Fillable Lpccollegefacilitiesuseagreement - V.6.5.19 - LPC College Facilities Use Agreement

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Lpccollegefacilitiesuseagreement - V.6.5.19 - LPC College Facilities Use Agreement

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THE APPLICANT AGREES THAT THE USE OF COLLEGE FACILITIES SHALL BE IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE
BOARD OF TRUSTEES OF THE DISTRICT AS STIPULATED IN GOVERNING BOARD POLICY NO 6700. NOTICE TO APPLICANT: Facility Fees and
Staffing charges will apply according to the Fee Schedule on the LPC Facility Rental web site. Requester will observe and obey all Guidelines
for Rental of Facilities on the LPC Facility Rental web site. This is an application for use only. You will receive confirmation of use and invoice
under separate cover. Payment is due upon receipt of invoice.
CERTIFICATE OF LIABILITY: A Certificate of Liability (COL) is required for all facility rentals in the amount of $1 million naming Las Positas
College as the Certificate Holder.
COLLEGE FACILITIES USE AGREEMENT
LAS POSITAS COLLEGE
3000 CAMPUS HILL DR., LIVERMORE, CA 94551
925.424.1631
Organization_______________________________ Requester Name__________________________
Phone____________________________ E‐Mail___________________________________
Billing Address/City/Zip ________________________________________________________________
RESERVATION DATE(S) ENTRY TIME START TIME EXIT TIME
FACILITY REQUESTED
Gymnasium Synthetic Field Swimming Pool(s) Locker Rooms
Main Theater Black Box Theater Dressing Rooms Concession Stand
Lecture Hall Classroom(s) Cafeteria Parking Lot(s)
Other
Resource and Equipment Requirements
Requester Signature Date
TOTAL NUMBER OF EXPECTED ATTENDEES: __________
EVENT DESCRIPTION & SET‐UP REQUIREMENTS ‐ An event diagram must be attached
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Lpccollegefacilitiesuseagreement - V.6.5.19 - LPC College Facilities Use Agreement

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Completed 17 November 2019

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