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HomeMy WebLinkAboutMINUTES - 12081998 - C71 TO: BOARD OF SUPERVISORS CONTRA COSTA COUNTY FROM: William Walker,M.D. Health Services Director DATE: November'18,1998 SUBJECT: Use of Pleasant Hill Recreation and Park district Facilities for Health Services sponsored events SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommendation: Authorize the Health Services Director or his designee, 'Wendel Brunner,M.D., to hold harmless and indemnify Pleasant Hill.Recreation and Park District for the use of their Community Recreation Center, located at 320 Civic Drive in Pleasant Hill, on the following dates for the specified events: December 10, 1998 for the Council on Perinatal Health Forum +� January b and 7, 1999 for the Nutrition and Substance Abuse Conference • January 29, 1999 for a Family,Matemal &Child Health Programs staff meeting Backuound: None. Fiscal Impact: Funding for room rental is included in the State allocation for Matemal &Child Health Programs. h CONTINUED ON ATTACHMENT: O YES U NO SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE I� APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON December $ 1998 APPROVED AS RECOMMENDED XX OTHER VOTE OF SUPERVISORS -------INANIMOUS (ASSENT 3 I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND AYES:TT r TV,V,T NOES: ENTERED ON THE MINUTES OF THE BOARD OF ABSENT: TrT ABSTAIN, SUPERVISORS ON THE DATE SHOWN. ATTESTED lkknpni-�-8—10M CONTACT PERSON: CHERI PIES(313-6254) PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: Public Health Director Health Services Director FMCH BY: DEPUTY l PLEO "ILL RECREOMOH 8 POS' DISTRICT Community Recreation Center`Facility Request 320 Civic Drive,Pleasant Hill,Caftnia W23 Phone + 67"20 FAX • 67"630 On Calendar. Double Checked a of Organization . + * l NSG Noel-profit No. 'y e of Applicant a. <:.7*' .w Mtm.Pttons :'» Wk.Phone on of Applicant 5-q 7 Ytr4t, ft r �/'J. HAr4"* / f' , of Afe,o t6-1 "b If "-Ay"T on in Charge of ActivityX 10t �7r Gd y�it. Hm.Phone p Wk.phone E(3)OF USE: Month DateYear DWs)of Week ✓ .'t ors •�- to dditional Date(s) `lnaudes set^up�WnJ-up a,of Adirrtty <. EdLrc ,6&r #64 Es*natod Attendance X—'110 M there be decorations?,,�C NO .Das ,�. � M admission charge or other form of fees be collected?k 3.g J _..How-much? .er- L 0 *wM fees be used? + t ntrnet all+ tererbeused? � :<Nartze, 10 - 3ress City phone KM akoho#a beverages be served?�_if YES,pieaso rater to rule#12 on back of application:. cHities repass d: , Audtotium 1% L +rar+Ciub Room Upper Ctub Roam ❑Wee-Tat roam 300 assembly IOD assembly � 70 assembly 25 assembly t5 200 dining dining 70 6 Wtchen Conferancp Ro�om YGaa oom 25 xt /a 44� -2 `0 -Nt 0 assembly r [3 Pro schod Room a Upstairs Terrace ❑Other 45 assembly *Apment 1 Services Requested: NO CHARGE: FEE CHARGED, rl...tBlackboard 0 piano rOt vee/Tv i_.1 Podium " t0 Public Address System ir_-..t�Aftr 0 Screen 1...!Coffee Maker t_..t Portable Stage 0 N0.of Chairs 0 Portable Bar 0 Reader Board D N0 of Card Tables 0 Slide Projector 0 Place Settings 0 No.of Banquet Tables 0 Movie Projector O Wine Glasses No f oundT s Special Instructions: `7 CL;S �{; .« (a Age om diagrams available to describe aud Austrate set up arrangements. I have carefully read both sides of this agreement and fully understand its contents. 1 Stn aware that this is:a release of liability and a contact between the organization named above and the Pleasant Hill Recreation & Park District, and signed this agreement of my own free will. signature of ApicantI . . `°. . . . .. . .. . . .-- . . . . . . . . . . . . .. .. . .. . . . . . . . . .. .. . .. .. . .. . . . . . . . . . . . . .. . . .. 3TIMATED CH4#qESFINAL CHARGE eekend Package ! ,? $ er Weekend Package t $�--�---- ROOM $ 30M CX�f'Z»C.+>r. t , . r' $ ,�j 1. a Room $ 00tH_ ! 13 0 $ !,�»�f Roorst - 1_ 0_ $ Itchen / r# '+.� 613 $ V�'` ► Wtchen ! @} $ quipmett Rental �'"L's443 @ � � Equipment Rental $ Vine Glasses Wine Glasses Cap $ ;lace Settings @ $ ,� Place Settings $ - ESTIMATED TOTAL CHARGES $ '' TOTAL RENTAL DUE $ DAMAGE t HOLDING DEPOSIT $ Date Paid Amount Receipt No. ADDITIONAL CHARGES Personnel Charge.............................. .............. $ RugBurns......................................... .............. $ -- Other ............................. .............. ............. $ TOTAL AMOUNT CLUE......................,.,....>............ $ FOR OFFICE USE ONLY Date Received By TOTAL AMOUNT PAID.. ............................... $ . _... Appmved By Dented By AMOUNT DUE 1 REFUNDED............................. $ r".CIL1TY USE REGULATIONS nissiort for the use of the district InNot wit 1:4 restricted to 8. AS LAWFUL CONSIDERATION for being permitted , slbte and recognized a Rations, under the provisions by the PLEASANT HILL RECREATION 9 PARK I In this Any activity which the Community Caner DISTRICT t0 use this facility,t hereby represent that f am I are utl=widlf be conducted according +o 00 Iuw+r and will attttrorixt�d b the organization named above to executen to the oral and Written absulardts of " Pleasant tett y lion A Park District. this agreement on its behalf. The organization and/or ,servatkans for use at the Community Center may be me&up to myself warrant and agree to Indemnify. hold harmless, e year In advance._Apptic lforha fdor its#dh use the park or and defend the PLEASANT HILL RECREATION & i ng must be made at the Pleasant'�Corrtnhs�Conisr PARK DISTRICT against any and all claims, costs, e forms provided for this�. Deposit of We must company the application. expenses ( Including attorneys fees),actions.>causes of Payment of total tees mast be mads#weeks In advance of action , jtdgments andfor flablittles whatsoever arising the date of event. _. out of or In connection with any Injury,death or property Application form and a s : deposit are required to toss or damage resuftln Brom the activities as described confirm a reservation on sloe lanai a letrd�snr ata with the above. I herebyagree yeti the organization,its individual approval of the Center Director. aria is a secuon TY � DEPOSIT and Is In add illon to the total loot charged. members, and myself and the heirs, distributees. Additional deposit is totpited when doubts timed we gttatdians,legal representatives, and assigns thereof will rented or when the center Director deems it necessary. not make a claim against, we, attaint the property of,or Cancenstton fee is ss follows, prosecute the PLEASANT HILL RECREATIONS & y, A weeks of E= dtt t off teposinoaelfstlon within 2 PARK DISTRICT, Its governing board, the Individual weeks aE data aE deposit. g 2. A CHARGE OF HALF OFTHE DEfor ;�, members thereof,and all DISTRICT 011110rs,agents,and cancellation Is days k4im date of deposit to employees for Injury or damage resulting from the e1 days pilar to event# negligence or other ads, howsoever caged, by any3. A CHARGE OF ENTIRE 06POSI't tion it! ee, agent or contractor of the PLEASANT HILI. +90cancellation 31 to days prior to ovent. a Y 4. A CHARGE OF THE ENTIRE DEPOW PLIES RECREATIC')N.S PARK DISTRICT,as a result of the use 1t2 of the rental feet for a atwefsallon 30 of the facility. In addition,I hereby release and discharge days prior to event. the PLEASANT HILL.RECREATION& PARK DISTRICT. Cancellation is effeadve on the date letter of charges will result from Overtime use,damage.or 4 its governing beard, the Individual membl3rS thereof and d. A cancellation all DISTRICT officers, agents, and employees from all dncelAdditionaldnaIs received. additional services as required by the District.These actions, Claims or demands that the organization, its additional charges will be made againsttheadeposit. individual members, and myself and the heirs, You will bef ed for anyderrnages rmcove dby'dre distributees, guardians, legal representatives, and security deposit. assigns thereof now have or may hereafter have for Permits lot groups composed of parsons under 21 years Of age will be Issued only to adults who accept responsibs for injury or damage resulting from file use of the facility by supervising them throughout fie period covered by the permit the organization,its Individual members.and l or myself. or when a recreation Leader has been provided for by the District. 9. All scheduled adivldes of the recreation program of the Pleasant Tidets may be sold at the door and adrrisslon may be chard 1418 Recreation&Park District shall have first tray in the use Of only it authafted. The Dieu"moist be ewe of aEl fund-raising the Center and park No special usage of facilitles shall be events. allowed to Intsrlere In any way with the no-utarrecreation Acd,,J%s during the week.Monday through Thursday,begin at program. 