TOWNSHIP OF CUMRU 1775 WELSH ROAD MOHNTON, PA TOWNSHIP OF CUMRU FACILITY RENTAL SUMMARY

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TOWNSHIP OF CUMRU 1775 WELSH ROAD MOHNTON, PA 19540 2013 TOWNSHIP OF CUMRU FACILITY RENTAL SUMMARY Booking Fee: A booking fee of $25.00 plus the equivalent of one hour s rental rate is required to secure your rental date. This amount will be applied to the final rental fee at the time of payment. If the final rental fee is less than the sum of $25.00 plus one hour s rental rate, the entire rental fee is required at booking. In the result of a cancellation, the necessary fees will be deducted from this amount in accordance with our cancellation policy. Security Deposit: A $450.00 security deposit is required for every rental, and will be returned after a satisfactory inspection of the facility is completed after your rental by one of our staff. Rates and Policies: The Warren Recreation Center will be booked on a first come first serve basis. The recreation center must be booked for a minimum of 4 hours at a time for Friday-Sunday rentals and a minimum of 1 hour for Monday-Thursday rentals. We will provide one half hour before and after each rental for set-up and clean-up at no additional charge. The fee for renting this facility is $50/hour for Cumru residents and $65/hour for non-residents for Friday-Sunday rentals. For Monday-Thursday rentals the rates drop to $25/hour for Cumru Residents and $35/hour for non-residents. The Montrose Manor Recreation Facilities including a covered pavilion, charcoal grill, bathrooms, playground equipment, a volleyball court, two basketball courts, and a little league baseball/softball field are available for rental on a first come first served basis. This facility is unavailable during the winter months. The facility can be booked for a flat rate of $25.00. We ask that you provide at least 5 business days for us to process your rental permit, however, we may be able to accommodate requests in a shorter amount of time. Full payment and security deposit are required at the time that the renter picks up their completed rental permit and facility key. Contact Information: Samson Gausch, Park and Recreation Director Phone: (610) 777-1343 Ext 121 Cell Phone: (610) 587-7420 Email: sgausch@cumrutownship.org Web: CumruTownship.org

TOWNSHIP OF CUMRU 1775 WELSH ROAD MOHNTON, PA 19540 FACILITIES USE PERMIT Permit # Permit Request Date: Permission is hereby granted to to use: Montrose Manor (avail. 9:00 AM Dusk) Pennwyn Playground (avail. 9:00 AM Dusk) Pavilion Pavilion Ballfield Ballfield Courts Bathrooms Warren Recreation Facility (avail. 9:00 AM 10:00 PM) Saturday - Sunday Pavilion Multi-Purpose Room Kitchen Electric Gas Water Bathrooms DATE: TIME: (from) (to) NAME: TITLE: ADDRESS: PHONE: ORGANIZATION NAME: NO. IN GROUP: PURPOSE OF RENTAL: The above agrees to indemnify and save harmless the Township of Cumru, its officers, Commissioners, Park and Recreation Board members, agents and employees, from and against any and all claims, demands, actions, suits and proceedings by licensee or invitees of licensee, injuries or any other loss, cost, expenses, or damages resulting from the use of the Park or Fields house, as outlined in the current Cumru Township Ordinance governing the use of Public Parks, Playgrounds and Facilities. (Signature of Renter): Note: A copy of this permit must be in possession of the group leader at all times while in the recreation area and must be presented to a Police Officer or Township employee upon request. DEPARTMENT USE ONLY: APPROVED: BY: TITLE: DATE: KEY NUMBER: DATE ISSUED: DATE RETURNED: BOOKING FEE (AMOUNT PAID): ( CASH / CHECK ) CHECK #: DATE: RENTAL FEES (AMOUNT PAID): ( CASH / CHECK ) CHECK #: DATE: $450.00 SECURITY DEPOSIT PAID: ( CASH / CHECK ) CHECK #: DATE: POST RENTAL INSPECTION: ( PASS / FAIL ) INSPECTOR: DATE:

