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Snohomish Carnegie Rental Application
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SNOHOMISH CARNEGIE RENTAL APPLICATION
DATE OF EVENT:
DATE OF EVENT: Start Date
DATE OF EVENT: Start Time
DATE OF EVENT: End Date
DATE OF EVENT: End Time
CELEBRATION OF LIFE
ALCOHOL & CATERING
The sale and consumption of alcoholic beverages is subject to additional laws, permits, regulations and potentially higher insurance limits may be required. Additional permits may be required to serve or sell alcohol at your event. Please describe below any planned alcohol sales, serving or consumption at this event. All servers that are mixing, serving or selling alcoholic beverages must be MAST trained and posses a valid Washington State Liquor Control Board Class 12 mixologist license.
WILL ALCOHOL BE SOLD OR CONSUMED?
WILL MINOR BE PRESENT?
NAME OF ORGANIZATION THAT HOLDS THE WSLCB SPECIAL OCCASION LICENSE FOR SALE OF ALCOHOL?
WHAT IS THE PLAN FOR CHECKING IDENTIFICATION FOR THE LEGAL AGE OF ALCOHOL CONSUMERS?
IF APPLICABLE, DESCRIBE INTENDED OR REQUESTED SAFE AND/OR CONSUMPTION OF ALCOHOL BEVERAGES AT YOUR EVENT.
WILL YOUR EVENT BE CATERED?
WILL YOU HAVE LIVE MUSIC?
TYPE OF PERFORMER - NUMBER OF MUSICIANS
STAFF & SECURITY
Staff and security may be required for special events such as, concerts, dances, parties, events serving alcohol or events with minors in attendance. The City of Snohomish will determine if and how the number of security they deem is appropriate per event.
Fire permits may be required for tents/canopies, generators, open-flame cooking, propane tanks and other items. The cost of those permits is not included in the building rental fees. The event organizer must make contact with the Snohomish Fire District and provide information and the outdoor plaza layout at least 90 days prior to the event. The City of Snohomish will not refund and fees as the result of a cancellation due to and being unable to secure the appropriate permits.
AGREEMENT, RELEASE AND INDEMNIFICATION
The person or organization entering into a use agreement with the City of Snohomish for the use of the Snohomish Carnegie facilities or equipment described above (collectively “the Facilities”) certifies that the information given in this application is current and correct. The undersigned further states that he/she has the authority to make this application for the Applicant and agrees that the Applicant will observe all rules and regulations. The Applicant further agrees to reimburse the the City of Snohomish for any damages arising from the Applicant’s use of said Facilities. Any accident involving injury to participants or damages to the Facilities occurring during the use of the Facilities will be reported to the City of Snohomish immediately. FURTHERMORE, the applicant agrees as follows: I am aware of and expressly assume all of the various risks of serious injury and/or death associated with or arising out of the use of the Facilities.
In consideration for granting this request, and being fully aware of all of the risks, I hereby RELEASE the (Member) and its officials, employees, volunteers and agents (“the Released Parties”), and AGREE TO WAIVE ANY RIGHT OF RECOVERY THAT I AND/OR THE ORGANIZATION, AS APPLICABLE, MAY HAVE, including the right to bring a legal claim, cause of action, or lawsuit for any bodily injury, death or other harmful consequences in any way arising out of use of the Facilities. I understand that this release extends to all claims of any kind and every nature, known, unknown, suspected or unsuspected, in any way arising out of or related to use of the Facilities.
I agree to defend, indemnify and hold harmless the Released Parties from and against any and all claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage to property, which arises out of the use of the Facilities or from any activity, work or thing done, permitted, or suffered by Applicant in or about the Facilities, except only such injury or damage as shall have been occasioned by the sole negligence of the Released Parties.
The Applicant is required to procure and maintain for the duration of the use or rental period insurance against claims for injuries to persons or damage to property which may arise from or occur in connection with the use of the Facilities and the activities of the Applicant and his or her guests, representatives, volunteers and employees. Accordingly, the Applicant is shall provide proof of general liability insurance, with minimum limits of $1,000,000 per occurrence and $2,000,000 aggregate, and name the City of Snohomish as an additional insured by using ISO endorsement CG 20 11, or coverage at least as broad. The insurance policy shall contain, or be endorsed to reflect that the Applicant’s insurance coverage shall be primary insurance as respect the City of Snohomish. Any insurance, self-insurance, or self-insured pool coverage maintained by the City of Snohomish shall be excess of the applicant’s insurance and shall not contribute with it. If alcohol will be available for consumption, Applicant/Organization may be required to procure and maintain for the duration of the agreement Liquor Liability insurance in an amount not less than $1,000,000 each occurrence. The City of Snohomish is to be named as an additional insured on Liquor Liability insurance. Host liquor liability coverage, which is included in a General Liability policy may be adequate when alcohol is consumed and not sold on premises, with the prior written approval of the City of Snohomish. Liability insurance may be available through the Tenant User Liability Insurance Policy (TULIP) through Intact Insurance Specialty Insurance Solutions. TULIP offers $1,000,000 per occurrence (no general aggregate) which meets the minimum insurance requirement. The liability policy automatically names the (Member) as an additional insured and includes host liquor coverage. For an additional fee, Liquor Liability coverage may also be available for purchase. Applicant can access the TULIP program through the WCIA website, www.wciapool.org. I have read the rules and regulations above and on the reverse side of this form and agree to the conditions and charges as established on my own behalf and on behalf of the Organization as applicable:
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