4): Manatee/Sarasota County Business Tax # (or exemption receipt): ___________________________ Fl. Sales Tax # (or 501c3 Consumer’s Certificate of Exemption): ___________________________ For Food Vendors: Health Permit or DPBR License #: _____________________________________ Merchandise and food vendors will be provided with one daily parking pass at the venue which will be sent to the address listed above or can be picked up on the set up day. All merchandise and food (size, material, selling price, etc.) sold or distributed at the Event(s) are subject to approval by The Suncoast Aquatic Nature Center Associates, Inc(SANCA) and the Local Organization Committee. Vendors are responsible for paying all fees, and obtaining all permits required by a federal, state and/or local government entity. SANCA is not responsible for collection or submission of any such government fees or filings. There will be a $50.00 charge if SANCA needs to clean up your area after the event. Distribution, layout or hanging of any items outside of the designated booth area is not permitted. All vendors need to be registered and paid seven days before the event. Food Vendors: Registration fee must accompany this form. SANCA may refund any registration fee for any Event at their discretion. No items or merchandise using the event logo may be sold at the events without a signed contract from the event organizer, otherwise said merchandise is subject to forfeiture. For most events, unless otherwise stated, all booths must be completely setup before 5:00pm on the day before an event starts. Booths must be staffed and not broken down until one hour after the last race. Night security will be provided but SANCA and the Local Organization Committee will not be responsible for any lost or stolen items, vandalism or issues that may occur.

Page 7: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

3 Revised 12/8/2016

2016-2017 Event Season List

Accepting applications for October-February events beginning 8/15/16

♦ Level 2: February 18 - American youth Cup I

* February 18 - Superhero 5k

* February 19 - Sarasota 10 5M/10M Run

Level 2: February 25-26 - Sarasota Invitational

Accepting applications for March-September events beginning 12/12/16

* March 11-18: USRowing/FISA/Agitos Foundation International

Level 2: March 11-12 - ITU Triathlon

* March 18: Southeastern Guide Dogs 5k/10K

* March 19: Pedal for Pups/Doggie Bones Run

* March 24-26: Cirque Des Voix

♦ Level 2: March 25 - American Youth Cup II

* March 26: SW Florida’s Battle of the Gym’s Triathlon

Level 2: March 31 – April 1 FIRA Rowing Regatta

♦ Level 2: April 1 - FSRA West District Championships

♦ Level 2: April 2 - Storm Challenge Triathlon

♦ Level 3: April 8-9 - FSRA Sculling Championships

* April 15: My Hometown fest

* April 16: Crosspointe Easter Sunrise Service

♦ Level 3: April 29-30 - FSRA Sweep Championships

* May 6: Promise Walk for Preeclampsia

* May 20: SUP & Run 5k

♦ Level 2: May 27 - American Youth Cup III

♦ Level 2: June 3 – Suncoast international Dragon Boat Festival & SRDBA

Level 4: June 7-11 - USRowing Youth Nationals

● September 23-October 1 - World Rowing Championships

2016-2017 Key:

*Food & non-food vendors handled by Event Host, please visit Nathan Benderson Park

Event Page to contact event host.

♦ Food only, non-food handled by event holder

● Please visit World Rowing Championship website wrch2017.com/ for information

Page 8: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

4 Revised 12/8/2016

VENDOR FEES:

Level 1 Level 2 Level 3 Level 4

Food $150 $250 $350 $600

Non-consumables $100 $200 $300 $500

*Please note that some vending will be handled by the Local Organizing Committee

(LOC) for their events. Pricing for these depends on their fee structure. In cases

where you are interested in an event organized by the LOC, please visit Nathan

Benderson Park Event Page to contact event host.

TO REGISTER Please email, mail, or hand deliver the following items:

Pages 1-5 of Vendor application

Diagram of vendor layout

Insurance certificates

After Review of Application

You will receive an email notification of acceptance or reason for denial.

