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Home My WebLink AboutFacility Use ApplicationNAT )NAL Cl:ry 1110511 jFOBATS0 City of National City Facility Use Application Rev.6/28/11 2100 Hoover Avenue National City, CA 91950 (619)336-4580 Fax(619)336-4594 After hours dispatch: (619)336-4411 TO ALL APPLICANTS: It is strongly recommended that an applicant requesting use uJity Facility attend the City Council meeting when the item is scheduled for consideration in order to answecany questions from the City Council. r- • Facility Requested: please circle Martin Luther King Jr. Building oom Date(s) of Use: PA p r i l Z, 2014 Time of Use: From: , -1: 30 Day(s) of Use: rn co D Apri i 2 9-61 Li m 0 r f t M To: 2: 00 AM40—INCLUDE SET-UP & CLEAN. UP TIME Type of Function/Activity: J610 rc i r Is the event open to the public? 1 B S Name & Address of Organization/Group: t o41011(A Gi-11 O hU hibef off' Corn m c,Ge Non- profit organization: i e }No Tax ID, # G 66' -10 38 18 5 Anticipated Maximum Attendance: 700-800 fr4,e"Alf Percentage of National City Residents Will Admission be charged? NO Amount $ Will this be a Fund Raising Event? N 0 Equipment Requested: 200 # of chairs 100410 # of banquet tables cif Stage \ICS Podium/Microphone **PLEASE ATTACH SEATING DIAGRAM laptop, Spec ';) Audio & Visual Equipment Required? (Please Specify) miGrophoine On rr►Nrecafen) Use of Kitchen: Yes ✓ No Use of Gas for Range and Oven: Is the Use of Alcohol Requested? NO Will other paid services be used (I. e, commercial caterer, DJ, Band, etc)? ‘% Yes Name: 0nKn0wn 4 11rne v(app)ICQttlot'► Phone: Name: Phone: Yes ✓ No No I0r1Gh vviil be ployICicd by r,mptoICOr It is expressly understood and agreed that the applicant assumes all risk for loss, damage, Liability, injury, cost or expense that may arise during or be caused in any way by such use or occupancy of the facilities of the City of National City and/or Community Services Department. The applicant further agrees that in considerations of being permitted the use of the facilities agreed to, they will save and hold harmless the said City of National City, its officers, agents, employees and volunteers from any loss, claims, and liability damages, and/or injuries to persons and property that in any way may be caused by applicant's use or occupancy. I, the undersigned, hereby certify to abide by the regulations governing said facility and agree to abide by all City of National City ordinances and facility rules and policies, and be representative of the user organizations. Further, I agree to be personally responsible for any damage/loss sustained by the ground, building, furniture or equipment or unusual clean up occurring through the occupancy of said facilities. Application 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 the City's facility pursuant to sections 107 and 107.6 of the revenue and taxation code against applicant's possessory interest in the City's facility. I CERTIFY THAT I HAVE RECEIVED A COPY OF 1'Hr RULES AND REGULATIONS FOR THE FACILITY REQUESTED, AND I AGREE FOR MY ORGANIZATION/ GROUP TO CONFORM TO ALL OF ITS PROVISION. DATE COMPLETED: .2 I rJ I I UJ PRINT NAME: iaGq /01In e, L IQGyYoga SIGNATURE:jx ADDRESS OF APPLICANT: ( t'b4I0rctl Gl .11 Blvd, CITY, STATE, AND ZIP CODE: NC11100(A (Ig5O PHONE:DAY6KI) 1�i'IFAXNUMBER: (,icl)'Il1-SOIS CONTACT PERSON ON THE DAY OF THE EVENT: JQGq veil I1 L ti cy 11aso PHONE: (Glci) 411- q 33Cl CELL: on $q0 -66 114 How many times in the last twelve months have you requested to use a City Facility? . N 041 6V ef1i t0121 r5 HAVE YOUR COPY OF APPLICATION IN POSSESION DURING USE Please type or print clearly with a Ballpoint pen. Complete application must be submitted and payment submitted in advanced of the event. Public Works Staff Only - Rental Amount Received: Receipt Number. Deposit Amount: Deposit/ Key Returned: Check Key issued: _ YES NO CITY OF NATIONAL CITY PUBLIC PROPERTY USE HOLD HARMLESS AND INDEMNIFICATION AGREEMENT Person 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 include 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: N Of 4 tOna G i+ 1 G Iamb x or Gornmc-t'Ge Person in charge of activity: 30 OW 01 i n C L. lac nos() , Pr�C� t d cnl /G 60 Address: CIO t'c o 1C4r G1+1 NAktohal Gt-' . GIN gtgSG Telephone: (6I(1) 4l1-US E-Mail: YCNI fOSO1jnG��0no,lc+- Ghc'rnbrt'•o(9 City Facilities and/ or property requested: M L t Y. go id t n9 (En I- i re foC i I i +'I� Date(s) of use: April. 