HomeMy WebLinkAboutMINUTES - 09262000 - C82 et
hN 02
TO: BOARD OF SUPERVISORS
FROM: William Walker, NICD., Health Services Director Contra
DATE: SeptsEber Is,2000 Costa
SUBJECT: HOLD HARMLESS AGREEMENT WITH GRACE LAO LUTHERAN CHURCH County
SPECIFIC REOVEST(S)OR RECOMMENDATION(S)•DACRe1e1111D AND JISTIFICATION
RECOMMENDATION:
AUTHORIZE the Health Services Director or his designee (Julie Kelley) to hold harmless and indemnify Grace Lacs
Lutheran Church for use of their facility( 2369 Barrett in Richmond, CA) on October 4, 2040 for a Laotian Health
Issues meeting.
BACKGROUND:
CCHS is sponsoring a meeting with the Laotian community in West County to identify and address health issues in
the Laotian community.
FISCAL IMPACT:
None. (CA DHS Outreach Funding)
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMM EE
.`!'``APPROVE OTHER
SIGNATUREM:.
i
ACTION OF BOARa 6N S ey t e m b e r 2 6 , 2 0 0 0 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
y UNANIMOUS (ABSENT - -) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: Julie Kelley(370-5055)
ATTESTED September 26 , 2000
CC,. Health Services Administration PHIL BATCHELOR,CLERK OF THE BOARD OF
Julie Kelley SUPERVISORS AND COUNTY ADMINISTRATOR
B DEPUTY
APPLICATION FOR USE OF
GRACE LAO LUTHERAN CHURCH FACILITIES
Name of Organization: CQA,j rA,4 c o s
Applicant's name/group representative.
Address: co- t 444eww t I S - c A4 S!1; .�_,. Phone: �: !ZQ-54-4Z5-
Facilities
5 5"Facilities to be used(check) fellowship Classrooms Lounge Kitchen Patio
Date requested for use of facilities Time from. to
Type of event: Expected numbers:
Certificate of Insurance provided , Insurance's name
"The undersigned hereby agrees to indemnify and hold harmless the Grace Lao Lutheran Church,
its officers and directors of any and all claims, or costs arising out of this group's use of these premises,
including; but no limited to medical bills, cost of defense and/or for personal injury"
Signature ol'Applicant _ , DateThe sponsored groups or events must take responsible for thelollowing requirements:
USER IS RESPONSIBLE FOR:
1. Physical set-up
2. Proper disposal of waste generated by the event, this must be done before 8:04 a.m. by the next day.
3. Securing the facilities, close all windows, turn off the lights and heater, lock all doors.
4. Replacement in kind is expected for damaged or broken equipment and is to be reported to
the Church Council within 24 hours.
CONDITION OF USE:
I. Non-Church sponsored groups or events should carry own liability. Each group is responsible for
providing proof of insurance. The Church is not responsible for liability of your party.
2. Each group using facilities must have security guard(s) upon the Church Council approval.
3. Security deposit must be made in advance.
4. Professional clean-up fee must be made in advance.
5. All users are to leave facilities in same condition as they are found.
6. Alcoholic beverages are not permitted on the premise. The Church is not responsible for serving or
selling alcoholic beverages. You must be responsible for your own.
7. Food and drinks are restricted to Classrooms, Lounge, and Patio.
8. No tacks, pins, tape, nails, etc. are to be used to secure items to wood or walls without approval.
9. Permission to use facilities may be revoked at any time if appropriate use is violated.
Permission I /IS NOT granted by
Signature of Church Representative , Date
Comments.
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