CONTACT INFORMATION
Renter’s Name Tribal Department Tribal ID Number
Street Address City State Zip Code
Work Phone Cell Phone Email
PURPOSE OF REQUEST
Event Name/Descripon # of Guests # of Tables # of Chairs
Date of Event Set-up Time
AM PM
Event Time
AM PM
End Time
AM PM
Addional Dates Start Time
AM PM
End Time
AM PM
FACILITY RENTAL TERMS
Only the Kenny Moses Building is approved for overnight rental. Renter assumes responsibility for all equipment
borrowed during your rental agreement, including but not limited to, condion of all kitchen equipment.
As per Tribal Government Facility & Equipment Policies (II General Rules #5): User must agree that costs may be withheld
from the damage and cleaning deposit and any addional costs beyond the deposit amount may be deducted from the
renter’s per capita distribuons including, but limited to, replacement of items/equipment missing or broken, re-key
costs if key is not returned, unl the total costs of damage/replacement is sased.
Renter assumes responsibility of ensuring kitchen equipment is clean and no garbage or debris is le behind. A Tulalip
Tribes custodial sta member will go over a detailed checklist prior to use of the building and aer use of kitchen.
SECURITY DEPOSIT (RETURNED IN FULL OR PARTIAL AFTER THE FOLLOWING)
• Maintenance Inspecon (both pares are required to sign o on walk-through).
• CSR – Reimbursement could take up to 14 business days to process – including a refund or cancellaon.
KEY CHECK OUT AND RETURN PROCESS
Key is checked out and returned to the Administraon Building CSR sta – either when event is over (Monday through
Friday from 8:00 am to 4:00 pm) or the rst business day aer each weekend event date, no later than 9:00 am unless
prearranged with CSR sta. NOTE: Approximate cost to re-key Kenny Moses Building by Evere Safe & Lock is $355.
AGREEMENT
This agreement may not be assigned or transferred, nor may the facilies be sublet or used by anyone other than the
renter. I have read and understand this agreement and the Tribes Building Use Policy, which by reference is a part of
this agreement. I agree to be bound by them.
Date Renter’s Signature
Req #:
Vendor #:
TDS-23250
Tulalip Tribes
6406 Marine Drive
Tulalip, WA 98271
Tulalip Tribes
Fax Number
360-716-0606
Facility Rental Form
Equipment available: tables (35), chairs (200) & kitchen–use of waterfront
area. This building requires: $50 rental fee and $300 refundable security
deposit. Building not available November–March annually.
Kenny Moses Building/Kitchen/Waterfront
click to sign
signature
click to edit
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