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Page 3 of 3 <br />  <br />  <br /> <br /> <br /> <br />  <br />    <br /> <br />The undersigned agrees to the following terms and conditions, along with the Public Facility Policy and all <br />other city regulations that govern the use of Hugo’s public facilities. <br />o The undersigned acknowledges that the facility is in good condition and that it is safe for organization or <br />group to use. <br />o The undersigned will be responsible for all loss, damage, or claims made against them or their party <br />arising out or related to their group’s use of the facility, including damage to facility, loss of equipment, <br />and costs of collection including reasonable attorney fees. <br />o The undersigned covenants and agrees to hold the City harmless and to indemnify the City against any <br />and all claims and liabilities for compensation. <br />o The undersigned understands that all organization members can be held legally liable for improper use <br />of the facility. <br />o The undersigned understands that their signature is made on behalf of their organization. The City may <br />request additional group signatures, or proof of facility rental authorization within the group. <br />o The undersigned understands that the use of the facility is subject to the timely payment of all required <br />fees and deposits, as adopted by the City. <br />o The undersigned understands that this application is subject to approval by the city. If approved, this <br />application becomes a binding agreement between the undersigned and the City of Hugo. <br />o The undersigned certifies that information provided herein is true and correct. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />I certify that the applicant submitted all the required materials and is approved to rent out the requested facility <br />at the specified date(s) and time(s), <br /> <br />Facility Rental Application <br />Agreement for Assumption of Responsibility and Waiver of Liability <br />Organization/Group Date <br />Print Applicant Name/Title Print Applicant Signature <br />Staff Name/Title Staff Signature <br />Staff Certification