SANCA will email an invoice for approved event(s)

Submit vendor fee as Cash, Check or Money Order made payable to:

o Suncoast Aquatic Nature Center Associates

(Please indicate event date(s) on checks)

Suncoast Aquatic Nature Center Associates

Attn: Vendor Coordinator

5851 Nathan Benderson Circle

Sarasota, Florida 34235

[email protected]

Page 9: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

5 Revised 12/8/2016

VENDOR INSURANCE REQUIREMENTS: (please submit with your signed application) Required limits for Comprehensive General Liability Insurance for Bodily Injury and Property Damage and Hired Non-Owned Auto Coverage must be at least One Million Dollars ($1,000,000.00) in single limit coverage. All certificates of insurance required by this Agreement must indicate that the insurance may not be canceled without thirty (30) days prior written notice, with 10 days for non-payment of premium. Commercial General Liability Policy must be endorsed to include: Sarasota County Government, The Suncoast Aquatic Nature Center Associates and Regatta Organizing Committee shall all be named as additional insured’s per written agreement. Vendor’s coverage must include a waiver of subrogation in favor of Sarasota County Government, The Suncoast Aquatic Nature Center Associates and Regatta Organizing Committee. Certificates of insurance must be issued to the 2 following entities:

Sarasota County Government, Attn: Risk Management, 1660 Ringling Blvd., 3rd Floor, Sarasota, Fl., 34236

The Suncoast Aquatic Nature Center Associates Inc. 5851 Nathan Benderson Circle, Sarasota, Florida 34235.

Vendor agrees that it shall indemnify, defend and hold harmless the Regatta Organizing Committee, The Suncoast Aquatic Nature Center Associates Inc., Sarasota County Government, all other Regatta Organizations holding the event(s) and each of their officers, volunteers, directors, agents, successors and assigns (hereinafter collectively the “Indemnitees” from and against any and all losses, costs, claims, suits, damages and expenses (including attorney’s fees) arising from or related to vendor’s actions, business activity, booth, advertising or otherwise arising from or related to vendor’s participation in the subject event. In addition, vendor will further hold harmless Indemnitees from any and all losses, direct or consequential, arising from or related to cancellation, postponement, and delay or rescheduling of the subject event, regardless of cause.

If you have questions regarding this form or insurance requirements, please contact: Nick Cannavo at 941-358-7275, e-mail [email protected]

By signing this application, I acknowledge that I have read and agree to the information in the application, and to the terms and conditions outlined by SANCA and The Event Organization Committee. _______________________________________________________ _______________________________ Signature: Title: _______________________________________________________ _______________________________ Printed Name: Date:

Page 10: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

SARASOTA COUNTY GOVERNMENT

REQUIREMENTS FOR CERTIFICATES OF INSURANCE

(FOR DISTRIBUTION TO CONTRACTORS, AND/OR THEIR INSURANCE PROVIDERS)

For those applicable Contracts/Agreements where insurance coverage is required, the Certificate

of Insurance should include the following:

Specific date(s) of the event must be stated clearly on the certificate, if blanket coverage is not already in effect. Type of Insurance Required: General Liability and Occurrence should be checked Each Occurrence = $1,000,000 or more Damage to Rented Premises (Ea Occurrence) = $50,000 Personal & Adv Injury = $250,000 or more General Aggregate = $1,000,000 and up to $2,000,000 is required, this amount will be determined by the County based on the nature of the event.

In the “Description of Operations/Special Provisions” section:

• Sarasota County Government is named as an additional insured, as their interests may

appear on Commercial General Liability

In the “Certificate Holder” section:

Sarasota County Government

Attn: Risk Management

1660 Ringling Blvd., 3rd floor

Sarasota, FL 34236

Certificates of Insurance can be faxed to:

(941)745(3728 Attn: Programs and Policies Coordinator

Page 11: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

CERTIFICATE HOLDER

© 1988-2009 ACORD CORPORATION. All rights reserved.ACORD 25 (2009/09)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTION

DEDUCTIBLE

CLAIMS-MADE

OCCUR

$

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

WC STATU-TORY LIMITS

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS

$

COMBINED SINGLE LIMIT(Ea accident)

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE(Per accident) $

$

$

$

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.

