HomeMy WebLinkAbout26150AGREEMENT INFORMATION
AGREEMENT NUMBER
26150
NAME/TYPE OF AGREEMENT
BLACK SCORPION PERMITTING & PRODUCTIONS, LLC
DESCRIPTION
USE AGREEMENT/MARINE STADIUM PARKING
LOT/FILMING/MATTER ID: 26-1306
EFFECTIVE DATE
ATTESTED BY
TODD B. HANNON
ATTESTED DATE
5/28/2026
DATE RECEIVED FROM ISSUING
DEPT.
6/1/2026
NOTE
DOCUSIGN AGREEMENT BY EMAIL
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
CITY OF MIAMI
DOCUMENT ROUTING FORM
ORIGINATING DEPARTMENT: DREAM
DEPT. CONTACT PERSON: Yunior Santana EXT.
NAME OF CONTRACTUAL PARTY/ENTITY: BLACK SCORPION PERMITTING AND PRODUCTIONS, LLC
IS THIS AGREEMENT TO BE EXPEDITED/RUSH
TOTAL CONTRACT AMOUNT: $
TYPE OF AGREEMENT:
❑ MANAGEMENT AGREEMENT
❑ PROFESSIONAL SERVICES AGREEMENT
❑ GRANT AGREEMENT
❑ EXPERT CONSULTANT AGREEMENT
❑ LICENSE AGREEMENT
❑ YES NO
FUNDING INVOLVED? OYES ONO
❑ PUBLIC WORKS AGREEMENT
❑ MAINTENANCE AGREEMENT
❑ INTER -LOCAL AGREEMENT
❑ LEASE AGREEMENT
❑ PURCHASE OR SALE AGREEMENT
OTHER: (PLEASE SPECIFY: Marine Stadium - 05/14/2026 - Filming
PURPOSE OF ITEM (DETAILED SUMMARY/ADD ADDITIONAL PAGES IF NECESSARY)
COMMISSION APPROVAL DATE: / /
FILE ID:
ENACTMENT NO:
IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN:
This is a Marine Stadium event which the use is consistent with the usage of the facility
ROUTING INFORMATION
Date
PLEASE PRINT AND SIGN
APPROVAL BY DEPARTMENTAL DIRECTOR
May 14, 2026 111:40:33 EDT
PRINT: David Pivovarov
SIGNATURE:tLL
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SUBMITTED TO RISK MANAGEMENT
PRINT:
SIGNATURE:
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May 15, 2026 1 09:09:18 EDT
SUBMITTED TO CITY ATTORNEY LSR 04702
PRINT: GEORGE K. WYSONG III
SIGNATURE:
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May 18, 2026 116:56:05 EDT FAQ
APPROVAL BY ASSISTANT CITY MANAGER
PRINT: ERICA PASCHAL DARLING
SIGNATURE
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May 19, 2026 1 09:32:27 EDT
APPROVAL BY DEPUTY CITY MANAGER
PRINT: NATASHA
SIGNATFWBROOK-WILLIAMS
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84B700975DE
May 21, 2026 16:53:12 EDT
RECEIVED BY CITY MANAGER
PRINT: JAMES REYES
SIGNATURE:
(-SSigned
May 27, 2026 111:21:30 EDT
SUBMITTED TO THE CITY CLERK
May 28, 2026 1 00:19:12 EDT
PRINT: TODD B. HANNON
SIGNATURE:
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PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE
EXECUTION BY THE CITY MANAGER
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
USE AGREEMENT FOR EVENT SPACES
MARINE STADIUM PARKING LOT
Hb$L
81g:eLS6FLl.bH4Th.. e�: SE AGREEMENT, hereinafter referred to as the "Agreement," made this day of
, 2026 ("Effective Date"), by and between the City of Miami, a municipal
..
BLACK SCORPION PERMITTING AND PRODUCTIONS, LLC
corporation in the State of Florida, hereinafter referred to as the "CITY," and ,
a Florida Limited Liability Company with offices located at 3930 SW 60th Avenue Miami, FL 33155
hereinafter referred to as the "USER." The CITY and USER may each be individually referred to as a "Party"
or collectively as the "Parties."
RECITALS
WHEREAS, the City owns and is responsible for the operation and management of the Commodore
Ralph E. Munroe Marine Stadium, located at 3501 Rickenbacker Causeway, Miami, FL 33149, as further
defined in Section 53-51 of the City of Miami Code of Ordinances, hereinafter referred to as the
"PROPERTY"; and
WHEREAS, USER wishes to use the parking lot portion of the PROPERTY for the purpose of
Filming
, hereinafter referred to as the "EVENT"; and
NOW THEREFORE, in consideration of the covenants and agreements hereinafter set forth, the
sufficiency of which are acknowledged, the CITY and USER hereby agree as follows:
1. INCORPORATION OF RECITALS AND EXHIBITS:
The Recitals are true and correct and are hereby incorporated into and made a part of this Agreement.
The following exhibits are attached hereto and are hereby incorporated into and made a part of this
Agreement:
Exhibit A — Event Schedule
Exhibit B — Map of Use Area
Exhibit C — Insurance Requirements
Exhibit D — Anti -Human Trafficking Affidavit
Exhibit E — Marine Stadium Reservation Application
Exhibit F — Certificate of Insurance
In the event of a conflict between the provisions of this Agreement or any of its exhibits, the conflict
shall be resolved in favor of this Agreement and thereafter will be given priority in the order
indicated above. Additionally, all references to "days" shall mean calendar days unless expressly
stated otherwise.
2. TERM
This Agreement shall be effective from the date first written above, until the date on which all
applicable fees and charges for the EVENT have been paid to CITY and all obligations by USER
have been completed, unless terminated earlier as provided for herein.
3. EVENT AND USE PERIOD:
The EVENT is for the purposes set forth in the recitals, which will take place at the PROPERTY
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within the USE AREA, as defined below. Unless otherwise explicitly provided hereunder, USER
shall be completely responsible for the production, coordination and management of the EVENT
including its compliance with applicable laws and all the requirements to conduct the EVENT set
forth herein, at its sole cost and expense.
The dates and times in which the USER may enter the site to commence set up ("Load -In"), conduct
the EVENT ("Event Day"), and dismantle and remove all equipment and materials ("Load -Out")
are as set forth in Event Schedule attached and incorporated in Exhibit A. The timeframe between
the commencement of the Load -In period and the conclusion of the Loud -Out period, inclusive of
all Event Days, is hereinafter referred to as the "USE PERIOD."
USER hereby agrees that the Load -In, Event Day(s), and Load -Out periods must end by the dates
and times specified in the Event Schedule attached and incorporated in Exhibit A. An overage fee
of $5,000.00 for every day, or prorated fraction thereof, beyond the specified end time will apply. If
USER exceeds use of the USE AREA beyond the specified end times, the same shall be considered
a breach of this Agreement and USER shall be responsible under this Agreement for all other fees
and costs incurred by the City as a result of the same. In no event shall the aforementioned language
restrict the CITY from pursuing such remedies in equity or law available to it for USER's failure to
comply with the timeframes specified herein.
a. Sound Level & Hours:
USER understands that the CITY's events policy limits the use of sound -making devices,
instruments, or any amplification thereof ("Sound -Making") to a maximum level of 100
decibels, as measured 60 feet from each stage or source. USER acknowledges that the
standard hours of operations for Sound -Making shall be until 11:00 p.m. from Sundays
through Thursdays, and until 12:00 a.m. on Fridays and Saturdays. USER agrees that all
sound checks must be coordinated with and approved by the CITY's staff in advance.
If the USER does not address any instance of sound level non-compliance within five (5)
minutes of being notified by the CITY's representative, a fine of $1,000 will be imposed for
each occurrence. Additionally, if the USER fails to meet the specified requirements after
three (3) instances of non-compliance and notice thereof, the CITY has the right to
immediately terminate the usage of the USE AREA without any liability to the CITY.
b. Dispensing of Alcoholic and Non-alcoholic Beverages:
Prior to the dispensation of any alcoholic beverages on the USE AREA, the USER shall be
required to obtain all necessary regulatory permits and approvals. USER hereby agrees that
if any alcoholic beverages are vended at the EVENT, USER will use alcohol wrist -banding
staff to ensure consumers of alcohol are of the appropriate age. USER agrees to dispense a
maximum of two (2) beers and/or wine beverages per person at time of purchase.
USER hereby agrees to dispense all beverage products in plastic or paper cups only. Glass
or metal containers, as well as canned or bottled goods, shall be strictly prohibited.
4. USE AREA:
The CITY hereby grants USER a temporary, non-exclusive, and revocable license to enter and
occupy the USE AREA, as defined herein, solely for the purposes specified above and during the
USE PERIOD. As used in this Agreement, "USE AREA" means the portion of the PROPERTY
outlined in the Map of Premises attached and incorporated as Exhibit B, which may be utilized by
the USER as authorized by the CITY pursuant to this Agreement. In no event shall USER's
utilization of the site for the EVENT extend beyond the USE AREA.
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a. Marine Stadium:
Without limitation of the foregoing, USER shall not enter or otherwise have access to the
Marine Stadium structure, which is currently undergoing repair and other construction
related activities. By its execution of this Agreement, USER acknowledges and accepts the
foregoing and shall take all necessary steps to ensure that neither USER's staff, agents, nor
attendees will enter or access the Marine Stadium structure.
b. Restroom Facilities:
USER hereby agrees to provide adequate portable restroom facilities, which shall be open
and operational during the USE PERIOD.
c. Control of Access:
The CITY shall have the right to enter and/or access the STADIUM and any portion thereof,
including the USE AREA, at any time as it deems necessary. USER shall not prohibit the
CITY'S access at any time. USER hereby agrees to respond to any reasonable CITY request
during the USE PERIOD of the EVENT.
d. Notice/Si2na2e:
The CITY reserves the right to restrict placement of banners and other signage in the
PROPERTY. In the event USER requires the redirection of its staff, agents, invitees, or
members of the public to a certain area of the PROPERTY, the USER shall be required to
obtain prior written consent from the CITY, which may be withheld or conditioned. Upon
receiving written consent of the CITY, USER shall place appropriate signage in the manner
approved by the City.
5. CONDITION OF USE AREA:
USER has inspected, or has been given the opportunity to inspect, the USE AREA, prior to execution
of this Agreement, and accepts it in its present condition. Upon the conclusion of the EVENT, USER
will diligently commence and continuously work to restore the USE AREA and all other affected
areas of the PROPERTY to the same or better condition as provided, subject to CITY's sole and
absolute approval, which may be withheld or conditioned. USER shall complete all restoration no
later than the completion of the USE PERIOD.
