PALM BEACH COUNTY PARKS and RECREATION DEPARTMENT ANNUAL POWERED PARAGLIDER PERMIT APPLICATION Applicant Name: Address: City/Sta

PALM BEACH COUNTY PARKS AND RECREATION DEPARTMENT ANNUAL POWERED PARAGLIDER PERMIT APPLICATION John Prince Park Administration Building 2700 6th Avenue South, Lake Worth, FL 33461 Phone: (561) 966-6623 Fax: (561) 242-7400

APPLICANT INFORMATION Applicant Name: Click or tap here to enter text. Address: Click or tap here to enter text. City/State/Zip: Click or tap Choose an here to enter Click or tap here to enter text. item. text. Contact Phone #: Click or tap here to enter text. Alternate Phone #: Click or tap here to enter text. Email address: Click or tap here to enter text. Park Location Burt Aaronson South County Regional Park

As indicated by the signature below, Applicant understands and agrees that permission for use of Park facilities is contingent upon compliance with the following rules, regulations, and conditions:

1. The Applicant shall be an active member of the United States Powered Paragliding Association (USPPA) with a PPG2 endorsement, and the United States Ultralight Association (USUA) and provide proof of membership at submittal of application.

2. The Applicant shall be required to strictly comply with all terms and conditions of this Permit, and, in general, to exercise good judgment and follow prescribed practices for the safe and orderly use of the Park. The person signing this Permit is responsible for ensuring enforcement of all requirements, and for the safety and conduct of all participants, employees, agents and subcontractors of the Applicant. The Applicant shall be bound by all Ordinances of Palm Beach County, as are now or may hereafter be adopted, as fully as though the same were inserted in this Permit, and in particular, Palm Beach County Code, Chapter 21, as may be amended, pertaining to Parks and Recreation. Non- compliance may result in denial of future use of the Park, and termination of this Permit.

3. The Applicant shall maintain with respect to all aircraft owned, leased, or operated by Applicant, Aircraft Liability Insurance or equivalent specialized Paramotor coverage in an amount not less than One Million Dollars ($1,000,000) per occurrence.

4. The Applicant shall provide a Certificate, or Certificates, of Insurance, evidencing limits, coverages and endorsements as required herein. The Applicant shall endorse the County as an Additional Insured by endorsement to the Aircraft Liability policy. The additional insured endorsement shall read: "Palm Beach County Board of County Commissioners, a Political Subdivision of the State of Florida, its Officers, Employees and Agents, c/o Palm Beach County Parks and Recreation - 2700 6 Avenue South, Lake Worth Florida 33461." Coverage shall be provided on a primary basis. All Certificates of Insurance shall include a minimum thirty (30) day endeavor to notify due to cancellation or non-renewal of coverage. In the event coverage is cancelled or is not renewed during the Term or any extension thereof, the Applicant shall provide County a new Certificate of Insurance or Certificates of Insurance evidencing replacement coverage in force no later than thirty (30) days prior to the expiration or cancellation of the coverage. The Certificate Holder’s name and address shall read "Palm Beach County Board of County Commissioners c/o Palm Beach County Parks and Recreation - 2700 6 Avenue South, Lake Worth Florida 33461.

5. The Applicant agrees to a Waiver of Subrogation for each policy required herein. When required by the insurer, or should a policy condition not permit the Applicant to enter into any pre-loss agreement to waive subrogation rights without an endorsement, then the Applicant agrees to notify the insurer.

6. The County's Risk Management Department reserves the right to reject, modify and, or accept any required policies of insurance, including, but not limited to, limits, coverages or endorsements, required herein from time to time throughout the Term and any extension thereof. County may also reject any insurer or self-insurance plan providing coverage because of poor financial condition or failure to operate legally. In such event, County shall provide the Applicant a written notice of rejection, and the Applicant shall secure alternate, acceptable coverage within thirty (30) days of receipt of the notice, or forfeit Applicant’s Permit.

7. The Applicant acknowledges the limits, coverages and endorsements required herein are intended to minimize liability for County. The Applicant agrees that it will not rely upon the requirements herein when assessing the extent or PALM BEACH COUNTY PARKS AND RECREATION DEPARTMENT ANNUAL POWERED PARAGLIDER PERMIT APPLICATION John Prince Park Administration Building 2700 6th Avenue South, Lake Worth, FL 33461 Phone: (561) 966-6623 Fax: (561) 242-7400

determining appropriate types or limits of insurance coverage to protect the Applicant against any loss exposures, whether as a result of this Permit or otherwise.

8. Throughout the term of this Permit, the Applicant shall be and remain in full and complete compliance with all applicable federal, state and local laws, statutes, regulations, rules, rulings, orders, ordinances and directives of any kind or nature without limitation, as now or hereafter amended.

