Facility Use Application

Rental Fees Vary by Location

Pod April 4, 2022

Park Facility

Park Facility Rental Location: *

Condon Park BBQ Pavilion

LOVE Building

Condon Park BBQ Pavilion Rental

Applicant Information

Applicant Name: *

Organization Name (if applicable):

Phone: *

Mailing Address: *

E-Mail: *

Alternate Contact Name:

Alternate Contact Phone:

Event Information

Event Description: *

Date: *

Park can only be reserved from April 1 – Oct 31

Setup Time: *

Event Start Time: *

Event End Time: *

Breakdown/Cleanup End Time: *

Estimated Attendance: *

If you are expecting more than 50 people, you will need to submit a Special Events Permit application to the Police Department (visit link below for more information).

Approximate Age of Attendees: *

Under 18

18-20

21+

Event Details

Do you need access to city water & electricity? (check desired boxes): *

Water

Electricity

Is the event open to the public?: *

Yes

Is there an admission fee/ticket?: *

Yes

Will food, alcohol, or merchandise be sold?: *

Yes

If an event involves the sale of service, food or merchandise by commercial vendor(s), the vendor(s) must possess a City of Grass Valley Business License or obtain an Itinerant Merchant-Special Event Business License from the City. If alcohol is to be sold, the renter must also obtain a Special Events Permit and A.B.C. Permit through the Grass Valley Police Department.

Will sound be amplified outdoors?: *

Yes

Will alcohol be present?: *

Yes

If yes, you will need to provide and maintain general liability insurance and the coverage shall be in the amount of $1 million for bodily injury, personal injury and property damage. If alcoholic beverages are served, then host liquor liability coverage in the amount of $1 million for bodily injury and property damage will be required. General liability and host liquor liability shall be endorsed naming the City of Grass Valley, its officers, agents, employees and volunteers as additional insureds. Each policy required by this clause shall be endorsed to state that coverage shall not be cancelled or changed except after thirty (30) days written notice has been given to the City of Grass Valley

Cancellations

Cancellations must be made at least two weeks (14 days) in advance of the rental date to receive a refund of any rental fee or Cleaning/Damage deposit which may have been paid, less the current cancellation charge ($31.00). Failure to cancel this reservation within this time frame will result in forfeiture of the entire rental fee. Allow two to four weeks to receive a refund.

Digital Signature (/name/): *

LOVE Building Reservation

Applicant Information

Applicant Name: *

Organization Name (if applicable):

Phone: *

Mailing Address: *

E-Mail: *

Alternate Contact Name:

Alternate Contact Phone:

Event Information

Event Description: *

Date: *

Park can only be reserved from May 1 – Oct 31

Setup Time: *

Event Start Time: *

Event End Time: *

Breakdown/Cleanup End Time: *

Estimated Attendance: *

Approximate Age of Attendees: *

Under 18

18-20

21+

Event Details

Will alcohol be present?: *

Yes

Will alcohol be sold?: *

Yes

Will food be present/served?: *

Yes

Will food or merchandise be sold?: *

Yes

Is the event open to the public?: *

Yes

Is there an admission fee/ticket?: *

Yes

Will there be amplified sound?: *

Yes

Are you using a caterer?: *

Yes

List of equipment you plan to have on site:

Rules and Regulations

In case of emergency or for reasons beyond the City’s control, the City reserves the right to cancel the scheduled activity prior to scheduled use without liability. Refunds will be made if cancellation by the City is necessary.: *

I Agree

If I, the Applicant, am not the Responsible Party, I represent and warrant that I am authorized to execute this application on behalf of the “Responsible Party.” Facilities must be reserved, and under the direct supervision & responsibility of an adult (25 years of age or older) who will be present at all times. Groups of minors must have at least one responsible chaperone, 25 years of age or older, per 20 minors.: *

I Agree

I also agree that I will: (1) be financially responsible for any costs incurred by the City for damages to City property; (2) be financially responsible to reimburse City reasonable attorney fees to enforce the provisions of any contract that is issued for the activity described in this application; (3) forfeit all fees and deposits as partial compensation to the City for any costs associated with the enforcement of the provisions of the application or reservation: *