USER shall make a qualified representative available to review, discuss, and implement a course of
action in the event there is damage to the PROPERTY. An inspection of the USE AREA with
USER's qualified representative and a CITY representative will be made upon conclusion of the
EVENT. Should the USER fail to complete the PROPERTY's restoration on or before the
conclusion of the USE PERIOD, including repairs of all damage, the CITY shall have the authority
to seek all legal and equitable remedies available to it, including, but not limited to, application of
the Deposit. The City shall further have the right, but not the obligation, to restore applicable
portions of the PROPERTY, at its sole discretion and at the expense of the USER, which may be
imposed as an ADDITIONAL CHARGE.
6. COMPLIANCE WITH APPLICABLE LAWS, RULES, AND REGULATIONS:
a. USER accepts this Agreement and hereby acknowledges that USER's strict compliance with
all applicable federal, state and local laws, ordinances and regulations is a condition of this
Agreement, and USER, and any of its employees, agents or performers, shall comply
therewith as the same presently exist and as they may be amended hereafter including, but
not limited to, Americans with Disabilities Act ("ADA"), and all laws prohibiting
discrimination.
b. By execution of this Agreement, USER acknowledges that it has received and fully
understands the Rules and Regulations specified in the Marine Stadium Reservation Form
attached and incorporated herein as Exhibit D. USER hereby represents and warrants to the
CITY that USER shall abide by each, as well as any additional rule that the City may
reasonably impose for the use of the USE AREA, and shall not permit the violation of any,
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rule or regulation set out therein.
c. USER represents and warrants that during the term of this Agreement it will obtain and
maintain all required permits and approvals necessary to conduct the EVENT. USER may
be required to work with the City of Miami Special Events Office, Police Department, and
Office of Fire Prevention at least thirty (30) days prior to the EVENT to ensure public safety
requirements (including but not limited to Police and Fire Department presence
requirements) are confirmed and any required assembly permit is properly obtained from
the City of Miami.
d. The CITY is entering into this agreement in its capacity as owner of the PROPERTY and
not in its regulatory capacity as a municipal corporation. Accordingly, USER acknowledges
that nothing in this Agreement shall prejudice the CITY's regulatory authority to impose
requirements or conditions which are required by Federal, State, County, and/or City
ordinances and zoning regulations or are otherwise necessary to ensure the public health,
safety, and welfare of the citizens of the CITY. The CITY reserves the right to evaluate all
applications for building permits for compliance with all existing laws, ordinances, and
regulations controlling the issuance of building permits for construction. No approvals
granted pursuant to this Agreement shall waive the requirement for USER to obtain all
regulatory approvals from the City or other regulatory authority as may be required by
applicable laws.
e. USER represents and warrants that during the term of this AGREEMENT, it will not use or
employ the USE AREA, or any other City owned property, to handle, transport, store or
dispose of any hazardous materials and that it will not conduct any activity on USE AREA
or City owned property in violation of any applicable environmental laws.
f. USER represents and warrants that it is aware of the restrictions contained in Chapter 53 of
the City of Miami Code of Ordinances, titled "Stadiums and Convention Centers," including
but not limited to Section 53-1, titled "Ticket surcharge on paid admissions to events" and
Sections 53-51 through 53-53 titled "Marine Stadium" and shall comply with all specified
requirements.
g.
USER represents and warrants that it is aware of the restrictions contained in Sections 22-
180 through 22-185 of the Code of the City of Miami entitled "Handbills" and that it will
comply with all of the requirements therein with respect to the distribution of commercial
handbills. Should USER fail to comply, it shall be responsible for the payment of any fines
imposed pursuant to applicable law, including fines which may be imposed upon the CITY.
Payment for fines imposed upon the CITY for USER's failure to comply must be made
within ten (10) days of receipt thereof, or they may be deducted from the Deposit, as defined
herein, plus a fifteen percent (15%) administrative fee.
h. Anti -Human Trafficking: USER confirms and certifies that it is not in violation of Section
787.06, Florida Statutes, and that it does not and shall not use "coercion" for labor or services
as defined in Florida Statute, 787.06. The USER shall execute and submit to the CITY an
Affidavit, of even date herewith, in compliance with F.S. 787.06(13), attached an
incorporated herein as Exhibit E. If the USER fails to comply with the terms of this Section
the City may suspend or terminate this Agreement, immediately without prior notice, and
in no event shall the CITY be liable to USER for any additional compensation or for any
consequential or incidental damages.
Further, the USER, and any of its employees, agents or performers, hereby agrees to comply
with all regulations regarding travel to and from the United States as promulgated by the
U.S. Depaitnient of Treasury, Office of Foreign Assets Control ("OFAC") and the U.S.
Department of State.
Violation of any federal, state or local law, rule, or regulation shall be grounds for immediate
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termination of all rights and benefits conferred to USER pursuant to this Agreement, which
will include without limitation the forfeiture of all deposits due to the CITY.
1. COMPENSATION: $802.50
USER shall pay to the CITY a use fee equal to ("USE FEE")
pursuant to Sec. 53-53 of the City of Miami Code of Ordinances and in consideration of the
authorization granted to USER herein. Additionally, USER shall pay all other fees and costs due to
the CITY under this Agreement, including, without limitation, any fees or costs imposed upon the
PROPERTY and costs for applicable support staff provided by CITY pursuant to the terms of this
Agreement ("ADDITIONAL CHARGES").
Without limitation of the foregoing, USER shall be responsible for all costs involved in the
presentation of the EVENT, including, without limitation: all Broadcast Music, Inc. and American
Society of Composers, Authors, and Publishers license fees, all staffing and all charges for police,
fire rescue & inspector and/or assembly permit, security, building electrical and plumbing permits,
insurance, all utilities, supplies, equipment rental, ticket surcharge, all applicable taxes, including
State of Florida Sales Tax and other services.
2. TERMS OF PAYMENT:
All payments from USER to the CITY shall be by cashier's or certified check drawn from a local
bank or credit card acceptable to the CITY.
USER shall submit to the CITY the USE FEE in the following manner:
• Ten percent (10%) of the USE FEE, which is a non-refundable deposit, due within ten (10)
calendar days of the initial request;
• Forty percent (40%) of the USE FEE, which is also a non-refundable deposit, due within
sixty (60) calendar days prior to the commencement of the EVENT; and
• The remaining fifty percent (50%) of the USE FEE due thirty (30) days prior to Event.
Except as otherwise explicitly provided herein, the ADDITIONAL CHARGES shall be paid to the
CITY within thirty (30) days after the conclusion of the USE PERIOD.
3. TICKETS:
a. Ticket Surcharge:
In addition to the USE FEE, USER agrees to pay to the CITY all applicable ticket surcharges
as set forth in Section 53-1(b) of the Code of the City of Miami and ordinance 10509 of the
City of Miami, as amended. As adopted on October 26, 2017, the applicable ticket
surcharge is as follows:
• $0.75 on all tickets between $1.00 to $14.99;
• $1.00 on all tickets between $15.00 to $29.99;
• $2.00 on all tickets $30.00 to $99.99;
• $3.00 on all tickets $100.00 to $249.99;
• $5.00 on all tickets $250.00 to $499.99;
• $10.00 on all tickets $500.00 to $999.99; and,
• $12.00 on all tickets $1,000.00 and over.
The ticket surcharge, or an amount equal to the ticket surcharge, shall also apply to all
complimentary tickets except as provided hereunder. The amount of the ticket surcharge
shall be paid no later than sixty (60) days after the conclusion of the EVENT.
b. COMPLIMENTARY TICKETS:
USER shall have right to distribute up to three percent (3%) of total tickets for promotional
or public use. The CITY shall receive two (2) tickets for every two hundred (200) expected
attendees for official CITY use (up to a maximum of twenty (20) tickets per EVENT day)
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without payment of a ticket surcharge. USER agrees to provide CITY with such
complimentary tickets no later than five (5) business days prior to the EVENT.
c. TICKET POLICY:
USER agrees that all ticketed portions of the EVENT may be monitored by CITY staff.
The CITY may hire ticket counting staff with a supervisor, at USER's expense, to track
the number of patrons entering the facility and to report the number of ticket sales.
USER shall pay all applicable taxes and service charges related to tickets.
USER agrees to submit a valid ticket manifest three (3) days prior to the opening of the
gates. There will be no exceptions. CITY reserves the right to access and count all ticket
stubs. Failure to provide a valid ticket manifest may result in a non-compliance fee as
outlined below. The fee will be assessed on all tickets counted by the CITY, including
complimentary tickets.
1,000 to 9,999 tickets
10,000 to 19,999 tickets
20,000 + tickets
$10,000.00 non-compliance fee
$20,000.00 non-compliance fee
$30,000.00 non-compliance fee
4. ADVERTISING:
When advertising for the EVENT, the correct address for Marine Stadium is 3501 Rickenbacker
Causeway, Miami, FL 33149.
5. FOOD & ARTS & CRAFTS LOCATIONS:
The CITY and the City of Miami Fire Marshall reserve the right to designate or reject the location
of all food and craft booths for the EVENT with prior notification to the USER.
6. SECURITY:
USER shall be responsible for securing the immediate premises around the EVENT and providing
adequate security personnel for the EVENT, at USER's cost, including but not limited to, all
necessary perimeter/t-shirt event security and sworn police officers required by the City of Miami's
Police Department. In the event security is not adequate in the sole discretion of the CITY, the CITY
may elect to provide additional security. USER shall be responsible for any costs associated with
additional security deemed necessary by the CITY.
7. CATERING:
USER, at its own cost, shall provide catering, food and beverages and the cleanup of the designated
food area during the EVENT. If USER elects to provide catering, it must inform the CITY in writing
as soon as possible, however, no later than thirty (30) days prior to the commencement of the USE
PERIOD. The CITY, in its sole discretion, may require additional insurance coverages beyond those
attached hereto. USER must provide all required licensing and certificates of insurance evidencing
all required insurance coverages required by the CITY no later than thirty (30) days prior to the
commencement of the USE PERIOD. If USER elects to serve alcoholic beverages, USER must
obtain a temporary alcohol license. USER is strictly prohibited from providing catering, food, and/or
beverages without first complying with the requirements of this Section. USER must adhere to all
State, County, and Municipal health codes, rules and regulations while providing catering, food, and
or beverages.
The CITY retains the right to hire, at USER'S cost and expense, a Concession Coordinator, whose
responsibility will be to oversee and approve the coordination of all concession operators, and to
report to the CITY and require immediate correction of any acts that do not conform to this
Agreement, including, but not limited to, the adherence of all State, County, and Municipal health
codes, rules and regulations.