8:00 am and cease at 10;00 pm. A time and a half charge will be -o to. The Pleasant Hill Recreation 6 Park District,acting with added to fees for hours outside those time a stats. PRIOR OFFICE reasonable discretion reserves the right to refuse permits for APPROVAL FOR ADDITIONAL HOURS. spacial uses at Its facilites. Daniel of applications can occur for A CUSTOMER SERVICE REPRESENTATIVE CUSTODIAN WILL dye following reasons. appilcation information is falsified;lack of BE PRESENT AT THE BEGINNING OF 11M EVENT TO CHECK necessary Information;too large a cup;type of event that Is not ON ALL DETAILS. A custodian will be on duty at the Community in dye best interests of the Conarsrh ty Canter and P10atant Hid Center during all operas"tours. Heishe will check with your Recreation a Park District. group Periodically. it. Permits cannot be transferred,assigned,or sublet Please eel for an appointment(1)month In advance. A diagram 12. Alcoholks beverages may be br lit Into the building with for seating nts and final details will be done at this advance approval only. It'dooh2is to be sold,a license t nneeting. Nfinor gas may be rnada to eventup to(1) approval must be obtained from the Alcohol Bove"Control day m advar e. MA.k3R CHANt3ES ARE SUBJECT Board. (Cafl 6119-0628 Ion tnfOrM ation.) ADDeTit NAL Ci IAf t2ESa t3NCE SET UP IS DONE BY 13. On ram occasions It nay be necessary to reschedule.relocate ar CUSTODIAL STAFF ON DAY OF EVENT.RENTERS deny a request previously approved within the tadllty or park due are responsible for any rearrangemheaft to a scheduling don1lict. in this event,the WOW Or Individual will Be sure that all set-up and dead-up Is done during the stated be given advance notice by the District rental t1 meas an your contract(La.,It your rental time is 9Aft am to 4W pm then you must be cleaned up and out by 4,.W pm). CLASSIFICATION INFORMATION Any deviations to these safes must be cleared with the Center Director,and will result in additional chargers. I. PRIORITIES AND GROUPS Groups It and fit will be responsible for entire set up and Group I Recreaton District Programs take down of tattles and chairs. Group It Programs Co-sponsored by the District Groups IV and V tables and chairs will be set up and taken Group III Chic,Religious,Schools,and Non-Profit groups down by our staff. tnon-profit number required) a. Decomffons must be of flarne4slar4antnt material. The use of Group IV Private Parties p.o.,Wedding Receptlons, naffs,tacks.staples,etc,is prohibited. At no time may exits Anniversaries, Private Banquets,etc.) be covered or obstructsd. mice,birdseed.and cordetti may Groups V Commercial use nand all other applicants. NOT be thrown Inside or Outside the Community Center. A $25 fine w8 be Imposed along wits a cleaning charge, tf this Weddings Resident rata applies ONLY to bride.Groom,or Parents of rule Is violated. the Bride or am". b. A trash thin Is provided outside kitchen door for debris. Please piece empty bottles In boxes and leave beside trash Residents are defined as people living In the Pleasant Hill Recreation a bin. Park oletriaL To queflty.a six-month residency Is required. o. Smoking Is not petmittead Inside the building by policy at Pleasant Hill Recreation&Park District Board of Directors. Resident organizations must have a membership of at least 5t% A$25.00 One will be charged for each derette stars in residing In The Pleasant Hill Recreation a Park District Membership list the carpet and hardwood Ifoor.along with a repair charge. must be submitted to qualify for resident rates. d. Dancing Is only allowed in the Dance Studio. Special arrangements are required to have food or drink ler this room. 2. BASIC RENTAL "TIM BLOCKS A portable dance Heads Is evallable lot smaller room*. See On Fridays,Saturdays,a Holidays package Includes tee schedule. Aud torlum.Kitchen,and[lance Studio. e. Storage Is not avaallable either before at atter event. No E. 9W. orn to 4:00 pre It. 6:00 pm to 1:W am equlprnom may be removed from the bulkling. VtO4ATORS WILL BE PROSECUTED. On Sundays any 7-hour thno block may be rented between 11)0 pm and 1 VW pm. t ..�,c yz, r r►e, , Pieria examine Fee Schedule Shoot that Is current for c r,dyaw date of usage. Rates are sub)ect'to change. MOM "ILL RECREOTIOH 8 PORK VISTRICt Commtfrt Reaviation Center Facglty Request 320 Ca t?rly%Pleasant Hilt,Collornla 94523 Phone • 6764700 FAX * 8764430 . On Cairartdar Double Checked is of Organization c r..t-k ca Non-Profit No. Ie of Applicant } Hm.Phoney � , - / Wk.Phone �+.3 " 40 2-166 ►afApplicant xx '1 tsr" rw v Gl�.t lkal't1, PrrJ rt,,M r 1? 