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I' "/ o i Event. <br /> APPLICATION FOR USE OF PUD FACILITIES(continued) <br /> I, (hereafter referred to as"User"), agree that the information on this request is <br /> true and complete to the best of my knowledge.I further agree that I have read and will abide by the following conditions <br /> as well as Snohomish County PUD's(hereafter referred to as the"PUD")Directive on public use. <br /> 1. User(person/organization)indicated on the application will be responsible for payment of all charges. <br /> 2. User shall provide written notification of cancellation at least two weeks in advance of rental date or be assessed the <br /> minimum fee required for the room reserved. <br /> 3. User assumes all responsibility for protection of PUD property and equipment and will be held responsible for any <br /> loss or damage as determined by the PUD.Utilization of PUD equipment to access or download files from the Internet <br /> is strictly prohibited except to the extent authorized in writing by the PUD,and penalties may be charged for any such <br /> activity that is not so authorized. <br /> 4. All usage shall conform to requirements set forth in the Uniform Fire Code.The User shall restrict attendance to the <br /> facility's assigned occupant load. Section 4.108 of the U.F.C.states that any candle or open flame used in assembly <br /> requires a permit from the Everett Fire Department, Office of the Fire Marshall. For permit information,please call <br /> the Everett Fire Department at 425-259-8726.A copy of any permit issued must be on file with the PUD two weeks <br /> prior to the event.Violations of the Fire Codes shall be deemed a misdemeanor and shall be punishable by a fine of <br /> not more than$1,000 or not more than ninety days in jail.User will notify the PUD whenever there is an intent to use <br /> an open flame. <br /> 5. User will be held responsible for control of all individuals present during the time of the facility use. <br /> 6. Alcoholic beverages are not allowed in District facilities or on District property. <br /> 7. Smoking is permitted in designated outdoor smoking areas and is not permitted within 25 feet of building entrances. <br /> 8. User will comply with all federal, state, and local laws prohibiting discrimination with regard to race, color,marital <br /> status,sex,religion,age,national origin,sexual orientation,or sensory,mental,or physical disability. <br /> 9. User agrees to notify the PUD technician,custodian,or Security Officer of any accidents immediately. <br /> AUDITORIUM USE <br /> 1. For events lasting more than one day, deposits are due two weeks prior to the first day of the event and the balance <br /> will be paid within 30 days of billing.Full payment is due two weeks prior to the event for one day events. <br /> 2. No food or beverages are permitted in the Auditorium except in stage areas as required by meeting/performance. <br /> 3. Unless otherwise agreed to by the PUD,the user will provide proof of insurance as follows: <br /> • Limits of General Liability:$1,000,000 Combined Single Limits. <br /> • A certificate of insurance naming Public Utility District #1 of Snohomish County as Certificate Holder and <br /> Additional Named Insured provided to the PUD at least three weeks before facility use begins. <br /> • If self-insured,the organization will provide proof of insurance coverage acceptable to the PUD for the purpose <br /> of the rental. <br /> SIGNATURES <br /> The User agrees to indemn defend, and save harmless the PUD, its officers, agents and employees from and against <br /> any and all claims, losses, damages and expenses, including attorneys'fees, arising out of or in connection with the use <br /> of PUD facilities to the extent that such claim, loss, damage, or expense is attributable to any negligent act or omission <br /> of the User, anyone directly or indirectly employed by the User, or any of the User's group members, invitees, or other <br /> Users present at such facilities in connection with the User's activities. The User also has read and agreed to the Public <br /> Use of Facilities Directive Number 43(included in the plication packet). <br /> Ct D *CVt ?t II (ahcAtIY <br /> User Siature Date <br /> _Snohomish County PUD Confirmation Date <br /> Return this form with both sides completed to: <br /> Snohomish County PUD <br /> Julie Johnson,Training Center Receptionist M/S Al <br /> PO Box 1107 <br /> Everett,WA 98206-1107 Email: facilityrentals@snopud.com Phone:425-783-8204 <br /> Page 1 2 <br /> REV:4/17 <br />