8. INSURANCE:
USER shall obtain and maintain in force and effect, for the duration of the USE PERIOD, such
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insurance policies, coverages, and conditions deemed acceptable by the CITY's Office of Risk
Management, including those policies, coverages, and conditions set forth in the attached and
incorporated Exhibit C. The City of Miami shall be named "Additional Insured" on all policies. Any
questions regarding Insurance should be directed to the Insurance Administrator, Risk Management
Division, 444 SW 2nd Avenue 9th Floor, Miami, Florida 33130, (305) 416-1604. USER shall
furnish all insurance certificates required by the City of Miami Insurance Administrator, no later
than thirty (30) days prior to the commencement of the USE PERIOD. USER agrees to provide upon
request copies of any and all insurance policies and corresponding endorsements in connection with
this Agreement within five (5) business days from the CITY' S request. USER is prohibited from
using any portion of the USE AREA prior to providing a certificate of insurance demonstrating
adherence to all insurance requirements herein. Failure to provide such certificate of insurance by
the time provided shall be grounds for termination of this Agreement.
9. INDEMNIFICATION:
USER agrees to indemnify, defend, covenant not to sue and hold harmless forever the CITY, and
all the CITY's members, officials, officers, agents and employees (collectively referred to as the
"Indemnitees"), from and against all losses, costs, penalties, fines, damages, claims, expenses
(including attorney's fee and costs), and liabilities (collectively referred to as "Liabilities") arising
out of, resulting from, or in connection with (i) the EVENT and/or the use of the USE AREA, (ii)
the performance or non-performance of this Agreement, whether it is, or is alleged to be, directly or
indirectly caused, in whole or in part, by any act, omission, default or negligence (whether active or
passive) of the Indemnitees, or any of them, or (iii) the failure of the USER to comply with any of
the provisions contained herein, or to conform to statutes, ordinances, or other regulations or
requirements of any governmental authority, federal or state, in connection with the performance of
this Agreement.
USER expressly agrees to indemnify, covenant not to sue and hold harmless the Indemnitees, or any
of them, from and against all liabilities which may be asserted by an employee or former employee
of USER, or any of its subcontractors, as provided above, for which the USER's liability to such
employee or former employee would otherwise be limited to payments under state Workers'
Compensation or similar laws. This indemnity provision shall survive the termination of this
Agreement and shall continue in effect until the expiration of the corresponding statute of limitations
or the tolling thereof.
10. RISK OF LOSS:
The CITY assumes no responsibility whatsoever for any person or property that enters the USE
AREA as a result of, or in connection with, the EVENT. In consideration of the execution of this
AGREEMENT by the CITY, the USER releases the CITY from any and all liability for any loss,
injury, death, theft, damage or destruction to any persons or property which may occur in or about
the USE AREA regardless of the cause, including such circumstances where it could be alleged that
the CITY, or their employees, agents or contractors were negligent. USER does not agree to release
the CITY for any and all liability which is determined to be caused solely due to the intentional or
willful misconduct of the CITY, or their respective employees or agents.
11. CANCELLATION:
All advance sums, or advance payments under this Agreement (including, without limitation, the
nonrefundable portions of the USE FEE) shall be forfeited if, through the fault or action of the
USER, the EVENT is not held within the dates and times contracted.
USER may cancel the EVENT with written notice to CITY provided no later than one hundred
eighty (180) days prior to the first day of the USE PERIOD. Late cancellations shall be deemed a
default of this Agreement and will result in the acceleration of any unpaid portions of the USE FEE,
which shall become due to the CITY on the date of cancellation. The parties understand and agree
that the CITY will be unable to find another user for the USE PERIOD in the event of a late
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cancellation and therefore, this acceleration shall be deemed as liquidated damages. USER shall be
liable for interest on the principal of the USE FEE at a rate of twelve percent (12%) per annum, or
the maximum rate permissible by law if less for each day the amount remains unpaid.
Notwithstanding the above, the acceleration of the USE FEE shall not apply to cancellations due to
Force Majeure.
12. DEFAULT PROVISION:
Notwithstanding any language contained in this Agreement to the contrary, in the event the USER
shall fail to comply with each and every term and condition of the Agreement or shall fail to perform
any of the terms and conditions contained herein, then the CITY, at its sole option and in addition
to all other rights and remedies available to it by law, upon written notice to USER may cancel and
terminate this Agreement, and all payments, advances, or other compensation paid by USER
pursuant to this Agreement, shall be forthwith retained by the CITY.
13. CITY'S TERMINATION RIGHTS:
a. Termination for Convenience: The CITY shall have the right to terminate this Agreement
for convenience, in its sole discretion, upon thirty (30) days written notice to USER.
Additionally, the City shall be able to terminate this Agreement at any time if, in the exercise
of its reasonable discretion, the CITY determines that the EVENT is not in the best interest
of the CITY due to circumstances beyond the CITY' S reasonable control.
b. Termination for Cause: The CITY shall have the right to terminate this Agreement
immediately upon written notice and without liability to USER upon the occurrence of an
event of default.
14. AWARD OF AGREEMENT:
USER represents and warrants to the CITY that it has not employed or retained any person or
company employed by the CITY to solicit or secure this Agreement and that it has not offered to
pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of
any kind contingent upon or in connection with, the award of this Agreement.
15. AUDIT AND INSPECTION RIGHTS AND RECORDS RETENTION
USER agrees to provide access to the CITY or to any of its duly authorized representatives, to any
books, documents, papers, and records of USER which are directly pertinent to this Agreement, for
the purpose of audit, examination, excerpts, and transcripts. The CITY may, at reasonable times,
and for a period of up to three (3) years following the date of final payment by the USER to the
CITY under this Agreement, audit and inspect, or cause to be audited and inspected, those books,
documents, papers, and records of USER which are related to this Agreement. USER agrees to
maintain any and all such books, documents, papers, and records at its principal place of business
for a period of three (3) years after final payment is made under this Agreement and all other pending
matters are closed. USER's failure to adhere to, or refusal to comply with, this condition shall result
in the immediate cancellation of this Agreement by the CITY. The audit provisions set forth in s.
18-99 through s. 18-102 of the Code of the City of Miami, Florida, as amended, are applicable to
this Agreement.
16. PUBLIC RECORDS:
USER understands that the public shall have access, at all reasonable times, to all documents and
information pertaining to CITY contracts, subject to the provisions of Chapter 119, Florida Statutes,
and agrees to allow access by the CITY and the public to all documents subject to disclosure under
applicable law. USER'S failure or refusal to comply with the provisions of this Section shall result
in the immediate cancellation of this Agreement by the CITY. USER shall additionally comply with
the provisions of Section 119.0701, Florida Statutes, entitled "Contracts; public records", as may be
applicable, which statute is deemed as being incorporated by reference herein.
Rev. 20241001 Page 8
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
Should USER determine to dispute any public access provision required by Florida Statutes, USER
shall do so in accordance with applicable Florida law, and shall do so at its own cost and expense.
Any lawsuits filed against the CITY or Indemnitees in connection with USER'S dispute to public
access will fall under the USER'S indemnification obligations specified in Section 14 above.
IF THE USER HAS QUESTIONS REGARING THE APPLICATION OF
CHAPTER 119, FLORIDA STATUTES, TO THE USER'S DUTY TO
PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT,
CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 416-
1800, VIA EMAIL AT PUBLICRECORDS@MIAMIGOV.COM, OR
REGULAR MAIL AT CITY OF MIAMI OFFICE OF THE CITY
ATTORNEY, 444 SW 2ND AVENUE, 9TH FLOOR, MIAMI, FL 33130.
THE USER MAY ALSO CONTACT THE RECORDS CUSTODIAN AT
THE CITY OF MIAMI DEPARTMENT OF REAL ESTATE AND
ASSET MANAGEMENT.
17. NONDISCRIMINATION:
USER represents and warrants to the CITY that USER does not and will not engage in
discriminatory practices and that there shall be no discrimination in connection with USER's
performance under this Agreement on account of race, age, religion, color, gender, gender identity,
sexual orientation, national origin, marital status, physical or mental disability, political affiliation,
or any other factor. USER further covenants that no otherwise qualified individual shall solely by
reason of race, age, religion, color, gender, gender identity, sexual orientation, national origin,
marital status, physical or mental disability, political affiliation, or any other factor, be excluded
from participation in, be denied services, or be subject to discrimination under any provision of this
Agreement.
18. AUTHORIZED PERSONNEL:
The CITY shall have authorized representatives reasonably available at all reasonable times
throughout the USE PERIOD for consultation with USER.
19. AUTHORITY TO EXECUTE AGREEMENT:
Each party represents to the other that it has the power to enter into the Agreement and that the
consent of no other person or entity is required in connection therewith, except as otherwise
provided, and the Agreement constitutes a valid and binding obligation of each party in accordance
with the terms hereof The below signatory declares under penalty of perjury that it is authorized to
execute this Agreement on behalf of USER.
20. RELATIONSHIP OF PARTIES:
This Agreement shall not be deemed or construed to create any agency relationship, partnership, or
joint venture between the CITY and USER.
21. NOTICES:
Notices required under the Agreement shall be deemed to be given when hand -delivered (with
receipt therefore) or mailed by registered or certified mail, postage prepaid, return receipt requested.
Rev. 20241001 Page 9
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
AS TO THE USER: AS TO THE CITY:
Name: JAMIL J. GONZALEZ, James Reyes
Authorized Member City Manager
Title: 444 SW 2nd Avenue, 10th Floor
3930 SW 60th Avenue Miami, FL 33130
Address: JaReyes@miamigov.com
MIAMI, FL 33155
Email: Jamil.gonzalez@gmail.com
WITH A COPY TO:
George K. Wysong III
City Attorney
444 SW 2nd Avenue, 9th Floor
Miami, FL 33130
law@miamigov.com
Yunior Santana
Venues Manager
900 SW 1st Street
Miami, Florida 33130
ysantana@miamigov.com
22. NONDELEGABILITY:
This Agreement is personal to the USER. The Agreement may not be transferred, sold, pledged or
assigned by USER, in whole or in part, without the prior express written consent of the CITY, which
may be withheld or conditioned in the CITY'S sole discretion.
23. GOVERNING LAW; VENUE; ATTORNEY'S FEES:
The Agreement shall be construed according to the laws of the State of Florida and Venue shall be
in Miami- Dade County. Except in cases where the CITY must bring an action to enforce the
provisions of Section 16, in which case the CITY shall be able to recover its reasonable attorney's
fees, each party shall bear their own respective attorney's fees.
24. CONFLICT OF INTEREST:
USER is aware of the conflict of interest laws of the City of Miami (Code of the City of Miami,
Florida, Chapter 2, Article V), of Miami -Dade County, Florida (Code of Miami -Dade County,
Florida (Code of Miami -Dade County, Florida, Section 2-11.1) and of the State of Florida (as set
forth in Florida Statutes) and agrees it will fully comply in all respects with the terms of said laws
and any future amendments
25. FORCE MAJEURE:
The CITY shall not be liable for any failure to perform its obligations where such failure is caused
by conditions beyond its control, including, but not limited to, Acts of Nature (including fire, flood,
earthquake, storm, hurricane or other natural disaster), war, invasion, act of foreign enemies, events
in foreign countries that affect the CITY and its citizens, hostilities (whether war is declared or not),
civil war, rebellion, revolution, insurrection, riots, street celebrations or protests, military or usurped
power or confiscation, terrorists activities, nationalization, government sanctions or restrictions,
blockage, embargo, labor dispute, strike, lockout or interruption, or the failure of services such as
electricity or telephone.