INSRADDL

WVDSUBR

N / A

$

$

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

The ACORD name and logo are registered marks of ACORD

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

PRODUCERCUSTOMER ID #:

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

dpn
Typewritten Text
AGENT
dpn
Typewritten Text
Named Insured
dpn
Typewritten Text
Y
dpn
Typewritten Text
Policy#
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
2,000,000
dpn
Typewritten Text
X
dpn
Typewritten Text
Suncoast Aquatic Nature Center Associates, Inc. 5851 Nathan Benderson Circle Sarasota FL 34235
dpn
Typewritten Text
The certificate holder is included as an additional insured as required by written contact or written agreement for the following event (please include event, date and location i.e. 4/5/13 Triathlon, Nathan Benderson Park)
dpn
Typewritten Text
1,000,000
dpn
Typewritten Text
SAMPLE CERTIFICATE
Page 12: STAFF CONTACT LISTsarasotainvitational.com/SANCAWelcomePacket.pdf · BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

GOLF CART SAFETY RULES & WAIVER

Safety Policy

“It is the intent of the Suncoast Aquatic Nature Center Associates (SANCA) to provide a safe venue and community

park for everyone. Accident and injury prevention is an important part of our job. Working together, we can

achieve our safety goals. Safe working practices and procedures are important to the overall success of our

mission. Employees and/or volunteers operating golf carts must be trained in the safe operation of the vehicle,

authorized to drive the vehicle, and constantly aware of others when driving in the park.”

Operational Procedures

Golf carts must be operated only by those employees and/or volunteers whose job duties require them to

use such a vehicle.

Supervisors/Event Holders are responsible for designating which employees and/or volunteers are

authorized to drive such vehicles.

Employees and/or volunteers may not operate golf carts until they have been fully trained and

authorized.

Golf Cart Safety Procedures

If the golf cart is in need of repair or maintenance, the unit should be taken out of service and the event

manager should be notified immediately.

A golf cart should be operated at a speed equivalent to a well-paced walk but no faster than 10 mph.

Golf cart drivers will observe all Florida vehicle traffic laws such as lane travel, stop signs, legal passing of

other vehicles, etc.

Golf carts must slow down around pedestrian traffic and honk the horn if necessary.

Golf cart operators must use the safety mirrors to ensure pedestrian and passenger safety.

Golf cart operators will reduce speed when turning, going over bridges, or driving through narrow

passageways.

A golf cart should not be operated with more passengers than it is designed to carry.

Golf cart drivers shall insure that all passengers are seated and/or fully disembarked from the vehicle

before driving. Drivers and passengers must remain seated while the vehicle is moving.

All occupants in the golf cart shall keep hands, arms, legs and feet within the confines of the golf cart at all

times when the cart is in motion.

Pedestrians always have the right-of-way. If the golf cart is being operated on a sidewalk, the operator

should slow down and yield to pedestrians.

When the golf cart is not in use, the operator will park in a safe place, place the golf cart control lever in

the “Neutral” position, apply the parking brake, and remove the key.

Golf carts must never be parked where they will block emergency equipment/vehicles, pedestrian

pathways, doorways, or normal traffic flow.

Report any accident or accident to your appropriate supervisor immediately. If a personal injury occurs

that requires immediate medical attention, use the established emergency procedure to initiate such

action.

Golf cart drivers are not permitted to smoke or drink while driving.

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SANCA GOLF CART LIABILITY WAIVER

As driver of this golf cart, you are accepting responsibility for your own negligence. You must operate this vehicle

in a safe manner, and adhere to all rules set forth by the Suncoast Aquatic Nature Center Associates (SANCA) and

Event Holder. You are liable for all medical and legal claims that may arise from any negligent operation of the golf

cart. You voluntarily agree to accept the risks of using a golf cart and on behalf of yourself, your personal

representatives and your heirs hereby voluntarily release the aforementioned business, and its owners, officers,

employees, Sarasota County Parks and Recreation, and agents from any and all claims, actions, causes of actions,

suits, judgments and demands for bodily injury, property damage, loss of life and/or loss of services, in law or

equity, that may in any way or manner arise out of use of this golf cart.

You must be at least 18 years of age and show a valid driver license to drive a golf cart. Under no conditions

are you allowed to let another driver drive this vehicle, unless cleared by the staff upon signing of this waiver.

