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HomeMy WebLinkAbout2000 10-10 CC AGENDA PKT0 AGENDA OF A REGULAR MEETING NATIONAL CITY COUNCIL COUNCIL CHAMBERS 1243 NATIONAL CITY BOULEVARD REGULAR MEETING - TUESDAY, OCTOBER 10, 2000 - 6:00 P.M. i OPEN TO THE PUBLIC PLEASE COMPLETE A REQUEST TO SPEAK FORM PRIOR TO THE COMMENCEMENT OF THE MEETING AND SUBMIT ►T TO THE CITY CLERK IT IS THE INTENTION OF YOUR CITY COUNCIL TO BE RECEPTIVE TO YOUR CONCERNS IN THIS COMMUNITY. YOUR PARTICIPATION IN LOCAL GOVERNMENT WILL ASSURE A RESPONSIBLE AND EFFICIENT CITY OF NATIONAL CITY. WE INVITE YOU TO BRING TO THE ATTENTION OF THE CITY MANAGER ANY MATTER THAT YOU DESIRE THE CITY COUNCIL TO CONSIDER. WE THANK YOU FOR YOUR PRESENCE AND WISH YOU TO KNOW THAT WE APPRECIATE YOUR INVOLVEMENT. ROLL CALL PLEDGE OF ALLEGIANCE TO THE FLAG BY THE CITY MANAGER, TOM G. MCCABE INVOCATION APPROVAL OF THE MINUTES OF THE REGULAR MEETING OF OCTOBER 3, 2000. COUNCIL AGENDA 10/10/00 Page 2 CONSENT CALENDAR Consent Calendar: Consent Calendar items involve matters, which are of a routine or noncontroversial nature. All consent calendar items are adopted by approval of a single motion by the City Council. Prior to such approval, any item may be removed from the consent portion of the agenda and separately considered, upon request of a Councilmember, a staff member, or a member of the public. 1. Resolution No. 2000-129 Resolution of the City Council of the City of National City approving additional funding to fabricate and install the new memorial plaque at the Kimball Bowl. (Public Works) 2. Resolution No. 2000-130 Resolution of the City Council of the City of National City authorizing the Mayor to execute an Agreement with DMG-Maximus for professional services related to the filing of state mandated cost claims under SB90. (Finance) 3. WARRANT REGISTER #14 (Finance) Ratification of Demands in the amount of $253,113.39 NEW BUSINESS —* CITY MANAGER --> CITY ATTORNEY COUNCIL AGENDA 10/10/00 Page 3 NEW BUSINESS (Cont.) -> OTHER STAFF - MAYOR -* CITY COUNCIL 4. Request for use of the Community Building by the Sion Centro Cristiano for a New Year's Eve dinner. (Councilman Inzunza) PUBLIC ORAL COMMUNICATIONS (Five -Minute Time Limit) NOTE: Pursuant to State Law, items requiring Council action must be brought back on a subsequent Council agenda unless they are of a demonstrated emergency or urgent nature. ADJOURNMENT Next Regular City Council Meeting - October 17, 2000 at 3:00 p.m. - Council Chambers, Civic Center. TAPE RECORDINGS OF EACH CITY COUNCIL MEETING ARE AVAILABLE FOR SALE AND TO LISTEN TO IN THE CITY CLERK'S OFFICE City of National City, California COUNCIL AGENDA STATEMENT MEETING DATE October 10, 2000 AGENDA ITEM NO. 1 ITEM TITLE Request for Additional Funding to Fabricate and Install the New Memorial Plaque at the Kimball Bowl PREPARED BY Stephen M. Kirkpatrick DEPARTMENT Public Works EXPLANATION As part of the Kimball Bowl Renovation Project, a plaque is being installed memorializing the veterans that were killed in action during the Korean War and Vietnam conflict. The plaque will include the names of the 14 veterans killed in action that listed National City as their Home of Record at the time of entering the service. There will be room to add additional names. There are currently two existing bronze plaques at the site commemorating World War II veterans. The existing plaques are 4' tall by 3' wide. As part of the renovation, they will be placed side by side on the left side of the main entrance to the Bowl. The new plaque will be 4' tall by 5' wide and will be placed on the right side of the main entrance. The new plaque will be of the same material and character as the exsiting plaques. The Point Loma Credit Union donated $5,000 for the new memorial plaque. However, the cost of the plaque is estiamted to be between $7,500 and $10,000, double the amount donated. In order to proceed with the memorial plaque as proposed, an additional $5,000 should be allocated to this project. The renovation project is funded through a CDB Grant. There are no funds available within the existing budget to cover the cost of the plaque. Environmental Review Financial Statement $5,000 X N/A Debit 001-2501 Undesignated fund balance Debit 301-00000-3999 transfer in Credit 31 509-500-598-4069 Kimball Bowl Rehabilitation Project. Credit 60-40'000 l-!!t0 STAFF RECOMMENDATIO 1J rpor Account No. It is recommended City Counci allocate an additional $5,060 for the plaque. BOARD / COMMISSION RECOMMENDATION N/A ATTACHMENTS ( Listed Below ) Resolution 7?