2010/03/24 Council Agenda Packet

• • • • City of Everett Parks and Recreation Department . **Facility Use Permit Contract#: 82987 • User: jsmith Date: 19-Jan-10 Status: Firm • Shaw, Howard • Howard Shaw 13530•Cascadian Way Everett WA 98208 • City of Everett Parks and Recreation(hereinafter called the"City")hereby grants Shaw, Howard(hereinafter called the"Licensee") represented by Howard Shaw,permission to use the Facilities as outlined,subject to the Terms and Conditions of this Agreement contained herein and attached hereto all of which form part of this Agreement. i)Purpose of Use Seattle Out Board Association ii)Conditions of Use iii)Date and Times of Use #of Bookings:1 Starting:Sat 05 Jun 10 08.Ending:Sat 05 Jun 10 06:0t Expected:40 Facility Day Start Date Start Time End Date End Time Fee Extra Fee Tax Total TA Sullivan Park-Silver Hall Sat 05-Jun-10 08:00 AM 05-Jun-10 06:00 PM $145.00 $0.00 $0.00 • $145.00 iv)Additional Fees v)Payment Method Rental Fees Extra Fees Tax Rental Total Damage Deposit Total Applied Balance Current $145.00 $0.00 $0.00 $145.00 $0.00 $145.00 $0.00 $0.00 Balance of rental due and payable immediately Payment Type Reference Amount Date Receipt Number Check Rental $145.00 19-Jan-10 446078 vi)Other Information • • AGREEMENT:I have read the Everett Parks and Recreation Use Policy for this facility and the terms of this Permit I understand the terms of this Permit and requirements for rental and use of this facility and agree to comply therewith If I am executing this Permit in a representative capacity, I certify I have sufficient power,authority and capacity to bind the organization to the terms of this Permit and requirements for rental and use of this facility with my signature below I agree to exercise the utmost care in the use of this facility. I assume full responsibility for the use of this facility. Further I hereby agree to release,indemnify and save harmless the City,its officers,employees and agents form and against any and all liability,loss,notice thereof,defend and pay the expense of defending any suit which may be commenced against the City its officers,employees or agents,alleging injuries or damages resulting therefrom and will pay any judgements which may be obtained against the City its officers, employees or agents in such suit provided,however this paragraph does not purport to indemnify the City against liability for damages arising out of bodily injuries to persons or damage to property caused by or resulting from the sole negligence of the City its officers,employees and agents. • X: Signature of Permittee: Organization Name(if applicable): Permittee Address: Organization Address: Permittee Phone Number(include area code): Organization's Phone Number: • Office Use Only: • 1 2