Government Peak Chalet Rental Application General Information N. Mountain Trails Drive, Palmer AK $250 for 1/2 day (4 hours)

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Government Peak Chalet Rental Application General Information 10690 N. Mountain Trails Drive, Palmer AK 99645 The Government Peak Chalet is available for rental on a first come, first served basis. Call 907-746-8757 to check the availability of the Chalet and to ask any additional questions. In order to reserve a requested date(s) at the Chalet, the following items must be completed and turned in at the Mat-Su Trails and Parks Foundation office, which is located at the Government Peak Chalet. Chalet Rental Application (Page 2) Chalet Alcohol Questionnaire & Special Regulations (Page 3) Rental Agreement (Page 4) Alcoholic Beverage Permit (Form 1) Clear copy of your valid driver's license or state issued identification card and rental fees (must be submitted with paperwork) Access to the building is allowed only on the rental date(s) / times stated on the application. If alcohol is being served or consumed at your event, the GPRA rental application and all forms and proof of insurance are due no less than 14 calendar days prior to your event,. If alcohol is NOT being served or consumed at your event, the GPRA rental application and all forms are due no less than 7 calendar days before your event. Failure to turn in all documentation on time may result in the rejection of your request. Equipment provided is for use inside the Chalet ONLY. DO NOT remove any Borough owned equipment from the premises. Forfeiture of deposit may prohibit the future use of the Chalet for one year. Contact Jim Jenson, 354-3472, for after business hour emergencies Rental -- 8:00 am to Midnight Rental includes the Great Room and kitchen area only. The restrooms, parking lot, office area, and all other areas are not included in the rental. Setup and take down /cleaning time shall be included in your rental If alcohol is present at your event Rental Rate 250 for 1/2 day (4 hours) 500 for full day (8 hours) 100.00 nonrefundable permit fee + rental rate Security - refundable 250 250 1000 Remote Control for Big Screen 10 per day 65 *If paying by check, the rental check shall be on one check and the security deposit shall be on a separate check. Should all conditions be met and the chalet left in a clean state, the deposit check will be returned. Make the deposit and rental checks out to the Mat-Su Trails and Parks Foundation. ***CANCELLATION POLICY*** If 30 or more days notice: Full refund rental rate and security deposit Borough keeps full rental rate and full If less than 30 days notice: security deposit Effective 7/16/2014 Page 1 of 7

Government Peak Chalet Rental Application Renter: Phone: E-mail Address: Contact Person: Phone: Email Address: State Type of Function in Detail: Mailing Address: City: State: Zip: Attendance: *maximum occupancy is 151 persons Business Licenses are required for all vendors operating within Borough boundaries Call 861-8442 for more information Date Day of Week Start Hour End Hour Number of Guests List event on Calendar as : Reserved for Private Use Facility Rental Fee Security Remote Rental Fee Remote For Office Use Only Alcoholic Beverage Permit Fee Alcohol Damage Total Rental Fees Paid Total Fees Paid Total Paid Receipt Number Payment by: Check #'s Cash: Approved Not Approved Authorized Signature Date: Rental Refund Approved by: Date: Refund Approved by: Date: Effective 7/16/2014 Page 2 of 7

Government Peak Chalet Alcohol Questionnaire & Special Regulations Renter/Organization Rental date(s): During the rental period, will alcohol be on the Chalet premises? During the rental period, will alcohol be sold on the Chalet premises? Please fill in all the information requested at the bottom of this page. Yes* Yes* No** No** If alcohol is to be sold on the premises, the renter/organization shall comply with all laws of the State of Alaska, to include without limitation AS 04.11.230. The renter/organization shall hire a person holding a valid caterer's permit for the event. Not less than 14 calendar days before the rental date, the caterer's insurance agent must deliver to the Recreation Services office a certificate of Insurance verifying the caterer's Liquor Liability insurance in the minimum amount of 1,000,000, and General Liability insurance in the minimum amount of 1,000,000. The Borough shall be listed as an additional insured for both parties. If alcohol is to be provided (not for sale) on the premises, the renter/organization shall comply with all laws of the State of Alaska, to include without limitations AS 04.11.230. Not less than 14 calendar days before the rental date, the renter's/organization's insurance agent must deliver to the Recreation Services office a Certificate of Insurance in the name of the renter, or if an organization in the name of the organization, verifying Liquor Liability insurance in the minimum amount of 1,000,000. The Borough shall be listed as an additional insured for both policies. If alcohol is to be on the premises, whether sold or not, the renter/organization shall assume all responsibility for and hold harmless, indemnify and defend the Borough from and against any and all liability, claims or causes of action for any and all bodily injury or property damage arising out of or related in any way to the use of alcohol on the premises. The Borough is not responsible for or liable for monitoring alcohol consumption or sales. In addition, to the extent allowed by law, the renter/organization assumes all responsibility and liability for guests and their actions that may result in harm to themselves, others, or property of the Borough or of others. If renter is an organization or group, then the signer, individually, is liable with the organization or group for the renter's obligation to the Borough. * If checking yes, Form #1 Government Peak Recreation Area Chalet Alcoholic Beverage Permit must be turned into the Government Peak Chalet no less than 14 calendar days prior to the event. **If checking no in the above boxes, then no alcoholic beverages may be consumed or served in any fashion during the rental. GPRA Chalet Rental Application, this Questionnaire, and Rental Agreement must be turned into the Government Peak Chalet no less than seven (7) calendar days prior to your event. It is the responsibility of the renter/organization to enforce this rule to all attendees. Signature Printed Name Date Mailing address: Phone: Driver's license or state ID card #: Effective 7/16/2014 Page 3 of 7

