Common use of For Office Use Only Clause in Contracts

For Office Use Only. Date of Deposit Security Deposit of $ ONKAD-ONKA Deposit 30-000-286.000 Grand Total of Fees MIKO-Rental Fees 30-252-509.000 Additional Hours of usage HOLD HARMLESS AGREEMENT ALCOHOLIC BEVERAGES PUBLIC FACILITIES SITE: DATE: In consideration for being allowed to make alcoholic beverages available to guests upon the above described public facilities (“Facility”) and date, I acknowledge that I either have or will immediately inspect the premises for its safety and use for the availability of alcoholic beverages, and that my entry upon the area constitutes an acknowledgment that I have inspected the public area for the express purpose of the use of alcoholic beverages and find it reasonably suited for that purpose. I agree that if at any time I find that use to be unsafe, I will immediately notify the Sugar Creek Police Department and that I will immediately leave the public area. I agree that use of the premises, including the use of alcohol therein, shall be in compliance with all applicable local, state and federal laws and regulations, and that I take responsibility for said compliance. I agree that if at any time I find or believe that any laws or regulations may be being violated, I will immediately notify the Sugar Creek Police Department and that I will immediately leave the public area. The undersigned shall be responsible for any damage to the above-described public facility and injury to any person(s) attending the event, whether or not caused by the acts or omissions of the City of Sugar Creek, its agents, employees (“City”), guests or invitees. The undersigned agrees to indemnify and hold harmless the City from all claims, damages, suits or liabilities that may arise or occur from the undersigned’s rental or use of the Facility. The undersigned agrees to indemnify, defend and hold harmless the City for any liability, cost or claims for personal injury, property damage or any violation of local, state or federal law arising out of or in any way in connection with or caused by the negligent, willful or intentional act or omission to act of the undersigned or the undersigned’s guests or invitees. The undersigned takes full responsibility for and holds the City harmless for any action that results in property damage or injury to themselves, their guests or invitees, or any others any others related in any way to the use of alcohol, medications, or any other substances. The City shall not be responsible for its inability to perform the entire or any portion of this agreement if it is prevented from doing so by circumstances beyond its control (e.g. – weather, acts of nature, etc.). In the event of such or any circumstances that prevent the City from performing either the entire or any portion of this agreement, the City shall be limited to returning only the amounts previously deposited by the undersigned. I expressly acknowledge and agree that the consumption of alcoholic liquor may be very dangerous and involve the risk of serious injury and/or death and/or property damage. I further expressly agree that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Missouri in which the consumption of alcoholic liquor upon a public facility occurs and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect. I have read and voluntarily sign this release and waiver of liability and indemnity agreement, and further represent that no oral representations, statements or inducements apart from the foregoing written agreement have been made. NAME OF ORGANIZATION: By: _ (Signature) Printed Name: STATE OF MISSOURI ) ) ss. COUNTY OF XXXXXXX ) On this day of , 20 , at my office in said County and State, before me, the undersigned, a Notary Public, personally appeared , to me known to be the same person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed on behalf of (Name of Organization).

For Office Use Only. Date of Rental Agreement signed by Renter Hold Harmless Signed and Agreed by Renter Rules and Regulations Signed by Xxxxxx $50 Non-Refundable Deposit Received Remaining Rental Fee/ Security Deposit of $ ONKAD-ONKA Deposit 30-000-286.000 Grand Total of Fees MIKO-Rental Fees 30-252-509.000 Additional Hours of usage Paid ***RETURN TO TOWNSHIP*** HOLD HARMLESS AND INDEMNIFICATION AGREEMENT ALCOHOLIC BEVERAGES PUBLIC FACILITIES SITE: DATE: (To be signed by individuals/organizations using municipal facilities) BETWEEN THE TOWNSHIP OF MONTAGUE AND Name of Individual responsible for (and Group, if applicable) renting the facility (hereinafter “I” or “Renter”) Address Phone Number Type of Organization (Individual, Partnership, Non-Profit Corporation, Corporation, Public Entity) In consideration for being allowed to make alcoholic beverages available to guests upon the above described public facilities (“Facility”) and use of the Montague Community Center on the following date, I acknowledge that I either have or will immediately inspect the premises for its safety and use : for the availability purpose of alcoholic beverages(‘Event’) I agree to indemnify and hold the Township of Montague and its officers, agents, and that my entry upon the area constitutes an acknowledgment that I have inspected the public area for the express purpose employees harmless from any and all liability, claims, suits or other actions, costs, and attorney’s fees arising out of the use of alcoholic beverages and find it reasonably suited for that purposethe property referred to above. I sign this Hold-Harmless and Indemnification Agreement (hereinafter “this Agreement”) as my voluntary act and by this act agree to hold the Township of Montague harmless and indemnify the Township of Montague in any and all ways from any claims, suits, or other actions whatsoever arising from, caused by, or which are the alleged result of any act or omission whatsoever of any guest, participant, visitor or other person attending the Event herein referred to. I state that the Township of Montague shall be indemnified by the Renter and shall be