6i ay.Af`e✓ v+ - x jr sort Itis Ch ge of Ao livlty;, , `►, r #- _ .Flm.Phone Wk.Phone tE(S}OF USE: Month Data l Year Days)of Wyk i'Y ` `f'iofm to kddidonal Dates) 1 7 T yAfig. •Irti�l#j 1"setup i.� ----, *M. ,e.of A« ,, d ffC.A w f t21 WIII there be dgcora ons Cf Will admission charge or otter form of fees be collected?,, % .•- 1��n,>rch'?. >w will-fees be used? d tt t tIVY 4,1, Will commercial caterer be used? : IMAe,, '" 70 tt. c y t�Yurtt rC g (dress , '�__ city Phone Will alcoholic beverages be served?_,� It YES,please rotor to rule#12 on back of application. iclildes requested: )WAuc>rto6.0 0 Low Cly Room 0 Upper Club Room O Wee-Tot Room 390 assembly 100 assembly 70 assembly 2S assembly 200 dining 65 dining 50 dining �--tt I...�Kitchen D Art Stud{o E Conference Room Game Room 45 assembly 30 assembly 25 assembly So assembly Dance Studio 0 Pre-School Room 0 Upstairs Terrace 0 Kamer 45 assembly .qulpment f Services Requested: tNO CHARGE �F-E�tE CHARGED: t..-ti Blackboard � ti.�-.t Piano 0 VCR 11V 1:1 Podium tr.,�..-��Public Address System ID Arbor Q Screen t,,..t Coffee Maker 0 Portable Stage ElNo.of Chairs 0 Portable Bar (3 Reader Board El No.of Card"cables�-- -_ t0�tt Slide Projector 0 Puce Settings t0No.of Banquet Tables t�.i Movie Projector 0 Wine Glasses ,�`'''� i..x+i No.of RoundTables Special Instructions: )om diagrams available to describe and ftfttstrete set-tip arrangements. I have carefully read both sides of this agreement and fully understand its contents. i am aware that this ls. a release of liability and a contract between the organization named above and the Pleasant Hill Recreation & Park District, and signed this agreement of my own free will. Signature Of Applicant 0011e04— .-.--- STIMATED CFI. GES. .. .. . ..... . .. .. ..... . . . .... .. . S! � . i�i r. .$ / . .. .FINALi CHARGgE leekend Package ! _ Weekend Packs e / $ --- 1 _ $ t R f $ cam '" ` yt t Room 1- 0- $ loam i Qb $ Room 1 + --- $ Achen 1 Q) $ Kitchen I $ :quipment Rental 4b $ Equipment Rental Nine Gasses @a '$ Wine Glasses n1ace Settings 0 $ Place Settings $ ESTIMATED TOTAL CHARGES $101` 1 TOTAL RENTAL DUE $ DAMAGE I HOLDING DEPOSIT $ 1 C) ADDITIONAL CHARGES Data Paid Amount Receipt No. PersonnelCharge................................................. $ RugBurns.......................................................... $ Other ................................. ........ ........... $ TOTAL AMOUNT DUE.................... ................... $ FOR OFFICE USE ONLY Date Received BY TOTAL AMOUNT PAID.......................................... $ Approved By Denied By AMOUNT DUE l REFUNDED............................. $ „� FACILITY USE REGULATIONS mission for the use of the district lad;ildes will b6 resttfoted to S. AS LAWFUL CONSIDERATION for being permitted 3slbie `and recognized otgankzation . under the,,provisions by the PLEASANT HILL RECREATION & PARK d In thisIicy. Any activity In which the Community Carter DISTRICT to use this facility, I hereby represent that I ern co �s am uIll ed will be nduoted ao td�tg to the law and wig Y m to fire oral and written surndstds of the Pleasant Hill authorized by the organization,famed above to execute it€on&Park District. this agreement on its behalf. The organization and/or eservatiana for use at the Community Center may be made uta to myself warrant and agree to In defrinfly, hold harmless, a year In advance. Apple a Wns far its b use the park or and defend 'the, PLEASANT HILL RECREATION & A"must be mads def tf��9 ,�� � PARK DISTRICT against any and all claims, Costs, e forms provided for this =mpany the application. expenses (including atlomey`s tees),actions, Causes of Payment of total fees must be roads 4 weeks in advance of action , Judgments andtor ffahlittle8 whatsoever arising the data of event out of or in connection with any In lu ,death or property Application form and a$ ' deposit euro required to loss or damage resulting from the�fvitfes as described confirm a reservation ort the facility Individual that the calendar. above. hereby agree 43 organization,ItIndividualap approval of the center Director. This Is a SSCU�with the l TY DEPOSIT end Is In addition to the total fees charged, members, and myself and the heirs, distributees, Additional deposit Is tequkW wharf douthie tirrte'blocks are guardians,f8gaf representatives and assigns'thereof will ranted or when the Center Ditector deems it necessary. not rrtttice a CIa1m r$ rt13t, f3t##,#3lttt�h the pr+�peirty tai,or �. Cane fletticte fee is ss tottows. pros