Stickney Recreation Center 4131 Home Avenue – Stickney, IL 60402 Rental Agreement Name: _________________________ Phone: __________________ Cell: ____________________ Address: _____________________________ City, State, Zip: ______________________________ Date of Event: ________________________ Type of Event: _______________________________ Time of Event – From: ______ To:________ # of Guests (Max. 200): _________________________ Renter must show proof of residency with a photo ID. Rental is available as early as 9:00 a.m. All events must end by 10:00 p.m. For liquor use, a separate rider must be purchased by renter through your own insurance company, naming the Village of Stickney as other insured. Stickney Non-Profit Organizations & Schools Private Rentals (Residents only) First 2 hours Each additional hours Police/Security * 75-100 attendance 1 officer 101-200 attendance 2 officers 1-100 persons 101-160 persons No Charge No Charge $100 $50 $130 $50 Kitchen $35 flat rate $25/hr. per officer *Police Security will be required for any alcohol usage on the premises as directed by the Parks & Recreation. **Police security may also be required due to the nature of the rental. 1 STICKNEY RECREATION FACILITY USAGE AND CONDITIONS All Applicants must read and be familiar with the following policies: 1. The applicant, his/her organization, members, guests, and all users are bound by policy of permit, its terms and conditions, regulations and ordinances pertaining to the use of Village Recreation Property. 2. The applicant submitting request, listed as authorized representative, must be a minimum of 25 years of age. 3. All balances are due the Village five (5) business days before said usage date otherwise a $25 late fee will be added to the rental fee. This balance can be paid by cash, credit card, certified check, cashier’s check or money order. NO PERSONAL CHECKS WILL BE ACCEPTED FOR THIS PAYMENT. 4. Adequate adult supervision, as determined by the Village President or their designee must be provided at all times. Usage groups may be required to employ Stickney Police Personnel when deemed by the Village President or their designee due to the nature of the event. 5. ALCOHOLIC BEVERAGES ARE ONLY PERMITTED BY SPECIAL PERMIT OR BY AN APPROVED LICENSEE OF THE VILLAGE, ON VILLAGE RECREATION PROPERTY. 6. The applicant, his/her organization, members, guests and all users agree to release the Village of Stickney from all liabilities of use caused by said use of the Recreation Center. 7. Certificates of Insurance may be required from groups or organizations using Village facilities. Certificates of Insurance should read as follows: The Village of Stickney, its elected and appointed officials, all employees, and agents as additional insured. 8. A separate insurance rider is to be purchased through renter’s own home owner’s insurance company and should read as follows: The Village of Stickney, its elected and appointed officials, all employees and agents as additional insured. This special rider is due when you pay your balance. 9. The Village of Stickney cannot and will not assume any responsibility for lost or damaged property. 10. Permits for usage groups in excess of posted number of participants shall be only issued with the specific approval of the Village President or their designee. 11. Use of sound amplification equipment is prohibited, except when specifically authorized on the permit or in accordance to any applicable state or federal laws. 12. When publicizing meetings or events, the location shall read the location not the Village of Stickney. Groups shall be required to advertise that the event is not sponsored or promoted by the Village of Stickney. 13. Rental is available as early as 9:00 a.m. All events end by 10:00 p.m. 14. All usage groups will be responsible for rented area at the end of the usage period. Room(s) rented or used shall be left in the same condition as they were prior to the group or individual, renting or using the room(s). This includes restrooms. Groups or individuals renting or using room(s) shall be responsible for cleaning any area within the room(s). All garbage shall be placed in garbage receptacles or garbage bags provided by the Village. 2 15. All usage groups will post a $100 security deposit to cover cost of any damage resulting from usage at the time of booking. The Village reserves the right to seek any legal remedies in the event that damages are greater than the deposit. All security deposits to be returned, shall be in accordance to the Village refund policy. Any group found to have alcohol without special permit on Village property shall forfeit the $100 security deposit. Unexpected or excessive damage or spills will be subject to loss of deposit. Additional charges to the usage group in excess of the security deposit are based on severity of damage. Severity of damage will be determined by the village. The signatory to this Agreement may be held personally responsible for any damage cost in excess of the security deposit. 16. Any group or individual serving food must comply with established Stickney Public Health District regulations and procedures. 17. In accordance with Federal and State statues, all Village of Stickney facilities are designated “smoke free” environments. 18. The Village of Stickney reserves the right to waive or reduce any and all fees associated with the usage of any Village facility. 19. Any and all checks returned for non-sufficient funds will result in a minimum $25 service charge. 20. Use of piñatas must be kept outdoors from any Village facility. 