CONTACT INFORMATION
Renters Name Tribal Department Tribal ID Number
Street Address City State Zip Code
Work Phone Cell Phone Email
PURPOSE OF REQUEST
Event Name/Descripon # of Guests # of Tables # of Chairs
Date of Event Set-up Time
AM PM
Event Time
AM PM
End Time
AM PM
Addional 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, condion 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 addional costs beyond the deposit amount may be deducted from the
renters per capita distribuons including, but limited to, replacement of items/equipment missing or broken, re-key
costs if key is not returned, unl the total costs of damage/replacement is sased.
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 aer use of kitchen.
SECURITY DEPOSIT (RETURNED IN FULL OR PARTIAL AFTER THE FOLLOWING)
• Maintenance Inspecon (both pares are required to sign o on walk-through).
• CSR – Reimbursement could take up to 14 business days to process – including a refund or cancellaon.
KEY CHECK OUT AND RETURN PROCESS
Key is checked out and returned to the Administraon Building CSR sta – either when event is over (Monday through
Friday from 8:00 am to 4:00 pm) or the rst business day aer 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 facilies 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 Renters 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
Clear Form
Print Form
Email Form
click to sign
signature
click to edit
CHECK OUT
Date Renters Name (Printed) Renters Signature
Date Sta Checking Out Key Sta Signature
RETURNING
Date Renters Name (Printed) Renters Signature
Date Sta Member Signature Time
SECURITY DEPOSIT REIMBURSEMENT FORM
(MUST HAVE BOTH PARTIES SIGNATURES)
AREA DESCRIPTION PASS FAIL NOTES
Restrooms
Toilets
Urinals
Stalls
Sinks & Counters
Trash (All Areas)
Sweep (All Areas)
Kitchen
Microwave
Refrigerator
Sinks & Counters
Meeng Room(s) Wipe Down Tables
Hallways
Polish Fountains
Sweep
Exterior Entryway
Trash
Sweep
WALK-THROUGH
BEFORE
DATE
AFTER
DATE
Custodial Signature Custodial Signature
Renters Signature Renters Signature
TDS-23250
Tulalip Tribes
6406 Marine Drive
Tulalip, WA 98271
Tulalip Tribes
Fax Number
360-716-0606
Key Sign Out
Item Number:
Kenny Moses Building/Kitchen/Waterfront