the PL�ASANT HILL RECRfwATIOI+IS i. A CHARGE of $19 tuft owneelletton weitttla 2 p weeks of date of dsposiL PARK DISTRICT, Its governing board, the Individual 2. A CHARGE OF HALF OF, THE DEPOSIT for t� ;, members thereof,and f ff DISTRrCT officers,agents,and cancelfstfon is days #rust date of deposit fo t3mpfcrYees 'lar Irlj(iry or dfdlfxl8ge rs8ufting from the 61 days for t+o a vatttw 11eigl�@rice Gt` OtttBr aCt3, t1#YYt3EleYef C8tt43ed. by an a. A CHAR ©F �MlfTlUf� DEPOSIT for a eel, sift 0r Cofttraaor tff th9 PLEASANT HfL� cencsitattlon 31 to 60 days pdor to eveet�►t. y 4. A CHARGE OF THE ENTIRE DEPOSIT PLUS RECREATft'dd PARK f�l3TRICT,a$8 reffUlt of the use 112 of the tental flees for calleoealton s0 rtf the ISc ity. Iliad tion,,)ItetrBlty refe8se at7cd dlsCharge days prior to ueveatet the PLEASAf�f`f HELL RECREATION 'PARK DISTRICT, Cancellation It effective nue the data fetter of camcsilat#on is reoolvoll. y Its governing board, the Individual members thereof and d. Additional charges will result from overtime use,damp.or all DISTRICT officers, agents, and employees from all additional services ss required by the fttrkct.These actions, claims or demands that the organization, Its additional charges will be made against the deposit. Individual members, and myself and the heirs, You win be billed for anydamages not c*vrerWby the distributees, guardians, legal representatives, and security deposit. assigns thereof now have or may hereafter have for Fermis for groups composed of persons under 2 i years of age 9 will be Issued only to adults who accept respontibirittyy far Injury or damage resulting bolo the Use of the facility by supervising them throughout,the period covered by IV permit the orgartizatfon,Its individual members,and 1 or myself. or when a recreation leader has been pmvi bd for by to District. 9. All scheduled activities of the recreation program of the Pleasant Tickets may be sold at the floor and admission may be charged Hit Recreation&Park Distilet shall have first priority in the use of only 4f authorised. The District must be swom of all fund4stsing the Center and park No special usage of<facilities shall be events. allowed to Interfere In any way with the regular rection Activities during the week,Monday through Thursday.begin at program. 9.00 am and cease at 10:00 pm. A time and a hell charge will be .� to. The Pleasant Hill Recreation&Park District.acting with added to Was for hours outside these eine skate. PRIOR OFFICE reasonable dfiscreflon reserves the right to refuse permits for APPROVAL FOR ADDITIONAL HOURS, speciate users of its fadittles. Denial of applications can occur for A CUSTOMER SERVICE REPRESENTATWE t CUSTODIAN WILL. the following reasons: applicatiorn Information Is falsified;lack of BE PRESENT AT THE BEGINNING OF THE EVENT TO CHECK necessary Information;too larger a group;type of event that Is not ON ALL DETAILS. A custodian will be on duty t at the Community In true treat interests of the Community Center and Pleasant HID Center during all operating hours. Halshe will check with your Recreation&Park District group periodically, 11. Permits cannot be transfetted,assigned,or sublet. Please call for an appointment(1)month In advance. A diagram 12. Alcoholic beverages may be brought Into the building with for seating arrangements and anal details will be done at this advance approval only. if alcohol Is to be sold,a licensee t meeting. Minor changes may be made to event up ate{tI approval must be obtained from the Ate"Beverage Control day In advance. MAXR CHANGES ARE St#f3J Go Board. (Cati.889.0828 tar Informration.) ADDITIONAL CHARGES. ONCE SET UP Is DONE BY 0. On rare occasions It may be necessary to reschedule.relocate or CUSTODIAL STAFF ON DAY OF EVENT.RENTERS deny a request previously approved within the ferry or park clue are responsible for any rearrangements. to a scheduling,conflict In this event,the group bt individual will Be sure that all setup and dean-up Is done during the stated be givbn advance nollm by the District. rental Mmes on your contract(I.e..If your rental time Is t!,'00 am to 4:00 pm than you must be cleaned up and out 4.