Facilitiesuseagreement (Insertnameofinstitution)

FACILITIESUSEAGREEMENT (INSERTNAMEOFINSTITUTION)

ThisFacilitiesUseAgreementisenteredintoasof ,20 (the“EffectiveDate”),between the(INSERTNAMEOFINSTITUTION)(“Institution”)and (“User”)fortheuseby UserofcertainspaceorfacilitiesownedbyInstitution.

1.Space.SubjecttothetermsofthisAgreement,InstitutionagreesthatUsermayusethe followingSpaceorSpaceandequipmentattheInstitution:

(INSERTDESCRIPTIONOFSPACEANDEQUIPMENTTOBEUSED,e.g.,Classroom150inPainter

Hall)

2.PermittedUse.UsermayusetheSpaceforthefollowing,andfornootherpurpose:

(INSERTDESCRIPTIONOFUSEALLOWED,e.g.,UsermayusetheSpacetoconductnon‐credit classesingenealogy.)

3.Term.UsermayusetheSpaceonthefollowingdatesandduringthefollowinghours:

(INSERTDATESANDTIMESOFUSE,e.g.,EachMondayandWednesday,betweenJanuary1,

2012throughMay30,2012,from6:00p.m.to8:00p.m.,exceptforthosedatesduringthat timeperiodthatareofficialInstitutionHolidays.

4. CompliancewithLaws,PoliciesandRegulations. WhenusingtheSpace,Useragreesto complywithallapplicablestate,federalorcity lawsandregulations,andwiththepoliciesand regulationsoftheInstitutionpertaining totheuseandoccupancy oftheSpace. User acknowledgesthat it has been provided with copies of the Institution’spertinent policies andregulations.

UseragreestotakegoodcareoftheSpaceandtomaintainthespaceinasgoodorderand conditionasitwaspriortoUser’suse.

UseragreesnottouseorallowtheSpacetobeusedforanyunlawfulpurpose.Useragrees nottocommitorallowtobecommittedanywasteornuisanceinorabouttheSpace,or subjecttheSpacetoanyusethatwoulddamagetheSpaceorraiseorviolateanyinsurance coveragemaintainedbyorforthebenefitoftheInstitution.

5.RentalFee.UseragreestopayInstitutionausefeeof$per (e.g.month, year,week)whetherornotUseractuallyusesthespace. Thefirstinstallmentshallbepayable inadvanceonorbeforetheEffectiveDate.Allsubsequentpaymentsshallbe payable in advanceonorbefore (e.g.firstofthemonth).Useralsoshallpaywhen duealltaxes,if any,leviedorassessedagainstInstitutionbyreasonofthisAgreementorUser’suseofthespace

(otherthanInstitution’s incometaxes). AllpaymentsmustbemadetoInstitution) andsentto theaddressindicatedinthisAgreement.

6. Insurance.User,atitsexpense,agreestoprocureandmaintainduringthetermapolicy ofcommercial generalliabilityinsuranceinanamountofnotlessthanonemilliondollars ($1,000,000),singlelimit,againstclaimsforbodilyinjury,deathandpropertydamage occurring inconnectionwithUser’suseoftheSpace. ThisinsurancemustnametheTennesseeBoard ofRegents,InstitutionandtheStateofTennesseeasadditionalinsureds.User must provide Institutionwitha certificateevidencingthisinsurancecoveragenolaterthan ten days prior to User’suseoftheSpace.