-)t,„ Resolution No. 2000-129 A-200 (9/80) RESOLUTION NO. 2000 — 129 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY APPROVING ADDITIONAL FUNDING TO FABRICATE AND INSTALL THE NEW MEMORIAL PLAQUE AT THE KIMBALL BOWL WHEREAS, as part of the Kimball Bowl Renovation Project, a plaque is being installed memorializing the veterans that were killed in action during the Korean war and Vietnam conflict. The plaque will include the names of the 14 veterans killed in action who listed National City as their Home of Record at the time of entering the service; and WHEREAS, the Point Loma Credit Union donated $5,000 for the new memorial plaque. However, the cost of the plaque is estimated to be between $7,500 and $10,000, double the amount donated. In order to proceed with the memorial plaque as proposed, an additional $5,000 should be allocated to this project. The renovation project is funded through a CDBG Grant. There are no funds available within the existing budget to cover the cost of the plaque.. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the allocation of an additional $5,000 to the installation of the Korean and Vietnam memorial plaque being installed as part of the Kimball Bowl Renovation Project. PASSED and ADOPTED this 10th day of October, 2000. ATTEST: Michael R. Dalla, City Clerk APPROVED AS TO FORM: George H. Waters, Mayor ff)� George H. Eiser, III City Attorney MEETING DATE l City of National City, California COUNCIL AGENDA STATEMENT 10/10/00 2 AGENDA ITEM NO. ITEM TITLE RESOLUTION TO AUTHORIZE AN AGREEMENT WITH DMG MAXIMUS FOR STATE MANDATED COST CLAIM SERVICES FOR FY99 & FY00. PREPARED BY DEPARTMENT JAY GONZALES FINANCE EXPLANATION THE CALIFORNIA STATE CONSTITUTION PROVIDES THAT CITIES MAY RECOVER COSTS ASSOCIATED WITH CARRYING OUT PROGRAMS MANDATED BY THE STATE OF CALIFORNIA. THE CITY HAS IN THE PAST ENGAGED THE PROFESSIONAL SERVICES OF DMG MAXIMUS ("DMG") TO ASSIST CITY STAFF IN THE MANDATED COST CLAIM PREPARATION PROCESS WHICH THE CITY HAS DETERMINED TO BE THE MOST ECONOMICAL AND COST EFFECTIVE MEANS TO FILE THESE CLAIMS IN A TIMELY MANNER. DMG IS STAFFED WITH PERSONNEL WITH RELATED KNOWLEDGE AND EXPERIENCE WHICH HAS MINIMIZED CITY STAFF'S PARTICIPATION AND WHICH FACILITATED THE TIMELY FILING OF THESE CLAIMS. TOTAL STATE MANDATED COST REIMBURSEMENTS RECEIVED BY THE CITY IN FY00 FOR PRIOR CLAIMING YEARS AMOUNTED TO $155,110. Environmental Review N/A Financial Statement PROFESSIONAL FEES OF $4,250 & $4,100 COVERED UNDER THE ORIGINAL BUDGETS FOR FY01 and FY00, RESPECTIVELY. Approved By: Fi nce Director /1 Account No. 001-404-045 STAFF RECOMMENDATION APPROVE THE AGREEMENT. BOARD / COMMISSION RECOMMENDATION N/A ATTACHMENTS a Listed Below ) Resolution No. 2000-130 Resolution Agreement 0: A-200 i9 991 RESOLUTION NO. 2000 —130 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE AN AGREEMENT WITH DMG-MAXIMUS FOR PROFESSIONAL SERVICES RELATED TO THE FILING OF STATE MANDATED COST CLAIMS UNDER SB90 WHEREAS, the California State Constitution provides that cities may recover costs associated with carrying out programs mandated by the State; and WHEREAS, the City has previously engaged the professional services of DMG Maximus ("DMG") to assist City staff in the mandated cost claim preparation process, which the City has determined to be the most economical and cost effective means to file the claims in a timely manner; and WHEREAS, DMG is staffed with personnel with related knowledge and experience that has minimized City staffs participation and which .has facilitated the timely filing of these claims. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City does hereby authorize the Mayor to execute an Agreement with DMG—Maximus for professional services related to the filing of state mandated cost claims under SB90. Said Agreement in on file in the office of the City Clerk. PASSED and ADOPTED this 10th day of October, 2000. George H. Waters, Mayor ATTEST: Michael R. Dalla, City Clerk APPROVED AS TO FORM: George H. Eiser, III City Attorney Contract Number : OOF-104 Agreement to Provide Mandated Cost Claiming Services THIS AGREEMENT, entered into this day of , 2000 and effective immediately by and between DMG-MAXIMUS (hereinafter "Consultant") and the City of National City (hereinafter "City"), WHEREAS, Article XIIIB of the California State Constitution provides that cities may recover costs associated with carrying out programs mandated by the State of California, WHEREAS, the City desires to obtain maximum reimbursement for costs incurred in carrying out State mandated programs, and has determined that engaging the Consultant to assist in the mandated cost claim preparation process is the most economical and cost effective means for preparing the City's state mandated cost claims; and WHEREAS, the Consultant is staffed with personnel knowledgeable and experienced in determining the costs of governmental programs and in the submission of cost claims to the State of California, and WHEREAS, the City desires to engage the Consultant to assist in developing, submitting, and negotiating cost claims pertaining to state mandated programs. NOW, THEREFORE, the parties hereto mutually agree as follows: 1. Scope of Services The Consultant shall prepare claims for reimbursable state mandated costs as provided herein. A. Annual State Mandated Cost Reimbursement Claims and The Consultant shall prepare and file applicable actual annual state mandated cost reimbursement claims for the 1998-99 fiscal year and estimated claim(s) for the 1999- 2000 fiscal year. The fiscal year 1998-99 actual claims to be filed are claims that are included in the State Controller's Claiming Instructions that provide for timely filed claims to be submitted by January 15, 2000. B. All Other Claims for Which Claiming Instructions Are Issued in FY 1999- 2000 With the exception of the claims in Scope of Services 1.A. above, the Consultant shall prepare, submit and file on the City's behalf, all other eligible actual and estimated state City of National City -1- September 20, 2000 Contract Number : OOF-104 mandated cost reimbursement claims for which State Controller Claiming Instructions are issued in the 1999-2000 fiscal year. C. Annual State Mandated Cost Reimbursement Claims The Consultant shall prepare and file applicable actual annual state mandated cost reimbursement claims for the 1999-2000 fiscal year and estimated claim(s) for the 2000- 2001 fiscal year. The fiscal year 1999-2000 actual claims to be filed are claims that are included in the State Controller's Claiming Instructions that provide for timely filed claims to be submitted by January 15, 2001. D. All Other Claims for Which Claiming Instructions Are Issued in FY 2000. 2001 With the exception of the claims in Scope of Services 1.C. above, the Consultant shall prepare, submit and file on the City's behalf, all other eligible actual and estimated state mandated cost reimbursement claims for which State Controller Claiming Instructions are issued in the 2000-2001 fiscal year. 2. Consultant Claim Filing Requirements The Consultant shall file these claims to the extent that appropriate documentation is available and verifiable and that claim amounts exceed $200 per claim. 3. Costs and Method of Compensation A. Scope of Services 1.A. - Annual State Mandated Cost Reimbursement Claims For the services provided pursuant to Scope of Services 1.A., the City agrees to pay the Consultant upon submission of the claims to the State Controller, a fixed fee of four thousand one hundred dollars ($4,100). The fixed fee shall be due upon receipt of Consultant's invoice following submission of such claim(s). B. Scope of Services 1.B. - All Other New Claims for Which Claiming Instructions are Issued in FY 1999-2000 For the services provided pursuant to Scope of Services 1.B, the City agrees to pay the Consultant a contingent fee of thirty percent (30%) of the amount claimed and paid, to a maximum of three thousand two hundred fifty dollars ($3,250). Payment shall be made from monies actually received from the State resulting from the Consultant's efforts. Monies received