Fillable Campus Safety Department 954.201.HELP (4357) (Broward College)

Fill Online, Printable, Fillable, Blank Campus Safety Department 954.201.HELP (4357) (Broward College) Form

Use Fill to complete blank online BROWARD COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Campus Safety Department 954.201.HELP (4357) (Broward College)

On average this form takes 25 minutes to complete

The Campus Safety Department 954.201.HELP (4357) (Broward College) form is 2 pages long and contains:

  • 0 signatures
  • 47 check-boxes
  • 80 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Broward College

BROWSE BROWARD COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 2
FACILITY/EQUIPMENT REQUEST
To be completed by Requester at least two weeks in advance)
(PLEASE TYPE & SUBMIT ORIGINAL FOR PROCESSING)
∗
Campus Safety Department
∗
954.201.HELP (4357)
A. Hugh Adams Central Campus
3501 S.W. Davie Road,
Fort Lauderdale, FL 33314
954-201-6624
Judson A. Samuels South Campus
7200 Pines Blvd.,
Pembroke Pines, FL 33024
954-201-8803
North Campus
1000 Coconut Creek Blvd.,
Coconut Creek, FL 33066
954-201-2402
Willis Holcombe Center
225 East Las Olas Blvd.,
Fort Lauderdale, FL 33301
954-201-7396
Coral Springs Academic Center
3500 N. University Drive,
Coral Springs FL 33065
954-201-2952
AutoNation Automotive Training
Center / Marine Center of Excellence
7451 Riviera Blvd.,
Miramar, FL 33023
954-201-8601
Miramar Town Center
2050 Civic Center Place,
Miramar, FL 33025
954-201-8662
Pines Center
16957 Sheridan Street,
Pembroke Pines, FL 33331
954-201-3610
Tigertail Lake Recreational Center
580 Gulfstream Way,
Dania Beach, FL 33004
954-201-4500
Cypress Creek Administrative Center
6400 N.W. 6th Way
Fort Lauderdale, FL 33309
954.201.----
Weston Center
4205 Bonaventure Blvd.,
Weston, FL 33332
954-201-3610
SECTION I
Requesting Organization:
Requesting Representative:
Telephone No.:
Mailing Address:
City:
State:
Zip Code:
Purpose of Meeting:
Request use of:
FACILITIES: Date(s):
Time(s):
Request use of Bldg. #
Room No.:
to accommodate
persons.
If set up is needed please SPECIFY number of each, and provide a diagram, etc. (or set up will not be done!): Stage Tables Chairs Plants
Equipment: Podium Microphone Screen Projector Speakers Sound System Other (Please SPECIFY number of each)
Request additional services: Custodians Maintenance Safety/Resource Officers (specify #1, 2, 3, etc.)
Number of hours for each:
To begin a.m. p.m.
until a.m. p.m.
Is the meeting or function open to the general public? No Yes
Is your organization non-profit? No Yes
If yes, please provide proof of non-profit certification. ID:
Will an admission fee be charged or donations accepted? No Yes
If yes, please explain for what purpose.
Will food or beverages be consumed during the course of your meeting? No Yes (Please specify arrangements, if any) Garbage Bins Recycle Bins
ALL ADVERTISING OF EVENTS HELD ON CAMPUS MUST INCLUDE ORGANIZATION TELEPHONE NUMBER
**HOLD HARMLESS AGREEMENT**
Each requesting agency shall be required to acknowledge the following: Requester acknowledges that requester will be solely responsible for the requested
premises for the requested period. Requester agrees to indemnify and hold harmless Broward College, its Trustees, officers, employees and agents from
all claims for damages arising from and during Requester’s occupation of the premises, including reasonable attorney’s fees and other costs arising from
any litigation. Requester further agrees to notify Broward College promptly should any claim arise or be threatened and to defend any claim so arising.
I have read and I agree to the terms and conditions printed in this document.
Signature of Requester/Sponsor
SECTION II (TO BE COMPLETED BY THE BUSINESS DEAN'S OFFICE)
Proof of Insurance Required: Yes No Copy attached: Yes No
Building and room assigned:
CCN
GLC
$
Equipment provided:
CCN
GLC
$
Personnel Provided:
Custodians
CNN
GLC
$
Maintenance
CCN
GLC
$
Safety/Resource Officers
CCN
GLC
$
Other
CCN
GLC
$
Taxes (6%)
$
TOTAL
$
Approved by:
Dean of Business Affairs
Date
(Fee determined by Campus President or Business Dean)
Campus President
Date
Fees Received by Cashier
Date
Copies of this approval have been forwarded to:
LEARNING RESOURCES REGISTRAR'S OFFICE FOOD SERVICE BUSINESS AFFAIRS SAFETY PHYSICAL PLANT GYM/ATHLETIC DIR ENERGY MANAGEMENT CUSTODIAL
Page 2 of 2
RENTAL OR USAGE FEE SCHEDULE
(A surcharge of $125 may be applied)
AQUATIC COMPLEX
FEES
Fees per day or evening ……………………………………………………………..……………………………………………………………………………………………Up to $325.00
By College Student Organization or Association ………………………………..……………………………………………………………………………………………………NO FEE
For College Administrative Facility Activities ……………………………………..……………………………………………………………………………………………………NO FEE