26. ELECTRONIC SIGNATURES; COUNTERPARTS:
This Agreement may be executed in any number of counterparts, each of which so executed shall
be deemed to be an original, and such counterparts shall together constitute but one and the same
Agreement. The parties shall be entitled to sign and transmit an electronic signature of this
Rev. 20241001 Page 10
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
Agreement (whether by facsimile, PDF or other email transmission), which signature shall be
binding on the party whose name is contained therein. Any party providing an electronic signature
agrees to promptly execute and deliver to the other parties an original signed Agreement upon
request.
27. WAIVER:
No waiver or breach of any provision of this Agreement shall constitute a waiver of any subsequent
breach of the same or any other provision hereof, and no waiver shall be effective unless made
express in writing.
28. WAIVER OF JURY TRIAL:
EACH PARTY WAIVES ITS RIGHTS TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF
ACTION ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY BREACH
THEREOF. THIS WAIVER SHALL APPLY TO ANY SUBSEQUENT AMENDMENTS,
SUPPLEMENTS, OR MODIFICATIONS TO THIS AGREEMENT.
29. HEADINGS:
Title and paragraph headings are for convenient reference and are not a part of this Agreement.
30. SEVERABILITY:
Should any provision, paragraph, sentence, word or phrase contained in this Agreement be
determined by a court of competent jurisdiction to be invalid, illegal, or otherwise unenforceable
under the laws of the State of Florida, such provision, paragraph, sentence, word or phrase shall be
deemed modified to the extent necessary in order to conform with such laws, or if not modifiable,
then same shall be deemed severable, and in either event, the remaining terms and provisions of this
Agreement shall remain unmodified and in full force and effect.
31. ENTIRE AGREEMENT:
This Agreement constitutes the sole and entire agreement between the parties hereto. No
modification or amendment hereto shall be valid unless in writing and executed by property
authorized representatives of the parties hereto.
32. ACKNOWLEDGEMENT:
The Parties expressly acknowledge that each has read and understand every provision in this
Agreement and have had the opportunity to seek the advice and representation of independent
counsel. Furthermore, the Parties expressly acknowledge that this Agreement is entered into in good
faith and was not obtained by fraud, misrepresentation, or deceit.
33. TRANSLATIONS:
This document may be translated from English into various other languages. However, such
translation shall not alter, modify, reduce, diminish, or amplify the terms of this Agreement. If there
is any conflict between the English version and any translated version, the English version of the
Agreement shall prevail.
34. INTELLECTUAL PROPERTY RIGHTS:
USER represents and warrants that USER is either the sole author and/or creator of all Materials and
any other intellectual property to be used in the EVENT or has obtained and holds all rights
necessary to hold the EVENT. USER further represents and warrants that the EVENT does not and
will not infringe any copyright, patent, trademark, trade secret or other intellectual property right of
any third party and that the City's right to seek indemnification from USER as provided in this
Agreement and shall include any claims made against the City by a third -party for infringement of
any intellectual property rights arising out of or related to the EVENT.
Signatures on the following pages
Rev. 20241001 Page 11
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
IN WITNESS WHEREOF, the parties hereto have individually and through their proper corporate official
executed the AGREEMENT, this the day and year first written.
"USER"
By:
cjDocuSigned by:
owLl, J. t 6 aft,�j May 14, 2026 1 08:38:14 PDT
o5Fu8CF2t3BC430...
Signature Date
Jamil J. Gonzalez
Print Name
Locations Manager
Title
STATE OF Florida
COUNTY OF Dade
The foregoing instrument was acknowledged before me by means of ❑ physical presence or 1 online
notarization, this 15 day of May
, 2026 by Jamil J. Gonzalez , who is
❑ personally known to me or ❑ has produced FLDL#:
did not take an oath.
Notary Stamp:
c!/DocuSigned E�by++:
G]' li v jG+Mil ez*ve b
CJU4A44U5bbi4DG...
as identification and who
Signature of Notary Public Taking Acknowledgment
Print Name: Yunior Santana
Serial Number (if any): HH419953
Commission Expires:
07/23/2027
Rev. 20241001 Page 12
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
ATTEST:
—DocuSigned�by: f L
BY: '1`r
Signed by:
Told116D 6annon9
City Clerk May 28, 2026 1 00:19:12 EDT
CITY OF MIAMI,
a municipal corporation of the State of Florida
BY:
Signed by:
8C2-56C6A478..
James Reyes
City Manager May 27, 2026 111:21:30 EDT
APPROVED AS TO INSURANCE APPROVED AS TO FORM AND
REQUIREMENTS:
DocuSigned by:
manic 444./5
BY: 27395C6318214E7...
David Ruiz, Interim Director
Risk Management May 15, 2026 1 09:09:18 EDT
CORRECTNESS:
BY:
Initial
DocuSigned by:
rat-01/1, hiSam (II
8877GE9F1882486...
George K. Wysong III
City Attorney
May 18, 2026 116:56:05 EDT
Matter ID: 26-1306
Rev. 20241001 Page13
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
EXHIBIT A — EVENT SCHEDULE
USE PERIOD*
Event
Commencement Date/Time
Termination Date/Time
Filming - 05/14/2026
7:OOAM
10:OOPM
*Times and dates are subject to change in the sole discretion of the City.
Rev. 20241001
PageA - 1
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
EXHIBIT B — MAP OF USE AREA
The area highlighted in yellow in the below sketch shall be considered the USE AREA for purposes of this
Agreement.
Areas identified with red diagonal stripes are expressly excluded from the USE AREA and shall be
considered strictly prohibited ("Restricted Areas"). USER shall ensure that neither USER, nor its
employees, agents or invitees access the Restricted Areas.
Reserved for Marina
Parking
lane for vehicle access
Reserved for Rowing
Club Parking
Rev. 20241001
PageB - 1
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
EXHIBIT C — MARINE STADIUM INSURANCE REQUIREMENTS
I. Commercial General Liability
A. Limits of Liability
Bodily Injury and Property Damage Liability
Each Occurrence $1,000,000
General Aggregate Limit $2,000,000
Personal and Adv. Injury $1,000,000
Products/Completed Operations $1,000,000
B. Endorsements Required
City of Miami listed as an additional insured
Contingent and Contractual liability
Premises and Operations Liability
Primary and non-contributory liability endorsement
II. Business Automobile Liability
A. Limits of Liability
Bodily Injury and Property Damage Liability
Combined Single Limit
Any Auto
Including Hired, Borrowed or Non -Owned Autos
Any One Accident $ 1,000,000
B. Endorsements Required
City of Miami included as an additional insured
insured
III. Worker's Compensation (IF APPLICABLE)
Limits of Liability
Statutory -State of Florida
Employer's Liability
C. Limits of Liability
$100,000 for bodily injury caused by an accident, each accident
$100,000 for bodily injury caused by disease, each employee
$500,000 for bodily injury caused by disease, policy limit
IV. Liquor Liability (IF APPLICABLE)
A. Limits of Liability
Each occurrence $1,000,000
Policy Aggregate $1,000,000
City of Miami listed as an additional insured
V Umbrella Liability (Excess Follow Form including liquor)
Rev. 20241001 Page IC - 1
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• Note: The City reserves the right to require umbrella liability with limits acceptable to the
City. USER shall comply with this requirement when applicable, and further agrees list the
City as an additional insured on this coverage. USER also agrees to furnish the City with
copies of all applicable policies and endorsements relative to the event in question within
(10) days of such request.
City of Miami 444 S.W. 2nd Avenue Miami, Florida 33130 shall appear listed as the "Certificate
Holder;"
The above policies shall provide the City of Miami with written notice of cancellation or material
change from the insurer in accordance with policy provisions.
Companies authorized to do business in the State of Florida, with the following qualifications, shall issue
all insurance policies required above:
The company must be rated no less than "A-" as to management, and no less than "Class V" as to
Financial Strength, by the latest edition of Best's Insurance Guide, published by A.M. Best Company,
Oldwick, New Jersey, or its equivalent. All policies and /or certificates of insurance are subject to
review and verification by Risk Management prior to insurance approval.
Remainder of page intentionally left blank
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EXHIBIT D — ANTI -HUMAN TRAFFICKING AFFIDAVIT
1. The undersigned affirms, certifies, attests, and stipulates as follows:
a. The entity/individual is a nongovernmental entity authorized to transact business in the
State of Florida (hereinafter, "nongovernmental entity").
b. The nongovernmental entity is either executing, renewing, or extending a contract
(including, but not limited to, any amendments, as applicable) with the City of Miami
("City") or one of its agencies, authorities, boards, trusts, or other City entity which
constitutes a governmental entity as defined in Section 287.138(1), Florida Statutes (2024).
c. The nongovernmental entity is not in violation of Section 787.06, Florida Statutes (2024),
titled "Human Trafficking."
d. The nongovernmental entity does not use "coercion" for labor or services as defined in
Section 787.06, Florida Statutes (2024).
2. Under penalties of perjury, pursuant to Section 92.525, Florida Statutes, I declare the following:
a. I have read and understand the foregoing Anti -Human Trafficking Affidavit and that the
facts, statements and representations provided in Section 1 are true and correct.
b. I am an officer, a representative, or individual of the nongovernmental entity authorized to
execute this Anti -Human Trafficking Affidavit.
FURTHER AFFIANT SAYETH NAUGHT.
Nongovernmental Entity/Individual:
Signature:
Name:
Office Address:
Email Address:
BLACK SCORPION PERMITTING AND PRODUCTIONS, LLC
DocuSigned by/:'ot� /l.�/�,�,(/�
bbF0,3,21 guC430...
Jamil J. Gonzalez
Title: Locations Manager
3930 SW 60th Avenue, Miami, FL 33155 Phone Number:
jamil.gonzalez@gmail.com
(646) 208-1437
Rev. 20241001 Page
G - 1
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EXHIBIT E — APPLICATION
Application attached on the following page(s)
Rev. 20241001 Page 1 H - 1
Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
Marine Stadium Reservation Form
Submitted on
Receipt number
Related form version
Marine Stadium Reservation
26 April 2026, 11:25PM
213
32
Thank you for selecting the Marine Stadium for your event. To better help you we will be asking a few questions that will give us
a better understanding of your needs, and that will help expedite the rental process. If you need help filling out this form, please
call the following numbers: 305-960-4684 / 305-960-4681 / 305-416-1461 / 305-960-4686 Or email us at:
marinestadium@miamigov.com
Please be advised our rental process has changed.
Once this form is submitted the following process will occur:
1- You will receive a docusign document with the initial documentation package.
2- You will have 7 calendar days to sign these documents before cancellation of the requested days.
3- You will receive the initial event payment for the amount of 10% of the total rental fee.