TOWNSHIP OF CUMRU RULES AND REGULATIONS FOR RENTAL OF PARKS, PLAYGROUNDS OR FACILITIES 1. NO TELEPHONE RESERVATIONS. RESERVATIONS WILL ONLY BE TAKEN IN PERSON WITH THE REQUIRED BOOKING FEE. 2. A RELEASE WAIVER PROVIDED BY THE TOWNSHIP OR A CERTIFICATE OF INSURANCE NAMING THE TOWNSHIP OF CUMRU AS ADDITIONAL INSURED MUST BE PROVIDED PRIOR TO THE DEPARTMENT APPROVING YOUR DATE OF RENTAL. 3. MUST BE 21 OR OLDER TO RENT (proper ID will be required for ALL rentals). 4. ALL FEES MUST BE PAID WHEN APPROVED USE PERMIT IS OBTAINED. USE PERMIT AND FACILITY KEY MAY BE OBTAINED DURING BUSINESS HOURS AT ANY POINT WITHIN TWO WEEKS OF YOUR RENTAL DATE. 5. DRUG AND ALCOHOLIC BEVERAGE USE IS PROHIBITED ON CUMRU TOWNSHIP PROPERTY AND ALL VIOLATORS SHALL BE PROSECUTED AND SECURITY DEPOSITS SHALL BE FORFEITED. 6. FIRE FOR THE PURPOSE OF COOKING MUST BE MAINTAINED IN GRILLS PROVIDED AT SITE. PLEASE BE SURE FIRE IS EXTINGUISHED PRIOR TO LEAVING PARK. 7. NO ANIMALS PERMITTED. 8. PARKING ONLY IN PARKING LOT OR DESIGNATED AREA. 9. DO NOT USE STAPLES, THUMBTACKS OR SCOTCH TAPE ON WALLS, WOODWORK, TABLES OR COUNTERS. 10. ALL TRASH MUST BE PUT IN TRASH RECEPTACLE. 11. PLEASE LEAVE THE PARK AREA AND FACILITIES CLEAN. FAILURE TO DO SO MAY RESULT IN ADDITIONAL CHARGES. 12. TURN OFF LIGHTS AND STOVE BEFORE LEAVING. 13. CONFIRM DOORS ARE LOCKED. 14. EMERGENCIES POLICE (610) 777-9595 OR 911; FIRE 911 15. REPORT NON-EMERGENCIES TO TOWNSHIP OFFICE (610) 777-1343 16. PARK AND RECREATION DIRECTOR CELL PHONE (610) 587-7420

PLEASE BE AWARE THAT YOU ARE RESPONSIBLE FOR THE PARK AND RECREATIONAL FACILITIES FROM THE TIME YOU ARRIVE UNTIL THE TIME YOU LEAVE. YOU ARE ALSO RESPONSIBLE FOR ANY LOST OR DAMAGED PROPERTY IF YOU FAIL TO ADEQUATELY LOCK THE FACILITIES AFTER USE. LOST KEYS WILL RESULT IN A FORFEITED SECURITY DEPOSIT. The Township of Cumru is not responsible for loss of personal items. Neglect of the general rules may preclude use of the facilities in the future. THE UNDERSIGNED HEREBY ACKNOWLEDGES AND AGREES TO ABIDE BY THE AFOREMENTIONED RULES AND REGULATIONS: Renter s Signature Print Name Date