21. Rental times reflect use of the room. Fifteen minutes set-up time will be provided, but take down and clean up must be built into the rental time. Failure to follow this rule will result in charges for time used taken out of the $100 security deposit. 22. The village will set up the room based on the applicant’s choice of pre- approved layouts. All layouts are in accordance with state and local fire codes. 23. Limited parking is available behind the Recreation Center, otherwise street parking is allowed. 24. Police and Fire Department must have access at all times to the facility. 25. No ball playing of any kind is permitted in the building. 26. No religious services are to be held in the facility. 27. Smoking is prohibited in the building. Smoking will be allowed outside the building, but must be within fifteen (15) feet from any entrance. 28. User shall comply with all laws, ordinances and rules of the Recreation Center, the Village of Stickney, the State of Illinois and the United States, that are applicable to the use of the facilities. CANCELLATION CLAUSE: The remaining balance is due five (5) working days prior to the date requested on the rental permit application. The Village of Stickney retains the right to cancel the date if balance is not paid by the deadline. Failure to comply will result in the forfeiture of the deposit fee. If a notice of cancelation is received 30 days prior to event, a full refund of the Center rental fee will be issued. If notice of cancelation is received between 15 to 29 days prior to the event, 50% of the Center rental fee will be issued. If a notice of cancelation is received less than 15 days prior to the event, or no one shows up for the event, NO Center rental fee will be refunded. In any event of cancelation, the security deposit will be refunded in full. The Village of Stickney reserves the right to cancel or change the permit within 48 hours when deemed necessary by the Village. 3 FACILITY USAGE AGREEMENT We/I__________________________________(name of organization or group requesting usage) Agree to release and hold harmless and defend the Village of Stickney, officials, employees, and agents, in connection with any and all actions or claims for any loss damage, personal injury or death occurring as a consequence of the performance of this agreement. It is further understood and agreed that the Village of Stickney assumes no obligations or responsibility in connection with said use of facility. We further agree to assume all cost of damage to facility and its contents during the usage period authorized. We/I affirm that I have read and understood the Facility Usage and Conditions of the Village of Stickney and will adhere to them during the duration of said rental period. We/I further understand that violation of the Village of Stickney Rules and Ordinances shall result in the forfeiture of any deposit fees. Additional penalties and fines may occur for alcohol or other items brought into any Village facilities. I have agreed that there will be no liquor served at this function. If any liquor is found on the premises, I understand that I am liable for prosecution under penalty of law. (if applicable) We/I ACKNOWLEDGE RECEIPT OF, AND AGREE WITH AND CONSENT TO THE RENTAL AGREEMENT WAIVER AND RELEASE OF ALL CLAIMS ATTACHED HERETO AND INCORPORATED HEREIN, PERTAINING TO LIQUOR USAGE ONLY AS IS IN EXHIBIT “A”. I have read, understand, and agree to all of the conditions stated in this agreement. __________________________________________ (Signature of Responsible Party for renter) ___________________ (Date) FOR OFFICE USE ONLY: Date: _______ Name: ____________________________________ Rental Date: _______________ Special Requests: _________________________________________ # of persons _______ # of tables ___________ Liquor Served: Yes No Use of kitchen Yes No Approved: ________ Rental Total $ ________ Security deposit $__________ Balance due:__________ Date due: _________ Refund: Pickup $ ________ Mailed $____________ Total Received by: ____________ Copy of photo ID must be attached. Copy of insurance policy for rider must be attached. 4 Facility Deposit Return Request All usage groups will post a $100.00 security deposit to cover cost of any damage resulting from said usage. Fees are determined by the attached schedule. The Village reserves the right to seek legal remedies in the event that damages are greater than the deposit. All security deposits to be returned, shall be in accordance to the Village return policy. Any groups found to have alcohol not from an approved vendor or by special permit on Village facilities shall forfeit the $100 deposit. Renter’s Name:_________________________________ Rental Date:_________ Time: _________ Renter’s Address:________________________________ phone #: _______________ Kitchen use: yes no # of guests: ____________ # of tables requested: _________________________ Condition of Room (circle one) excellent good fair poor (if fair/poor, give reasons and deductions below) (If room condition is rated poor, you will be refunded only a portion of your security deposit, that amount will be determined based on the reason for the rating.) _____________________________________________________________________________________ _____________________________________________________________________________________ Please rate: yes or no ____Room(s) rented or used shall be left in the same condition as they were prior to the group or individual, renting or using the room(s). This includes restrooms. ____Groups or individuals renting or using room(s) shall be responsible for cleaning any area within the room(s). ____All garbage shall be placed in garbage receptacles or garbage bags provided by the Village. ____please refund $100 security deposit ____only _______ of the security will be