4- You will have 7 calendar days to pay for this invoice or risk cancellation of the date.
5- This payment will be lost in case of a cancelation. This payment is not transferable to other date, or a third party.
6- 60-90 Days prior to your event you will receive a request for insurance. You will have 15 days to provide the insurance.
7- 60-90 Days prior to your event you will receive via docusign the agreement for your event.
8- The agreement must be signed by you no later that 30 days prior to your event or the event will be cancelled.
9- 60 Days prior to your event you will receive an additional invoice for 40% of the total rental fee.
10- You will have 7 calendar days to pay for this invoice or risk cancellation of the date.
11- This payment will be lost in case of a cancelation. This payment is not transferable to other date, or a third party.
12- 30 Days prior to your event you will receive the final invoice for 50% of the total rental fee.
13- This payment will be lost in case of a cancelation. This payment is not transferable to other date, or a third party.
I understand and agree with the rental process explained
above.
Link to signature
Agreement Under Corporation
Please add a copy of your driver license.
Home Address
Full Company Name Black Scorpion P&P, LLC
Is your company registered in Florida? Yes
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Status of your company Inactive
The city can Only get into an Agreement with a coorporation with an "Active" Status.
You still can rent the theater, but it will have to be under an individual name.
Please reach out to 305-960-4686 or 305-960-4684 for additional questions
Please upload a W9 with the information from your Black Scorpion_W9 (2026) Articles of Corp.pdf
company
Full Company Address 3930 SW 60th Avenue, Miami, FL 33155
Please add a printout (PDF or JPEG) of your corporation
sunbiz registration: [Sunbiz.org]
(https://search.sunbiz.org/Inquiry/CorporationSearch/ByName)
Please add a printout of your corporation sunbiz registration
click to search for Florida Coorporation Records - Sunbiz.org
Black Scorpion PP, LLC_sunbiz_4.26.26.pdf
Contact Person Full Name Jamil J. Gonzalez
Contact Person Full Address 3930 SW 60th Avenue, Miami, FL 33155
Phone Number (646) 208-1437
E-mail
Alternative Phone Number
Alternative Email
Type of Event
I About your Event
jamitgonzalez@gmail.com
(646) 512-3714
Filming
Will You be using the parking lot for filming? (Movie, TV, Yes
Commercial)
Is this event sponsored by City of Miami? No
You have selected a City of Miami Event. This event must be sponsored by a City of Miami Department (Ex: Dream, Parks, Police,
Etc...) Please fill out the form as required. Also, be advised that if you are requesting a waiver of the rental fees, a memo from the
department director requesting the event to the Director of Dream must be submitted before those charges could be waived. A
cleaning fee of $50.00 will be charged to the department regardless of the waiving of the fees. If you have any questions, please
contactYunior Santana at (305) 960-4686.
Is your corporation for profit, or non-profit? For Profit
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
As a non-profit do you have a Valid Florida 501C3 or
DR231?
Please upload a valid Florida 501C3 or DR231 (PDF/JPEG)
Will you be using your own insurance or the city's approved
insurance carrier?
Please go to the following link, and follow the instruction below.
[City Insurance](https://app.gatherguard.com/)
The venue code is: 3759-092
Please upload your own insurance
Will you be charging for parking?
Upload the Valet License
Upload the Valet Insurance
No
Please see the following link for city approved garbage collection company.
LINK
Name of the Garbage Collection Company N/A
Please upload the agreement with the Garbage Collection City of Miami, 444 SW 2nd Avenue, Miami, FL, 33130.pdf
Company
Will you be using the waterways or basin for your event? No
The coast guard requires their own application if you are using the waterways.
Please fill their application HERE
Once you finish thier application, please continue with ours.
Please add the filled application here. Please do not move
forward unless you have done the application.
I confirm that I have applied for any related Temporary
Vessel Exclusion Permit or other waterway permit
How many peple are you expending to be attending the 45
event daily?
Have you reached out to the Special Eevents Department or Yes
Filming Department?
You are required to reach out to either special events or to the Film department.
Please see their emails below:
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
aorta@miamigov.com
jbazail@miamigov.com
Event Info
You have selected the use of the parking lot for Commercial, Video Shoot or Feature Imagery.
There shall be assessed a flat fee, payable in advance, of $750.00 per day.
How many days for filming you will need 2
Filming Cost $1500.00
Flat fee shall be assessed at $2,500.00 per day up to five days.
How many days will you be using the location
Regular Event Cost
Please input all the dates you are requesting for event or
Range (See sample) Also be advise we do not allow for a
setup and event to be on the same day)
05/09/2026 - 05/15/2026
Will you be needing additional days for setup and No
dismantle?
If additional days for set-up or teardown is required during use, there shall be a fee of $1,000.00 per day
How many days you will need for setup
Please input all the days for setup or range (See sample)
How many days you will need for dismantle
Please input all the days for Dismantle or range (See
sample)
I Event Logistics
Is any of the performers NOT a USA Resident? USA Resident
Based on 31CFR515.201 - We require your company to
abide by the Federal Regulation and please attach below a
copy of the Visa-P3 and/or 1-129 --- If you have any
questions please call us at 305-960-4686
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
Will you be using Pyrotechnics in your presentation? Yes
If you are using Pyrotechnics you will need a permit from the fire department as well as firemarshal the day of the event.
The use of Pyrotechnics will be at the sole discretion of the theater manager.
To get more information regarding the use of pyrotechnics please call the theater manager at: 305-960-4686
For permiting and firemarshal please call: Officer Ferra: 305-416-1666 / 305-416-1721 or email: nferra@miamigov.com
Will food and/or Beverages be served No
Will Alcoholic Beverages beserved?
Please make sure, the insurance you provide to the city contains the liquor clause.
Please upload the license from the liquor vendor
Any Specific Special Requirements Needed? We will obtain a Fire Dept. burn permit fora simulated explosion.
Ticket Surcharge
Based on Miami Code of Ordinances Sec. 53-1. There will be a ticket subcharged base on the following:
Ticket Cost
$1.00-$14.99
$15.00-$29.99
$30.00-$99.00
$100.00-$249.00
$250.00-$499.00
$500.00-$999.99
$1,000.00 and Up
Ticket Surcharge
$0.75/Ticket
$1.00/Ticket
$2.00/Ticket
$3.00/Ticket
$5.00/Ticket
$10.00/Ticket
$12.00/Ticket
You will be required to provide the ticket manifesto to the city no longer than 7 days after the conclusion of your event
By signing below I read and understood the ticket surcharge
information
Ticketing Company
Name and Contact Information of Ticketing Company
Estimate Cost (Tax and Ticket Surcharge Not Included)
$1500.00
Rules and Regulations
THIS IS AN APPLICATION FOR PERMIT ONLY. CONFIRMATION OF THIS REQUEST IS THE ISSUANCE OF AN "OFFICIAL
PERMIT" UPON RECEIPT BY THE CITY OF FEE PAYMENT AND PROPER INSURANCE.
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TENTS: This permit is for use of the parking area ONLY and DOES NOT INCLUDE the fee for use of tent(s). No tents shall be
permitted except those rented from Eventstar. Please contact a sales representative at Eventstar Structures at 305-969-
0191 or send email to Info@Eventstar.com.
PAYMENT: Payments should be made online at https://www.miamigov.com/pay. Contact DREAM site manager for an invoice and
customer number.
Payments for permits made by check, cashier's check, or money order, are to be made payable to "City of Miami" and delivered to
the Department of Real Estate and Asset Management (444 SW 2nd Avenue, Miami, FL. 33130) 3rd Floor. Under no
circumstances will cash be accepted.
INSURANCE: The City of Miami's Marine Stadium Parking area and the date of the event should be specified under section for
Description of Operations. Also, the City of Miami, 444 SW 2nd Avenue, Miami FL 33130 must be the named certificate holder.
CANCELLATION: The above event date(s) is/are not reserved until PAYMENT IS RECEIVED IN FULL. The Department of Real
Estate and Asset Management reserves the right to cancel any permit for cause.
FULL COMPLIANCE: The above -named School, Organization or Sponsor is fully cognizant of their responsibility in connection
with the use of the above facility and agrees to observe, obey, and comply with all City of Miami rules and regulations, as well as
all County, State or Federal laws, rules and regulations.
INDEMNIFICATION: Permittee shall indemnify, defend, and save CITY harmless from and against any and all claims, liabilities,
losses and cause of action, which may arise out of permittee's activities under this Agreement, including all other acts or
omissions to act on the part of permitee including any person acting for on his/her behalf and, from and against any orders,
judgments or decrees which may be entered, and from and against, all costs, attorney's fees, expenses and liabilities incurred in
the defense of any such claims, or in the investigation thereof.
By signing below permitee accepts use of the area in an "as -is" condition, unless otherwise agreed upon by the City. Permittee
will be responsible for all security, site clean-up prior to and after the event, and any damages to fencing in the permitted parking
area. Following the event and upon inspection by the City, if the Miami's Marine Stadium Parking Area is not cleaned -up to a
standard acceptable to the City, continued Setup/Tear fee of $1,000.00 per day shall be assessed until the Marine Stadium
Parking Area is cleaned to a standard acceptable to the City.
By agreeing to this Land Use Agreement for temporary use, you/we agree to solely use Eventstar as the concessionaire for the
use of all tents. Please contact Mr. Alain Perez at Eventstar 305-969-0191 Alain@Eventstar.com. Failure to do so may result in
the City seeking appropriate damages.
By agreeing to this Land Use Agreement for temporary use, you/we agree and have reviewed and fully understand the City of
Miami Ticket Surcharge Ordinance.
Acceptance of this permit indicates that the above -named Permittee is fully cognizant of their responsibility in connection with
the use of the above facility and agrees to observe, obey and comply with all City of Miami rules and regulations, as well as all
County, State or Federal laws, rules and regulations. This permit may be revoked for cause at anytime
Exhibit A
Sec. 53-1. - Ticket surcharge on paid admissions to events.
Applicability.
(1) To certain facilities. A ticket surcharge shall be imposed against all paid admissions to city -owned facilities, including, without
limitation, the Marine Stadium, the Miami Convention Center, and the Bayfront Park Amphitheater, and on tour boats operating at
Miamarina at Bayside. Said surcharge shall additionally apply where admission is charged for events conducted in city parks,
facilities therein, and/or community centers. However, no ticket surcharge shall be imposed upon any event held at the Manuel
Artime Community Center, regardless of paid admissions. Unless specifically exempted below, and for the purposes of this
section, "events" shall include activities, programs, concerts, festivals, parties, meetings, and other gatherings for whatever social,
entertainment, cultural, sport or other purpose and for which attendees are expected to pay or make a donation in order to attend.
The application of the ticket surcharge shall commence upon the effective date of this section, except for those events for which
advance ticket sales have the prior approval of the city manager, or designee.