=pm). CLASSIFICATION INFORMATION Any deviations to these rules must be dearest with the Center Director,and will result In addtkanal charges. i. PRIORITIES AND GROUPS Groups fi and III will be responsible for entire setup and Group I Recreation District Programs take down of tables and chairs. Group It Programs Co-sponsotedd'by the District Groups lv and V tables and chairs will be set up and taken t3roup Ili Civic,Religious,Schools,and Non-Ptoflt groupsdown by out staff. a. Decorations must be of flarne4etardiant material. The use of (non-profit number r redecept}i nalts.tacks,staples,etc.Is prohibited. At no time may exits Group � Private Patties(Its Wedding Receptions, be covered or obstructed; tics,birdseed,and cxmtelif may Al ut a and el Private Banquets,etc.} Y Giroups V Commercial use and all other appecants. NOT be thrown Inside or cuuside fie Community Center. A $25 fine will be imposed a"with a cleaning Vie, If this Weds-Resident rate applies ONLY is Orldie,Groom,or Parents of tine Is violated. the Bride or Groom. b. A trash Lein Is provided outside kitchen door for debris. Please piece empty bottles In boxes and leave beside trash Residents ate defined as people living In the Pleasant Hili Recreation& bin. Park District. To quality,a six-month residency is required. o. Smoking is not permitted Inside the bungpolicy of Pleasant Hill Recreation&Park District goaWf Directors. Resident organizations, must have a membership of at least 51% A$25.00 fine will be charged for each cigarette bum In residing In the Pleasant Hill Recreation&Park District. Membership est the d. thencIerp Is only allowed oo1;flowthe D with dio� #h must be submitted to quality for resident rates. arrangements are required to have food or drink in this room. 2. BASIC RENTAL TIME BLOCKS A portable dance floor is avafaibte for amasser rooms. See On Fridays,Saturdays,s Holidays packagge inctudes tees schedule. Auditorium.Kitchen.and Dance Stuetio. e. Storage Is not available either before or after event: No t. 9:00 aura to 4:00prrn It. 6.00 PM b 1*00 am equipment may be removed from the building. VIOLATORS WILL,139 PROSECUTED. On Sundays any 7-hour time block Bratty be rented between 1:00 pm and 1100 pm. r L qJ�L Please examine Fee Schedule Sheet that Is current for " yow data of usage. Pates we subject to change. PRLEASON ` MLL RECRESTION 8PORK VLSTRICT Cotnmunly i e�1ort Cerftr Facii#y Request 320 Civic�Irh€s,Pleasant Hil#,'Caiilornis 94523 Rhone • W6-5200 FAX • 678-8630 r On Calendar Double Chocked dame of Organization Cc C Non-Profit No. dame of Applicant +� � �. .L": '._ Hm.Phone►. .. Wk Phone address of Applfcant ' i r'vt`l v i'7J 5*97 Alt . y ZIP emote in charge of Aeftly, 6A0,4; �i�S Nm.Phone Wk.Phone )ATE(S)OF USE: Month,_ Date_ Year Day(s)of Week �"' �'�✓ 'Hours �,.� .to s)Additional Data%) *Includes set-upend tup tine ' Type of Activity M"-;tAEstimated Attendance," a)Will there be demations? X Alv Desotfbe b)Nil admission charge or other form of fees be oo#ected?.,, :--_--Now much? How will fees be used? AC o)Will commercial caterer be used?yk -[Name Address city Phone d)Will aboobolle beverages be servedv-t' iii# If YES.please refer to rule#12 on back of application. Facilities requlkwWrium r� t...3 Upper Club room El Wee-Tot Room 300 assembly tOdn �Yt Q assembly 25 assemiIy 200 dining 50 dining „ Kitchena 0 Art stuclo ct_tonfenanne Room name Room 45 assembly 30 embly 25 assembly 5 3 assembly 0 03 3oc1 Room 0 Upstairs Terraoe ®Other 45 assembly Equipment J Services requested: NO CHARGE: FEE CHARGED: r0 8"boatd Piano O VCR J TV O Podium DPublic Address system [t-~]Arbor Q Screen 0 coffee Maker O Portable Stage t0 No.of fi alm 0r Portable Bar C�Reader Hoard tr�,--.--3tt No.of Card Tables f,..t Slide Projector tt.�..tt Place Settings tr.�...7l No.of Banquet Tables ❑Movie Projector t...d Wine Glasses 0 No.of RoundTables 3.Special Instructions: Room diagrams avaJlabte to describe and illustrate set-up arrangements. lo. i have carefully read both sides of this agreement and fully understand Its contents. i am aware that this is a release of liability and a contract between the organization named above and the Pleasant Hill Recreation & 'Park District, and signed this agreement of my oven free will. Signature of Applicant► " Cls ,, . . . . . . . . . . . '... . . . . .. .. . . . . .. .. . . . .. . .. . .. .. . .. . . .. . . .. . . . . . . .. . .. .. . . .. . .. ESTIMATED CH4 � GES FINAL. CHARGE Weekend Package $ Weekend Package J Room tx tca �E 0� $ � Room [=loom � lgL Q" ���� �� $ Room Room ` J i* $ Room Kitchen ! Kitchen J $ Equipment Rental $ Equipment Rental $ u at Wine Glasses Wine Glasses $ Place Settings @ $ Place Settings t $ ESTIMATED TOTAL CHARGES $ ¢�1j TOTAL RENTAL DUE $ DAMAGE J HOLDING DEPOSIT $ 1 �'� Date Paid Amomt Receipt Mo. ADDITIONAL CHARGES Personnel Charge.............................. .............. $ RugBurns........................................................... $ Other ........................ ...................... ............... $ TOTAL AMOUNT DUE..........................! ................. $ FOR cFFtca USE ONLY Date Received 8 TOTAL AMOUNT PAID.................... ...... .., . $ By Approved By Denied 8y AMOUNT DUE J REFUNDED...........:................. $ FACILITY USE REGULATIONS ntsslon for the use of the 6111tict twill es WIN b#restricted to 8. AS LAWFUL CONSIDERATION for being,permitted slbfe and recognized organizations under the provisions by the PLEASANT HILL RECREATION & PARK I kr,tfhiepo llcy. Any activity in rich die Gorttnhigr Center piS7'Rf ;T to use this facility,I herb represent that I am 3 are utlflzed will be�d accowVo 10 ire law Burd y, y R o to the oral and written Standards of the taleesant Hill authorized by the organization named above to execute done Park tastrlct. this agreement on its behalf. The organization and/or rservallons for use at the Community Center may be,made up 10 myself warrant and agree to Indemnify, hold harmless, e year in advance. at tons for Hillpermits to use iC park or and defend tate PLEASANT HILL RECREATION & ung must be nhacteat lire Pleasant Hill PARK DISTRICT against an s forms provided for this purpose. Deposit of SeMm must y and aH claims, costs, company the application, expenses ( Including'attorney's fees),actions,causes of Payment of total fees crust be trade 4 weeks in advance of action ,,;judgments and/or liabilities whatsoever arising the date of event, out of or In connection with any injury,death or property - Application form tion a S deposit are required rm to loss or damage resulting from the activities as described torhtirrrh a reservation an the f calendar with the approval of the Center Director. Is a aficuffiTy above. t hereby agree that the organization,its individual DEPOSIT and Is In addition to 00 totat tees Charged. members, and myself and the heirs, distributees, Additional deposit Is required when doubts time blooks aro guat'Bans,legal representatives, and assigns thereof will rented Or when the center Dkootor de.ms it necessary. not make a Claim against, sue,attach tate property of, at Cancellation CCA fee Is ea follows.can. prosecute the PLEASANT HILL RECREATIONS 1. A CHARGE of tI10 tett oarrerietfallon retithln � weeks of date of deposit, PARK DISTRICT, Its governing board, the Individual 2. A CHARGE OF HALF OF, THE DEPOSIT for ;�t ; members thereof,and ells DISTRICT officers,agents,and canceftattort Is days trona date of deposit to employees for Injury or damage resultingfrom the $I days tlor to avant. negligence or ether acts, howsoever caused by *. A CHARGE OF ENTIRE DEPOSIT for , any y concellation 31 10 ,04 day* prEor to ,rent, employee, agent or contractor of the PLEASANT HILL 4. A CHARGE OF THE ENTIRE DEPOSIT PLUS RECREATION,&PARK DISTRICT,as a result of the use Its of the rental fires for cancellation so of the Iactlity. In addition,I'herelby release and discharge days prior to event. the PLEASANT HILL RECREATION iii PARK DISTRICT, Cancellation Is effective an the dNe tetter of cancellation it received. its governing board, the Individual members thereof and J. Additional charges win result from overtime use,damage,or all DISTRICT officers, agents, and employees from all additional services as taquired by the District.These actions, claims or demands that the organization, Its addtionalcharges will bemade against the<deposit. Individual members, and myself and the heirs, You will be billed for any damages not covered by the security deposit. distributees, guardians, legal representatives, and Permits for gimps composed of persons under 21 years of arae assigns thereof now have or may hereafter have for will be issued only to aduftswho accept responsibnity for Injury or damage resulting from the use of the facility by supervialrrg them throughout»the period covered by fire permit the organization,its Individual members,and t or myself. or when a recxrredon'leader has been provided for by the District. 