RECREATIONAL FACILITIES CANCELLATION POLICY Request for cancellation of your Facilities Use Permit must be in writing and signed by the individual who completed the permit. Cancellations must be received by the Township of Cumru Parks and Recreation Department fourteen (14) days prior to your scheduled rental date. An administrative service charge of $25.00 will be deducted for administrative costs prior to reimbursement. Your reimbursement will be in the form of a check and sent to the individual who completed the permit within ten (10) business days of received cancellation request. Cancellation requests received less than fourteen (14) days prior to your scheduled rental date will be assessed with a one (1) hour rental rate for the facility requested in Facilities Use Permit. The individual who completed the Facilities Use Permit to the Township of Cumru Parks & Recreation Department must provide cancellation request in writing. An additional administrative service charge of $25.00 will be deducted for administrative costs. This will essentially result in the forfeiture of the required booking fee. Cancellation requests received the day of your scheduled weekday rental or any time after business hours on the Friday before your scheduled weekend rental will be charged half the total rental rate for the facility requested in Facilities Use Permit. The individual who completed the Facilities Use Permit to the Township of Cumru Parks & Recreation Department must provide cancellation request to the Park & Recreation Director at (610) 587-7420. An additional administrative service charge of $25.00 will be deducted for administrative costs prior to reimbursement. Your reimbursement will be in the form of a check and sent to the individual who completed the permit within ten (10) business days of received cancellation request. Cancellations due to extreme weather or extenuating circumstance may be rescheduled or reimbursed in full. Contact the Park & Recreation Director at (610) 777-1343 or (610) 587-7420 if such circumstances arise. Renter s Signature: Organization: Daytime Phone: Reserved Location: Reserved Date:

RELEASE AND INDEMNIFICATION AGREEMENT THIS RELEASE AD INDEMNIFICATION AGREEMENT (the Agreement ), is made this day of, 20, by and between, whose mailing address is, Pennsylvania (hereinafter referred to as Indemnitor), the TOWNSHIP OF CUMRU, a first class township, organized and existing under the laws of the Commonwealth of Pennsylvania, situate in Berks County, Pennsylvania (hereinafter referred to as the Township and CUMRU TOWNSHIP PARKS AND RECREATION BOARD, a duly constituted Board of the said Township, organized and existing under the laws of the Commonwealth of Pennsylvania, situate in Berks County, Pennsylvania (hereinafter referred to as the Parks and Recreation Board ) (the Township and Parks and Recreation Board is hereinafter referred to as Indemnitee ). WHEREAS, Indemnitor has applied to Indemnitee for a Facilities Use Permit (the Facilities Use Permit ) for the use of certain recreational facilities owned by Indemnitee and located at 1775 Welsh Road, situate in Mohnton, the Township of Cumru, County of Berks, Pennsylvania and known as the Warren Recreational Facility, together with the playground area adjacent thereto (collectively, the Facilities ); and WHEREAS, Indemnitee has agreed to issue said Facilities Use Permit provided Indemnitor agrees to indemnify and hold harmless Indemnitee, and Indemnitee s directors, officers, employees, Commissioners, Board members, agents, and their respective personal representatives, heirs, successors and assigns, from and against all claims, losses, injuries or damage to any person or property arising out of the use of occupancy of the Facilities. NOW THEREFORE, in consideration of the premises and of the mutual covenants herein contained, the parties agree as follows: 1. In addition to the immunities granted to Indemnitee pursuant to applicable law, Indemnitor does hereby further remise, release and forever discharge Indemnitee, its directors, officers, employees, Commissioners, Board members, agents and their respective heirs, personal representatives and assigns, of and from any and all liability, claims, causes of action, damages, costs, expenses or demands of any kind whatsoever in law or in equity arising or which may arise out of or in any way connected and relating to Indemnitor s use and occupancy of the Facilities.

2. Indemnitor hereby agrees to indemnify and hold harmless the Indemnitee, and Indemnitee s directors, officers, employees, Commissioners, Board members, agents and their respective personal representatives, heirs, successors and assigns, of and from any and all claims, losses, injuries, damages, demands, judgments, penalties and the like, including but not limited to, attorneys fees and expenses incurred by Indemnitee in connection therewith, arising out to Indemnitor s use and occupancy of the Facilities. 3. This Agreement represents the entire agreement between the parties relating to the subject matter hereto and shall not be altered or amended except by written agreement endorsed by both parties. 4. This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. 5. If any provision of this Agreement is held to be invalid or unenforceable in any jurisdiction, in whole or in part, such provision, as to such jurisdiction, shall be ineffective to the extent of such invalidity or unenforceability without in any manner affecting the validity or enforceability of the provision in any other jurisdiction, or the remaining provisions of this Agreement in any jurisdiction. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. (SEAL), Indemnitor CUMRU TOWNSHIP PARKS AND RECREATION BOARD By: Samson Gausch, Park and Recreation Director