Rental Agreement Please sign and date indicating you agree to the Government Peak Chalet rental terms. I/we understand that by signing this application that I/we hereby agree to the policy and conditions for the use of public facilities as set forth in the policy pertaining to community use of public facility. I/we hereby agree to indemnify and hold the Borough, its officers, agents and employees harmless form and against any and all liabilities as well other claims, demands, etc., as stated in the policy. I/we acknowledge receipt of this seven page Government Peak Chalet Rental Packet consisting of General Information & Rental Fees; Rental Application; Alcohol Questionnaire & Special Regulations; Rental Agreement; Government Peak Chalet Rules & Instructions; Contents Available for Use form; and the Cleaning Checklist. I/we understand it is my/our responsibility to contact the Matanuska-Susitna Borough regarding the need, if any, to obtain a Borough business license. I/we understand that no alcoholic beverages are allowed without an approved Alcohol Use Permit Renter Signature Organization / Position* Printed Name Date *If an organization, the Renter must be authorized to legally bind the organization Effective 7/16/2014 Page 4 of 7

Government Peak Chalet Rules & Instructions The renter is responsible for ensuring the facility is clean and undamaged at the end of the rental period. The Borough or its delegates will inspect the premises before and after the rental date. Upon inspection, if the Borough determines additional clean-up work or repair is necessary, charges will be deducted from the deposit at a rate of 75.00 per hour. If the deposit is not adequate to cover damages, the renter will be billed for times and materials. Please note the following: Tape is not allowed in or outside the building. Tape of any kind is not allowed on any surfaces (floors, walls, doors, ceiling, trim, or windows). Animals, birdseed, sparklers, and bubbles are not allowed in the building. Smoking is not permitted in the building. EQUIPMENT PROVIDED AT THE CHALET IS INTENDED FOR USE INSIDE THE CHALET ONLY and is not to be removed from the premises. This includes, but is not limited to, the following: tables, chairs, podium, or garbage cans. If alcohol will be present at your event, the GPRA Rental Application, Chalet Alcohol Questionnaire and Special Regulations, GPRA Rental Agreement, Alcoholic Beverage Permit, and proof of insurance are due to the Government Peak Chalet no less than 14 calendar days before your event. Failure to turn in all documentation on time may result in the rejection of your request. If alcohol WILL NOT be present at your event, then the GPRA Rental Application, Chalet Alcohol Questionnaire and Special Regulations, and GPRA Rental Agreement are due to the Government Peak Chalet no less than seven (7) calendar days before your event. Failure to turn in all documentation on time may result in the rejection of your request. If the Government Peak Chalet keys are not returned to the Mat-Su Trails and Parks Foundation office, located at the Government Peak Chalet, a Lost Key Fee of 100 will be deducted from the deposit. There is a two-hour minimum overtime fee for any Borough employee called out after hours for any problems. Lost items will be held at the Mat-Su Trails and Parks Foundation office, located at the Government Peak Chalet, for 30 days, and then donated if not claimed. The renter will adhere to all State of Alaska Liquor Laws and insure that no one under the age of 21 is served alcoholic beverages. Further, the renter shall actively supervise, and shall restrict access to alcoholic beverages by persons under the age of 21. For those events serving food, the renter shall adhere to the laws of the State of Alaska regarding food service, and shall secure a permit from the DEC. The renter shall be responsible for clearing the lot of all persons and vehicles associated with their event, by the end of their rental. Decorations Do not fasten push pins, nails, or tape to trim, walls, or ceiling. If you would like to decorate, please use potted plants or you may tie ribbons. No staples, tacks, tape, glue, nails, or screws. Please do not adhere items to the Chalet structure. Freestanding decorations are allowed. General Instructions Refer to cleaning checklist on page 7 for tasks to be completed by the renter. Clean and stack tables 10 to each rack. Stack chairs five (5) high. Turn out the lights and lock all windows & exterior doors. Table racks must remain in the main room. Do not move to any other room. Effective 7/16/2014 Page 5 of 7

Government Peak Chalet Contents Available for Use 151 Person Capacity THE FOLLOWING ITEMS ARE INTENDED FOR USE INSIDE THE CHALET ONLY AND ARE NOT TO BE REMOVED FROM THE PREMISES. Main Room 30 tables 150 chairs Kitchen Area Refrigerator Microwave Effective 7/16/2014 Page 6 of 7

Government Peak Chalet Cleaning Checklist - RENTER Name of Renter: Date(s) of Event: Please Note: The janitorial staff uses a similar checklist for inspection after each rental. Please turn in form with the key (& remote) to the Mat-Su Trails and Parks Foundation office, located at the Government Peak Chalet. If after office hours, leave form, key, and remote in kitchen area, and verify that building is locked and secure. Kitchen Close roll-up window Clean countertops Clean refrigerator/freezer inside & out Remove all food/nonfood items Clean walls Clean microwave Sweep & mop floor Main Room Lock windows Stack tables (10 per stack) Stack chairs against wall no more than 10 deep Vacuum carpet and mats Restrooms (in main hallway) Wipe down sinks & faucets Wipe down mirrors & countertops Sweep & wet mop floor Entryway Vacuum carpet Vacuum mats Other Lock front door Lock back door Lock all windows The Chalet is a valuable community meeting place. It is important we keep the building and all equipment in good condition. If you notice anything broken or damaged in any way, please let us know. If a table or chair is damaged, please place it in front of the serving window and note below. Notes: Effective 7/16/2014 Page 7 of 7