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City of Social Circle
FACILITY AND BALLFIELD RENTAL AGREEMENT
FOR BURKS PARK
205 Vine Circle, Social Circle, GA 30025
Organization/Group:
Name of Event: Type of Event:
Applicant/Renter:
Home Phone: Work Phone: Cell Phone:
Address:
City: State: ZIP: County:
Email: __________________________________
Mailing address for refund return if different from above:
Type of Use: Individual Profit Non-Profit Tax Exempt Number:
Single Use
Dates and Times Requested:
Start Date End Date
Start Time End Time
Seasonal/Annual Use
Jan - Apr
May - Aug
Sep - Dec
Annual
**
Start Time
End Time
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
** Seasonal and annual rentals may choose up to 3 days of the week and not more than 2 hours per practice session.
Each team seeking an annual rental shall designate one adult to serve on the Burk Field Maintenance Committee.
Athletic Facility Rental Procedures
ALCOHOL IS PROHIBITED WITHIN BURKS PARK
1. No person is permitted to bring, use or serve alcoholic beverages on park property
2. Individuals and groups must follow park rules, regulations, and agree that the rights of other park visitors shall not be infringed
upon.
3. Renter cannot sell food, beverages, or other concessions without written authorization of the City of Social Circle.
NO REFUND POLICY
Should event be cancelled due to weather and/or fields determined to not be in good, safe condition, no refund will be given,
however credit will be given for a makeup date.
Reservations require a rental fee
Teams with at least three members who are residents of Social Circle will pay City Resident rates.
Seasonal/annual rates are for teams up to 15 members. Any additional members will add $20/team member to the
seasonal/annual rental fee.
Annual rentals may be terminated by the City for violation of park rules or policies.
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SINGLE USE FEES FOR CITY RESIDENTS
BALL FIELD
Two-hour w/o light fee $50.00 x ___ = ______
Two-hour light fee $100.00 x ___ = _____
Daily fee $150.00 x ___ = _____
TOTAL
cash check VISA / MC
Two-hour rental $0.00 x ___ = ______
Daily rental $0.00 x ___ = ______
Deposit Fee $150.00 x ___ = ______
TOTAL
SINGLE USE FEES FOR NON-CITY RESIDENTS
BALL FIELD
Two-hour w/o light fee $100.00 x ___ = ______
Two-hour light fee $200.00 x ___ = _____
Daily fee $300.00 x ___ = _____
TOTAL
cash check VISA / MC
PICNIC SHELTER
Two-hour rental $0.00 x ___ = ______
Daily rental $0.00 x ___ = ______
Deposit Fee $300.00 x ___ = _____
TOTAL
FEES FOR SEASONAL RENTAL
RESIDENTS
Seasonal fee $300.00 x ___ = ______
Players over 15 $20.00 x ___ = ______
Lights (per hour) $20.00 x ___ = ______
TOTAL
cash check VISA / MC
Seasonal fee $400.00 x ___ = ______
Players over 15 $20.00 x ___ = ______
Lights (per hour) $20.00 x ___ = ______
TOTAL
FEES FOR ANNUAL RENTAL
RESIDENTS
Annual fee $225.00 x ___ = ______
Players over 15 $20.00 x ___ = ______
Lights (per hour) $20.00 x ___ = ______
TOTAL
cash check VISA / MC
Seasonal fee $500.00 x ___ = ______
Players over 15 $20.00 x ___ = ______
Lights (per hour) $20.00 x ___ = ______
TOTAL
Reservations for Picnic Shelter by Non-profit Entities
Free Use of Picnic Shelter. Deposit Fee Required to Insure Cleaning.
Deposit fees are refunded if all trash is removed from site and no damage occurs to facilities or grounds.
Deposit Fee $150.00 x ___ = _______
cash check VISA / MC
FOR OFFICE USE ONLY
Staff Signature: Date:
Certificate of Insurance Required: Y N Date Received:
Check #: Receipt #:
Deposit Refund sent:
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HOLD HARMLESS
The renter agrees to indemnify owner and hold city and its agents and employees harmless from and against all
actions, causes of action, suits, liabilities, claims, damages, losses, costs and expenses (including attorney’s fees and
costs) arising out of or resulting from (a) any act or omission of renter in the performance or non-performance of the
work or its obligations hereunder, (b) any breach of contract by renter, and (c) any claim for injury to person or
property arising out of, or in the course of, the events as contemplated by this contract. The parties hereto agree that
the terms of this paragraph shall survive any termination or expiration of the contract. In any and all claims against
the city, or any of their agents or employees, by any employee of the renter, any subcontractor, anyone directly or
indirectly employed by any of them, or anyone for whose acts any of them may be liable, the indemnification
obligation shall not be limited in any way by any limitation on the amount or type of damages, compensation or
benefits payable by or for the renter or any subcontractor under workmen's compensation acts, disability benefit acts
or other employee benefits acts.
The renter acknowledges and agrees that the renter is encouraged to examine and inspect the city facilities, to assess
their condition, suitability and fitness for the renter’s permitted use. Renter acknowledges and agrees that the city
makes no expressed or implied warranties of any kind or nature whatsoever, including without limitation, any
expressed or implied warranties of suitability of fitness for any particular purpose or function. The right to use city
facilities is granted on an “as is” and “where is” basis only. Renter further acknowledges that the relationship
between the parties is not that between the landlord and tenant as defined in georgia law.
INSURANCE AGREEMENT
For baseball or softball use, the Renter agrees to purchase and maintain at its own expense insurance against all types
of public and private liability, as directed by City, including, but not limited to, General Commercial Liability and
Workers’ Compensation insurance, including coverage for the City, as an additional named insured. In no event will
the amounts of coverage be less than one million dollars ($1,000,000.00) per person for injury to person or property,
and not less than one million ($1,000,000.00) aggregate total for any occurrence. Renter must furnish the City with
certificates of such insurance including the insurance on the City, and naming the City as an additional insured, along
with satisfactory evidence that premiums have been paid. Each certificate must provide that the policy may not be
cancelled as to the City without thirty (30) days prior notice to the City. Renter must pay the City its costs and
expenses, including reasonable attorneys’ fees, incurred by the City in connection with any proceedings arising out of
this provision.
CERTIFICATE OF INSURANCE MUST BE SUBMITTED NO LATER THAN TEN (10) CALENDAR
DAYS PRIOR TO REQUESTED EVENT DATE.
I have read this contract in its entirety and agree to the terms, date, time, facility and fees of this agreement. I
further agree to the above listed facility rental procedures.
Renter’s Signature: ____________________________________ Date: ____________________________
Title: _________________________________________________________
Ball field and park schedule shall be maintained by Barry Parsons, PW and Water Resources Director or his designee.
bparsons@socialcirclega.com; 770-464-2380
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