7. Liability. UseragreestoconductitsactivitiesintheSpaceinacarefulandsafemanner. AsamaterialpartoftheconsiderationtoInstitution,Useragreestoassumeallriskof damage toandlossortheftofUser’spropertywhileatInstitution,damagetotheSpace,and injury or deathtopersonsrelatedtoUser’suseoroccupancyoftheSpacein,upon,or about the Spacefromanycause,andUserwaivesallclaimsagainst Institution. Userfurther agrees to indemnifyandholdharmlessInstitution,theTennesseeBoardofRegents,the State of Tennesseeandtheirofficers,regents,agentsandemployees,againstallclaims,suits, liabilities, costs,damagesandexpenses(includingreasonableattorney’sfees) arising out of or in connection with: (i)User’suseoroccupancy oftheSpace,oranyactivityorthingdone, performedorsufferedbyUser,itsagents,itsemployees,Users,inviteesorpersonsattendingor participatinginUser’sactivitiesinoraboutthe Space;or(ii)any loss, injury,deathordamageto personsortheSpaceonorabouttheSpacebyreasonofanyact,omissionornegligenceof User,oranyofitsagents,itscontractors,itsemployees,licensees,orinvitees;or(iii)anybreach ordefault intheperformanceofanyobligationonUser’sparttobeperformedundertheterms ofthisAgreement.User’sindemnityobligationswillnotextendtoanyliabilitytotheextentitis causedbythenegligenceofInstitutionoritsagentsoremployees.

8. EnvironmentalRegulations.UserwillnotpermitanyHazardousSubstancetobeused, stored,generatedordisposedofon,inorabout,ortransportedtoorfrom,theSpace,by User,User’sagents,employees,contractors,invitees,subtenants,concessionairesor Users without first obtaining Institution’s written consent, which Institution may give or withholdinitssolediscretion,orrevokeatanytime. IfInstitutionconsents,allHazardous Substances must be handled at User’s sole cost and expense, in compliance with all applicable state, federal or local governmental requirements, using all necessary and appropriateprecautions. IfUserbreachestheseobligations,orifthepresenceofHazardous Substanceson,inorabouttheSpacecausedorpermittedbyUserresultsincontamination ofanypartoftheSpace,orifcontaminationbyHazardousSubstancesotherwiseoccursina mannerforwhichUserislegallyliable,thenUserwillindemnifyandholdharmlessInstitution, theTennesseeBoardofRegents,andtheStateofTennesseefromand against any and all claims,actions,damages,fines,judgments,penalties,costs,liabilities,losses and expenses (including, without limitation, any sums paid for settlement of claims, court costs, attorneys’fees,consultantandexpertfees)arisingduringoraftertheexpirationortermination

ofthisAgreementasaresultofanybreachorcontamination. Withoutlimitation,ifUser causesorpermitsthepresence ofanyHazardousSubstance on,inorabouttheSpaceandthis resultsincontaminationofanypartoftheSpace,Userwillpromptly,atitssolecostand expense,takeallnecessaryactionstoreturntheSpaceand any adjacentfacilitytothecondition existing prior to the presenceof any HazardousSubstance;provided,however,User shall firstobtainInstitution’sapprovalforanysuchremedialaction.“HazardousSubstance”means anysubstanceregulatedbyanylocalgovernment, theStateofTennesseeortheUnitedStates government. “Hazardous Substance” includesanymaterialorsubstances whicharedefinedas “hazardousmaterial,”“hazardouswaste,”“extremely hazardouswaste”ora“hazardous substance”pursuanttostate,federalorlocalgovernmentlaw. “HazardousSubstance”includes butisnotrestrictedtoasbestos,polychlorobiphenylsandpetroleum.

9. AssignmentandSubletting.Userdoesnothavetherightto assignthisAgreementor allowanyotherperson orentitytouseoroccupyanyoftheSpacewithoutthepriorwritten consentofInstitution,whichconsentmaybegrantedorwithheldinInstitution’ssolediscretion.

10.Default.IfUserfailstopayanyfeeorothersumrequiredtobepaidbyUserwhen due, or otherwise fails to comply with or observe any other provision of this Agreement, in additiontoanyotherremedythatmaybeavailabletoInstitution, whetheratlaworinequity, InstitutionmayimmediatelyterminatethisAgreementandallrightsofUser.

11.Interpretation. ThisAgreementconstitutestheentireagreement andunderstandingofthe partieswithrespecttoitssubjectmatter. Nopriororcontemporaneous agreementor understandingwillbeeffective. ThisAgreementmaynotbemodifiedoramendedexceptby writteninstrumentsignedbybothparties. ThisAgreementshallbegovernedbythelawsof Tennessee,thecourtsofwhichstateshallhavejurisdictionoveritssubjectmatter.

