Backup Documents 07/27-28/2010 Item #16F 516F5
MEMORANDUM
Date: August 6, 2010
To: Kelly Green, Tourist Tax Coordinator
Tourism Department
From: Teresa Polaski, Deputy Clerk
Minutes and Records Department
Re: 2011 Tourism Agreement between Collier County and Naples
International Film Festival (NIFF, Inc.)
Attached, please find two original Agreements, as referenced above
(Item #16F5) approved by the Board of County Commissioners on July 27, 2010.
The Minutes and Record's Department will hold the third agreement in the Official
Record's of the Board.
If you have any questions, you may contact me at 252 -8411.
Thank you.
Attachments (2)
ITEM NO.: (o ,Ttf,_ CW51-
FILE NO.:
ROUTED TO:
DO NOT WRITE ABOVE THIS SPACE (Orig. 9/89; Rev. 6/97)
REQUEST FOR LEGAL SERVICES
(Please type or print)
.16 5-
_ � ,
Date: August 4, 2010 To: Office of the County Attorney, Attn: Jeff Klatzkow
From: Kelly Green Department: Tourism Department
Telephone #
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Re: Review Insurance for TDC Grant Agreement "Naples Internat'1 Film Festival
BACKGROUND OF REQUEST/PROBLEM:
(Describe problem and give background information - be specific, concise, and articulate.)
-6 t- L
(Are there documents or other information needed to review this matter? If yes, attach and reference this information.)
This item has/has not been previously submitted.
(If previously submitted provide County Attorney's Office File No.) Qom•
ACTION REQUESTED: , 6
(Be very specific. Identify exactly what you need in the way of legal services.) ) J
2
V
L
OTHER COMMENTS:
cc:
(All requests must be copied to your appropriate Division Head or Constitutional Officer.)
NOTE TO COUNTY ATTORNEY STAFF: Please make sure any correspondence (emails,
memos, etc.) as well as meetings, time, etc. be properly inputted into the appropriate Client
Profiles RLS Case.
04 -COA- 0 1 20 6/3 624
r
16F5
MEMORANDUM
TO: Ray Carter = —
Risk Management Department
FROM: Kelly Green _
Tourism Department 1
DATE: July 29, 2010 r
RE: Review Insurance for TDC Grant Agreement: "Naples
International Film Festival (NIFF, Inc.)"
This Contract was approved by the BCC on July 27, 2010, Agenda Item
16. F.5
Please review the Insurance Certificates for the above referenced contract. If
everything is acceptable, please forward to the County Attorney for signature.
Also, will you advise me when it has been forwarded. Thank you. If you have
any questions, please contact me at extension 2384.
DATE RECEIVED
AUG A 4 2010
RISK HAM GM MEIN
�l
SmithKristen
From: RaymonclCarter
Sent: Wednesday, August 04, 2010 10:14 AM
To: DeLeonDiana
Cc: GreenKelly; SmithKristen; mausen_g; HerreraSandra
Subject: TDC Grant Agreement "Naples International Film Festival (NIFF,Inc)
16F5
All, I have approved the certificate(s) of insurance provided by NIFF, Inc for the TDC Grant Agreement. The contract will
now be forwarded to the County Attorney's Office for their review.
Thank you,
Ray
Manager Risk Finance
Office 239 - 252 -8839
Cell 239 - 821 -9370
Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send
electronic mail to this entity. Instead, contact this office by telephone or in writing.
RL S #
CHECKLIST FOR REVIEWING CONTRACTS
Entity Nanre:
Entity name correct on contract? No 16F5
Entity registered with FL Sec. of State? Yes No
Insurance
Insurance Certificate attached?
Insured registered in Florida?
Contract # &/or Project referenced on Certificate?
Certificate Holder name correct (BCC)?
Commercial General Liability
General Aggregate Required $
Products /Compl/Op Required $
Personal & Advert Required $ l
Each Occurrence Required $s
Fire/Prop Damage Required $
Automobile Liability
Bodily Inj & Prop Required $i.