9. The Applicant shall indemnify, save harmless and defend the County from and against any and all claims, suits, actions, damages and/or causes of action arising during the term of this Permit for any personal injury, loss of life, environmental contamination, and/or damage to property sustained in or about the Park by reason, during, or as a result of the use of the Park premises and its appurtenant facilities by the Applicant, its members volunteers, participants, officials, agents, sponsors, employees, and subcontractors (hereinafter “Applicant’s Affiliates”) from and against any orders, judgments, and/or decrees which may be entered thereon, and from and against all costs, attorney’s fees, expenses and liabilities incurred in and about the defense of any such claim at trial or on appeal. In the event County shall be made a party to any litigation commenced against Applicant or Applicant’s Affiliates by Applicant or Applicant’s Affiliates against any third party, Applicant shall protect and hold County harmless and pay all costs and attorney’s fees incurred by County in connection with such litigation, and any appeals thereof. Applicant recognizes the broad nature of this indemnification provision and specifically acknowledges that County would not have granted this Permit without Applicant’s agreement to indemnify County and further acknowledges the receipt of good and valuable separate consideration provided by County in support hereof in accordance with the laws of the State of Florida. This provision shall survive expiration or termination of this Permit.

10. The permitted area (Attachment A) is for use solely by Powered Paraglider vehicles which are commercially available ultra light vehicles as defined by the Federal Aviation Administration (FAA). Attachment A delineates the flight path that all vehicles must remain within. An expanded map view (Attachment B) delineates the no-fly zones in and around

the Park. Amateur-built aircraft are not allowed.

11. The Applicant shall display a current United States Ultra Light Association (USUA) insurance card and a Palm Beach

County Parks and Recreation Department Approved Flyer Card when entering the permitted area with glider and gear.

12. Per FAA Regulations, the Applicant shall be Power Para Glider II (PPG II) rated.

13. The Applicant is permitted to fly only during designated times. Times are subject to change without notice at the sole discretion of the County. Current permitted flying times are daily, sunrise through sunset. Flying is prohibited during any special events in Burt Aaronson South County Regional Park and/or when restricted by the FAA. It is the

applicant’s responsibility to check the parks calendar for special event times and dates.

14. The Applicant shall keep his/her aircraft within the flying boundaries of the permitted area. The Applicant shall take off and land from the permitted area only. Engines are to be started, fueled, and run only in the permitted area. Only

three (3) aircrafts will be permitted in the air above the park at any time.

15. Nothing may be dropped from the ultra light vehicle without prior written County approval.

16. The Applicant understands that the Park is County owned property. The County may revoke authorization for use of

the Park, with or without cause, at any time, at which time this Permit will terminate.

17. Applicant shall not impede the rights of the public and/or any County Contracted Concessionaire to use the Park(s).

18. Applicant is responsible for cleanup of all trash, garbage, and waste materials associated with its activities, and if not satisfactory shall reimburse the County for such services required to return the area to a satisfactory condition,

including removal of trash, park repairs and/or any necessary staff time.

19. Vehicles are not permitted on service roads and must park in designated parking areas. The Applicant will be issued (1) gate key or combination for entry into permitted area. The Applicant will lock the gate upon entering and exiting

the designated parking area. Upon termination of the permit the applicant shall return the key.

20. No person shall conduct themselves in such a manner as to endanger bystanders or other park patrons.

21. No activities are permitted after sunset or before sunrise without prior written notification and approval of the Parks

and Recreation Department Director.

22. No person shall distribute, display or affix any printed materials or advertisements to or within any Park(s) property

23. The use of drugs or alcoholic beverages on the premises is prohibited at all times. No person who is intoxicated or

under the influence of drugs or alcohol is permitted to be on the Park(s) premises. PALM BEACH COUNTY PARKS AND RECREATION DEPARTMENT ANNUAL POWERED PARAGLIDER PERMIT APPLICATION John Prince Park Administration Building 2700 6th Avenue South, Lake Worth, FL 33461 Phone: (561) 966-6623 Fax: (561) 242-7400

24. Permission and permits for powered paragliding are limited to a maximum of 30 individuals and are subject to change without notice. 25. The County has final determination on any other issues that arise from this Permit, and reserves the right to restrict, revoke, or refuse a Permit to anyone.

26. Applicant shall pay an Annual Permit Fee of $75.00 plus applicable taxes (total $80.50) due upon submittal of application. Permit fees are not refundable. Fees subject to change. The permit is valid for one year from the date permit is issued.

The signature below acknowledges the Applicant’s understanding of and agreement with the conditions of this Permit, and certifies that the information provided by the Applicant is complete and accurate. Applicant understands that failure to abide by the terms and conditions of this Permit may lead to the cancellation of this Permit, the denial of future permits, and/or other legal action by Palm Beach County.

______Print Name of Applicant or Authorized Representative

Signature of Applicant or Authorized Representative

______Date

Return application with payment to: Parks and Recreation Department Attn: Special Facilities, Manager Support Services 2700 6th Avenue South; Lake Worth, FL 33461

If you’d like to pay remotely, send an email to [email protected] to request a user ID and password to set up an account. You will receive an email explaining how to access your account and make your payment via credit card.

To pay by credit card please call (561) 966-6611 (office) during Office Hours: Monday – Friday 8:00am-5:00pm

THE FOLLOWING SECTION IS FOR PARK OFFICE USE ONLY:

Permit Valid From:Click or tap here to enter text. To:Click or tap here to enter text. Permit Number: Click or tap here to enter text. Processed by:Click or tap here to enter text. PALM BEACH COUNTY PARKS AND RECREATION DEPARTMENT ANNUAL POWERED PARAGLIDER PERMIT APPLICATION John Prince Park Administration Building 2700 6th Avenue South, Lake Worth, FL 33461 Phone: (561) 966-6623 Fax: (561) 242-7400 Attachment A