HomeMy WebLinkAbout2019 - EWEB Facility Use Agreement 2019 - Meeting Room Reservation - Douglas County Fire District No. 2DOUGLAS COUNTY FIRE DISTRICT NO.2
MEETING ROOM RESERVATION
MAXIMUM OCCUPANCY: 53
Group Name: �Cc j� L�.v� ce./�� mac? _ �e�� 745
Contact Person:
Phone Number: 1?`�1 (__ :�, — 4 /Q
Number of Persons Expected: 6--do
Date of Event: A ( lMeo-1 /%ejc1
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Time of Event:
With notice and approval of the Fire Chief, the meeting room in the headquarters station may be used by
non-profit service and educational organizations.
Douglas County Fire District No. 2 shall be held harmless from events beyond its control.
Any non -district affiliated groups or persons wishing to use the meeting room must fill out this form and
agree to the following conditions:
1. Parking for those using the meeting room shall be at the east end of the parking lot off N.E. 4th St.
2. The user will be held responsible for all damages which occur as a result of their use of the facilities.
3. There will be no running or horseplay in or around the fire station.
4. The use of the meeting room will also include the use of the public restrooms located adjacent to the
meeting room. Access to other portions of the building shall be by authorized invitation only.
5. The meeting room, restrooms, and connecting corridor are "non-smoking" areas. Smokeless tobacco
use is also prohibited.
6. Alcoholic beverages will not be allowed on the premises.
7. Animals inside the facility will be limited to service dogs.
The named group or persons shall provide Douglas County Fire District No. 2 with a Certificate of
General Liability Insurance and/or name Douglas County Fire District No. 2 as an additional named
insured for the times the facilities are being used by the Group. The Waiver at the end of this form
may be used for this purpose.
9. Following the use of the facility, tables and chairs shall be returned to a classroom setting, garbage
removed and the room left clean. The following housekeeping items are requested:
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*Spray and wipe down all table surfaces then return chairs to table tops.
*Wipe down meeting room sink and counter top.
*If garbage bag is full, please remove and set next to rear door; replace with new bag.
*NOTE: Garbage liners, disinfectant spray, and rags are supplied and located on the sink counter.
Please leave dirty rags on the floor at rear door.
Acknowledged: roved:
Group epr senta 've Date Fire Chief Date
Welcome DCFD#2 Guests
During your use of the facility, we hope you find the accommodations acceptable. In the rear of the
room, you'll find a sink, paper towels, and a garbage receptacle. The restrooms are located down the
hall, just outside of the meeting room. Extra chairs are stored in the rear of the meeting room on a
mobile cart. Wi-Fi access is permitted; login and password are posted at the front of the room.
During use of the facility, the access to the remainder of the firehouse is typically locked. This is simply
a security measure for the on -shift crew while out of the building for emergency calls or other duties.
If there are any special needs, please let the Shift Officer in charge know upon arrival for assistance.
We thank you for choosing our facility and appreciate your consideration in maintaining it for public
accessibility and use.
Sincerely,
Dave Baker, Fire Chief
WAIVER -
The Group will save and hold harmless Douglas County Fire District No. 2 from all loss, liability or
expense resulting from any injury to any person or any loss of or damage to any property caused by or
resulting from any act or omission of the Group or any officer, agent, employee, guest, invitee or visitor
in or about the room or building during the event to be held on the date specified above.
Dated this '� day of OXYLA)
Title: �_VpuaS bu-�CfU1' 1()
4/2018 - 2 -