shall be defined as payments resulting from the Consultant's filing of cost claims listed in Scope of Services 1.B. City of National City - 2 - September 20, 2000 Contract Number : OOF-104 In the event that the total amount of claims paid by the State is less than one thousand six hundred sixty-seven dollars ($1,667), the City shall pay the Consultant a fixed fee of five hundred dollars ($500). The fee, which in no case shall exceed the maximum amount, is due within four weeks of City receipt of reimbursement from the State. C. Scope of Services 1.C. - Annual State Mandated Cost Reimbursement Claims For the services provided pursuant to Scope of Services 1.C., the City agrees to pay the Consultant upon submission of the claims to the State Controller, a fixed fee of four thousand two hundred fifty dollars ($4,250). The fixed fee shall be due upon receipt of Consultant's invoice following submission of such claim(s). D. Scope of Services 1.D. - All Other New Claims for Which Claiming Instructions are Issued in FY 2000-2001 For the services provided pursuant to Scope of Services 1.D, the City agrees to pay the Consultant a contingent fee of thirty percent (30%) of the amount claimed and paid, to a maximum of three thousand three hundred fifty dollars ($3,350). Payment shall be made from monies actually received from the State resulting from the Consultant's efforts. Monies received shall be defined as payments resulting from the Consultant's filing of cost claims listed in Scope of Services 1.B. In the event that the total amount of claims paid by the State is less than one thousand six hundred sixty-seven dollars ($1,667), the City shall pay the Consultant a fixed fee of five hundred dollars ($500). The fee, which in no case shall exceed the maximum amount, is due within four weeks of City receipt of reimbursement from the State. 4. Services and Materials to be Furnished by the City The Consultant shall provide guidance to the City in determining the data required for claims submission. The Consultant shall assume all data so provided to be correct. The City further agrees to provide all specifically requested data, documentation and information to the Consultant in a timely manner. Consultant shall make its best effort to file claims in a timely manner pursuant to Scope of Services. Consultant shall not be liable for claims that cannot be filed as a result of inadequate data or data provided in an untimely manner. For purposes of this Agreement, data that is requested by the Consultant must be provided within three weeks of the request, or three weeks prior to the filing deadline, City of National City - 3 - September 20, 2000 Contract Number : OOF-104 whichever would come first, to be deemed to have been received in a timely manner. It is the responsibility of the City to provide the Consultant with payment information upon receipt of disbursements from the State for any and all claims filed pursuant to this agreement. 5. Independent Contractor Both parties hereto in the performance of this Agreement will be acting in an independent capacity and not as agents, employees, partners or joint venturers with one another. The Consultant is not an employee of the city and is not entitled to any of the rights, benefits, or privileges of the City's employees, including but not limited to medical, unemployment, or workers' compensation insurance. This Agreement contemplates the personal services of the Consultant and the Consultant's employees, and it is recognized by the parties that a substantial inducement to the City for entering into this Agreement was, and is, the professional reputation and competence of the Consultant and its employees. Neither this Agreement nor any interest herein may be assigned by the Consultant without the prior written consent of the City. Nothing herein contained is intended to prevent the Consultant from employing or hiring as many employees as the Consultant may deem necessary for the proper and efficient performance of this Agreement. 6. Not Obligated to Third Parties The City shall not be obligated or liable hereunder to any party other than the Consultant. 