(2) Exemptions. The following activities as defined herein shall be exempted from the application of the ticket surcharge on paid
admissions:
(a)Banquets: Official celebratory or ceremonial dinners with speeches that honor or memorialize particular person(s) or
occasion(s) and are held by organizations or groups for their members, delegates, representatives and invited guests.
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
(b)Conferences: Participatory meetings designed for discussion, fact finding, problem solving, and/or consultation between
members, representatives, delegates and/or other affected parties of organizations on related issues.
(c)Consumer shows: Exhibitions of related products and/or services that are open to the public.
(d)Conventions: Formal assemblies or meetings of members, delegates, and representatives of an organization or group, such as
a political party, fraternal society or business/professional association, that are convened for a common purpose.
(e)Trade shows: Exhibitions of products and/or services that are not open to the public but are open only to particular members,
representatives, businesses and/or groups involved in a specific trade.
Additionally, said surcharge shall not apply to the International Boat Show.
(b)Rate of surcharge. Notwithstanding contractual agreements to the contrary, the rate of
the ticket surcharge shall be dependent upon the price of admission charged to
attendees of a given event, as established by the sponsor or promoter of said event.
The ticket surcharge shall apply in addition to the actual admission price and shall be exclusive of any applicable taxes and/or
service charges. Each charge shall be itemized and shown separately on each ticket.
(c)Collection, accounts and payment. The sponsor or promoter of each event or tour operation shall be responsible for the
collection of the ticket surcharge, which shall be recorded and listed as a separate item in the statement of accounts for said
event or tour operation. Such records and accounts shall be maintained and available in accordance with all applicable city
requirements and Code provisions. Payment of the ticket surcharge to the proper city authorities shall be made as soon as
reasonably possible after the conclusion of the event or tour operation along with any and all other sums which may be due the
city, and in no case shall be permitted to remain unpaid longer than 60 calendar days after the event and in land facility venue
cases, shall be paid prior to the holding of another subsequent event by the same sponsor. Receipts from said surcharge shall be
retained by or used as subsidy for the facility, marina or park from which they are generated to augment its operating or capital
budget.
(Ord. No. 10439, § 1, 5-19-88; Ord. No. 10509, § 1, 11-3-88; Code 1980, § 53-1; Ord. No. 11998, § 2,
11-16-00; Ord. No. 12184, § 2, 2-14-02; Ord. No. 12403, § 4, 9-11-03; Ord. No. 12715, § 2, 7-28-05;
Ord. No. 13367, § 2, 3-14-13; Ord. No. 13705, § 2, 10-26-17; Ord. No. 13818, § 3, 1-10-19)
Note— Amendments to this Section [subsection (b)] made pursuant to Ordinance 13705, § 3,
adopted on October 26, 2017, shall not apply to tickets sold pursuant to the March 6, 2014 Use
Agreement with Event Entertainment Group, Inc., a Florida for -profit corporation d/b/a Ultra
Music Festival ("Ultra").
Exhibit B
Sec. 53-53. Rental rates and associated charges and conditions.
(a) Definitions. For the purpose of this section, the following words and phrases shall have the meanings respectively ascribed to
them by this subsection:
Aquatic event: An activity or gathering involving persons and equipment in the presentation of a show, stunt, demonstration, etc.,
on water.
Athletic event: An activity or gathering involving sports contests or games such as swimming, boxing or wrestling.
Boat racing event: An activity or gathering involving racing contests or boat games such as power boat racing, rowing
championships or other boat races.
City manager: The city manager or his/her authorized designee.
Concert event: An activity or gathering involving the presentation of musicals, the philharmonic, rock concerts and stage shows.
Other events: An activity or gathering other than events previously, or elsewhere in this subsection (a), described, such as events
sponsored by nonprofit entities or conventions. The examples herein are illustrative only and do not preclude other types of
activities or gatherings.
Patrons: The person purchasing an admission ticket to an event or series of events in and/or outside the stadium.
Stadium: The Marine Stadium (Commodore Ralph E. Munroe Marine Stadium).
Trade shows: An activity or gathering involving the display or showing of new merchandise, equipment, and other items of
commerce.
User: The person or parties entering into a use agreement with the city for an event or series of events to be held in the Marine
Stadium. Such person may also be referred to as the "sponsor."
(b) Admission tax and minimum charges.
(1) Except as otherwise provided in this section, charges by the city for the use of the stadium shall be assessed as follows:
a. For the use of the stadium premises for other events and trade shows, there shall be assessed a fee, payable in advance, which
shall be the greater of $1,575.00 per show day and $525.00 per day for setup and/or breakdown, or a city tax on each admission
to the stadium of ten percent of the gross price, as established by the sponsor, on each admission sold by the sponsor of the
event to be held in and on the stadium premises, less any federal, state or locally imposed tax payable upon such admission price.
The $1,575.00-per-day fee or ten percent of the gross price does not include any stadium costs except normal electricity, water
and sewer service. All event costs, including but not limited to security, electricians, custodial personnel, restroom attendants,
office attendants, cleanup costs, police department personnel required for traffic control and crowd control, etc., shall be paid by
the sponsor.
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
b. For the use of the stadium premises for any concert or events including, but not limited to, athletic events, boat racing events
and aquatic events, and concert events where no admission is charged, there shall be assessed a fee, payable in advance, which
shall be the greater or $2,625.00 per day or a city tax on each admission to the stadium of 12 percent of the gross price, as
established by the sponsor, on each admission ticket sold by the sponsor of the event to be held in and on the stadium premises,
less any federal, state or locally imposed tax payable upon such gross price. The $2,625.00 per day or 12 percent of the gross
price shall include electricity, water and sewer but the sponsor shall pay all other event costs, including, but not limited to,
security, crowd control, electricians, custodial personnel, office attendants, cleanup, police department personnel required for
traffic control and crowd control, and other like expenses.
c. For the use of the parking lot only, for a commercial, video shoot or feature imagery, there shall be assessed a flat fee, payable
in advance, of $750.00 per day. For all other uses, the flat fee shall be assessed at $2,500.00 per day up to five days. If set-up or
teardown is required during use, there shall be a fee of $1,000.00 per day, which shall be limited to one day prior and one day
after the event. Usage of the parking lot for longer than five days shall be assessed at fair market value. Fair market value is
defined as the amount that would be paid for a similar property used in substantially the same manner as the subject property, in
a competitive and open market, under similar conditions in an arms -length transaction. This fee does not include any stadium
costs. All event costs, including but not limited to electricity used, security deposit, electricians, cleanup, police department
personnel required for traffic control and crowd control, etc., shall be paid by the user.
d. The fee required under this section may be waived for governmental entities and agencies, or as approved by the city
commission.
e. For the use of the stadium premises for a combination of several types of events, the user shall pay those rates which apply to
the event having the larger of the fees quoted herein.
(2) Any person, company, corporation, or organization requesting to reserve a date (or dates) for the use of Marine Stadium shall
be required, within ten calendar days of the initial request for date reservation, to make a payment in an amount equal to ten
percent of the basic rental fee as a nonrefundable cash deposit. Additionally, not less than 60 days prior to the date reserved for
the subject event the user must pay to the city an additional 40 percent of the basic rental fee, which will also serve as a
nonrefundable deposit. The intent of the city in this regard is that the user must have made a total nonrefundable deposit to the
city of 50 percent of the basic rental fee by at least 60 days prior to the date reserved. The 50-percent balance of the basic rental
fee shall be paid to the city, as a nonrefundable cash deposit, not less than 30 days prior to the event date. All of the advance
rental fees collected by the city will be forfeited if the user cancels the event.
(3) Federal, state and locally imposed taxes shall be separately shown and printed upon each and every ticket printed for an
event, including complimentary tickets. Complimentary tickets shall be clearly overprinted as such. Users shall be permitted to
issue complimentary tickets to their event in an amount equal to a maximum of three percent of the total tickets sold for the
event, over and above those complimentary tickets designated by the use agreement, and, if the city's audit conducted
subsequent to the event reveals that complimentary tickets were issued in an amount exceeding three percent of the total ticket
sales, then the user will be required to pay the 12-percent city tax on that number of complimentary tickets which exceed the
three percent. The 12-percent city tax on the excess complimentary tickets shall be paid on the "average" ticket price charged by
the user for that event.
(4) The user shall keep available in its office, or such other place approved by the city manager, true, accurate and complete
records and accounts of all ticket sales transacted in connection with the stadium event and shall give access to the authorized
representatives of the city, during reasonable business hours, to examine and audit such records and accounts. Final accounting
and payment of all sums due hereunder shall be made to the proper city authorities as soon after the holding of each event as
may be reasonably possible, and in no case shall be permitted to remain unpaid longer than three working days after the event,
and in all cases shall be paid prior to the holding of another subsequent event by the same user.
(5) The user of the stadium, and the seller of the tickets, shall be responsible for the collection and payment of all tax monies
required to be collected hereunder and shall hold in trust for the city all amounts due hereunder and shall account for and pay
over to the city all such sums within the time periods required, or immediately upon written demand by the director of finance of
the city. Failure to make full accounting and payment upon demand shall subject the user to a penalty of two percent per month
or fraction thereof intervening between such demand and final accounting and payment, exclusive of the first 24 hours of such
period, which penalty shall be additional to other penalties provided by this Code and the City Charter.
(6) The tax levied hereby and all sums paid to the city under this section shall be deposited by the city daily as received in the
funds and accounts of the stadium.
(c) Special charges, terms and conditions.
(1) a. The user for any event shall obtain, at its own cost and expense, public liability insurance in the amount of not less than
$1,000,000.00 per occurrence for bodily injury, and not less than $100,000.00 per occurrence for property damage. The user
shall furnish certificates of insurance to the city at least ten days prior to any scheduled event, in the amount, type and
classification as noted. No modification or change in said insurance shall be made without at least 20 days' advance written
notice to the city. Insurance policies required above shall be issued by companies authorized to do business under the laws of the
state, with the following qualifications as to management and financial strength: The company must be rated no less than A as to
management, and no less than class X as to financial strength, in accordance with the latest edition of Best's Key Rating Guide,
published by Alfred M. Best Company, Inc., 75 Fulton Street, New York, New York. All such policies to cover the scheduled events
shall name the city as an additional insured.
b. The city may be able to obtain special -events insurance for events that meet certain prerequisites. The city, at its sole option,
may determine that the event qualifies for said special -events insurance. If so qualified, the user may comply with this section by
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Docusign Envelope ID:6556E73D-6016-871D-8308-C8FCB67805EF
obtaining said insurance through the city.
(2) At any time when the flat -rate charge is imposed for the use of the stadium to stage an event, or when admission and entry to
any event is not conditioned upon the purchase of a ticket or the payment of a fee by the patron, the charge to the user shall not
be less than the cost of operating the stadium for said event.
(3) Uniformed police officers and/or other security personnel shall be provided by the event user in numbers acceptable to the
facility manager as being sufficient to control the anticipated event crowd both within and outside the stadium, with payment
therefor to be made by the user.