Workers Compensation
Each accident Required $
Disease Aggregate Required $
Disease Each Empl Required $
Umbrella Liability
es No
kYes -No
No
es No
Provided vn.; \
Provided $ tt , /
Provided $ \ Yn A
Provided $ t' J
Provided $
Provided $
Provided $
Provided �/ V
Provided
Exp. Date
Exp. Date
Exp. Date
Exp. Date l
Exp. Date
Exp Date
Exp Date
Exp Date
Exp Date
Each Occurrence Provided $ Exp Date
Aggregate Provided $ Exp Date
Does Umbrella sufficiently cover any underinsured portion? Yes No
Professional Liability
e>c� m r
Each Occurrence Required $ Provided $
Exp. Date
Per Aggregate Required $ Provided $
Exp. Date
Other Insurance
Each Occur Type: Required $
Provided $
Exp Date
County required to be named as additional insured?
Ye
No
County named as additional insured?
es
No
Indemnification
Does indemnification meet County standards?
Yes
No
Is County indemnifying other party?
Yes
No
Performance Bond
Bond requirement referenced in contract?
Yes
No
If attached, expiration date of bond
Does dollar amount match contract?
Yes
No
Agent registered in Florida?
Yes
No
Signature Blocks
Correct executor name in signature block?
Correct title of executor?
Executor authorized to sign for entity?
Proper number of witnesses /notary?
Authorization for executor to sign, if necessary:
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
Attachments
Are all required attachments included?
No
No
Vo
Jo
Jo
Io
to
No 4
Yes 4
Reviewer Initials: \
Date:
04- COA- 01030/
www.sunbiz.org - Department of State
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Events No Name History
Detail by Entity Name
Florida Non Profit Corno(ation
NIFF, INC.
Filing Information v
Document Number N09000003530
FEI /EIN Number 264665389
Date Filed 0410612009
State FL
Status ACTIVE
Last Event AMENDMENT
Event Date Filed 06/30/2009
Event Effective Date NONE
Principal Address
720 BELAIR COURT
NAPLES FL 34103
Changed 06/29/2010
Mailing Address
720 BELAIR COURT
NAPLES FL 34103
Changed 06/29/2010
Registered Agent Name & Address
GOEDE, JOHN C ESQ.
9915 TAMIAMI TRAIL N
SUITE 1
NAPLES FL 34108 US
Officer /Director Detail
Name & Address
Title D
SAMUEL, ROWAN
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
Title D
GOEDE, JOHN C
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
Title D
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Submit
http: / /www. sunbiz.org/ scripts /cordet.exe? action = DETFIL &inq_doc_number= NO90000O3 53... 8/4/2010
www.sunbiz.org - Department of State
LINEHAN, DANIEL
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
1111111a7
ROWE, TIM
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
Title D
ARDEZZONE, CHUCK
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
Title D
LEHN, MIKE
1100 SIXTH AVENUE SOUTH #2 & 3
NAPLES FL 34102
Annual Reports
Report Year Filed Date
2010 06/29/2010
Document Images
06/29/2010 --ANNUAL REPORT View image in PDF format'
06/30/2009 -- Amendment View image.in PDF format'
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16F5
RaymondCarter
From: RaymondCarter
Sent: Wednesday, July 28, 2010 10:40 AM
To: 'Tim Rowe'; GreenKelly
Cc: WertJack; whitejennifer
Subject: RE: Cat. B TDC Grant Agreement - Naples Int'I Film Festival
I have spoke with "Michael" at the number below who confirmed that being this is not construction related and the
company employs less than 4 employees they are NOT required to file an exemption. Therefore, I believe that the WC
requirement could be waived in this instance. I will forward this email string to Jennifer White to opine as well.
Thank you.
Ray
From: Tim Rowe [mailto:tim @naplesfilmfest.com]
Sent: Wednesday, July 28, 2010 9:18 AM
To: RaymondCarter; GreenKelly
Cc: WertJack
Subject: RE: Cat. B TDC Grant Agreement - Naples Int'I Film Festival
Hello Ray:
Tim Rowe from the film festival — I spoke to the state regarding worker's compensation insurance statutes in order to
satisfy the contracts language "Worker's Compensation and Employer's Liability — Statutory." Their office responded by
saying that according to statute 440.09 and 440.055 companies that have no employees are not required to hold worker's
compensation insurance policies. Since the line item specifically states that the requirements to be met are statutory and
the statutes are being followed, can I assume that we would not need a waiver?