2, 2014 From 7 : 30 ci m - 2 '• 00 pm HOLD HARMLESS AGREEMENT As a condition of the issuance of a temporary use permit to conduct its activities On public or private property, the undersigned hereby agree(s) to defend, indemnify and hold harmless the City of National City and its officers, employees and agents from and against any and all claims, demands, costs, losses, liability or damages for any personal injury, death, or property damage, or both, or any litigation and other liability, including attorneys fees and the costs of litigation, arising out or related to the use of public property or the activity taken under the permit by the permit or its agents, employees or contractors. I/Iff Signal of applicant 2•t5114 Date Certificate of Insurance Approved by Name and Title Safety/ Security Please describe your procedures for crowd control and internal security: icier and \ialun e-cas C(or #11c co1)-rh Goon 1-1 Goircor Credo4 cr c no% Oho Nol vtcnat C -y 6hcnrn19-eir or Gormvr1e4'Cc; 1 bL o� si40 4-o Gon kai crowd (And +magi n4-ain odex c�-- YES 'J NO Have you hired any Professional Security organization to handle Security arrangements for this event? If YES, please list: Security Organization: h4 IN Security Organization Address: NIA Security Director (Name): N i A Phone: N l F4 Additional Requests • Is it possible to set-up the day before the event? Tuesday, April 1, 2014? • No wall dividers • Can we get Parking spaces for employers • No Street sweeping (B Street) • No citations from the NCPD on "permit only" streets X l':101,8 Ygii Finn OUAtiFJEP EMPLOYERS WANTED! Career Pathways to Success Job Fair Hosted by the City of National City, the National City Chamber of Commerce and The South County Career Center A I:I F.ggNIA %+... NATITAL Cfrir ro e crinsoner�D -� SOUTH COUNTY BUSINESS SERVICES pr•IrMallA Wn.11•013.19011104.. More.. i.wp.w.uF.-M M...'.... .• To Participate Download the Registration Form at www.NationalCityChamber.org Submit by March 20. 2014 For more information Call Notional City Chamber of Commerce at (619) 477-9339 Date: April 2, 2014 (Pending Council Approval) Time: 10 a.m. — 1 :00 p.m. Location: Martin Luther King Jr. Community Center, 140 E 12th Street National City CA 91950 This is a no -fee lob fair focusing on employers in the growth industries of Automotive, Healthcare, Hospitality and Maritime. This event is FREE to participate, offers over 600 job seekers, and includes a Continental Break- fast and Lunch for participating employers sponsored by INCLUDES Entrepreneurship Center For Small Business Start-ups 8:30 am— 9:30 am Set Up and Continental Breakfast 9:30 am Welcome and Opening Comments by City Council 10:00am Job Fair Opens to the Public NAVIONALC SOUTH COUNTY .. b) rITIE CI3i 4I13ER y (NCOAPOA/.'�'B Apanr,.nyWlw... O.d Ms DWwWHN..a.. rnsn..o, •. "'}. v;r.o .w..Mi-.H r....m.+.w, v.w.,,.r.., ...., w.wa. ,A • `jpr wNt,l' i)?, f Yam~ Career Pathways to Success Job Fair: April 2, 2014 Hosted by the City of National City, the National City Chamber of Commerce and The South County Career Center This is a no -fee lob fair focusing on employers in the growth industries of Automotive, Healthcare, Hospitality and Maritime industries. Other industries will be considered pending committee review. Please confirm your attendance and participation by completing this form and returning to the South County Business Services Team. Please submit your registration no later than March 20, 2014. JOB FAIR AGENDA 8:30 am— 9:30 am Set Up and Complimentary Continental Breakfast 9:30 am Welcome and Opening Comments by Mayor and City Council, City of National City 10:00 am Job Fair Opens to the Public COMPLIMENTARY LUNCH SERVED AT 1:OOPM FOR EMPLOYERS Company/Organization Name: Contact Person: Title: Type and Number of Job Openings (Indicate Quantity of each): Admin. Labor Executive Application Website: HR Contact: (Name) (Phone) (Email) Tel: ( ) Fax: ( ) E-mail: Address: City Zip: Note: All participating entities will be provided a 6 ft. display table and two chairs. Participation does not include linen, table stands, writing utensils, or clipboards. Please check off below any additional items that you may need to participate in this event: ❑ Will need electrical outlet ❑ Will host a large display and need additional space ❑ Wi-Fi needed 0 Promote your business in the 'Job Seeker' handbook. $50 sponsorship covers employer listing and logo. Please return this completed form to: Diane Rose, South County Business Services dianertU workforce.orq / 619-628-0322 / fax: 619-429-0342