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Chawanakee USD  |  E  1330  Community Relations

Use Of School Facilities   

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Exhibit 1

CHAWANAKEE UNIFIED SCHOOL DISTRICT

USE OF FACILITIES

Procedures for Submitting Requests

1. All three of the attached forms must be completed, and properly signed prior to submission to the District for approval. (Application and Permit, Agreement of User to Hold Harmless, Statement of Information)

2. Please submit all information to the office at the site you wish to use. In addition to the three forms, you must include a copy of your organizations Certificate of Insurance with an additional insured endorsement naming Chawanakee Unified School District, its officers, board members, agents and employees as additional insured to the commercial general liability policy, indicating coverage of $1,000,000. If the Certificate of Insurance and additional insured endorsement is not immediately available, please attach a statement that includes:

a) Name of the insurance company and contact person

b) Date that you made a request for a certificate

c) The estimated date the certificate will be received by the Chawanakee Unified School District

Important: Prior to the scheduled event, the Certificate of Insurance and additional insured endorsement must be received by the District.

3. Rental fees and or charges for services will be paid for at the site to be used when the above named forms are presented and approved.

4. If you have any questions about the procedures, please contact the site in which the packet was picked up.

Exhibit CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: October 9, 2018 North Fork, California

___________________________________________________________________________

Exhibit 2

1330

Use Of School Facilities

Fee Structure for Facilities Use in Chawanakee Unified School District

Room to Be Used: ___

Building: Classrooms

Non-Profit: $10 per hour

In Lieu of Fee: ___

For-Profit*: $20 per hour*

Room to Be Used: ___

Building: Multi-purpose w/o kitchen

Non-Profit: $30 per hour

In Lieu of Fee: ___

For-Profit*: $50 per hour*

Room to Be Used: ___

Building: Multi-purpose w/kitchen*

Non-Profit: $60 per hour*

In Lieu of Fee: ___

For-Profit*: $90 per hour*

Room to Be Used: ___

Building: High School Gym*

Non-Profit: $75 per hour*

In Lieu of Fee: ___

For-Profit*: $120 per hour*

Room to Be Used: ___

Building: Library-Elementary*

Non-Profit: $50 per hour*

In Lieu of Fee: ___

For-Profit*: $70 per hour*

Room to Be Used: ___

Building: Media Lounge-High School*

Non-Profit: $80 per hour*

In Lieu of Fee: ___

For-Profit*: $120 per hour*

Room to Be Used: ___

Building: Restrooms

Non-Profit: $10 per hour

In Lieu of Fee: ___

For-Profit*: $20 per hour*

Room to Be Used: ___

Building: Scout Building

Non-Profit: $20 per hour

In Lieu of Fee: ___

For-Profit*: $40 per hour*

Room to Be Used: ___

Building: Scout Building w/kitchen*

Non-Profit: $30 per hour*

In Lieu of Fee: ___

For-Profit*: $70 per hour*

Room to Be Used: ___

Building: Parking Lot

Non-Profit: $35 per hour

In Lieu of Fee: ___

For-Profit*: $60 per hour

Room to Be Used: ___

Building: Athletic Field K-8

Non-Profit: $20 per hour

In Lieu of Fee: ___

For-Profit*: $40 per hour*

Room to Be Used: ___

Building: Athletic Field 9-12

Non-Profit: $35 per hour

In Lieu of Fee: ___

For-Profit*: $60 per hour

Room to Be Used: ___

Building: Stadium/Track

Non-Profit: $60 per hour

In Lieu of Fee: ___

For-Profit*: $120 per hour

Room to Be Used: ___

Building: Softball Stadium/Baseball Field

Non-Profit: $25 per hour

In Lieu of Fee: ___

For-Profit*: $60 per hour

*May require a district employee on site at all times at the actual benefited cost per hour. Shall require 2 hours to open and close the building at $35/hr.

__Non-Profit **In lieu of fees paid, it is suggested that community service projects be performed for the District /Community and agreed by the District.

__Non-Profit A deposit of $100 per event is required, which will be returned when the room is left in the condition it was found.

__For Profit *A deposit of $200 per event is required, which will be returned when the room is left in the condition it was found.

Any damages outside of your deposit you will be invoiced for.

Board Policy 1330 says, "The Board authorizes the use of school facilities or grounds without charge (during regular school staffed hours) by nonprofit organizations, clubs, or associations organized to promote youth and school activities. In accordance with Education Code 38134(a), these groups include, but are not limited to, Girl Scouts, Camp Fire, Inc., parent-teacher associations, and school-community advisory councils. Other groups, including nonprofit groups not organized to promote youth and school activities or for-profit groups that request the use of school facilities under the Civic Center Act shall be charged at least direct costs.

Exhibit CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: October 9, 2018 North Fork, California

___________________________________________________________________________

Exhibit 3

1330

For Use Of School Facilities

CHAWANAKEE UNIFIED SCHOOL DISTRICT

APPLICATION AND PERMIT

Date: _________ (Submit application no later than 10 days prior to date of usage.)