Thank you so much for your time and attention to this matter.
Tim
r,raf ons di,,e t r
board iir: ;, €Gent
Naples International Film Festival
239 - 877 -2819
www.naplesfilmfest.com
From: RaymondCarter [ mailto :raymondcarter @colliergov.net]
Sent: 2010 -07 -28 08:19 AM
To: GreenKelly
Cc: tim @naplesfilmfest.com; WertJack
Subject: FW: Cat. B TDC Grant Agreement - Naples Int'I Film Festival
Hi Kelly, the agreement as approved by the BCC sets forth the requirement for "Workers Compensation and Employers Liability ". I
cannot approve any material changes to a board approved contract. NIFF, Inc may qualify for a WC Exemption from the State. The
link below will take you to the proper place to apply with the State. Additionally, since the company is not "construction related"
they should check the appropriate box on the application and there will be no "fee" involved in obtaining the certificate.
The Notice of Election to be Exempt (for DWC 250) can be obtained from our website at
http: / /www.myfloridacfo .com /WC /`forms.htm1 #6. Click on form "DWC 250 "(found under tab 69L -6). Click on "DWC 250 Instructions"
to view the instructions for completing.
If you have any questions in regards to completing this application, please call the Division's Customer Service Center at (850) 413-
1609 and press option #2.
16F5
Hope this helps.
Ray
From: GreenKelly
Sent: Tuesday, July 27, 2010 3:25 PM
To: RaymondCarter
Cc: tim @naplesfilmfest.com; Wertlack
Subject: Cat. B TDC Grant Agreement - Naples Int'l Film Festival
Ray:
Attached is a TDC Cat. B Grant Agreement that was approved by the BCC today. Could you please review the agreement and advise
if workers comp. insurance is necessary in this case? There are no employees, only a volunteer Board of Directors, event volunteers,
and contracted employees to provide advertising services, etc. I will provide you with the insurance certificate as soon as I receive it
from the organization.
Thanks,
Kelly
Kelly Green
Tourist Development Tax Coordinator
Naples, Marco Island, Everglades
Convention & Visitors Bureau
2800 N. Horseshoe Drive
Naples, FL 34104
(239) 252 -2384; (239) 252 -2404 fax
KellvGreen0collieroov.net
Discover Florida's Last Paradise
Naples, Marco Island, Everglades City
11 Etdc r > lorida Law, e nail addresses are public records. If you do not want your e -mail address released in response to a public rectards request.. do not send
electromo, mail to this entity_ Instead, contact this office by telephone or in writing.
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16f5
2011 TOURISM AGREEMENT BETWEEN
COLLIER COUNTY AND NAPLES INTERNATIONAL FILM FESTIVAL (MIFF, INC.)
THIS AGREEMENT is made and entered into this 3L day of T� , 2010,
by and between NIFF, Inc., a Florida not - for -profit corporation, hereinafter referred to as
"GRANTEE" and Collier County, a political subdivision of the State of Florida, hereinafter
referred to as "COUNTY ".
WHEREAS, the COUNTY has adopted a Tourist Development Plan (hereinafter referred
to as "Plan") funded by proceeds from the Tourist Development Tax; and
WHEREAS, the Plan provides that certain of the revenues generated by the Tourist
Development Tax are to be allocated to promote and advertise tourism within the State of
Florida, nationally and internationally which encourages tourism; and
WHEREAS, GRANTEE has applied to the Tourist Development Council and the County
to use Tourist Development Tax funds for community information services; and
WHEREAS, The Collier County Board of County Commissioners has approved the
funding request of the GRANTEE and the Chairman was authorized to execute the Tourism
Agreement.
