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HomeMy WebLinkAboutMINUTES - 04141998 - C142 TO: BOARD OF SUPERVISORS FROM. William Walker, M.D.,Health Services Director Contra Costa aaTe: County SUBJECT: USE OF CONTRA COSTA COMMUNITY COLLEGE DISTRICT FACILITIES FOR"INCREASE THE PEACE t EVENT AND HEALTH FAIR SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION 1. RI CQMMENDATK)N: Authorize the Director of County Health Services Department or his designee,Wendel gunner, M.D.,to hold harmless and indemnify Contra Costa Community College District for the use of their Campus in San Pablo on April 18, 1998 for a health fair and"Increase the Peace"conununity event to be conducted by the Public Health Division,TeenAge Program. 11. FISCAL IMPACT: None III. REASONS EQR RECOMMENDATIONS The Public Health Division of the County Health Services Department will sponsor a health fair and."Increase the Peace" community event for students and the public at the Contra Costa Community College District Campus: Contra Costa College, 2600 Mission Bell Drive, San Pablo,CA 94806 CONTINUED ON ATTAOIX°NT: YE8 $1GNATt=: RECOM# "hT ATfON Cf_INPY AD!Ihf8Tt2hTOt2 =COMIMATION OF 50AX COMMI=7 {ti nt�1�IXJVC CIM 41" 'IeA --.. -1 Sf�NATLII�E 8: ✓ SPR 14 799 f/ ACTION Of)�JAI�ON AiaPI20VED n8 RECOMMENDED �t C=t2 VOTE Of 8[iD=Vw1 I Y,,QMY=FY THAT TM818 A 7i2lJE �; .,.__ UNAIVIMO 38 (ABSENT AND CORIr2ECT CODY OF AN ACTION TAKEN AYES: NOM— AND ENTERED ON M Mll?=8(Y THE B0nQ1) ABBENT: ABSTAIN: OF SLff)N ,5008 ON THE BATE 8t OWN, C,CnL.t DOMM W6nd,-!5rwinne,M.D. APR 14 1998 CC St-Ath Semcm AdmmzLr&t ATTESTED Dubhc tic#-h ndmimAmbm L>i11#,BATOiELOR,CLERIC(Do M 509D Of PMCH 8MERVWQ�Ate COUNTY ADMINi8T32ATM BY ' _ DEDUTY 7 V 4640 CONTRA COSTA COMMUNITY COLLEGE DISTRICT 500 Court Street, Martinez,California 94559 (415)229-€000 CONTRA COSTA COLLEGE DIABLO VALLEY COLLEGE LOS MEDANOS COLLEGE 2600 Mission Bell Drive 321 Golf Club Road 2700 East Leland Road San Paulo CA 94806 Pleasant Hill,CA 94523 Pittsburg,CA 84565 (415)235-7800 (415)685-1230 (415)798-3500,(415)439-2181 APPLICATION FOR USE OF COLLEGE FACILITIES I hereby make application for use of District facilities on behalf of the below named organization. TYPE OF ORGANt2ATION (Please Print) 1 �J� G� j 1�.` 1� T Religious Name of Organization �0hA 4175 4mw7+ f 4f 41,4 &A .4)4" ;tj.. I�� �'�.�#s� Community Non-profit � Community Serv.Contractor ❑ Authorized Agent _tl �i�^� �%o1�1 P b#ic Agency p Address of Authorized Agent 5"'?4 441 P:2 eZ Sll•.40 3� �� G veto C7 Telephone Number S-20 _ 9f3 b; � Name of person to be in charge if differen from authorized agent '/ ► ° /Y t7 k+ 1 Purpose of Meetin ill-le -14 e' ` 4 C *41 eo kn x'3'1 t/ - l�C Will an admission charge or collection of funds of any type be made as prerequisite�to participation?te�,, es p No If"Yes,,'what will the proceeds be used for: k7tksr GpS�� ������Ltrl4%tfW, Pxllri.' ATnbunl per parson$_ !f L ' HOURS FACII-ITIES REQUESTED DATES DESIRED FROM TO BUILDING ROOM Number of Chairs Number of Tables Expected Attendance SPECIAL SERVICES OR EQUIPMENT.Complete the attached form if special services and/or equipment are needed.(#f use of public address system equipment is required,it must be requested.) LOCATION OF DESIRE©FACILITIES: 0 Contra Costa College ❑ Los Medanos College 0 Diablo Valley College p District Education Center I understand that the use of college facilities must be in accordance with the rules and regulations of the Governing Board of the Contra Costa Community College District including possibility of cancellation should the facilities be needed for the educational program.I further understand that in connection with the use of facilities the organization named above is to pay the Contra Costa Community College District as stipulated. The above named organization and Its members shall be held responsible for any and all loss,accident, neglect,injury or damage to person,life or property which may be the result of,or may be caused by the organization's occupancy of the facilities or premises,and for which the District might be held liable.The organization shall defend,save harmless and indemnify the District and its officers,agents and employees against all liabilities and claims for damages for death,sickness or injury to persons or property,including without limitation,all consequential damages,from any cause what- soever arising from or connected with the organization's use of District facilities or equipment provided under this agreement resulting from the conduct, negligent or otherwise,of the organization,its agents or employees or their guests. 