7. Control Neither the City not its officers, agents or employees shall have any control over the conduct of the Consultant or any of the Consultant's employees except as herein set forth, and the Consultant expressly agrees not to represent that the Consultant or the Consultant's agents, servants, or employees are in any manner agents, servants or employees of the City, it being understood that the Consultant, its' agents, servants, and employees are as to the City wholly independent contractors and that the Consultant's obligations to the city are solely such as are prescribed by this Agreement. 8. Consultant Liability if Audited The Consultant will assume all financial and statistical information provided to the Consultant by City employees or representatives is accurate and complete. Any subsequent disallowance of funds paid to the City under the claims for whatever reason is the sole responsibility of the City. City of National City - 4 - September 20, 2000 Contract Number : OOF-104 9. Indirect Costs The cost claims to be submitted by the Consultant may consist of both direct and indirect costs. The Consultant may either utilize the ten percent (10%) indirect cost rate allowed by the State Controller or calculate a higher rate if City records support such a calculation. The Consultant by this Agreement is not required to prepare a central service cost allocation plan or departmental indirect cost rate proposals for the City. 10. Consultant Assistance if Audited If audited, the Consultant shall make workpapers and other records available to the State auditors. If requested by the City, the Consultant shall provide assistance to the City in defending claims at the desk audit level if an audit results in a disallowance of at least twenty percent (20%) or seven hundred fifty dollars ($750), whichever is greater. Reductions of less than twenty percent (20%) or seven hundred fifty dollars ($750) shall not be contested by the Consultant. Nothing in this section or any part of this Agreement shall be construed to include Incorrect Reduction Claims preparation. 11. Hold Harmless The Consultant agrees to indemnify, defend, and hold harmless the City of National City, its officials, employees and volunteers, against and from any and all liability, loss, damages to property, injuries to, or death of any person or persons, and all claims, demands, suits, actions, proceedings, costs or attorneys' fees, of any kind or nature, of or by anyone whomsoever, in any way resulting from or arising out of the Consultant's negligence, recklessness or intentional misconduct in its performance of this Agreement. 12. Workers' Compensation The Consultant shall comply with all of the provisions of the Workers' Compensation Insurance and Safety Acts of the State of California, the applicable provisions of Division 4 and 5 of the California Government Code and all amendments thereto; and all similar state or Federal acts or laws applicable; and shall indemnify, defend and hold harmless the City and its officials, employees and volunteers from and against all claims, demands, payments, suits, actions, proceedings and judgments of every nature and description, including attorney's fees and costs presented, brought or recovered against the City or its officials, employees, or volunteers, for or on account of any liability under any of said acts which are brought by Consultant's officers or employees by reason of any work to be performed by the Consultant under this Agreement. 13. Insurance The Consultant, at its sole cost and expense, shall purchase and maintain throughout the term of this agreement, the following insurance policies: City of National City 5 September 20, 2000 Contract Number : OOP-104 a. Professional liability insurance with minimum limits of $1,000,000 on a claims made basis. b. Automobile insurance covering all bodily injury and property damage incurred during the performance of this Agreement, with a minimum coverage of $500,000 combined single limit per accident. Such automobile insurance shall include non -owned vehicles. c. Comprehensive general liability insurance, with minimum limits of $1,000,000 combined single limit per occurrence, covering all bodily injury and property damage arising out of its operation under this Agreement. d. Workers' compensation