9. All scheduled activities of the recreation program of the Pleasant 'tickets may be sold at the door and admission m be charged Hill Recreation&Park Distiict shalt have fist priority in the use of only if authorized. The District must be aware of ell fund-raising the Center and park No special usage of tad tries shall be events. allowed to Interfere In any way with fhe reguter recreation Activities during the week,Monday through Thursday.begin at ram. 9..00 arty and cease at 10:04 pm. A nine and a hag � added to fens for hours outside these time slots. PRIOR OFFICE t4. The reasonable Pleasant mini Recreation&/'ark District fuse with APPROVAL FOR At)f�tTlC)I�fAL#�iEOLfi�S. reasonahta+gscretion reserves iE�e right to refuse permits for A CUSTOMER SERVICE REPRESENTATIVE/CUSTODIAN WILL special urns of its ramifies. anonDenialI of rmallo is can occur for BE PRESENT At THE BEGINNING OF THE EVENT TO cHE,CK the:folbivessar I reasons. application Information is falsified;tack of ON ALL DETAILS A custodian wilt be on du at the Community necessary Intotmado f t too large a ggrroup,pipe of event that>is not Center cur an � � in the bast Interests of the Gorrrrrhunity Cantor and Pleasant Hill Ing operating hours. He/she will check with your Recreation&Park District. group pericd[catfy. 11. Permits cannot be transfetred,assigned,or sublet Please call for an appointment(1)month in advance. A diagram 12. Alcoholic beverages may be brought into the building with lot seating arrangements and final details will be done at this advance approval only, 1f alcohol is to be sold,a license/ meeting. Mnorchanges may be-made to event dka up to(1) approval must be obtained from the Alcohol Beverage Control day m S advance. MACHANGES ARE SUBJEC ' Board. 4c81.689-0628 for information.) ADDITIONAL CHARGES, ONCE SET UP IS DONE BY 13. On rare occaalons it may be necessary to reschedule,relocate or CUSTODIAL STAFF ON DAY OF EVENT.RENTER'S deny a request previously approved within the facility or park due are responsible for any rearrangements. to`a scheduling conflict. In this event,the group:or individual will Be sure that all set-up and dean-up Is done during the stated be gfvbn advance notice by the District. rental times on your contract 0.e.,It your rental time is 9:oo am to 4:00 pm then you must be cleaned up and out by 4.00 pm). CLASSIFICATION INFORMATION Any deviations to these rutes must be cleared with the Center Director,and win result In additional charges, 1. PRIORITIES AND GROUPS Groups 11 and Ill will be responsible for entire eat up and Group I Recreation District Programs take drawn of tables and theirs. Group It Programs Co-sponsored by the District Groupe IVand V tries and chairs will be eat up and taken Group Eli 'Civic,Re ous,Schools,and Noir--Profit groups down by (non-profit number required) a. Decorations must be of flame-retardant material. The use of Group IV Private Parties(Le.,Wadding Deceptions, naris.tacks,staples,etc.Is prohibited. At no time may exits Anniversaries. Private Banquets.Ste.) be covered or obstructed. nice,birdseed,and confetti may Group* Y Commercial use and all outer applicants. 140T be thrown inside or outside the Community Center. A $25 fire will be#nposerd along with a dearth charge, N Chis a-Resident rate rule is violated. Wedrfln g applies ONLY to Bride,Groom,or Parents of b. A trash bin is provided Outside kitchen door for debris, the iltwe or Groom. Please plan empty bottles In boxes and leave beside trash Residents are defined is ng bin. people living in the Pleasant Hill Recreation& rig permitted Inside the bung policy of Park District. To quaff a six-month residency Is re c. Smoking Is fiat bbyy h. ty quires. Pleasant Hill Recreation&Park District Board of Directors. Resident organizations must have a membership of at least 51% A$25.00 fine will be charged tot each cigarette bum In residing kr the Pleasant Hill Recreation 11,Park District Membership list the carpet and hardwood floor,along with a repair charge. must be submitted to Wanly for resident rates. d. Dancing is only allowed In The>Dance Studio. special arrangements are required to have food or drink In this roan. 2. BASIC RENTAL TIME BLOCKS A portable dance floor Is available fru smaller rooms. See On Fridays,Saturdays.&Holidays package Incudes lee schedule. A ttsdi tturn.Kitchen,and Dams Studo. e. Storage is not available either before or after event No 1. 9-0 equipment to 4,00 pm 6: ti. 00 pm b 1:00 till equipment may be removed from the building. Vit?nATOR3`WtLLBE PROSECUTED. On Sundays any 7-hour time block may be rented between 1.00 pm and 11,00 pm. 0Z Please examine Fee Schedule Sheet that is current for " your date of usage. hates we subject to ohange.