shielded against any and all damages, losses and/or expenses of any nature arising from any claims, suits or other actions whatsoever for either injury or death of any person(s) or for damages or loss of property, attributed to my utilization of the premises under this Agreement in any manner whatsoever. I also agree that if at I am further obligated to reimburse the Township of Montague for all attorney’s fees, experts fees or such other defense related costs as may be incurred by the Township of Montague to defend against any time I find that use litigation, claim, suit, demand for subrogation, or other action which may be issued or instituted against the Township of Montague or judgment which may be rendered pursuant to be unsafethe Event covered by this Agreement. By signing this Agreement, I will immediately notify voluntarily and affirmatively state that I understand all the Sugar Creek Police Department requirements of this Agreement and that I will immediately leave freely sign this Agreement with the public area. I agree that use of the premises, including the use of alcohol therein, shall be in compliance with all applicable local, state and federal laws and regulations, and explicit understanding that I take responsibility for said compliancehold the Township of Montague harmless and will indemnify the Township of Montague under all circumstances pursuant to the Event covered by this Agreement. I agree that if at any time I find or believe that any laws or regulations may be being violated, I will immediately notify the Sugar Creek Police Department This Agreement shall remain in full force and that I will immediately leave the public area. The undersigned shall be responsible effect for any damage continued, additional or postponed date for the Event indicated. Montague Township reserves the right to cancel or interrupt the above-described public facility and injury Event if the representations set forth herein are not adhered to any person(s) attending or if the eventTownship determines that, whether or not caused by the acts or omissions of the City of Sugar Creek, its agents, employees (“City”), guests or invitees. The undersigned agrees a situation that might lead to indemnify and hold harmless the City from all claims, damages, suits or liabilities that may arise or occur from the undersigned’s rental or use of the Facility. The undersigned agrees to indemnify, defend and hold harmless the City for any liability, cost or claims for personal injury, property damage or any violation of locallaw exists, state or federal law arising out for any other reason. Signed this day of 20 Authorized Signature of Renter Township Representative ***RETURN TO TOWNSHIP*** MONTAGUE COMMUNITY CENTER RULES AND REGULATIONS CAPACITY: 100 Persons Your event time starts when you first enter the building and runs continually until you depart. Please do not enter before or stay in any way in connection with or caused excess of your allotted rental time. Events must end by 11:00 PM Building must be closed by Midnight. A $300 security deposit check is mandatory and must be paid 30-days prior to your rental date. (Events held by Township-based nonprofit organizations, youth groups, and the negligentMontague Township Seniors group are exempted from the security deposit requirement). Your security deposit will be returned the week following your rental, willful or intentional act or omission to act providing there is no violation of the undersigned or the undersigned’s guests or inviteesthese rules and regulations. The undersigned takes full responsibility for and holds the City harmless for any action that results in property damage rental payment will be due on or injury before 30 DAYS prior to themselves, their guests or invitees, or any others any others related in any way your event! If payment is not received at least 15 days prior to the use of alcoholevent, medications, or any other substances. The City shall not the Township reserves the right to cancel the event and a $50 Cancellation Fee will be responsible for its inability to perform the entire or any portion of this agreement if it is prevented from doing so by circumstances beyond its control (e.g. – weather, acts of nature, etc.)charged. In the event of such a late payment, the Township will be unable to accept personal checks. ONLY Cash, Money Order, or Certified Check will be accepted. If the Community Center Facility is left in an unacceptable state, the Township will charge a cleaning fee of $75/hour up to $300. Any damages incurred will be charged accordingly. The Community Center must be left in the same condition in which it was rented. Your security deposit amount returned to you depends on the “day after” condition. There are no exceptions. The key to the Community Center can be obtained from the Community Center Caretaker - Xxxx Xxxxxxxxxxx – 000-000-0000 Any use of open flames is NOT permitted on township property including candles, hot plates, and sternos Smoking is strictly prohibited inside of the facility and on the grounds. The Township is not responsible for loss or theft of personal items from the building or vehicles. Alcoholic beverages are NOT permitted inside of the facility, outside the building, or anywhere on the grounds. Decorations are acceptable but no tacks, nails, staples, glitter, or confetti. PAINT SAFE TAPE ONLY All decorations and tape must be removed at the time of departure. Renter must remove all equipment/supplies from building immediately following event and return the key to the drop off box located behind the municipal building (black drop off box to the left of the rear door) Renter must clean all countertops and tables. Chairs must be turned over on top of tables. Room should be left as they were found. Any accidents or emergencies should be reported to the NJ State Police (000)-000-0000 All trash must be placed in receptacles. All recyclables consisting of glass, plastic and cans must be placed in cans marked for Recycling. It is the renters responsibility to take all