insurance covering all of its employees and volunteers. e. The aforesaid policies, except professional liability and workers' compensation, shall constitute primary insurance as to the City, its officials, employees, and volunteers, so that any other policies held by the City shall not contribute to any loss under said insurance. All policies shall provide for thirty (30) days prior written notice to the City of cancellation or material change. f. Said policies, except for the professional liability and workers' compensation policies, shall name the city and its officials, agents and employees as additional insureds. g. This Agreement shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with arefiled with and approved by the City's Risk Manager. If the Consultant does not keep all of such insurance policies in full force and effect at all times during the terms of this Agreement, the City may elect to treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. h. If required insurance coverage is provided on a "claims made" rather than "occurrence" form, the Consultant shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Agreement. 14. Changes The City may, from time to time, require changes in the scope of services of the Consultant to be performed hereunder. Such changes, which are mutually agreed upon by and between the City and the Consultant, shall be incorporated in written amendment to this agreement. 15. Term of Agreement This Agreement is valid between the date of execution by the City and June 30, 2001 provided, however, Consultant shall not be liable for delays in performance caused in whole or in part by the City or forces de majeur. 16. Termination of Agreement If, through any cause, the Consultant shall fail to fulfill in a timely and proper manner its obligation under this agreement, the City shall thereupon have the right to terminate this City of National City - 6 - September 20, 2000 Contract Number : OOF-104 agreement by giving written notice to the Consultant of such termination and specifying the effective date thereof, at least five (5) days before the effective date of such termination. 17. City Co ' tact Person The City designates the following individual as contact person for this contract: Name: Telephone: Title: Fax: Address: OFFER IS MADE BY CONSULTANT . Bradley : 1 ges Vice Pr dent DMG-MAXIMUS Date: September 20, 2000 City of National City OFFER IS ACCEPTED BY CITY By: City Official Date: - 7 - September 20, 2000 City of National City, California COUNCIL AGENDA STATEMENT MEETING DATE 10/10/00 AGENDA ITEM NO. 3 (-ITEM TITLE WARRANT REGISTER #14 PREPARED BY ROBERT A. RABAGO DEPARTMENT FINANCE EXPLANATION Ratification of Warrant Register #14 per government section code 37208. Environmental Review Financial Statement N/A N/A Approved Bya Finance Direcior /iv Account No. STAFF RECOMMENDATION I recommend ratification of these warrants for a total of $253,113.39 BOARD / COM ISSION - ECO MEND f: TION ATTACHMENTS ( Listed Below) Resolution No. 1. Warrant Register #14 2. Workers' Comp Warrant Register dated 09/27/00 A-200 (9.99; Agenda of 10/3/00 AGENDA ITEM NO. 4 THE ATTACHED AGENDA ITEM FROM THE OCTOBER 3, 2000 COUNCIL MEETING IS BEING RESUBMITTED FOR COUNCIL CONSIDERATION BY COUNCILMAN INZUNZA (REQUEST FOR USE OF THE COMMUNITY BUILDING BY THE SION CENTRO CRISTIANO FOR A NEW YEAR'S EVE DINNER) City of National City, California COUNCIL AGENDA STATEMENT MEETING DATE C)rtoher 3 2000 13 AGENDA ITEM NO. ITEM TITLE Request for Use of the Community Building by the Sion Centro Cristiano for a New Year's Eve Dinner PREPARED BY Burton Myers DEPARTMENT Public Works EXPLANATION The Sion Centro Cristiano are requesting use of the entire Community Building on December 31, 2000 They are requesting the building from 5:00 p.m. until 1:00 a.m. for a New Year's Eve Dinner. The function time is from 8:00 p.m. until 12:00 a.m. They are expecting 300 people. This group does not fit into any acceptable category of use listed in the Council adopted "Rules and Regulations for the Use of the National City Community Center". Since they are not a National City based organization, the rules state that this use requires Council approval. Cost: Building $ 938.08 