RESPONSIBLE PARTY INFORMATION. RENTAL INFORMATION This request must be submitted at least two (2) weeks prior to the requested date(s)

Transcription

1 KF-EB Florence Unified School District #1 FACILITY RENTAL REQUEST FORM Community Education Office: (480) Contact: Monti Martinez RESPONSIBLE PARTY INFORMATION Date Submitted: Name of Organization/Group: Street Address: City:, AZ Name of Responsible Representative: Home Phone: Cell Phone: Address: (Rental confirmation will be sent electronically) RENTAL INFORMATION This request must be submitted at least two (2) weeks prior to the requested date(s) Facility: Room/Area: Purpose of Rental: Event Date(s): Total # of Days: Select Day(s) of the Week M T W TH F S SU Expected # of Participants: Food: Yes No Catered: Yes No Caterers Name: Arrival Time: AM PM (include setup time) Departure Time: AM PM (include clean up time) I, THE AUTHORIZED REPRESENTATIVE, have read the policy regulations pertaining to the use of the Florence Unified School facilities and agree to abide by them. I further agree to procure and maintain a policy of general liability insurance in any amount not less than one million dollars ($1,000,000.00), single limit, against claims for bodily injury, death and property damage occurring in connection with rental Organizations use of any portion of the facilities; naming Florence Unified School District as additional insured and provide evidence of such before the date of facility use. All applicants for use of District facilities shall hold harmless and indemnify the District from any loss, damage, or liability that may arise from or be caused by the negligence of the applicant, except that arising out of the sole negligence of the District. The Florence Unified School District Facilities Rental Policies and Procedures Manual are incorporated as part of this agreement. This agreement may be revoked by the Florence Unified School Districts Governing Board if the rental organization fails to obey all policy regulations of the District. (Authorized Representative s Signature) (Printed Name) Date Note: All requests for use of property and/or equipment must be initiated with the campus principal. The request will be forwarded to the Community Education Office for approval and /or disapproval. In order to avoid conflict in use, please submit all requests at least fourteen (14) days prior to the date of the event. Proof of liability insurance is required one (1) week before the date of use. Failure to secure acceptable liability insurance will cancel the use agreement. Payment of projected fees are to be received in advance. Any cost overruns for services or equipment will be billed to the lessee. Recommended: Yes No (Principal s Signature) Date (Facility Use Coordinator s Signature) Date Subject to change with 30 day notice Page 1 of 6 Revise: 5/9/2017

2 FLORENCE UNIFIED SCHOOL DISTRICT NO. 1 CLASSIFICATION DESCRIPTIONS Additional charges may be applied for those renters, regardless of the classification below, who will be requesting the use of any athletic facilities/concession stands and equipment. This applies to all class levels. CLASS I District or School Activities Class I facility use will be charged the direct costs of using the facility for personnel or out-of-pocket costs incurred by the District but not the standard room/facility rate charge. Examples: Student Organizations, Student Clubs, Staff Development, Foundations, and Elections. CLASS II Non-Profit Youth Organizations Class II facility use is by non-profit organizations (with proof of a letter of determination indicating a 501c3 status approved by the IRS) whose academic or recreational activities directly service schoolage students and are not paid and do not derive a financial benefit from the activity. This class of user will be charged the established use fee for the room/facility utilized and any other personnel or other out-of-pocket costs incurred by the District. Examples: Non-profit Youth Organizations, PTO/PTA, Booster Clubs, Boys/Girls Club, YMCA, Scouts, Little League, Pop Warner, Youth Sports Leagues, Municipal Government Entities, etc. CLASS III Non-Profit Organizations Class III facility use is for all organizations that do not meet Class I or Class II definition. Any activity of a profit-making organization conducted for the purpose of donating profits or proceeds to the District or to a public charity does not change the rate from this schedule. This class of user will be charged the established use fee for the room/facility utilized and any other personnel or other outof-district costs incurred by the District. Examples: Churches, Adult Civic Organizations (Rotary, Kiwanis, Jaycees, Lions), Federal, State and Local Government Units when conducting community or official business for which no reciprocal agreement exists. CLASS IV Profit-Making Class IV facility use is for all organizations not meeting the definitions of the other classifications. This class of user will be charged the established use fee for the room/facility utilized and any other personnel or other out-of-district costs incurred by the District. Examples: All commercial, HOA s, profit-making individuals and organizations, regardless of the purpose for their use of facilities. PLEASE NOTE No Keys or alarm codes will be issued to any of the Class definitions above Subject to change with 30 day notice Page 2 of 6 Revise: 5/9/2017