NOW, THEREFORE, BASED UPON THE MUTUAL COVENANTS AND PREMISES
PROVIDED HEREIN, AND OTHER VALUABLE CONSIDERATION, IT IS MUTUALLY
AGREED AS FOLLOWS:
1. SCOPE OF WORK:
(a) In accordance with the authorized expenditures as set forth in the Budget, attached
hereto as Exhibit "F ", the GRANTEE shall expend the funds for the production of the 2010
Naples International Film Festival (hereinafter "the Project ")
2. PAYMENT:
(a) The amount to be paid under this Agreement shall be a total of Twenty Thousand
Dollars ($20,000), with Fourteen Thousand Dollars ($14,000) expended in Fiscal Year 2010 and
the balance in Fiscal Year 2011. GRANTEE shall be paid in accordance with fiscal procedures
of the County for the expenditures incurred as described in Paragraph One (1) herein upon
1
16F5
submittal of a Request for Funds on the form attached hereto as Exhibit "D" and made a part
hereof, and shall submit vendor invoices and copies of cancelled checks or other evidence of
payment to the Executive Director of the Naples, Marco, Everglades Convention and Visitors
Bureau ( "CVB "), or his designee, for review and upon verification by letter from the GRANTEE
that the services or work performed as described in the invoice have been completed or that the
goods have been received and that all vendors have been paid.
(b) The Tourism Director or his designee shall determine that the invoice payments
are authorized and that the goods or services covered by such invoice[s] have been provided or
performed in accordance with such authorization. The line item budget attached as Exhibit "F"
shall constitute authorization for the expenditure[s] described in the invoice[s].
(c) All expenditures shall be made in conformity with this Agreement.
(d) The COUNTY shall not pay GRANTEE until the Clerk of the Board of County
Commissioners pre - audits all payment invoices in accordance with law.
(e) GRANTEE shall be paid for its actual costs, not to exceed the total amount for
any line item nor, the maximum amount budgeted pursuant to the attached "Exhibit F ". The
amounts applicable to the various line items of Exhibit "F ", subject to the maximum total
amount, may be increased or decreased by up to ten percent (10 %) at the discretion of
GRANTEE. Adjustment in excess of ten percent (10 %) of any line item may be authorized by
the County Manager or his designee.
(f) All requests for reimbursement must be received prior to September 30, 2011 to be
eligible for payment.
3. ELIGIBLE EXPENDITURES:
(a) Only eligible expenditures described in Paragraph One (1) will be paid by
COUNTY.
(b) COUNTY agrees to pay eligible expenditures incurred between the effective date
of this agreement and September 30, 2011.
(c) Any expenditures paid by COUNTY which are later deemed to be ineligible
expenditures shall be repaid to COUNTY within thirty (30) days of COUNTY's written request
to repay said funds.
(d) COUNTY may request repayment of funds for a period of up to three (3) years
after termination of this Agreement or any extension or renewal thereof.
V
16F5
4. INSURANCE:
(a) GRANTEE shall submit a Certificate of Insurance naming Collier County Board
of County Commissioners and the Tourist Development Council as additional insureds.
(b) The certificate of insurance must be valid for the duration of this Agreement, and
be issued by a company licensed in the State of Florida, and provide General Liability Insurance
for no less than the following amounts:
BODILY INJURY LIABILITY $300,000 each claim per person
PROPERTY DAMAGE LIABILITY $300,000 each claim per person
PERSONAL INJURY LIABILITY $300,000 each claim per person
WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY — Statutory
(c) The Certificate of Insurance must be delivered to the Tourism Director, or his
designee, with the executed Agreement. The GRANTEE shall not commence promotional or
advertising activities which are to be funded pursuant to this Agreement until the Certificate of
Insurance has been received by the COUNTY and the Agreement is fully executed.
5. REPORTING REQUIREMENTS:
(a) GRANTEE shall provide to County a preliminary status report on the form
attached hereto as Exhibit "A" within thirty (30) days of the effective date of the agreement.
(b) GRANTEE shall provide to County a quarterly interim status report on the form
attached hereto as Exhibit `B ".
(c) GRANTEE shall provide to County a final status report on the form attached
hereto as Exhibit "C" no later than October 31, 2011.
(d) Each report shall identify the amount spent, the duties performed, the services
provided and the goods delivered since the previous reporting period.