(4) User shall also provide, at its expense, all admission tickets to its event, as well as ticket takers, ticket sellers and ushers, as
required, and in numbers acceptable to the facility manager as being sufficient to handle smooth entry of the public into the
stadium and to provide efficient ushering and seating of the event crowd.
(5) Nothing contained in the provisions of this section shall limit or restrict the right of the city commission to establish and fix
special charges or special terms and conditions for the use of the stadium.
(Code 1967, § 2-48.3; Ord. No. 9358, § 1, 12-10-81; Ord. No. 10926, § 1, 10-3-91; Code 1980, § 53-118; Ord. No. 13142, § 13,
2-11-10; Ord. No. 13197, § 2, 9-27-10; Ord. No. 13262, § 2, 4-14-11; Ord. No. 13676, § 2, 4-27-17)
By signing below you state you have read, understood, and
agreed with the entirity of the form
Link to signature
Link to signature
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Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
EXHIBIT F — CERTIFICATE OF INSURANCE
Certificate of insurance attached on the following page(s)
Rev. 20241001 Page 11 - 1
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
AC i'
CERTIFICATE OF LIABILITY INSURANCE
DATE truarD YrY,
05rneJ2D26,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polio -lilies) must have ADDrnONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
P.R000CER.
Film Emporium, Inc. dba New York Film Emporium
Insurance Services
1890. Palmer Ave #403
Larchmont, NY 10538
Phone NEL (9-14} 833-2413 Fax No.
IAJIIEA: CT Amanda Mociro
PHONE
ilAtc. Hri Erik (914) 833-2433
E-MAIL
ADDRESS:
:arc ar da; I Frnemporiurn_com
SYSMIRER(S] AFFORDING GO'dERADE
FAX
IAAC. NCI:
NA7G r
INSURER : Z41 - ZE]rlch American Insurance Carnpanv
16535
INII L[RED
Slack Scorpion Permitting & Productions, LLC
3930 SW nth Avenue
Miami, FL 33155
Phone No. 646.21 8.1437
Fax No.
DIMMER e :
MISTER c:
MUTER o :
INSURER E:
WRITER F :
COVERAGES
CERTIFICATE NUMBER: 1251728
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIC'C
INDICATED.. NOTWITHSTANDING ANY REQIJ REMENT TERM OR CONDNTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TF-1:
CERTIFICATE MAY BE ISSUED OR M o,Y PERTAIN, THE INSURANCE AFFORDED 6Y THE PCtJCIES DESCRIBED HEREIN IS SUBJECT TO ALL. THE TERr,'3.
EXCLLGIONS AND CONDMONS OF SUCH POLC ES LIM'TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUNBER
POLICY EPF
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EACHCC•CUPRENCE
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CLAIMS-MADEX.00CUR
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LIMIT APPLIES PER:
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COMBINED SINGLE Lin'
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1 511112024:1
051101202d
See Attached
:Esc,;.-^ONOF[ITERATIONS JLOCATIONS 0VEHICLES Ccr.'erageLacati❑n: United States & Canada
Product
' ami and City at Marine StaldiumParking lot is listed as additional insured with rEspec is 9.0 Or' S Stars
City of V.Miami
claims :prising out of the operations of the named insured. Coverage is primary and non-contributory
basis.
All coverages expire at 12:01 a_m. Standard Tome
CERTIFICATE HOLDER
CANCELLATION
it of Nllarlll
444 SW 2nd Avenue
Miami, FL 33130
United States Of America
Pnane No. i Fax No.
S HOU LD ANY OF THE ABOVE DESCRIBED POLICIES B E CAN GELLED BEFORE
THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICYIPROVIEIONS_
AUTHORIZED REPRESENTATIVE 1 -, _
_ -
• --
ACORD 25 (20164031
1 8-2015 ACORD C ORPORATIOH_ All rights reser. ed_
The ACORFI name and logo are registered marks of ACORD
Tills eery -mote Df LIsiiralaae does not arlfmattre y IA negati iy amend. extend. Dr alter Ire coverage a1TDrdea by vie Insurance pDrcy.
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
ADDITIONAL COVERAGE DETAILS
o,4r ra,4va'M
05.2D8?2Kt
Black Scorpion Permitting & Productions, LLC
The following is a' ached to and made part of certificate number 1 Z51728_
Policy details Coverage Limit
Deductible
Inland Marine
Company: Zurich American Insurance Company
Policy Number. FL1155474
' Fe;iod: D 11, 2025 - 05l1Ii'2O2I3: 5 Day(s)
Miscellaneous Rented Equipment Excluded
Cycled Equipment E cItjded
Props, Sets & Wardrobes Excluded
Rented Furs, Jewelry, Art & Antiques Coverage Excluded
Negative Film. Videotape and Digitalized Image Excluded
Faulty Stock, Camera 8 Processing Excluded
1,54:113
Faulty Stock, Camera 8 fusing - Broad Fomi Excluded
Extra Expense Excluded
Third Peaty Property Damage 2.55,1J130
Office Contents Excluded
Cast Coverage
Cast Extra Expense Excluded
ra4 Covered Person Extension (no sickness) Excluded
Cast Covered Person Extension Aggregate (siciress) Excluded
Cast Covered Person Extension Per Person (sickness) Eluded
Cast Family Bereaved Extension Excluded
Animal Death, Illness, Injury Excuded
Animal Extra Expense Excluded
Hired/h1on-Ovined Physical Damage -Aggregate Excluded
HiredfhkxNOviined Physical Damage -Per Vehicle Excuded
Rental Cost Reimbursement Excluded
CM! Authority Ended
Agency And Talent Re -Shoot Casts Exuded
Strikes or Civil Protest Exuded
Waiver of Subrogation Excluded
Coverage Extension Endorsement
Coverage Extension Endorsement Excluded
Cinema Production Enhancement Endorsement
Cinema Production Enhancement Endorsement Excluded
Unattended 5ltehiiclle Exclusion See Exclusion
Terrorism Included
`All coverages expire at 12:fl 1 a_rn_ Standard Time.
Coverage is not afforded for stints 8 pyrotechnics except for those declared, scheduled and accepted by the insurance compan n(s).
Fix a cornplete listing of coverages, terms, conditions and exclusions, please view your policy.
APk1-CERT-DEfA]LS 1205
Certificate Number 121728
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
Scheduled Stunts and Railroad Scenes
DATE Inhwaa^rr)
0519812s326
r Black Scorpion Permitting . Productions, LLC
The following is attached to and Grade part of certificate number 125172a_
Stmts. ArEnalsand Davila Scenes (7 )
# Type Production Title
Items
1 effect
Scenes
_
From
05/ 14120 26
From
To
Mil 4l2G2d
To
1 'Pyroter~hnics (Otter than fireworks. Certificate 5 SUrs
obtained from licensed pymt &nisi n)
Aae41:MaleofInsurance & ontalnetl trEer the pynflecinIdan
rrarnIng re proriuonon =many aE. addrdonal Insured.]
App''cable Lines: Gt.
Railroad Scenes {0)
g Type ProductionTitleScams
No sc nes have been declared.
Disclaimer
EXCe8B Llabllry CIO 36 notapply to any schsduled Railroad Goratrartuat stunts_
CERTSTUNTS 10.2
Certificate Number 125172a
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
air_ :n+rnawa
SCHEDULE OF FORMS 05200;2026
Insured_ Black Scorpion Permitting & Produons, LLC
This Schedule of Forms is aftached to and made part of certificate number 1251720, as of O3 2O2B at I}7:1P AI PT, and lists the forms included in the policy(s)
and subsequent eta rdcrsernerrt (s). at the time this certificate was issued.
Form #
Ed_ Name
Entertainment Production Package
Notices
U GU2126A
IF-raU-279-F
lJ-GU-319-F
UGU-674-BCW
UGU873ACW
LFGL-1197-ACW
iF-GU-1191-ACW
Common
LIGU727ACW
LIGU1292ACW
LIGUi}311k4
LI GU5i19ACW
LUGU521ACW
LIGU51BACW
ILG] 17
DADt1DDACW
UAet105ACW
LfABi101AC4V
UAL 11i0ACW
1LIXIU3
1U-4U-630--ECW
Inland Marine
UABMD10:l.ACW
UGU519ACW
ClaDa01
UAEM133ACW
MEM 109ACW
UABM1122ACW
tfAEM1F A0W
ttABM 128ACtri
11.ABM114ACW
Llh6M1 DT:ACW
tfhBM115ACW
CMD116
1L0255
10175
Ll-GU-TE7-0CW
I1-GU-616-ACW
General Liability
LfABLD10DBCW
UGUfi19ACW
CG0D61
CG2011
CG2012
CG2I122
CG2029
CG24044
41-GL-1327— Cni
UiEL125ACW
UAEL121ADW
CG2109
CG21115
CG4035
CG0069
U-GL-1171- -CW
t! GL-117E-A-Chi
CG2147
UrGL-1517- CW
tfABL131ACW
UABL102ACW
UAEL129ACW
1J9L1250A01V
titABL122ACIN
LUABL10TACW
UAEL130ACW
UABL135ACW
UAEL137ACW
UABL136ACW
1/hEL195ACW
ttABL103ACW
0225 Important Notice- Consumer Complaints
0519 Commercial Property And Casualty Risk 4lanagernen1 Plans -Florida
+]109 important Nance- in WitnessClaFuse
0223 Notice afDisclosure for Agent and Broker Compensation
0611 DiscOsure "1 tenien1
0]104 Asbestos Exclusion Endorsement
0315 Sanollxns Exclusion Endorsement
0805 Commercial insurance Policy
0422 Notice Of Important Provisions
0193 Common Policy Declarations
1002 Schedule of Fauns and Errdorsecnents
1002 Schedule Oi Named insured(s)
1002 ScheduiemmLocaltons
1198 Common Policy Conditions
0117 Schedule OfPrD1udlons
0117 Nan -Insured Produclbn E Itlyy Exdausk:a
0117 Delinitlon 0,EmpAyee
0117 Minimrrr Earned Premi tan Enolorsernent
090E Calculation of Premium
012D Disclosure of important information Relating to Terrorism Risk insurano2Aot
0117 Comrnerdai" Inland Marine Declarations Entertainment Program
1002 Schedule o1 Fars and Endorsements
0904 Commercial Inland MarineCondJons
0117 Common Com:IIbons, Exclusions And Definitions
0117 -Mini Party Pmperty Damage Coverage Form
0117 =edule01Productbrs
0117 toss Payable Endorsement
0117 Excluded Property Endorsement
0117 Unscheduled Production, Presentation Cr Event Exclusion
0117 Sfi Ark. Animal Exposure And Pyrotechnic Exduslon
0117 Unattended Vehicle Limitation
0522 Florida Changes- Lass Payment Endorsement
1224 Florida Changes- Cancellation and Nonrenewal
0907 Florida Changes- Legal Action Against Us Endorsement
0115 Cap on Lasses From Certified Acts of Terroals:T
1002 Schedule of Taxes, Fees and Surcharges
0119 Cornmerciar General Liability Coverage Part Declarations
1002 Schedule of forms acid Endorsements
0413 Con1r1 r lal General Liability Coverage Form
1219 Addtttonai Insured - Managers of Lessors of Premises
1219 Addtttr not Insured -State or Governmental Agency or SubdINsiom or Political Subdivision - Perms or AuthoarLBtlona
1219 AdMional" Insured - Designated Person aT Organization
1219 AdIItonai Insured - Lessor of leased equlprnent
1219 Waiver oiTransfer of Rlghls of ReooveryAggaInsl Others to Lis
0413 Other Insurance Amendment - Primary And Non- Contioutory
0117 Addltlanal. Insured -Owners Or Lessees Scheduled Person Or Organization Primary and Noncontributory Coverage
0117 Limited 51a11onary Aircraft Coverage
0615=xcuslon- UnmannedA;lusdit
1223 Encualon- AccessarDisdosure of Confldentlai or Personal Iniorrnalbn and Data-Rela!ed Liability - WM Limited Evilly Injury*
