HomeMy WebLinkAbout04.20.2004 MEMORIAL HALL RENTAL AGREEMENT
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This Agreement is made and entered into this g 0 day of 4p r r I OD y
by and between the City of Waterloo, Iowa, (hereinafter "Lessor") and
Pla,v40 l/if ttPy (hereinafter "Lessee"), for and in
consideration of the mutual covenants contained herein and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged.
The terms of this Agreement are as follows:
1. PREMISES. Lessor agrees to permit Lessee to use ( room(s) of Veterans'
Memorial Hall located at Cedar Street, Waterloo, Iowa, 50701, beginning on the
day of , AO04 , and ending on the
day of � � , 04 , from 15:wpm m. to E.()Den m.
2. RENT. Lessee grees to pay Lessor for the use of the above facilities the sum of
$ love. DU )per day, $ per week, $ per month,
$ per year (choose by circling) to be paid prior to the use of the above
facilities.
3. RULES. Lessee understands and agrees that Lessee is solely responsible for the use of
the above premises and with that in mind understands and agrees to abide by all rules of
the Veterans' Memorial Hall, and shall be responsible for requiring those using the
facilities to abide by said rules. Any guests or other attendees at Lessee's function(s)
shall be required by Lessee to abide by the rules, and Lessee shall be solely responsible
for their adherence and conduct.
4. LAWFUL USE. Lessee agrees that any use of Veterans' Memorial Hall shall be for a
lawful purpose, and any use otherwise shall immediately cancel this Agreement, and
Lessee shall be liable for any and all charges owed Lessor.
5. CANCELLATION. Any cancellation of the use of Veterans' Memorial Hall shall be
made at least seventy-two (72) hours prior to the actual use of the premises. Otherwise,
Lessee forfeits its security deposit to Lessor.
6. SECURITY DEPOSIT. Lessee understands and agrees that a security deposit must be
provided to Lessor at the time this Agreement is signed. Said security deposit shall be
in accordance with the established policies of the Veterans' Memorial Hall
Commission, attached hereto and made a part of this Agreement as if fully set forth
herein. I4D R,{ f i4c>
7. TOBACCO, SMOKE, AND ALCOHOL FREE FACILITY. Lessee understands that
Veterans' Memorial Hall is a tobacco, smoke, and alcohol free facility, and any
violations thereof may cause the offender to be punished accordingly as well as place
Lessee in default of this Agreement if any employee, agent, attendee at Lessee's
function, or other person under Lessee's control violates the tobacco, smoke, and
alcohol free condition. Accordingly, Lessee shall make every effort to prevent any use
of tobacco, including the chewing or smoking thereof, and/or alcohol in Veterans'
Memorial Hall during the term of this Agreement.
8. INSURANCE AND INDEMNITY.
a. Indemnity. In consideration of the extension of the privilege of using Veterans'
Memorial Hall, Lessee agrees to release Lessor, including its employees and agents,
from any and all claims and/or causes of action which may arise from this Agreement
and/or the use of Veterans' Memorial Hall. To the fullest extent permitted by law,
Lessee shall indemnify and hold harmless Lessor, including its consultants, agents,
and/or expenses, including but not limited to attorney's fees whether incurred prior to
or during litigation, administrative hearings, arbitration, or bankruptcy proceedings
including trial and appellate levels which may in any way arise out of or result from the
occupancy or use of the premises described herein and/or this Agreement.
b. Insurance. In order to fulfill this provision of the Agreement, Lessee shall
furnish a Certificate of Insurance naming Lessor as an additional insured with minimum
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liability coverage of ��cta / 4 Dollars ($ 0.00,Doc.) o O )
per occurrence. This Certificate shall be furnished to Lessor within five (5) days of the
signing of this Agreement.
IN WITNESS WHEREOF we have hereunto set our hands this o.0 day of
4 p r y ( , aoo
CITY OF WATERLOO, IOWA
"LESSOR"
By:9_10 t -
Tim Hurley, May
ATTEST:
Nancy Eckert, y Clerk
STATE OF IOWA )
ss.
BLACK HAWK COUNTY )
On this A day of 4/tc.c ( , �00'� , before me, the undersigned, a
Notary Public in and for the State o Iowa, personally appeared Tim Hurley and Nancy Eckert,
to me personally known, and who, being by me duly sworn, did say that they are the Mayor
and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal affixed to the
foregoing instrument is the corporate seal of the corporation, and that the instrument was
signed and sealed on behalf of the corporation by authority of its City Council, and that John
R. Rooff and Nancy Eckert acknowledged the execution of the instrument to be their voluntary
act and deed and the voluntary act and deed of the corporation, by it voluntarily executed.
��c a IQ GLh -A 0 r�
Notary Public in an or the State of Iowa
102../o�
"LESSEE"
By:
By:
STATE OF IOWA )
ss.
BLACK HAWK COUNTY )
On this day of , , before me, the
undersigned, a Notary Public in and for the State of Iowa, personally appeared
and , to me personally known, and
who, being by me duly sworn, did say that they are the and
, respectively, of said corporation executing the within and
foregoing instrument, that (no seal has been procured by the said) (the seal affixed thereto is the
seal of said) corporation; that said instrument was signed (and sealed) on behalf of said
corporation by authority of its Board of Directors; and that the said
and as such officers acknowledged the execution of said instrument to
be the voluntary act and deed of said corporation, by it and by them voluntarily executed.
Notary Public in and for the State of Iowa
;_
CERTIFICATE OF INSURANCE
T TA E FAR at ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
eb 0 STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
4: ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
INSURANCE ❑ STATE FARM FLORIDA INSURANCE COMPANY,Winter Haven, Florida
❑ STATE FARM LLOYDS, Dallas,Texas
insures the following policyholder for the coverages indicated below:
Policyholder RICK A & JO ANN C WATTERS
Address of policyholder 1030 S EVANS RD, EVANSDALE, IA 50707-1911
Location of operations VETERANS MEMORIAL HALL, 655 CEDAR ST, WATERLOO, IA 50701
Description of operations GRADUATION RECEPTION, MAY 7, 2004 5 - 8 PM
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies.The limits of liability shown may have been reduced by any paid claims.
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period)
Comprehensive BODILY INJURY AND
Business Liability PROPERTY DAMAGE
This insurance includes: ❑ Products-Completed Operations
❑ Contractual Liability
❑ Underground Hazard Coverage Each Occurrence $
❑ Personal Injury
0 Advertising Injury General Aggregate $
❑ Explosion Hazard Coverage
❑ Collapse Hazard Coverage Products—Completed $
❑ Operations Aggregate
POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit)
❑ Umbrella Each Occurrence $
❑ Other Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers'Compensation
and Employers Liability Each Accident $
Disease-Each Employee$
Disease- Policy Limit $
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period)
15-27-6688-1 F HOMEOWNERS 10/15/03 10/15/04 300,000
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
If any of the described policies are canceled before
its expiration date, State Farm will try to mail a written
notice to the certificate holder 30 days before
Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice,
no obligation or liability will be imposed on State
VETERANS MEMORIAL HALL Farm or ents or representati es.
CITY OF WATERLOO l,�q-
715 MULBERRY ST ,
WATERLOO, IA 50703 Signature of Authorized Representative
AGENT 04/21/04
Title Date
Agent's Code Stamp
AFO CodfiJOB'SWELDON, LOCAL AGENT
STATE FARM INSURANCE
558-994 a.4 11-12-2002 Printed in U.S.A. 1729 FALLS AVENUE
WATERLOO IA 50701
235-1401 AFTER HOURS 232-1309