'r Date Signatufa of Authorized Agent FOR COLLEGE USE ONLY Charges as Indicated on the attached listing. Cancellation of approved applications should be made at feast 48 hours prior to the scheduled use.Use of facilities charges will be Invoiced If this notice Is scot provided. Payment: ❑in advance by ldme p or within seven(7)days of receipt of invoice. L7 Certificate of Insurance naming the District as an additional ❑Certificate of insurance waived. Insured In the amount of$ is on fits with the college. APPROVED: ❑ DISAPPROVED: ❑ An approved application Is the permit to use the named facilities.The organization's representative in charge Signature of College President or Authorized Representative should bring the permit to each scheduled use. Date 4cd-180/Aev 9/88 Attachment to form 4cd-180 Charges applicable to application number Fac#titles Usage Cost Per flour* Physical Education Classroom Building ❑Classroom..................................... $ 4.00 ❑ Gymnastics Room ........................... $12.00 ❑Conference Room...................... .4.00 ❑ wrestling Room ....... .12.00 ❑Laboratory ......................................18.0o ❑ Dance Studio.,.... .... ................ .12.Oo ❑Lecture Hall .....................................10»00 ❑ weight Room.. ..........12.00 ❑Planetarium ... ...................... .18.00 Other Athletic Facilities . Performing Arts Center ........ ..................30.00 ❑ Pool.. ,14.00 ❑Performing Arts Center-rehearsal only..............14.00 Small Pool ....... .. ....,...............:..4.00 Recital Hall-Music Building .......................12.00 Football Field .... .................,.. .48.00 ❑Forum Room-Library Building .....................12.00 Football Field with tights .............,..,....,.70.00 Student Center Track..., ... .. ................... 14.00 © Entire Building ................................28,00 Track with Lights ...... .................... Dining Room only..............................18.00 d ........ ....................,3$.00 Lounge only...................................12.00 ❑❑ Baseball field .....................1tl.0o ❑ Faculty(linin Room only ..................... Softball Field .... ..,.. ....,..,........,....10,00 Recreation Room only..........................10.00 ❑ Tennis Court(perFie Court; ......................2.00 .10,00 ❑ Other Athletic Field ..,,....,,, . ,1 O,Oo Gymnasium ❑Parking Lot(For use other than parking) ,..........110.00 Entire Gymnasium .............................18.00 ❑Concession Stand. ❑ Half Gymnasium............... ...............10.00 ......................9.00 ❑Amphi#heater or ......................... ...10,00 ❑ Entire Gymnasium with stage and seating ........38.00 ❑ Half Gymneslum with stage and seating..........18.00 Facilities Cost Per Use ❑Men's Locker and Shower Room...................24.00 (with Gym,Stadium,Pool or other facility) ❑Women's Locker and Shower Room................24.00 (with Gym,Stadium,Pool or other facility) *One to four hours a day.Hours in excess of four will cost So%of the$bows,rat*.includes op*ration$#and maintenance costs necessitated by use of t$cifides(such as supplies,utliitles and personnel services of regularly emptoy*d District staff members). Special Equipment Fee ❑record Player.......................................................................$15.00 plus labor charge for operator ❑Film Projector.................<................,,....................................15.00 plus labor charge for operator ❑Slide Projector .......................................................................15.00 plus labor charge for operator 0 VCR Projector........................................................................ r r ...........................................15.00 plus lobo charge for operator ❑Portable Public Address System........................................................15.00 plus labor charge for operator ❑Public Address System in Student Center/Gymnasium/Other Permanent System............30.00 plus labor charge for operator PURPOSE L bor Fee y Supervision Custodial Security Other Student Employees...,... hour Other Employees.............. UaA. Ir r .•,1�#�6pe hour Police Services Officers .. .. ..........................Actual Cost Reserve Security Officers ..... ......Actual Cost per hour plus 10% Specialized services related to..............Actual Cost per hour plus 1o% equipment(piano moving or tuning) j Questions concerning fees to be charged should be directed to(Name) ! , Telephone/ext, `? DISTRIBUTION: � white-Organization Careen-college Yellow-District Office Pink-Cashier's Office Goldenrod-Operations Department 4cd-180A(Rev. 8/88) nz i d a tot ' �v df IF P --------------- ----------------------------- ----------------- -------------- -------------------- fY g 3. 1