INITIAL ______

Cart must remain on Nathan Benderson Park property. Please stay on park roads and/or sidewalks at all times.

Do not take cart on nature trails, grass, pond banks, etc. INITIAL ______

No alcohol in Driver’s possession. INITIAL ______

Depending on the size of the cart, a maximum of only 4-6 people is allowed and all passengers must be seated

when the cart is moving. INITIAL______

No children are allowed to sit in and passengers or drivers lap. INITIAL _______

Cart must be parked on your site & key removed and given to the volunteer coordinator or designated golf

cart key holder. INITIAL______

Anyone observed abusing golf cart rules and regulations will forfeit all rental privileges immediately. This

includes reckless driving, speeding, or allowing underage guests to operate the cart. INITIAL ______

It is strictly forbidden that a minor or any individual without a valid driver’s license operate this vehicle. At no time

may a minor have a hand or hands on the steering wheel when the vehicle is moving. This requires you to have

possession/control of vehicle keys when not in use.

Golf carts are a motorized vehicle and driving or riding in these vehicles can lead to serious injury, property

damage and even death. The use of this vehicle is for transportation of spectators between the parking lot and

various facilities within the park, and it should be used only on designated pathways. No excessive speed, joy

riding, disregard of traffic signs, or any type of unreasonable activity with the golf cart will be tolerated by SANCA.

You must not attempt to transport more people than the cart was designed for. In no way should the use of this

vehicle be seen as SANCA or Nathan Benderson Park endorsing this vehicle as a form of recreation or fun. If SANCA

determines in it’s sole discretion that you have misused the golf cart in any way, it will have the authorization to

terminate your use of the golf cart.

If any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full

force and effect. Driver acknowledges receipt of the golf cart to be in a safe condition and in working order.

I HAVE CAREFULLY READ, UNDERSTAND AND VOLUNTARILY AGREE TO THE TERMS ABOVE.

Golf Cart Driver Signature:___________________________________________Date ______________________

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SANCA Volunteer Application 2016-17

Please print

First Name……………………………………………. Last Name…………….............................................................

Address City/State/Zip………………………………………………………………………………………………………………………….

Telephone…………………………………………………….Email Address…………………………………………………………………

Personal Information (please circle correct response): Gender: Male Female

Shirt size: S M L XL 2XL 3XL

Additional language skills: Spanish French German Italian Russian

Chinese Japanese Polish Arabic Portuguese Other:__________

Physical Limitations: No Yes (Please Explain)

…………………………………………………………………………………………………………………………………………………………….

What activities are you most interested in assisting with? (Circle all applicable)

Parking Hospitality Athlete Support Launch boat driving golf cart driving

Stakeboat holding Check-in Crowd Control Refereeing

Volunteer availability: (Circle all applicable)

Number of Days per week: 1 2 3 4 5

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

In an emergency, notify:

Name: ……………………………………………………………………………………………………………………………………………

Address City/State/Zip………………………………………………………………………………………………………………..……

Telephone………………..……………………….…… Relationship: ……………………………………………………………..

I hereby agree to serve SANCA who is assigned regardless of race, sex, creed or national origin.

……………………………………………………………………………………………………………………………………………………………….

(Signature/Volunteer) (Signature/SANCA Approval) (Date)

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SANCA Volunteer Liability Waiver, Florida Statute Compliance, Photo Release

LIABILITY WAIVER: I acknowledge that my participation is completely voluntary and is being undertaken

without promise or expectation of compensation. I, the undersigned, for myself, my heirs, and assigns hereby

release and discharge Sarasota County Parks and Recreation Department, Sarasota County Government, Suncoast

Aquatic Nature Center Associates (SANCA) and agents, and any participating organizations for any claims or

damages of injury I may incur for my participation in this voluntary community event. I understand that my

involvement involves a risk of injury and that illness may result from my participation. I further state that I am in

proper condition for participating in this event. I can be released from my voluntary participation in the

aforementioned activities for any reason or no reason at all without notice; and I am not entitled to any recourse

in the event I am released. I hereby give my permission for SANCA to use any still photograph or video footage in

which I may appear for whatever purpose(s) deemed appropriate and this is done voluntarily and with the

understanding there is no remuneration for my time or services rendered.