(e) GRANTEE shall take reasonable measures to assure the continued satisfactory
performance of all vendors and subcontractors.
(f) COUNTY may withhold any interim or final payments for failure of GRANTEE
to provide the interim status report or final status report until the County receives the interim
status report or final status report or other report acceptable to the Executive Director of the
CVB.
6. CHOICE OF VENDORS AND FAIR DEALING:
3
F5
(a) GRANTEE may select vendors or subcontractors to provide services as described
in Paragraph One (1).
(b) COUNTY shall not be responsible for paying vendors and shall not be involved in
the selection of subcontractors or vendors.
(c) GRANTEE agrees to disclose any financial or other relationship between
GRANTEE and any subcontractors or vendors, including, but not limited to, similar or related
employees, agents, officers, directors and/or shareholders.
(d) COUNTY may, in its discretion, object to the reasonableness of expenditures and
require payment if invoices have been paid under this Agreement for unreasonable expenditures.
The reasonableness of the expenditures shall be based on industry standards.
7. INDEMNIFICATION:
GRANTEE shall indemnify and hold harmless Collier County, its agents, officers and
employees from any and all liabilities, damages, losses and costs, including, but not limited to,
reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence,
recklessness, or intentionally wrongful conduct of the GRANTEE or anyone employed or utilized
by the GRANTEE in the performance of this Agreement. This indemnification obligation shall
not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be
available to an indemnified party or person described in this paragraph.
8. NOTICES:
All notices from the COUNTY to the GRANTEE shall be in writing and deemed duly
served if mailed by certified mail to the GRANTEE at the following address:
Tim Rowe, President
NIFF, Inc.
720 Belair Court
Naples, FL 34103
All notices from the GRANTEE to the COUNTY shall be in writing and deemed duly
served if mailed by certified mail to the COUNTY to:
Jack Wert, Executive Director
Naples, Marco Island, Everglades CVB
2800 N. Horseshoe Drive
Naples, Florida 34104
4
F9
The GRANTEE and the COUNTY may change the above mailing address at any time
upon giving the other party written notification pursuant to this Section.
9. NO PARTNERSHIP: Nothing herein contained shall be construed as creating a
partnership between the COUNTY and the GRANTEE, or its vendors or subcontractors, or to
constitute the GRANTEE, or its vendors or subcontractors, as an agent or employee of the
COUNTY.
10. COOPERATION: GRANTEE shall fully cooperate with the COUNTY in all
matters pertaining to this Agreement and shall provide all information and documentation
requested by the COUNTY from time to time pertaining to the use of any funds provided
hereunder.
11. TERMINATION:
(a) The COUNTY or the GRANTEE may cancel this Agreement with or without cause
by giving thirty (30) days advance written notice of such termination specifying the effective date
of termination.
(b) If the COUNTY terminates this Agreement, the COUNTY will pay the
GRANTEE for all expenditures or contractual obligations incurred by GRANTEE, with
subcontractors and vendors, up to the effective date of the termination so long as such expenses are
eligible.
12. GENERAL ACCOUNTING: GRANTEE is required to maintain complete and
accurate accounting records. All revenue related to the Agreement must be recorded, and all
expenditures must be incurred within the term of this Agreement.
13. AVAILABILITY OF RECORDS: GRANTEE shall maintain records, books,
documents, papers and financial information pertaining to work performed under this Agreement
for a period of three (3) years. GRANTEE agrees that the COUNTY, or any of its duly authorized
representatives, shall, until the expiration of three (3) years after final payment under this
Agreement, have access to, and the right to examine and photocopy any pertinent books,
documents, papers, and records of GRANTEE involving any transactions related to this
Agreement.
5
14. PROHIBITION OF ASSIGNMENT: GRANTEE shall not assign, convey, or
transfer in whole or in part its interest in this Agreement without the prior written consent of the
COUNTY.
15.
TERM: This Agreement shall become effective on the date of approval by the
Board of County Commissioners and shall remain effective until September 30, 2011
If the
project is not completed within the term of this agreement, all unreleased funds shall be retained by
the COUNTY. Any extension of this Agreement beyond the original term in order to complete the
Project must be at the express consent of the Collier County Board of County Commissioners.