refunded due to: _____________________________________ _____________________________________________________________________________________ ____no security deposit refund due to: ____________________________________________________ _____________________________________________________________________________________ Signature of building maintenance personnel: _______________________________________________ Signature of renter: __________________________________________ (This form is to be filled out by maintenance personnel) 5 Exhibit “A” Village of Stickney Recreation Center 4131 Home Avenue – Stickney, IL 60402 This WAIVER AND RELEASE OF ALL CLAIMS (this “Release”) is made by and between the Village of Stickney, an Illinois Municipal Corporation, (the “Village”) and Renter (“Renter”) (collectively, the Village and Renter may, for convenience only, be hereinafter referred to as the “Parties” and each individually as a “Party”). WHEREAS, Renter desires to and is renting the Village of Stickney, Recreation Center (“Center”) as described hereinabove for an event (“Event”) as described hereinabove; the Village owns the Center; the Parties have determined that it is in the best interest of the Parties to enter into this Release. THEREFORE, FOR AND IN CONSIDERATION of Renter being allowed to use the Center for the Event and Renter paying certain consideration as above-described, Renter hereby releases, waives, discharges and covenants not to sue the Village, its past and present officials (whether elected or appointed), trustees, directors, employees, agents, officers, servants, representatives, attorneys, Independent contractors, Insurers, volunteers, successors or predecessors and any other party in any way related to the Village (collectively, the “Released Parties”) of, from and for any all claims, losses, demands liabilities, penalties, liens, encumbrances, obligations, causes of action, costs and expenses, (including reasonable attorneys’ fees and court costs) and damages (whether actual or punitive) that occurred or are alleged to have occurred in whole or in part in connection with Renter’s use of the Center, the Event, this Release and the intentional or unintentional acts or omissions of the Released Parties stemming from Renter’s use of the Center or the Event. Renter intends to use the Center for the Event and fully and willfully assumes full responsibility, during and after the Event, for Renter’s decision to use, at its own risk, the Center and for what instructions or information to receive or follow. Renter understands that holding the Event, which Renter is choosing to do, bring with it the assumption of all risks and liability for the event. Renter agrees that it will not allow individuals to participate in the Event if said individuals are in unfit physical conditions or are not physically able to participate in the Event. To the fullest extent permitted by law, Renter shall indemnify, hold harmless, and defend the Released Parties of, costs and expenses (including reasonable attorney’s fees and court costs) and damages (whether actual or punitive), whether known or unknown, suspected or unsuspected, contingent or actual, liquidated or un liquidated, that occurred or are alleged to unintentional acts or omissions of the Intentional or unintentional acts or omissions of the Released Parties stemming from Renter’s use of the Center or the Event. During the term of this Release, Renter, at its sole cost and expense and for the mutual benefit of the Parties, IF SO REQUIRED BY THE VILLAGE (VILLAGE TO CHECK BELOW AS APPLICABLE), shall carry and maintain the following types of Insurance with companies and in forms reasonably satisfactory to the Village as required by the Village. 6 Village Renter Agrees (initial here) Comprehensive general liability and property liability insurance, including legal liability, insuring against all liability of Renter arising out of or occurring in connection with Renter’s use of the Center and/or Event, with a minimum combined single limit of one million (1,000,000). Such policies shall name the Village and its President as Additional Insureds and provide that it is primary to, and not contributing with, any policy carried by the Village of Stickney covering the same loss; and Excess liability for ____1,000,000.00____ (ENTER AMOUNT) per occurrence _________ _________ Renter shall provide the Village with certificates of Insurance acceptable to the Village evidencing the existence of the coverage described above. The failure to provide acceptable certificates of insurance shall be deemed a breach of this Release endorsement that no coverage may be canceled, terminated or reduced by the insuring company without the Insuring Company having first given at least thirty (30) calendar days of written notice to the Village. Renter shall deposit with the Village all such policies or certified copies if requested. Renter further acknowledges that an authorized representative of Renter: (a) reads and understands English and has carefully read the contents of this Release; (b) is competent, of lawful age and has legal authority to enter into this Release; (c) has not been given any promise or inducement to sign this Release (d) understands that this Release is intended as a complete waiver and release in favor of the Released Parties; (e) assumes full responsibility for any damage or loss that occurs or is alleged to have occurred as a result of Renter’s use of the Center, the Event or any violation of this Release; and has signed this Release as Renter’s free and voluntary act. RENTER HAS READ THE FOREGOING RELEASE IN ITS ENTIRETY AND FULLY UNDERSTANDS EACH AND EVERY PROVISION CONTAINED HEREIN. 7