Swim Meets per day ………….……………………………………………………..…………………………………………………………………………………………………..$325.00
FACILITIES
Small Meeting Room (70 or less capacity) …. ……………………………………………………………….$150.00 rental fee for 4 hours minimum and $50.00 per additional hour
Large Meeting Room (75 or more capacity) … ………………………………………………………………$250.00 rental fee for 4 hours minimum and $75.00 per additional hour
Gymnasium …………………………….……………………………………………………………………….$500.00 rental fee for 4 hours minimum and $100.00 per additional hour
Rehearsal Practice Room …………………………….……………………………………………………………$100 rental fee for 4 hours minimum and $50.00 per additional hour
Classroom …………………………….………………………………………………………………………….$100.00 rental fee for 4 hours minimum and $25.00 per additional hour
ATHLETIC AREAS
Tennis Court…………………………….……………………………………………………………………………………………………………………………......................…Negotiable
Baseball Field…………………………….…………………………………………………………………………………………………………………………….………..…..… Negotiable
SUPPORT & ADDITIONAL SERVICES
Detail Officer…………………………….…………………………………………………………………………………………………………………………………Current Contract Rate
Campus Safety…………………………….……………… …………………………………………………………………………………………………………….…..…$29.00 per hour
Custodial Services …………………………….………………………………………………………………………………………………………………..……..….Current Contract Rate
Air Conditioning: Small Meeting Room (70 or less capacity) …………………………….……………………………………………………………………………….… $100 per day
Large Meeting Room (75 or more capacity) …………………………….…………………………………………………………………………..…………. $150 per day
College Student Organization or Association ………………………………..……………………………………………………………………………..……………….………NO FEE
College Administrator of Faculty Activities ………………………………………..……………………………………………………………………………….…………………NO FEE
INSTRUCTIONS FOR ALL REQUESTERS
1.
Call Business Dean’s office to confirm date/room availability and to receive Facility/Equipment Request Form.
2.
Return completed form to the Business Dean’s office two weeks before event; include Certificate of Insurance (where necessary) with a $1,000,000 minimum
coverage, note Broward College as ‘Additional Insured’ on certificate as well as the event date(s), and a check covering special fees and any special requests.
3.
Original copy of this form will be forwarded to the requester as verification. A copy must be available for presentation to Campus Safety at time of meeting.
TERMS AND CONDITIONS FOR USE OF BUILDINGS AND FACILITIES
1.
Applications for use of building facilities must be received by the Dean of Business Affairs at least two weeks prior to date building and facilities will be used.
2.
Payment of fees and charges must be paid at the Cashier’s Office at least two weeks prior to the event.
3.
The user of college buildings and facilities will be financially responsible for all damage to property or injury to persons arising out of the use permitted. Users are
responsible for the prompt return of any and all equipment provided.
4.
Kitchen facilities are not available except through the Food Services concessionaire.
5.
Right is reserved by the Board of Trustees to revoke any such permit, without liability, should such action be deemed necessary or desirable.
6.
No alcoholic beverages are allowed on campus without Board approval.
7.
Rooms with specialized equipment may require technical personnel. Need for such personnel shall be at the sole discretion of the College.
8.
No Pyrotechnics and no smoke maker machines are allowed in the rooms.
9.
All activities with food and/or beverage are required to have both a recycling and trash container
10.
A minimum of two days’ notice is required for event cancellation. Rental fee will be refunded for cancelled events that are due to acts of nature, or other unforeseen
circumstances. Insurance fee, where applicable, is non-refundable.
TYPES OF ACTIVITIES PROHIBITED
1.
Any activity in conflict with college activities.
2.
Fund-raising campaigns except as permitted by Board policy or special action of the Board of Trustees.
3.
Any activity permitting games of chance or gambling.
4.
Promulgating any theory or doctrine subversive to the laws of the United States or any political subdivision thereof advocating governmental change by violence.
5.
Any activity that may violate the canons of good morals, manners or taste, or be damaging to the buildings, grounds or equipment.
PLEASE NO SMOKING, EATING OR DRINKING IN CLASSROOMS, HALLWAYS OR THEATRES
(NO ALCOHOLIC BEVERAGES ARE ALLOWED ON CAMPUS, AND NO PYROTECHNICS OR SMOKE MAKER MACHINES ARE ALLOWED IN THE ROOMS)
EQUAL ACCESS/EQUAL OPPORTUNITY INSTITUTION
PRO-1 (Rev. 07/13)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Campus Safety Department 954.201.HELP (4357) (Broward College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document