16. The GRANTEE must request any extension of this term in writing at least sixty
(60) days prior to the expiration of this Agreement, and the COUNTY may agree by amendment to
this Agreement to extend the term for an additional one (1) year.
17. EVALUATION OF TOURISM IMPACT: GRANTEE shall monitor and evaluate
the tourism impact of the Project, explaining how the tourism impact was evaluated, providing a
written report to the Tourism Director, or his designee, along with a final budget analysis by
October 31, 2011.
18. REQUIRED NOTATION: All promotional literature and media advertising must
Prominently list Collier County and the Tourist Development Council as a source of funds and
display the CVB logo with website address to qualify for reimbursement.
19. AMENDMENTS: This Agreement may only be amended by mutual written
agreement of the parties, after review by the Collier County Tourist Development Council if
warranted.
IN WITNESS WHEREOF, the GRANTEE and COUNTY have respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
SIGNATURE PAGE TO FOLLOW
D
,x
Approved a and
leg iciercl-
Je—nnifer > —
&-VmJ/ C
B. White
Assistant County
WITNESSES:
Printed/Typed Name
(2)
Printed/Typed Name
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
�
By:
FRED W. COYLE, Chairman
GRANTEE:
NIFF, INC.
10
Printed/Typed Name l
ex t �✓t°51 {ii/l d
Printed/Typed Title
7
Item # �-5
Agenda
D, �tb
Date r co
F5
16F5
EXHIBIT "A"
Collier County Tourist Development Council
Preliminary Status Report
EVENT NAME:
REPORT DATE:
ORGANIZATION:
CONTACT PERSON:
ADDRESS:
PHONE:
TITLE:
FAX:
On an attached sheet, answer the following questions and attach it to your
application.
PRELIMINARY INFORMATION:
Is this a first time project? If not, please give details of past projects.
Do you anticipate using area hotels in support of your project?
If so, what are the estimated hotel room nights generated by project?
What is the estimated revenue generated by this project?
What is the estimated number of participants expected to visit the project?
If project planning is in progress, what has been done, what remains to be done, and are
there any problems?
If the project planning has not been started, why?
List any planned out -of- county advertising, marketing, and /or public relations that will be
used in support of the project.
F
16F5
EXHIBIT "B"
Collier County Tourist Development Council
EVENT NAME:
REPORT DATE:
ORGANIZATION:
CONTACT PERSON:
ADDRESS:
PHONE:
Interim Status Report
TITLE:
w
On an attached sheet, answer the following questions to identify the status of the
project. Submit this report at least quarterly.
INTERIM — These questions will identify the current status of the project. After the TDC
staff reviews this Interim Status Report, if they feel you are behind schedule on the
planning stages, they will make recommendations to help get the project stay on schedule.
Has the planning of this project started?
At what point are you at with the planning stage for this project?
(Percent of completion)
Will any hotels /motels be utilized to support this project?
If so, how many hotel room nights will be utilized?
What is the total dollar amount to date of matching contributions?
What is the status of the advertising and promotion for this project?
Have your submitted any advertisements or printed pieces to the TDC staff for approval?
Please supply a sample and indicate the ad schedule.
How has the public interest for this project been up to this point?
E
EXHIBIT "C"
Collier County Tourist Development Council
EVENT NAME:
REPORT DATE:
ORGANIZATION:
CONTACT PERSON:
ADDRESS:
PHONE:
Final Status Report
TITLE:
FAX:
16F5
On an attached sheet, answer the following questions for each element in your
scope of work.
Final - These questions should be answered for your final status report.
Was this a first time project? If not, how many times has this event taken place?
What hotels /motels were utilized to support the project and how many?
What is the total revenue generated for this event?
Total expenses. (Have all vendors been paid ?)
List the vendors that have been paid, if not, what invoices are still outstanding and why?
What is the number of participants that visited the project?
What is the percentage of the total participants from out of Collier County?
What problems occurred if any during the project event?
List any out -of- county- advertising, marketing, and /or public relations that was used to
support the project and attach samples.