garbage and recycling from facility. All lights must be turned off, and all the doors and windows must be secured upon departure. Thermostats must be returned to their original temperature setting. *Any violation of these rules and regulations or damage to the facility will result in forfeiture of security deposit. ALL FACILITIES ARE TO BE USED AT THE RISK OF THE RENTER Signature Date ***TOWNSHIP COPY*** MONTAGUE COMMUNITY CENTER RULES AND REGULATIONS CAPACITY: 100 Persons Your event time starts when you first enter the building and runs continually until you depart. Please do not enter before or stay in excess of your allotted rental time. Events must end by 11:00 PM Building must be closed by Midnight. A $300 security deposit check is mandatory and must be paid 30-days prior to your rental date. (Events held by Township-based nonprofit organizations, youth groups, and the Montague Township Seniors group are exempted from the security deposit requirement). Your security deposit will be returned the week following your rental, providing there is no violation of these rules and regulations. The rental payment will be due on or before 30 DAYS prior to your event! If payment is not received at least 15 days prior to the event, the Township reserves the right to cancel the event and a $50 Cancellation Fee will be charged. In the event of a late payment, the Township will be unable to accept personal checks. ONLY Cash, Money Order, or Certified Check will be accepted. If the Community Center Facility is left in an unacceptable state, the Township will charge a cleaning fee of $75/hour up to $300. Any damages incurred will be charged accordingly. The Community Center must be left in the same condition in which it was rented. Your security deposit amount returned to you depends on the “day after” condition. There are no exceptions. The key to the Community Center can be obtained from the Community Center Caretaker - Xxxx Xxxxxxxxxxx – 000-000-0000 Any use of open flames is NOT permitted on township property including candles, hot plates, and sternos Smoking is prohibited inside of the facility and on the grounds. The Township is not responsible for loss or theft of personal items from the building or vehicles. Alcoholic beverages are NOT permitted inside of the facility, outside the building, or anywhere on the grounds. Decorations are acceptable but no tacks, nails, staples, glitter, or confetti. PAINT SAFE TAPE ONLY All decorations and tape must be removed at the time of departure. Renter must remove all equipment/supplies from building immediately following event and return the key to the drop off box located behind the municipal building (black drop off box to the left of the rear door) Renter must clean all countertops and tables. Chairs must be turned over on top of tables. Room should be left as they were found. Any accidents or emergencies should be reported to the NJ State Police (000)-000-0000 All trash must be placed in receptacles. All recyclables consisting of glass, plastic and cans must be placed in cans marked for Recycling. All lights must be turned off, and all the doors and windows must be secured upon departure. Thermostats must be returned to their original temperature setting. *Any violation of these rules and regulations or damage to the facility will result in forfeiture of security deposit. ALL FACILITIES ARE TO BE USED AT THE RISK OF THE RENTER Signature Date ***RENTER’S COPY*** VOUCHER Montague Township 000 Xxxxx Xxxx Xxxxxxxx, XX 00000 Phone 000-000-0000 Note: Regular meetings are held on the 2nd and 4th Tuesday of each month. Bills are paid at the 1st meeting. Vendor VENDOR: OUR FEDERAL TAX EXEMPTION NO. IS 00-0000000 Date Description of Services/Material/Supplies Amount Refund of Security Deposit being held in Escrow for Event Rental of the Montague Township Community Center $300.00 Rental Date: Individual/Organization: TOTAL $300.00 Claimant’s Certification & Declaration I do solemnly declare and certify under the penalties of law that the within bill is correct in all its particulars; that the articles have been furnished or services rendered as stated therein; that no bonus has been given or received by any circumstances that prevent person or persons with the City from performing either the entire or any portion knowledge of this agreement, claimant in connection with the City shall be limited to returning only the amounts previously deposited by the undersigned. I expressly acknowledge and agree above claim; that the consumption of alcoholic liquor may be very dangerous amount therein stated is justly due and involve the risk of serious injury and/or death and/or property damage. I further expressly agree owing; and that the foregoing release, waiver, and indemnity agreement amount charged is intended to be as broad and inclusive as is permitted by the laws a reasonable one. Signature Official Position - Date Officer’s or Employee’s Certification Having knowledge of the State facts in the course of Missouri in which the consumption of alcoholic liquor upon a public facility occurs and that if any portion thereof is held invalidregular procedures, it is agreed I certify that the balance shall, not withstanding, continue in full legal force Materials and effect. I have read and voluntarily sign this release and waiver of liability and indemnity agreement, and further represent that no oral representations, statements or inducements apart from the foregoing written agreement supplies have been madereceived or the services rendered; said certification is based on delivery slips acknowledged by a municipal official or employee or other reasonable procedures. NAME OF ORGANIZATION: By: _ (Signature) Printed Name: STATE OF MISSOURI ) ) ss. COUNTY OF XXXXXXX ) On this day of , 20 , at my office in said County and State, before me, the undersigned, a Notary Public, personally appeared , to me known to be the same person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed on behalf of (Name of Organization).Signature Official Position - Date