Kitchen 80.00 Custodial 156.38 Total: $1174.46 Insurance of $1 million must be provided ten days (December 21, 2000) prior to the event date. Environmental Review Financial Statement $1174.46 to the General Fund. STAFF RECOMMENDATI � It is recommended that Coun /i decid ether this X N/A BOARD / COMMISSION RECOMMENDATION N/A Account No. roup can use the facility. ATTACHMENTS ( Listed Below) Resolution No, Application for Use of the Community Building Letter from the Sion Centro Cristiano dated September 13, 2000 A-200 (9/80) APPLICATION FOR USE OF THE NATIONAL CITY COMMUNITY BUILDING TO ALL APPLICANTS: It is strongly recommended that the applicant requesting use of the facility attend the City Council meeting, when the Item is going to be discussed in order to answer any questions posed by the City Council. Please refer to the attached copy of "Rules and Regulations." Name of Organization GOY/ / �°'l.s Z v Business Address 7g'3o /ar// 4 40-70� ef�/P �� /9�S !'�6 Name of Applicant rt/ a"' ,r r 64 " 4 Address /726 /, lr1Itq sr L A J . 47/9�0 G, ' 7 (day)/1.2- DODO Telephone Number ((p/ J) - ,.�' ( ) Type of Function (-0Jfr7 '" (/U yievS -e d-q d (009Pr) Date Requested 7-2/3//-9020 (am/ to -7:00 Decorating Time 50O Function Time go or? (am/pm) to /.2.00 (evening) Use of Kitchen Facility •yes nd Use Time g ; D (am/i) to / ' 0O (awl) Clean-up f .Z A 00 (r6i/�r) to / 90 Number of Participants ° o t ara I7/ Will Admission be charged?JJL If yes, Amount $ Will this event be used as a fund raising event? L7 (wpm) Will alcohol be served? j ABC Permit Submitted? Certificate of Insurance attached? Special configuration of tables or chairs required? (If yes, attach sketch) Special equipment required? (If yes, attached list Copy of Rules & Regulations provided? Initial I CERTIFY THAT I HAVE RECEIVED COPY OF TH1; RULES & REGULATIONS FOR THE COMMUNITY CENTER, AND I AGREE FOR MY ORGANIZATION TO CONFORM TO ALL OF ITS PROVISIONS. Applicant recognizes and understands that use of the City's facility may create a possessory interest subject to property taxation and that Applicant may be subject to the payment of property taxes levied on such interest. Applicant further agrees to pay any and all property taxes, if any assessed during the use of t City's facility pursuant to Sections 107 and 107.6 of the Revenue and Tax ode against Applicant's possessory interest in the City's facility. IOCe Signature CITY OF NATIONAL CITY PUBLIC PROPERTY USE HOLD HARMLESS AND INDEMIFICATION AGREEMENT Persons requesting use of City property, facilities or personnel are required to provide a minimum of $1,000,000 combined single limit insurance for bodily injury and property damage which includes the City, its officials, agents and employees named as additional insured and to sign the Hold Harmless Agreement., Certificate of Insurance must be attached to this permit. Organization 4?v76440 Person is charge of activityk/�✓�� Address MG rtely; j g'-/(jT ark Telephone City facilities and/or property requested t frlay-- Date(s) of use /a ,4 / / G;2') HOLD HARMLESS AGREEMENT The undersigned hereby agree(s) to hold the City of National City harmless and indemnify the City of National City from and against all claims, demands, costs, losses, damages, injuries, litigation and liability arising out of or related to the use of public property by pe -e's agents, employees or contractors. / a1 J�IIAG 7 plicant / Official Title Certificate of Insurance Approved by Name & Title Og D te Rev. 1 /21 /00 2 September 13, 2000 CIU - JUT IfY.01_ OITY ENGINEFRif-S DEPT. RECEIVED teP To Whom It May Concern, We, Sion Centro Cristiano are requesting to use your facility on December 31, 2000. We will be having a New Year's Eve dinner celebration where no alcohol beverages will be served and we will not be charging for admission. We would like to rent your facility from 6:00pm to 8:00pm to set up and decorate and from 8:00pm to 12:00am for the celebration event. We would greatly appreciate your response to this request. If further information is needed, please call at 462-8000. Attentively, do Carballo enior Pastor Sion Centro Cristiano Fernando & Olivia Carballo Pastor 7830 Carlisle Drive, Lemon Grove, CA91945, Tel. (619) 462-8000