3 Florence Unified School District #1 Community Use of District Facilities Summary of Fees School Facility Class 1 Class 2 Class 3 Class 4 Additional Light Charges Auditorium, District Office $20.00 hr. $50.00 hr. $ hr. Band/Music Room Multipurpose with Kitchen (Elementary Only) Multipurpose w/o Kitchen (Elementary Only) Cafeteria with Kitchen (High School Only) Cafeteria w/o Kitchen (High School Only) Classroom Baseball/Softball, HS Varsity Fields Baseball/Softball, HS Practice Fields Football/Soccer/Band Fields, HS Practice Fields Football/Soccer/Band Fields, HS Varsity Fields Baseball/Football/Softball Fields, K8 Practice Fields, HS Track Library, K8 Library, HS Gymnasium, Large (Poston Butte High) Gymnasium, K8 Gymnasium HS, Large Gymnasium HS, Small Amphitheater (Poston Butte) School Parking Lot $10.00 hr. $15.00 hr. $45.00 hr. $25.00 hr. $40.00 hr. $ hr. $20.00 hr. $35.00 hr. $65.00 hr. $25.00 hr. $55.00 hr. $ hr. $20.00 hr. $50.00 hr. $65.00 hr. $10.00 hr. $15.00 hr. $30.00 hr. $20.00 hr. $30.00 hr. $45.00 hr. $25.00 an hour Subject to change with 30 day notice Page 3 of 6 Revise: 5/9/2017 $15.00 hr. $20.00 hr. $30.00 hr. $25.00 an hour $15.00 hr. $25.00 hr. $35.00 hr. $25.00 an hour $50.00 hr. $60.00 hr. $70.00 hr. $25.00 an hour $10.00 hr. per field $15.00 hr. per field $35.00 hr. per field $25.00 an hour $15.00 hr. $25.00 hr. $50.00 hr. $25.00 an hour $50.00 hr. $60.00 hr. $70.00 hr. $25.00 an hour $25.00 hr. $30.00 hr. $60.00 hr. $25.00 hr. $50.00 hr. $ hr. $ hr. $ hr. $ hr. $30.00 hr. $45.00 hr. $65.00 hr. $40.00 hr. $60.00 hr. $ hr. $25.00 hr. $50.00 hr. $90.00 hr. $25.00 hr. $50.00 hr. $90.00 hr. $15.00 hr. $20.00 hr. $40.00 $25.00 an hour

4 Additional Charges for Personnel Service Fee IMPORTANT NOTES Athletic Field Prep Custodial Food Service Personnel Gym Supervisor IT Technician Lock/Unlock Door Maintenance Technician $25.00 hr. $30.00 hr. 1. If the kitchen is requested, a Food Services staff member will be required to be on hand during the event. 2. If bathroom use is requested, a custodian will be required for the duration of the event. 3. Each event will require district personnel to open and close the facility, a minimum of 2 hours at $28.00 per hour. Additional Charges Cancellation Fee (Cancellations must be made, with the Community Education office, 7 days prior to event to avoid the fee) $25.00 Per occurrence Change Processing Fee (Changes must be made, with the Community Education office, 72 hours prior to event to avoid the fee) $25.00 Per occurrence Late Fee and/or Insufficient Funds (Payment of invoice(s) must be received, by the Community Education office, prior to event to avoid the fee) $25.00 Per Month or Occurrence Athletic Prep Baseball/Softball Fields Football Field Football Field $60.00 Chalk Only $ Basic Grid $2, Detailed Lines and End Zones Subject to change with 30 day notice Page 4 of 6 Revise: 5/9/2017

5 Equipment Charges Smartboard Laptop Electronic Scoreboard Podium Sound System Seating Setup (per 50) $75.00 Flat Fee $50.00 Flat Fee $25.00 Flat Fee $10.00 Flat Fee $50.00 Flat Fee $10.00 Flat Fee SMOKING IS STRICTLY PROHIBITED on ANY Florence Schools Campus After-Hours Rental Assistance Henry Villalobos - Custodial Supervisor Clay Cordova - Grounds Supervisor Mark Lamas - Director of Support Services Monti Martinez - Community Education - Facility Rentals Subject to change with 30 day notice Page 5 of 6 Revise: 5/9/2017

6 General Safe Practices While using the District facility, the Occupant shall adopt and follow safe practices in its operations. Cooperation The Occupant is expected to cooperate with District personnel to ensure a safe site. The Occupant shall clarify with District personnel all safety and security requirements prior to use of the facilities. Facility Use Guidelines 1. All use shall be performed in compliance with all applicable statutes, rules, and regulations. 2. The Occupant shall furnish and require participants to wear appropriate clothing. 3. The Occupant shall observe District vehicle parking guidelines. The Occupant shall not allow any parking in areas marked with red indicated a fire lane. 4. The Occupant shall maintain all areas used in a clean well-organized manner. 5. If playground equipment is used, the Occupant shall provide adult supervision of at least one adult for each twenty (20) children using the equipment. 6. Any electrical tools, appliances, and extension cords used shall be in good condition. 7. All means of access or egress shall be identified and communicated to participants. 8. Occupant shall identify areas where travel is not permitted and inform participants. 9. Roadway and sidewalks, to be used, shall be inspected by the Occupant and are to remain clear of obstructions during use. Extension cords are to be taped to the floor to avoid a trip hazard. 10. All materials used shall be properly handled, stored, or stacked. 11. Occupant shall provide adequate signs and markers to inform participants of rules and to maintain the facility in a safe manner. 12. Occupant shall not smoke, serve or use liquor or narcotic drugs during the use of the facility. 13. Occupant shall provide adequate supervisory personnel to ensure that these guidelines are implemented. 14. Occupant shall maintain a list of emergency agencies and phone numbers available at all times. 15. Occupant shall not move or remove any furniture or equipment during the use of the facility without prior approval. When using the Facility or any portion thereof, Occupant agrees to comply with all applicable state, federal or city laws and regulations, and with the policies and regulations of the District pertaining to the use and occupancy of the Facility. Occupant agrees to take good care of the Facility and any equipment and furniture located therein, and to leave the Facility at all times in as good order and condition as existed prior to Occupant s use thereof. Occupant shall not use or allow any portion of the Facility to be used for any unlawful purpose. Occupant shall not commit or allow to be committed any waste or nuisance in or about the Facility, or subject the Facility to any use that would damage any portion of the facility or raise or violate any insurance coverage maintained by the District. Occupant shall not allow a number of persons in any portion of the Facility at any time in excess of the legal or normal capacity of such portion of the Facility. Occupant shall not permit any food, drink, or smoking in any portion of the Facility without prior written consent of the District. Occupant s Signature: Date: Occupant s Name (PRINT): Subject to change with 30 day notice Page 6 of 6 Revise: 5/9/2017