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HomeMy WebLinkAboutMINUTES - 09121995 - C137 TO: BOARD OF SUPERVISORS s Contra — : FROM: _ a Costa MARK FINUCANE, HEALTH SERVICES DIRECTOR , County DATE: September 12, 1995 SUBJECT: USE OF CITY OF WALNUT CREEK FACILITY, PARK PLACE 1395 CIVIC DRIVE, WALNUT CREEK FOR PEHAB RETREAT SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION I. RECOMMENDATION: Authorize the Director of the County Health Services Department or his designee, Wendel Brunner, M.D. to hold harmless and indemnify the City of Walnut Creek, for use of the facility known as Park Place, 1395 Civic Drive, Walnut Creek, California on September 21, 1995 from 8:45 a.m. - 3:30 p.m. II. FINANCIAL IMPACT: None III. REASON FOR RECOMMENDATION: The Contra Costa County Public and Environmental Health Advisory Board (PEHAB) will hold a retreat on September 21,1995 from 8:45 a.m. - 3:30 p.m., at the Park Place, 1395 Civic Drive, Walnut Creek, California. CONTINUED ON ATTACHMENT: YES SIGNATURE: 41 RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE (S): ACTION OF BOARD ON _ APPROVED AS RECOMMENDED _ OTHER __ VOTE OF SUPERVISORS / I HEREBY CERTIFY THAT THIS IS A TRUE �L UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: x AOr ers ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: Wendel Brunner, M.D. 313-6712 ATTESTED Health Services Director Public Helath Administration PHIL BA CHELOR,CLERK OF THE BOARD OF PEHAB SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY M382 (10/88) CITY OF WALNUT CREEK USE AND RELEASE FORM PARKPLACE 1395 CIVIC DRIVE WALNUT CREEK, CA 1. Public and Environmental Health Advisory Board Group Name 2. Suzanne Teran N/A Responsible Party City Sponsor 3. 9/2'1/95 8:45 a.m. - 3&30 Date of Reservation Hours It is understood and agreed that City rules regarding use of City facilities shall be adhered to. It is hereby stated that the undersigned has read the regulations concerning use of Park Place, shall be responsible on behalf of the group requesting the facility, and shall be liable for damages, losses or bodily injury arising from said use. Signed Date Health Services Denartment Address ' 'Public Health Administration Phone (tel 311- 712 597 Center Avenue, Suite 200 Martinez, CA 94553 Sponsor Signature N/A Phone - - NOTE: This application shall be returned to the City Manager's Office, City Hall, P.O. Box 8039 Walnut Creek, CA at least two (2)weeks in advance of requested date of use. THIS SPACE FOR CITY USE Application Granted Application Not Granted Reason for Denial Dated B