How could the project been improved or expanded?
10
16F5
EXHIBIT "D"
REQUEST FOR FUNDS
COLLIER COUNTY TOURIST DEVELOPMENT COUNCIL
EVENT NAME
ORGANIZATION
ADDRESS
CONTACT PERSON TELEPHONE ( )
REQUEST PERIOD FROM TO
REQUEST#
( ) INTERIM REPORT ( ) FINAL REPORT
TOTAL CONTRACT AMOUNT $
EXPENSE BUDGET REIMBURSEMENT REQUESTED
TOTALS
NOTE: Reimbursement of funds must stay within the confines of the Project Expenses outlined in
your application and Scope of Services in your agreement. Copies of paid invoices, cancelled
checks, tear sheets, printed samples or other backup Information to substantiate payment must
accompany request for funds. The following will not be accepted for payments: statements in
place of invoices; checks or invoices not dated; tear sheets without date, company or
organizations name. A tear sheet is required for each ad for each day or month of publication. A
proof of an ad will not be accepted.
For each additional request for payment subsequent to the first request, Grantee is required to
submit verification in writing that all subcontractors and vendors have been paid for work and
materials previously performed or received prior to receipt of any further payments.
If project budget has specific categories with set dollar limits, the Grantee is required to include a
spreadsheet to show which category each invoice is being paid from and total of category before
payment can be made to Grantee. Organizations receiving funding should take into consideration
that it will take a maximum of 45 days for the County to process a check.
Furnishing false information may constitute a violation of applicable State and Federal laws.
CERTIFICATION OF FINANCIAL OFFICER: I certify that the above information is correct based on
our official accounting system and records, consistently applied and maintained and that the cost
shown have been made for the purpose of and in accordance with, the terms of the contract. The
funds requested are for reimbursement of actual cost made during this time period.
SIGNATURE TITLE
11
EXHIBIT "F"
2010 Naples International Film Festival, Inc.
Project Budget-
Out of Collier County marketing and advertising expenses
to include website and social media site ads.
Up to $14,000 to be expended in Fiscal Year 2010 and the
balance expended in Fiscal Year 2011
Total:
12
16F5
Funding — Not to Exceed
$20,000
$20,000
Julov IU It:I I IrJ
239 - 591 -2089
P.10 j�,• 6
f CERTIFICATE OF LIABILITY INSURANCE 10713012010 U�
,4coRn•
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Products & Services, Inc- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
16730 Lone Oak Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED NIFF, Inc.
DIBIA: Naples International Film Festival
720 "air Court
Naples FL 34103
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MAY PERTAIN, THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS, EXCLUSIONSANDCONDITIONS OFSUCH
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION
Collier County Board of Commissioners DATE THEREOF, THE ISSUING INSURER VULL ENDEAVOR TO MAIL 10 DAYS MNRITTEN
3301 Tam lam i Trail East NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL IRE TO OO SO SMALL
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Naples, FL 34112 REPRESENTAT"
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CERTIFICATE OF LIABILITY INSURANCE DATE(1111"IYYYY)
07/3012010
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Products & Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6730 Lone Oak Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Naples FL 34109
INSURED NIFF, Inc.
DAB/A: Naples International Film Festival
720 Belair Court
Naples FL 34103
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INSURERS AFFORDING COVERAGE NAICN_
INSURERA. Hartford Casualty Insurance Comoanv 1
THEPOUCIESOFINSURANCELISTED BELOtN WIVEBEENISSUEDTOTHEIN SUREDNAMEDABOVE FORTHEPOLICYPERIOD INDICATED.NOTWITHSTANDING
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MAY PERTAIN, THE INSURANCEAFFORDEO BYTHE POLICIES DESCRIBEDHEREINIS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH
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non -for profit film organization
CERTIFICATE HOLDER
Tourist Development Council
3301 Tamlami Trail East
Naples, FL 34112
Phone:
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE MUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLNMAnON OR LIABLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED
ACORD 25 (2009J01) 019" 20 9 Ag CGUOI,
The ACORD name and logo are registered marks of ACORD