I Agree

I also agree that I will: (4) forfeit all fees and deposits if it is determined that I have provided false information on the application; (5) be financially responsible for any City costs that exceed fees and deposits already collected by the City for enforcement of provisions related to this application or reservation: *

I Agree

The Responsible Party agrees to fully indemnify, defend, and hold harmless, the City of Grass Valley, its officers, agents, employees, and volunteers from and against all actions, damages, costs, liability, claims, losses, judgments, penalties and expenses of every type and description, including, but not limited to, any fees and/or costs reasonable incurred by the City of Grass Valley’s attorneys and any fees and expenses incurred in enforcing this provision: *

I Agree

If a contract is issued, I agree that: (3) should any applicable City, County, State or Federal rules, regulations, codes or laws be violated, any contract issued shall automatically become null and void and any activity associated with this reservation will immediately cease. If the activity has not yet taken place, the contract will be cancelled.: *

I Agree

I hereby attest that the information contained in this application is true and correct. I understand that this is only an application and not a guarantee an activity/event will be allowed to commence. If a contract is issued, I agree that: (1) if any of the information contained in the application is found to be false; or (2) should my conduct, or the conduct of any participants or guests, not be as described in the application: *

I Agree

General liability insurance coverage, in the amount of $1 million that covers all event participants, is required for the event. The City of Grass Valley requires all certificates of insurance to be submitted on a standard ACORD form, or on the insurance company’s letterhead. The City of Grass Valley must be listed as the certificate holder as well as an additional insured with respects to General Liability: *

I Agree

All debris and trash must be removed from the building premises, immediate grounds and any surrounding property or street where guest of the applicant may have parked or loitered. immediately after the said activity. Failure to do so may require the City to call upon the City Public Works Department. All expenses will be the responsibility of the applicant.: *

I Agree

Facility preparation and clean-up is the responsibility of the applicant and must occur within the specified RENTAL TIME. Failure to clean, vacate and return the facility to its original arrangement and condition on time will result in forfeiture of the Cleaning/Damage Deposit. At no time may the building be occupied later than 10pm (Sunday – Thursday) or 11pm (Friday & Saturday).: *

I Agree

DECORATIONS – All decorations must be UL approved (flame retardant) and must be attached by no other means than non-damaging painters tape unless approved by City staff. Tape, staples, rice, confetti, glitter, hay, straw and sand are not permitted. All decorations must be removed at the conclusion of the event. Renters will be responsible for any and all damage resulting from their decorations.: *

I Agree

SMOKING – No smoking is permitted in the facility or within the park.: *

I Agree

TABLES AND CHAIRS – Tables and chairs are for indoor use only and should not be dragged across the floor. At the conclusion of the event tables and chairs must be cleaned and neatly stored in racks.: *

I Agree

FLOORS – All floors, including the kitchen and the restrooms must be thoroughly swept and wet mopped with floor cleaner. Mop water should be changed frequently if floor is really dirty or sticky.: *

I Agree

KITCHEN – The refrigerator and oven must be empty. The dishwasher, all counters, both sinks and the stove/grill must be cleaned. No food or ice may be left in the building. Trash must be emptied.: *

I Agree

BATHROOMS – All toilets must be flushed, sinks wiped off, and trash emptied.: *

I Agree

TRASH – All trash must be emptied into the dumpster outside the building.: *

I Agree

CLEANING SUPPLIES – Renters will be given access to a broom, dust mop, wet mop, mop bucket, trash receptacles, and floor cleaner. It is up to the renter to supply trash bags, cleansers for counters, rags, and dish soap, etc.: *

I Agree

DEPOSIT- Deposits will be returned within thirty (30) days of the event. If there is extra cleaning required or damages to repair, it could potentially extend that timeframe. If the cost of repairing damages or additional cleaning exceed the amount of the deposit, the applicant will be billed the additional amount.: *

I Agree

I, the undersigned representative, have read the rules and regulations with reference to this application and am duly authorized by the organization to submit this application on its behalf. The information contained herein is complete and accurate.: *

I Agree

Digital Signature (/name/): *

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Contact

Condon Park
660 Minnie Street
Grass Valley, CA 95945

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(530) 274-4350

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