From: ISD 191 Community Education
200 W Burnsville Parkway, Suite 100
Burnsville, MN 55337
Your insurance on file expires on 7/1/2019. If your policy expires before or during your event, please send an updated certificate.
Permit # 1810-0269
Facilities Agreement
Last Edited: 4/15/19 at 4:25pm

Contact/Billing Person: Carrie Westrum
Office Phone: (858) 707-4193 Email: bac1959.secretary@gmail.com
 
EVENT NAME: BAC TVB
To: BAC (entered by FS)
100 Civic Center Parkway
Burnsville, MN 55337

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Summary  Facilities Rental: $ 0.00 Estimated Total Charges: $ 0.00
Other Needs: $ 0.00
Extra Charges: $ 0.00 Balance Due: $ 0.00
Total Amount Paid: $ 832.16
Remaining Balance Due: $ 0.00
Set-Up Notes:
04/29/19:
displaced from MMS due to site scheduling therefore rate is staying the same as MMS
05/14/19: 15 cafeteria tables down for seating
 
Other Conditions:
The undersigned is the BAC Secretary of BAC (entered by FS) , the organization requesting use of the ISD 191 Community Education facilities as noted in this contract. I have the authority to legally bind this organization and hereby obligate the organization shall maintain Commercial General Liability (CGL) insurance and, if necessary, Commercial Umbrella insurance with a limit of not less than $1,000,000 each occurrence/$2,000,000 Aggregate. The CGL insurance shall be written on ISO occurrence form CG 00 01 04 13 (or its equivalent), and shall cover liability arising from premises, operations, products/completed operations, personal and advertising injury, and liability assumed under an insured contract. District 191 shall be included as an additional insured on a primary/noncontributory basis under the CGL policy. Organization shall provide District 191 with a certificate of insurance evidencing the above coverage. Organization shall indemnify the school district and hold it harmless from any liability arising from use of the school district property.

Meetings and events not involving athletic activities or the use of industrial equipment and with expected attendance of less than 150 people may not be required to carry independent Certificates of Liability Insurance (COLI). This decision will be determined on a case-by-case basis at the discretion of the 191 Facilities Department at the time of the Facility Use Request submission.

The organization has familiarized itself with the Facilities Use Policy of School District 191, ISD 191 Facility Use - Rules and Regulations, and the ISD 191 COVID-19 Preparedness Plan for CE Facility Use and agrees to comply with all conditions of the provided documents, including the following: 1). MN Statute 624-701 prohibits the possession of alcohol on any public elementary or secondary school property. Any person that has possession of alcohol on school grounds is guilty of a misdemeanor. 2). ISD 191 has a smoke free policy. No smoking is allowed anywhere on school district property or in school district buildings. 3). Groups must limit themselves to the space reserved. Members of groups found in unauthorized areas may result in the group having their permission to use facilities rescinded. 4). All rooms are to be left clean and arranged in the same manner they were found. The organization will be responsible for any and all damages to the school district property arising from its use. 5). Payment must be received in the Community Education office before the date of the event. Make checks payable to: ISD 191. Please sign one copy of contract and return with payment. 6). Due to allergies/health concerns, latex balloons ARE PROHIBITED in all buildings in the district at ALL times.

A PERMIT FOR THE USE OF THE SCHOOL FACILITIES MAY BE CANCELLED FOR FAILURE TO ABIDE BY THESE RULES AND REGULATIONS, INCLUDING BUT NOT LIMITED TO A FAILURE TO ENFORCE HEALTH AND SAFETY EXPECTATIONS RELATED TO COVID-19. In the event that a permit is cancelled pursuant to this paragraph, Community Education will refund the Permit Holder for the rental fees applicable to the dates remaining under the permit at the time of cancellation, but shall not refund dates prior to the cancellation or the permit (processing) fee.  

COVID-19: Use of School District facilities is at Permit Holder’s own risk. Although the School District conducts regular and thorough cleaning of its facilities and follows state and federal public health and safety guidance pertaining to COVID-19, the School District cannot guarantee that Permit Holder and Permit Holder’s participants, staff, volunteers and invitees will not be exposed to COVID-19 while using School District facilities. As a condition of granting a permit, Permit Holder acknowledges this risk. When using School District facilities, Permit Holders are required to abide by all public health and safety guidance applicable to their particular use, including state and federal guidance issued by the Minnesota Department of Health and the Centers for Disease Control (CDC) pertaining to the COVID-19 pandemic, as well as all applicable Executive Orders issued by the Governor of Minnesota. Permit Holders are expected to have a COVID-19 preparedness plan related to their use of facilities and may be required to produce their COVID-19 Preparedness Plan upon request. COVID-19 Preparedness Plans should address all applicable public health and safety considerations, including, but not limited to screening and health checks, hygiene and health etiquette, social distancing, face coverings, disinfection of high touch items, health related exclusions, maximum participation numbers, and communication and training. Due to the additional staffing needs and supplies required for cleaning during the current COVID-19 pandemic, an additional cleaning rate will be applied to all permits for proper sanitization 30 minutes prior and 30 minutes following the use of district facilities.

Groups renting facilities whether indoors or outdoors should be mindful of the weather conditions and communicate accordingly to their participants. Proper hydration, clothing, physical activity, travel conditions and nearest areas that provide shelter in case of severe weather should all be addressed to participants.
  
The organization accepts that the school district may have to preempt its scheduled use of district facilities, in which case understands the district will give as much advance notice as possible and that any money the organization has paid for use of the facilities will be refunded.

I understand that representatives of our organization will conduct themselves in a mature and responsible fashion in their dealings with children, staff and parents and that failure to do so may result in suspension or loss of the organization's facility use privileges.

NOTICE OF CANCELLATION IS REQUIRED AT LEAST 7 BUSINESS DAYS IN ADVANCE OR THE USER WILL BE CHARGED THE FEES LISTED ON THE PERMIT. EXCESSIVE CHANGES MAY ALSO RESULT IN ADDITIONAL FEES.

THIS CONTRACT MUST BE SIGNED,DATED AND RETURNED TO BE VALID & HONORED. PLEASE BE SURE WE HAVE AN EMERGENCY CONTACT NUMBER ON FILE FOR YOUR GROUP/ACTIVITY.

Custodial Cell Phone Numbers:
Burnsville High School - 612-490-3168
Cedar School- 612-490-2494
Diamondhead Education Center - 612-490-3059
Eagle Ridge - 612-490-3060
Edward Neill - 612-490-0476
Gideon Pond - 612-490-3227
Harriet Bishop - 612-490-3067
Hidden Valley - 612-490-2496
Metcalf - 612-490-2382
MW Savage - 612-490-0560
Nicollet - 612-490-3259
Rahn - 612-490-0041
Sioux Trail - 612-490-1450
Sky Oaks - 612-490-3069
Vista View - 612-490-3192
William Byrne - 612-490-3131

 

Signature
 

Signature
Kristi Myers
ISD 191 Community Education
Attachments:
Carrie Westrum
BAC (entered by FS)