Jonesville USE REQUEST and USE Agreement

The Organization requesting space assumes all risks and indemnifies the County of Alachua and the Gainesville Soccer Alliance, Inc. (GSA) from all judgments and claims resulting from the actions and conduct arising out of the Organization’s use of the Jonesville Soccer Complex. The Organization shall provide GSA with a copy of Certificate of Insurance listing Alachua County and GSA as “Additional Insured”. The Organization shall be solely responsible and answerable for damages and for all accidents or injuries to persons or property arising out of, or caused by acts of omissions or the negligence of the participants, the Organization, its agents and employees. The Organization also understands that permission to use the complex is strictly for the purpose of recreational activity and that no commercial enterprises are allowed without expressed written permission. Organizations are responsible for leaving fields in good condition. Remove bagged trash and debris to designated area. Park vehicles only in designated area. Violations on rules may result in NO future approval for complex use.

Please enter your name:

Please enter your email address:

Date Requested:

Time Requested:

# of Fields Requested:

Activity or purpose:

Please describe activity or purpose:

Any Turf marking needed?
(must be approved by GSA)

 Yes No

Name of Orgnization/Group:

Contact Person:

Telephone:

 Home Cell Fax

Mailing Address:

FEE/Field Charge
(to be completed by GSA per
GSA-RFP#06-59 fee schedule)

________________________

50% Deposit upon approval:
(due 14 days before the event)

________________________


                        ************* GSA USE ONLY *************
GSA, Inc. APPROVAL

___________________________________________________
Signature and Title of GSA, Inc Representative          Date

Request for field markings:                                yes          no                Approved          yes          no
Waive GSA exclusive Concession rights:         yes          no
County Park Rules Provided:                            yes          no
Certificate of Insurance received:                      yes          no
Deposit Received:_________________________Date
Payment Received:_________________________Date
Park Left Clean of litter and debris                   yes          no