Exoeplion
1223 Exclusion- Cyder Incident
1223 Exclusion- 7rtoWilmi of Lars Addressing 13.ra1a Privacy
0719 Fungi 9ao"leria Exclusion.
0703 Asbestos Exdvncn
1207 Employment Reabed Practices Exclusion
0413 Collection rz Dlstlbulkan of Material or Information in Violation of Law Exclusion
0117 Hon -Performing Anrnal Exclusion
0117 Property Damage To Rented Premises Exclusion
0117 Assault And Battery Exclusion
0905 Abusive Ad Liability Exclusion
0117 NewlyAoqulreci Or Formed Entity Ex.duslon
0117 Exclusion- Insureds Conducting Meda, Entertainment Cc Internet Type Openratiorts
0117 intonational Content Exclusion
a] 117 Media cn nterrt Exclusion
0117 t.rnss Suits Exclusion
0] 117 Personal And Advertising Injury- Exclusion Of False Arrest Detention, Imprisonment, Libel Slander. Right Of Pn vacy, Advertrs ng
Irea, And Cop)11 rI, Trademark Or Trade Secret
0117 Jlectiedlidedi Production, Preaenlabon Cr Event ExcIuuan
0117 slum, Pyrotechnic And Animal Exposure Exclusion
APA-CEfT-FORMLIST 0914
Cert1i1nate Number. 125172E Page 1 of 2
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
SCHEDULE OF FORMS osraarbo215
Insured: Blade Scorpion Permitting & F')ducti rs. _LC
This Schedule of Fcrms is attached to and rude part of cert iicate number 12517294 as of 051fl1312028 at 0.7:1W fiat PT and lists the forums included in the pplicy(s
and subsequent endcr°sement (s) a' the time this certificate was issued_
Form # Ed. Name
t.FABL1(149C14 0115 Schedule DI Cowered Stunts, Animals Or PyrotecrlmcMUa1C2s
CG2132 •]5015 crrrmunioanie disease Excluelrxn
9L1XI21 ,3905 :Nuclear Energy Ltabllity Exclusion Endorsement (Broad Form)
CG0224 1224 t]artda Changes- Cancellation arid Nonrenewal
9.FABL195ACW 0117 Commercial General Liability Changes
iF-lad-7.57-CW 0115 Cap on LosesFnornCerin4ed Acts at Terrorism
1i-GU-616-1icW 1002 Schedule crT Taxes, Fees and vurcharges
Dlscllairners
This Ceritri ate of Liability Insurance Includes the Type or Insurance, Limits, and Schedrre of Forms In effect as or D5,090D25 al G7:1g AM PT. 11 does nal affirmatively or
negatively arnermi, extend, or ailerihe coverage afforded by the insurance policy nor confer any rights upon due cerl ltcale holder. You may ee required to request an updated
cerlmcate in the etirent or subsequen1 petloYy rnorricatlons.
The IrrTemialon Included In this verttflcaleMat has been provlc2C r.", -:sw.sited Specialty Cunrelages, LLC IraTor your Information wily, and does not create a contrast or agency
relationship between The certltioateholder arany Insured and Ir: ; °. -:: paclarLyr Coverages, LLC. By accepting this oer6ticate the certtn ate kidder dolma ledges drat
Integrated Specialty Coverages, LLC is nal clue agent Ditie : ,: :Adel orany Insured, but is solely the agent DTthe Ilsled carrler{si. Integrated Spedaity Coverages, LLC
makes no represeriatian *tether the coverages listed hers r sir= : ypr:arlatefarthe certlllea1e balder Irany insured- grease review the listed CaVeragesc efully and dnect
ary guesdons 16 your tanker. Fora complete %ling al coverages,. terms, conditions and exoluslons„ please view the referenced PclLey(s).
14PA-CERT-FC; RMLI5T 0914 Certificate Nurntser. 125172B Page 2 di 2
Docusign Envelope ID: 6556E73D-6016-871D-8308-C8FCB67805EF
Certificate Verification
Dar ruruunehvr
05/08/2026
Insured: Black Scorpion Permitting & Productions, IiC
Abacus provides an efficient website lookup tool for certificate holders to verify
the authenticity of certificates of insurance_
1. Navigate to the website and input the veriff tiorr code DR Scan the QR code.
2_ The actual certificate issued through the Abacus Platform will download_
3_ Compare the details of the downloaded certificate to the certificate presented by the client.
Website Verification Code
www. a ba c us, n etf tie a rify-certificate
OSO0QUITOLI8
About Certificates Issued through the Abacus.net Platform
• Abacus requires that all certificates be issued through the Abacus Platform_ C.rtiniaites issued outside of the .Abacus
Platform are invalid.
■ Certificates may be issued through the Abacus Platform by either the named insured {ifregisttered through the Abacus
Platform} or their Abacus registered insurance broker_
• Certificates with any stray marks, cross outs or alterations of any sort are invalid_
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APM1ER`TyER 0917
Ce aka& Number. 126172E P3ac 1 Y'
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
Date:
itu
May 12, 2026 1 16:33:50 EDT
VIA ELECTRONIC MAIL
BLACK SCORPION PERMITTING AND PRODUCTIONS, LLC
JAMIL J. GONZALEZ,
3930 SW 60th Avenue Miami, FL 33155
Jami1.gonzalez@gmai1.com
RE: Reservation of the Miami Marine Stadium on 05/14/2026
To whom it may concern,
ARTHUR NORIEGA, V.
City Manager
The City of Miami, Depaitinent of Real Estate and Asset Management, which manages the Miami Marine
Stadium located at 3501 Rickenbacker Cswy, Miami, FL 33149, received your application for the use of the
Theater for purpose of Fi 1 mi ng ("Event"), more specifically described in the
attachment to this correspondence. Your reservation for the use of the Theater for the Event is contingent on
the following conditions:
1. Execution of a Use Agreement with terms acceptable to the City Manager and in a form acceptable to
the City Attorney. The Use Agreement must be signed and returned along with the deposit described
above. Failure to execute a Use Agreement timely will result in a cancellation of your Event.
The following days will be reserved for your Event upon completion of the above conditions:
05/14/2026 through 05/14/2026 These days are non -assignable. Should you have any comments or
questions, please contact Yunior Santana at vsantana a,miamigov.com.
Enclosed:
- Application
DocuSigned by: "�' "
�aiv�tiL �. 1 614 -'7
65F0B6F218DC430...
DEPARTMENT OF REAL ESTATE AND ASSET MANAGEMENT
444 S.W. 2"d Avenue, 3rd Floor, Miami, FL 33130 / (305)416-1450 Fax: (305)416-2156
Docusign Envelope ID: 6556E73D-6016-871 D-8308-C8FCB67805EF
EXHIBIT H - CORPORATE RESOLUTION OR OTHER PROOF OF AUTHORITY
BLACK SCORPION PERMITTING
WHEREAS, AS AND PRODUCTIONS, LLC
("Company") desires to enter into an agreement
Company's Legal Name
with the City of Miami substantially in the form of the agreement to which this Resolution is attached (the
"Agreement"); and
WHEREAS, the Board of Directors or Managing Members as applicable ("Governing Body") at a
duly held meeting has considered the matter in accordance with the company's by-laws;
NOW, THEREFORE, BE IT RESOLVED BY THE GOVERNING BODY that the Company
intends to enter into the Agreement with the City of Miami and be bound by its terms and the
Jamil J. Gonzalez
("Authorized Person") as Authorized Member
of the
Name of Authorized Person Title of Authorzzed Person
Company is hereby authorized and directed to execute the Agreement in the name of this Company and to
execute any other documents and perform any acts in connection therewith as may be required to
accomplish its purpose.
BY:
May 12, 2026 1 16:33:50 EDT
IN WITNESS WHEREOF, this day of 20
Day
DocuSigned by:
B34FF@DBA473...
Witness Signature
Vanessa Caamano-Gonzal ez
Witness Name
Rev. 11052023
BY:
Month Year
DocuSigned by:
136F71-6BC436...
Chairperson of Governing Body or
Authorized Officer
Affix Corporate Seal if applicable
Page H-1
Olivera, Rosemary
From: Castellon, Nathaly
Sent: Monday, June 1, 2026 3:46 PM
To: Hannon, Todd; Ewan, Nicole; Olivera, Rosemary; Jerez, Ileana; Fernandez, Stephanie M
Cc: Santana, Yunior
Subject: Executed - Marine Stadium -LSR#04702 -05/14/2026 - Black Scorpion Permitting &
Productions, LLC
Attachments: Executed Marine Stadium Event LSR#04702 - 05142026 - Black Scorpion Permitting
and Productions, LLC.pdf
Good afternoon, Todd,
Please find attached the fully executed copy of an agreement from DocuSign that is to be considered an
original agreement for your records.
Respectfully,
Jer 29:11
Respectfully,
Jer 29:11
Nathalsi Castellon
City of Miami Assistant Venues Manager
1508 SW 8th Street Miami, FL 33135
Phone: (305) 960-2936
MANUELARTIME
TOWER - THEATER
THEATER
M A R I N E
STA
Tower Theater Upcoming Events
Click for Calendar - Tower Theater & Marine Stadium - Book Here!
Click for Calendar - Manuel Artime Theater - Book Here!
Nathalsi Castellon
City of Miami Assistant Venues Manager
1508 SW 8th Street Miami, FL 33135
Phone: (305) 960-2936
MANUELARTIME
TOWER- THEATER
THEATER
MART Ni m
ST
A
A p
Tower Theater Upcoming Events
Click for Calendar - Tower Theater & Marine Stadium - Book Here!
Click for Calendar - Manuel Artime Theater - Book Here!
1