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Application for Use of City Hall
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Steps
1.
Step One
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2.
Application for Use of City Hall - Page 2
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Step One
Before completing this application, please review the City Council Policy for Use of City Hall
City Council Policy for Use of City Hall
Organization(s) ("Applicant") requesting use of City Hall
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Contact Person for Applicant
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Address
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City
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State
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Zip Code
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Phone Number
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Email Address
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Date and time City Hall is to be used (Ex: 06/01/2018 08:00 am - 06/01/2018 02:00 pm)
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Date and time City Hall is to be used (Ex: 06/01/2018 08:00 am - 06/01/2018 02:00 pm) Start Date
Date and time City Hall is to be used (Ex: 06/01/2018 08:00 am - 06/01/2018 02:00 pm) Start Time
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Date and time City Hall is to be used (Ex: 06/01/2018 08:00 am - 06/01/2018 02:00 pm) End Date
Date and time City Hall is to be used (Ex: 06/01/2018 08:00 am - 06/01/2018 02:00 pm) End Time
Purpose for which City Hall will be used
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Location(s)/room(s) of City Hall desired
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Select all location(s)/rooms that Applicant wishes to use.
Conference Room #1
Council Chambers
Lobby
Fountain Area
Green Space / Grounds
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Application for Use of City Hall - Page 2
The Applicant:
A. Agree(s) to indemnify, defend and hold the city harmless from and against any damage, liability or claim of any person or entity for injury to person or property or death arising in any way out of the use of the City Hall by Applicant, his/her/its officers, directors, guests, members, employees, agents or assignees. B. Agrees to release from all liability the City of Portage, its agents, officers, elected officials, employees and representatives for damage to the property of any person or entity participating in the activities applied for herein, as well as for the death or injury of any such person or entity occurring as a result of the use of the facilities as applied for herein. C. Agrees to pay for all damages to city property or equipment over and above normal wear and tear. D. Assumes full responsibility for the conduct of the group during the time this facility is being used. E. Understands that the City of Portage reserves the right to exercise the supervisory authority and to prevent unauthorized or illegal activities on city property. F. Agrees to leave the premises in the same condition as they were upon arrival. G. Agrees to abide by the City Council Policy for Use of City Hall. H. Applicant represents that it has the power and authority to enter into this Agreement and assume the obligations and rights so conferred. I. In the event of an emergency decision, that decision is to be made by the City Manager or designee. If the City Manager or designee is not available, the Building Supervisor will make the emergency decision which he or she deems to be in the best interest of the city, and then promptly thereafter give written notice of the decision to the City Manager with reasons for that decision.
Applicant has read and agrees to the following City Hall Use Rules:
A. Any individual or group using the Building shall always conduct themselves in a lawful and legal manner. B. No one will be permitted to enter the Building bare footed at any time. C. No smoking, drugs, or drinking of alcoholic beverages or possession of the same will be permitted at any time. D. Areas not specifically reserved shall not be entered or occupied by the applicant, the group, any of its individuals, or any participants and guests. E. Youth shall be supervised at all times by a responsible adult. Playing in halls, restrooms, or elevators by children is prohibited. Children attending meetings or activities in the Building must be supervised at all times by a responsible adult who is present. F. Open flames, lighted candles, glitter, rice, confetti, graphite, paint, hay , straw, corn stalks, grass, palm fronds, and other similar materials ARE NOT allowed it the Building. G. Tables and chairs are provided in the Building. Heavy items are to be carried when moved to avoid damage to the floor. Tables, chairs, and other equipment are not to be taken from the Building for any reason. H. Hallways, stairways, exits, rest rooms and other traffic areas are to remain free of tables, chairs, boxes and other items at all times. I. No nails, tape or tacks may be used on the walls. J. Pictures, plaques, flags, blinds, light fixtures, furniture, etc. are not to be removed or rearranged. K. The party reserving the facility is responsible for the conduct of participants and guests. L. Meetings and activities shall end on time. Sufficient time shall be scheduled for cleanup within the scheduled room at the conclusion of the activity. M. Pets or animals are not allowed in the City Hall except for Assistance Dogs. N. Special lighting, sound, and other non-standard equipment will not be allowed in the Building unless approved in advance by the City Manager or designee. The chairs around the City Council dais are not to be moved. 0. No items may be strung or attached to the walls of City Hall. P. Gambling in any form is prohibited.
I (we) have reviewed the fees, ordinances, rules, regulations and policies, in particular the City Council Policy for Use of City Hall), which pertain to and govern the use for which this application is being made.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
For Use by City Clerk:
Reservation Fee: _________________________________
Application Approved:___________________________________
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