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Home My WebLink AboutContracts & Agreements_6-2018Page] of 3 REDLANDS UNIFIED SCHOOL DISTRICT Application and Agreement — Use of School Facilities This application shall be completed for all Use of School Facilities requests, including in-house, PTA, athletic and booster clubs/groups. 0ctaher2017 Organization/Company: Redlands Police Department School/Site Being Requested: RUSD Facilities Type of Organization: Law Enforcement Purpose of Event/Meeting: Training, Presentations, Testing Facilities Requested (be specific): *Theater use requires a stage technician and a pre -event meeting. Varies Number of Attendees: Day(s) - Date(s) Requested: Calendar Year 2018 Service Requests (tables, chairs, PA, AC, fights for pools or stadiums, etc.): Varies Other Special Instructions/Arrangements: (table set-up, rows of chairs, roundtable, curtains drawn, etc.): Set-up Start Time: Event Start Time: Event End Time: Clean-up End Time: Do you currently hold facility use insurance? Yes: F771 No: Is there an alternate location available? Yes: Li No: ✓ Is this meeting open to thepublic? Yes: ✓ No: Are you making this application as an individual? Yes: El No: ✓ Does your organization have non-profit status? Yes: 2/1 No: El Is there to be an admission charge or fee? Yes: No: ✓ If admission fee is to be charged, state specifically what proceeds are to be expended for: A custodian or designated staff member must be on site during all use of facility activities. NO smoking is permitted anywhere on any school district site (including playfields, bleachers, and outdoor areas). Parking is allowed only in areas designated for parking. NO PARKING ON FIELDS OR ASPHALT PLAY AREAS!!! Business Services Division + Facilities Planning Services PO Box 3008, Redlands, CA 92373 • (909) 307-5300 • Fax: (909) 307-5321 Page 2 of 3 Approvals for usage are for specific hours and shall include set-up and clean-up time. School employees will not open buildings at any other time except those listed on the application form. (The applicant must list the opening and closing times, along with the program time.) Any use of props/decorations, sale of any items, or use of equipment must be approved prior to use. User groups using outside school grounds will not be furnished use of rest rooms or other building facilities, unless requested on the application and approved. Cancellation notice or requests for change in date or details must be reported to the site or the Facilities Planning Office at least 48 hours in advance of the date of intended use. Any violation of Board Policy, Administrative Regulation, or other law by any organization during use shall be sufficient cause for denying further orcontinued use of school or District facilities or grounds by the organization. Any use of school facilities or grounds which is inconsistent with the school district's use for school purposes or which interferes with the regular conduct of school, school work, or school related activities, shall not be approved. No activity which may interfere with the educational or co -curriculum programs of a school or the district will be approved or permitted. INSURANCE Any group using school facilities shall be liable for any injuries resulting from its negligence during such use. The group shall bear the cost of insuring against this risk and defending itself against claims arising from this risk. A certificate of insurance naming the school district with an additional insured endorsement will be required for use by an outside group or organization for comprehensive general liability coverage for property damage and bodily injury with a minimum limit of $1,000,000 (combined). KITCHEN USE Any kitchen use shall require an RUSD food service staff member to be present at the expense of the applicant. A separate application for kitchen use must „be„submitted with „the Use of Facilities Application. Use of kitchen facilities shall not be approved for the normal hours of operation of a school. In addition, the use shall cause no interference with the school food services program. Kitchens shall not be available for commercial use nor for organizations that do not meet the criteria and requirements for free use or direct cost use. HOLD HARMLESS AGREEMENT The applicant/organization, in consideration of being provided the use of and access to the requested facility by the Redlands Unified School District, agrees to defend, indemnify and hold harmless the School District, its Governing Board, officers, agents, employees, members, representatives or volunteers from any losses, damages, injuries or liabilities of any kind to any person or property arising out of or in connection with the applicants use, access to, or presence on School District premises. The applicant shall be liable for any injuries or damages of any nature whatsoever to any persons resulting from its' employees, representatives and agents' negligence, carelessness or recklessness during such use of or access to District premises, and shall bear the cost of insuring against this risk and defending itself against claims arising from the risk. The District shall not be liable for any loss, damage or injury from any cause whatsoever to the property or persons of the organization or any of its employees or agents resulting from the undersigned's use of, access to, or presence on the premises. The applicant/organization hereby agrees to abide by the rules and regulations for use of school facilities, as set forth in AR 9330 - Use of facilities Regulations of the Board of Education and according to the laws of the State of California. STATEMENT OF INFORMATION The undersigned states that, to the best of his or her knowledge, the school property for use of which application is hereby made will not be used for the commission of any act intended to further any program or movement the purpose of which is to accomplish the overthrow of the government of the United States by force, violence or other unlawful means; that the organization on whose behalf he or she is making application for use of school property, does not, to the best of his or her knowledge, advocate the overthrow of the government of the United States or of the State of California by force, violence, or other unlawful means, and that, to the best of his or her knowledge, it is not a Communist action organization or Communist front organization required by law to be registered with the Attorney General of the United States. This statement is made under the penalties of perjury. Business Services Division 0 Facilities Planning Services PO Box 3008, Redlands, CA 92373 • (909) 307-5300 * Fax: (909) 307-5321 Page 3 of 3 have read AR 1330 - Use of Facilities Regulations (initial and agree to comply with all school district and school rules and regulations. By signing this application I agree to the hold harmless statement and Statement of Information on this application. ( http://www,i-ecilauds.k I2.ca.us/modules/groups/liomepaQel Iles/cros/14- 29/_File/l~acilities/Use-of- Facilities -Oil 1 iiie-Application.pdf I understand that the district may cancel a scheduled activity due to conflicts in scheduling school activities or in emergency circumstances, including health and safety or maintenance reasons. Authorized Ap li nt's Signature (original signature requires!): Date: 01/16/2018 If external acdvity please forward to District Office for rocessin . Comments/Restrictions: Extra Staff if Needed: Print Name: Christopher R. Catren Date(s): Title: Chief of Police (Interim) Phone: (909) 335-4744 Alternate Phone: Billing Address: Alternate Contact Name and Phone: P.O. Box 1025, Redlands CA 92373 Travis Martinez, Asst. Chief of Police Security Y:❑ N: ❑ (909) 557-6583 Email Address: chief@redlandspolice.org This application is not approved until signed by an authorized District Office Designee and payment of all fees is received Below for RUSD Use Only School/Site Confirmation of Space Availability Facility Available on Dates and Times Requested? Yes: ❑ No: ❑ External Activity: ❑ or In -House Activity: ❑ If external acdvity please forward to District Office for rocessin . Comments/Restrictions: Extra Staff if Needed: Number of Staff: Date(s): Time(s): Total Staff Hours Custodian Y: ❑ N:❑ Security Y:❑ N: ❑ If no to the above, who will supervise the event? Technician: Y: ❑ N: ❑ Other Principal's Signature: Date Sent to District: All costs are estimates. If actual costs exceed estimates, applicant will be billed for the difference. District Office Use Only External Event Invoice: Insurance Certificate Expiration Date: Fees Due: Paid: Approved by District Designee: Yes: ❑ No: ❑ Weekend/Holiday Rates: Yes: ❑ No: ❑ Signature: Date: AIC: Yes: No: ❑ Comments/Restrictions: Business Services Division + Facilities Planning Services PO Box 3008, Redlands, CA 92373 • (909) 307-5300 • Fax: (909) 307-5321