Description of Activity. ❑ Activity open to the public ❑ Entrance fee charged ❑ Concert ❑ Dance/Theatre ❑ Dining ❑ Filming ❑ Lecture/Speaker ❑ Meeting ❑ Web Shoot ❑ Performance ❑ Other ❑ Photo Shoot ❑ Sports Event ❑ Training/Workshop Request is hereby made for use of the following facility: ❑ Athletic Venue: (specify)_ HPED ▇▇▇▇ Approval: ❑ Classroom/Lecture Room ❑ Performing Arts Theater ❑ Student Center ❑ Special Request/Other: ❑ Conference Room ❑ Locker Room ❑ Teleconference Room ❑ Utility Field Date of Event Expected Attendance Access Time Event Start Time Vacate Time ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM ❑ AM ❑ PM Responsible party entering into agreement: I have read and understand the rules, regulations and policies of the Cerritos Community College District and assume responsibility for adherence. Organization/Applicant shall be responsible for any damage sustained on District premises, furniture, or equipment due to the occupancy of said premises. Organization/Applicant agrees to hold the Cerritos Community College District, its governing board the individual members thereof, and all district officers, agents, volunteers, and employees free and harmless from any loss, liability, cost or expense that may arise during, or be caused in any way by, such use of occupancy of District premises. Cancellations require 72-hour notification period. All expenses incurred by the Cerritos Community College District prior to cancelation are non-refundable. $1,000,000.00 minimum liability insurance required. The certificate must identify Cerritos Community College District as additional insured and be accompanied by an endorsement. District may require increased minimum liability amounts if event or activity warrants additional coverage. Organization/Applicant shall maintain workers compensation insurance as required by the State of California and Employer’s Liability Insurance.
Appears in 2 contracts
Sources: Application and Agreement for Use of District Facilities, Application and Agreement for Use of District Facilities