FLORIDA STATUTE COMPLIANCE: I acknowledge that my participation will subject me to compliance

requirements under 2004 FLORIDA STATUTES; TITLE XLVII; Chapter 943.043. This statute allows governing

authorities to conduct background checks for criminal information maintained by the Florida Department of Law

Enforcement. Non-disclosure of prior conviction(s) could result in criminal prosecution.

PHOTO RELEASE: I also give my permission to Sarasota County, SANCA, and any other agencies and/or

companies to reproduce any photographs or video taken during the event.

BY SIGNING THIS DOCUMENT I ACKNOWLDEGE THAT I HAVE READ THE TEXT OF THE LIABILITY WAIVER, FLORIDA

STATUTE COMPLIANCE, AND PHOTO RELEASE, AND AGREE TO ALL TERMS SETFORTH HEREIN.

(PLEASE PRINT & WRITE LEGIBLY)

First Name……………………………………………. Last Name……………........................................

Address ………………………………………………………………………………………………………………………….

City/State/Zip………………………………………………………………………………………………………………………….

County of Residence………………………………………………………………………………………………………………………….

Telephone……………………………………………………………………………..

Date of Birth…………………………………………

ALL MINORS UNDER 18 YEARS OF AGE WILL NEED TO PROVIDE PARENTAL CONSENT UPON ACCEPTANCE.

PARENTAL SIGNATURE______________________________________________

FDLE__________(Date)

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5851 Nathan Benderson Circle | Sarasota, FL 34235

www.NathanBendersonPark.org | 941-358-7275

NathanBendersonPark @myNBP#myNBP

Annual NBP Partners:

SANCA RESPONSIBILITY FOR EVENT MARKETING• EventlistedonNBPEventSchedule

• Eventlistedonwww.NathanBendersonPark.orgeventcalendar

• EventshowcasedontheelectronicsignsaroundNBP

• ProvideNBPsocialmedialinksandhandles

• ProvideNBPlogofilesviadropboxlink:https://www.dropbox.com/sh/r5rx0zldpf4a7jo/AAA-gw9rsOc_sMYhHnlAzZeWa?dl=0

• EventmentionsonNBPFacebookpage

REQUIRED FROM EVENT RIGHT HOLDER TO VENUE• Highresolutioneventlogo

• Socialmedialinksandhandles

• Eventtimes,description,websitelink,etc.

• Marketing/Communicationspointofcontactforevent

• Contactforeventphotographerordronevideographerifbeingutilized

• Ifaswagbagispartoftheevent,opportunityforNBPtoplaceinformationalpacketorpromoitems

• Notificationandoptiontoreviewifpressrelease/mediaadvisorybeingissued

• Ifapplicable,alinktotheeventFacebookpageandalistofanydatesNBPshouldbeawareofpertainingtotheevent

• PLEASENOTE:Venueshouldonlybelistedas“NathanBendersonPark”or“NBP”.Noshortenedversionofthevenuenameshallbepermitted

OPTIONAL MARKETING OPPORTUNITIES• FacebookadthroughNBPpageatanadditionalcost

(tobedeterminedwitheventrightholder)

• FacebookeventpagecreatedbyNBP

• EventlistedonVisitSarasotaCounty’seventcalendar

• 8.5”x11”portraitstyleflyerinthreekiosksaroundpark(musthaveNBPlogopresent)

• Pressrelease/mediaadvisorytolocalmediawithNBPassistanceifneeded

•NBPcoordinatedpromotionalitems

C O U N T Y

Melissa MitchellMarketing&[email protected]|941.358.7275x5802

Jessica ShorinDirectorofBusinessDevelopment

[email protected]|941.358.7275x5801

MARKETING AT NBP

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5851 Nathan Benderson Circle | Sarasota, FL 34235

www.NathanBendersonPark.org | 941-358-7275

NathanBendersonPark @myNBP#myNBP

Annual NBP Partners:

FACTS• 600-acreSarasotaCountyparkthatincludes400-acrelake

• Three-lane,5kpavedpatharoundperimeteroflake

• LocatedparalleltoInterstate75,betweentheUniversityParkway&FruitvilleRoadexits

• Lakefeaturesa2,000metersprintrowingcourse

• OwnedbySarasotaCountyandoperatedbySuncoastAquaticNatureCenterAssociates,Inc.(SANCA)

