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HomeMy WebLinkAboutMINUTES - 03252003 - C64 x, TO: BOARD OF SUPERVISORS .,- gy --. ``, ontr FROM: William Walker, M.D. Health Services Director Costa DATE; February 2$, 2003 `�°SrA -©� Ount�� y SUBJECT: Use of Pittsburg Community Presbyterian Church for a Health Services sponsored event SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: AUTHORIZE the Health Services Director or his designee, Wendel Brunner, M.D. to sign a holdharmless agreement indemnifying Community Presbyterian Church located at 200 East Leland Road, Pittsburg, CA 94565 on March 29, 2003. BACKGRO'UN'D: The facility will be used on March 29, 2003 for the Family, Maternal & Child Health Programs to hold a Communily Organizinq >Retreat for Empowerment Through Action The TeenAge Program's youth empowerment p'roiect at Pittsburg High School. Fiscal impact: Rental fee waived. CONTINUED ON ATTACHMENT: YES SIGNATURE: Lx"J�'O� --------- — -------_ ------------ -------------------__---- ——_----- ----------------------- ------------------------------ ✓ ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _APPROVE OTHER SIGNATURE(S). .,.—----_-__-------__--_—---------------------------------------------------------- ACTION OF BO - D N�MRCH 25,2003 APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN X UNANIMOUS(ABSENT 1V= ) AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES; NOES: SHOWN. DSW4Bfff ABSTAIN: CONTACT: Lynette Mcellzannan(646-5634) ATTESTED 25.,23 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY CC: Public Health Director ADMINISTRATOR Health Services Director FMCH C i BY_ DEPUTY .�_. 5 ' CO1V MUNrrY PRESBYTERIAN CHURCH 200 EAST LELAND ROAD PITTSBURG,CA. 94565 (925)439-9361 wm waCommun Presbyt Tian-ChMreh.oM APPLICATION FOR FACILITIES USE NAME Y LSbt-, Vin,. ADDRESS.0i,56'i 2 iU i -.U- `k CITY PERSON IN CHARGE Yrs ..�.PHONE: u��� DATE OF'FUNCTION '� �- f � TIME to - C, NATURE AND PURPOSE OF EVENT NUMBER OF PEOPLE ATTENDING WILL YOU BE USING THE KITCHEN FACILITIES? YES. 1 ...NO If YES, please list your needs. Oven, sinks, steam table,refrigerator, freezer, etc (There is a$40 deposit to use each steam tray.) WILL YOU BE SERVING ALCOHOL?(Behr,'Wine and champagne UNLY)Yes _.._No I hereby state that T have read and understand the"Use of Facilities Policy Statement"and the "Fee Schedule"and agree to abide by them. I accept responsibility for informing my group about the conditions and regulations pertaining to the use of the facilities and for enforcing those conditions and regulations. I understand that if any damage occurs during the time in which I am using the facility I will be financially responsible. I understand that if alcohol is served,I ata responsiblefor the additional cost of security guards. I understand that NO SMOKING IS ALLOWED INSIDE ANY OF THE BUILDINGS. SIGNED:> -- - -.— DATE: —._. For office use only: Date received: Amount received: Date jived': Amount received: Deposit retur€ d(Date, amount, check number)