The ________________hereinafter referred to as the "Organization" is (mark one):

1. ___ Girl Scouts, Boy Scouts, Camp Fire, Inc.

2. ___ Parent-Teacher Groups/Foundation

3. ___ School-Community Advisory Committee

4. ___ Youth sports organization

5. ___ Adult sports organization

6. ___ Other (explain)

This organization hereby applies for permission to occupy (facility/room) at __________________School on_______________ (date or dates) during the hours of ________to________. The average attendance is estimated at (number).

Admission will be charged: ___ YES ___ NO AMOUNT: $_____________

Particular instructions or facility arrangement requested is: Insurance Information

Company Name: _________________ Policy Number: _____________________

Additional Insureds: ________________ Policy Number: _____________________

Expiration Date: ________________________

Rate Calculations:

Basic Rate $_______________ X hours = ________________

In Lieu-Describe agreement in Lieu of fees to CUSD:

_______________________________________________________________________________________________________________________________________________________________________________________________

All checks made payable to: Chawanakee Unified School District

Additional Charges:

Custodial: ________ Set up: __________ Refundable Key Deposit: _______

Grounds: _________ Food Service: _______ Sound Equipment: _____________

I, __________________________, representing ____________________________do acknowledge the receipt of the rules and regulations as contained in this package including Board Policy (BP 1330) and corresponding administrative regulations related to my usage of the District facilities and hereby agree to abide by them. If the rules and regulations are not followed, I am aware that I am personally liable for any charges incurred by my group due to my negligence in not adhering to the rules and regulations.

__________________________________ ____________________________

Signature of Organization's Representative Date

Chawanakee Unified School District: __________________ ____________________

Authorized Agent Date

Exhibit CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: October 9, 2018 North Fork, California

___________________________________________________________________________

Exhibit 4

1330

For Use Of School Facilities

AGREEMENT OF USER TO HOLD

CHAWANAKEE UNIFIED SCHOOL DISTRICT HARMLESS

User hereby agrees to indemnify and hold the Chawanakee Unified School District, it's officers, agents and employees harmless from any claim made against the Chawanakee Unified School District, it's officers, agents or employees, for any liability, loss, expense, settlement, or judgment which may be incurred by reason of personal injury, bodily injury, death, loss of or injury to property, or loss of any other sort which may be sustained by any person or entity, including, but not limited to , officers, agents or employees of the Chawanakee Unified School District, officers, agents and employees of User and any other person or entity, arising from or in any way related to, whether directly or indirectly, the activity described below, regardless of whether the injury, loss or damage occurs on or off property of the Chawanakee Unified School District.

User agrees to so indemnify Chawanakee Unified School District completely with respect to the claims described herein, regardless of whether any negligence or other fault on the part of the Chawanakee Unified School District, whether active or passive, in any way caused or contributed to the injury, damage or loss which is the basis of the claim. User further agrees that with respect to any such claims, User will defend all claims, actions or suits which may be brought against the Chawanakee Unified School District, its officers, agents or employees, and shall pay all cost or expense, including attorney's fees, incurred in the defense of such action, and shall further pay any settlement or judgment made or rendered in any such actions as against the Chawanakee Unified School District, its officers, agents or employees.

It is further agreed that in the event of any dispute under the terms of this Agreement, the prevailing party in any action shall be awarded attorneys' fees and costs, including such attorneys' fees and costs as may be incurred in the prosecution or defense of any action to determine the rights or liabilities of the parties under this Agreement, and any attorneys' fees or costs which may be incurred prior to the institution of any action because of any dispute which may arise concerning this Agreement.

ACTIVITY:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(This is a general description of the activity, only, and does not in any way limit the indemnity right of Chawanakee Unified School District described above.)

AUTHORIZED AGENT OF USER WHO AGREES, ON BEHALF OF USER, TO THE TERMS OF THIS INDEMNITY AGREEMENT:

User: ________________________________ _____________________________

Print Name Signature Title

Address: ___________________________________________________________________

Telephone: _____________________________ Date: ____________________________

AGREED TO BY THE CHAWANAKEE UNIFIED SCHOOL DISTRICT:

_________________________________ ________________________________

Chawanakee Unified Authorized Agent Signature/Title

________________

Date

Exhibit CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: October 9, 2018 North Fork, California

___________________________________________________________________________

Exhibit 5

1330

Use Of School Facilities

CHAWANAKEE UNIFIED SCHOOL DISTRICT

STATEMENT OF INFORMATION

The undersigned, as duly authorized representative for______________________________,

states that, to the best of his/her knowledge, the school property for use of which application is hereby made will not be used for the commission of any crime or any act which is prohibited by law.

The undersigned further declares that __________________________________, the organization on whose behalf he/she is applying for the use of school property upholds and defends the Constitution of the United States of America and the State of California.

_________________________________________ __________________________

Signature Date

_________________________________________ __________________________

Organization Date

Exhibit CHAWANAKEE UNIFIED SCHOOL DISTRICT

version: October 9, 2018 North Fork, California