• Recreationalactivitiesincludenon-motorizedboating,fishing,bird-watching,andtrailsforjogging,walking,cycling,andrelatedactivities

• Specialeventopportunitiesincludepaddlesportcompetitions,triathlons,5k-10kfunruns,adaptiverowing,corporateevents,andmore

• Named2015“VenueoftheYear”bytheFloridaSportsFoundation

PARK HISTORY• SarasotaCountypurchasedthesiteintheearly1990s

• BendersonDevelopmentpurchaseda101acreeasementfromtheCountyandagreedtodevelopaparkplanfortheCounty’sconsiderationaspartofthedevelopmentofUniversityTownCenter

• NathanBenderson,founderofBendersonDevelopment,envisionedacommunityparkwherelocalresidentscouldwalk,bike,andfish

• In2009,theparkhelditsfirstsuccessfulregattas

• In2010,SuncoastAquaticNatureCenterAssociates,Inc.(SANCA)wascreated

• Constructionattheparkbeganin2011andiscurrentlytwo-thirdscomplete

• Thethirdandfinalphaseincludesconstructionofafinishingtower-tobecompleteinlate2016;andafutureboathouse

ABOUT SANCA• Non-profitorganizationcreatedtooperate,maintain,and

raisefundsforNBP

• SANCA’sprimarypurposeistoimprovethequalityoflifeforourcommunityandbeaneconomicgeneratorforourregion

• Responsibleforlogisticsofcompetitiveevents,communityevents,communityprograms,andteamtrainingprograms

• Recruitsandmanagesavolunteerbasetoassistwitheventsandparkoperations

C O U N T Y

NBP FACT SHEET

masters regatta CountryCity Name

2018

masters regatta

2018

2018

masters regatta

2018

masters regatta

CountryCity Name

masters regatta Florida, USASarasota-Bradenton

2018

masters regatta Florida, USASarasota-Bradenton

2018

2018

masters regatta

Florida, USASarasota-Bradenton

2018

masters regatta

Florida, USASarasota-Bradenton

CountryCity Name

CountryCity Name

masters regatta CountryCity Name

20XX

Enso

Year

Identity

Category Local Location

Centred

60:40 Ratio

Examples:

Templates:

Local Graphic Design

Please note: Check the correct Trade Mark and Registered symbols are used in realation to location of the event.

Masters Regatta logo template & examples:

masters regatta Florida, USASarasota-Bradenton

2018

masters regatta Florida, USASarasota-Bradenton

2018

2018

masters regatta

Florida, USASarasota-Bradenton

2018

masters regatta

Florida, USASarasota-Bradenton

Examples:

Masters Regatta Logo Examples (Pink Option)::

FUTURE MAJOR EVENTS

•2017USRowingYouthNationals

•2017WorldRowingChampionships

•2018TheNCAARowingNationalChampionships

•2018WorldMastersRowingChampionships

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Individual Participant Survey

City & State of Origin: _________________________________

Number of People Traveling with You: ____________________

Are you staying in paid-accommodations? Yes No

Type of lodging accommodations: Hotel/Motel Condo Vacation House

Name of lodging property:________________________________

How many nights will you stay in Sarasota? _________________

Estimated # of rooms or units per night:____________

Information garnered from this document will only be used for economic impact

purposes. The collection of this information is crucial for the future success of

this event. Thank you for your participation.

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Team Survey

Team Name: _______________________________________________

Team City: _________________________________State____________

Number of Athletes_____________

Number of Coaches_____________

Number of Spectators: Youth ___________ Adult______________

Are you staying in paid-accommodations? Yes No

Type of accommodations: Hotel/Motel Condo Vacation House

Name of team accommodation:________________________________

If different from above, name and type of spectator accommodations:

________________________________________________________

How many nights will your team stay in Sarasota? ________________

Estimated # of rooms or units per night:____________

Information garnered from this document will only be used for economic impact

purposes. The collection of this information is crucial for the future success of

this event. Thank you for your participation.

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