12. Relationship. Neither User nor any personnel of User will for any purpose be consideredemployeesoragentsofInstitution.Userassumesfullresponsibilityforthe actions ofUser’spersonnel,andissolelyresponsiblefortheirsupervision,dailydirectionandcontrol, payment of salary (including withholding income taxes and social security), worker’s compensationanddisabilitybenefits.

13. Authority. The individual signing below on behalf of User hereby represents and warrantsthats/he is duly authorizedto executeand deliverthis Agreementon behalfof UserandthatthisAgreementis bindinguponUserinaccordancewithitsterms.

14. Non‐Discrimination.Thepartiesagreetocomplywith Titles VIand VII ofthe Civil RightsAct of1964,TitleIXoftheEducationAmendmentsof1972,Section504oftheRehabilitationActof

1973,ExecutiveOrder11,246,theAmericanswithDisabilitiesActof1990andtherelated

regulationstoeach.Eachpartyassuresthatitwillnotdiscriminate againstanyindividual including,butnotlimitedto,employeesorapplicantsforemploymentand/orstudentsbecause ofrace,religion,creed,color,sex,age,disability,veteranstatusornationalorigin.

15. Conflicts of Interest. The User warrants that no part of the total contract amount providedhereinshallbepaiddirectlyorindirectlytoanofficeroremployee oftheStateof Tennesseeaswages,compensation, orgiftsinexchangeforactingasofficer,agent,employee, subcontractororconsultanttotheUserinconnectionwithworkcontemplatedorperformed relativetothis Agreement.

16.ClaimsAgainsttheInstitution. AnyandallmonetaryclaimsagainsttheInstitution, its officers,agents,andemployeesinperforminganyresponsibility specificallyrequiredunderthe termsofthisAgreementshallbesubmitted totheBoardofClaimsortheClaimsCommissionof theStateofTennesseeandshallbelimitedtothoseprovidedforinT.C.A.§9‐8‐307.

17.Copyrights.Ifmusicistobeperformedinconjunctionwith theuse oftheSpace,theparties agreetoabidebythefollowingcopyrightandperformanceprovisions:

A.theUserherebyassuresthatallnecessarycopyrightandroyaltylicenseshave

beenobtainedfromASCAP,BMI,SESACandanyotherperformingrightsorganizationor thecopyrightownerfortheperformancetobepresentedunderthetermsofthis Agreement.

B.theUseragreestoprovidetheInstitutionthepriorwrittenconsentofSESAC, Inc.orthecopyrightownerforcopyrightedmusicorworkforwhichSESACis the licensingagent.

C.theUseragreestoindemnify,holdharmlessanddefendtheInstitutionandthe

StateofTennesseefromandagainstanyandallclaims,demandsorsuitswhichmaybe broughtforcopyrightinfringementallegedlyarisinginthecourseoftheperformance presentedunderthetermsof thisAgreement.Suchindemnificationshallextendto both criminalandcivilactionsandshallincludeanyandallloss,damage,penalty,courtcosts or attorneys'feesincurredbytheInstitutionasaresultofsuchinfringement.

D.theInstitutionshallpromptlynotifytheUserofanysuchclaimbroughtagainst

theInstitutionortheStateofTennessee.Thesettlementorcompromiseofanyclaim broughtagainsttheInstitutionorthestateshallbe subjecttotheapprovalofthe appropriatestateofficials,asrequiredbyT.C.A.Section20‐13‐103.

16. Term. The term of this Agreement will begin on the Effective Date and end on

, 20 , at whichtime User’sright to use the Spaceunderhis Agreement willautomaticallyexpire. ThisAgreementmaybeterminatedearlierbyeitherpartyuponten (10)dayspriorwrittennoticetotheotherparty.

(NAMEOFINSTITUTION)(NAMEOFUSER)

By

By

Name

Name

Title_

Title_

AddressAddress

INSERTSCHOOLLOGOShortFormat

FACILITYUSAGEAPPLICATIONPage1of2

ApplicantscompletePartI andreadPartsIIandIII.Submitcompletedapplicationto[INSERTOFFICE].

I.INSTITUTIONAPPROVALISCONTINGENTONTHEAPPLICANT’SSUCCESSFULCOMPLETIONOFALLFINANCIALAND/ORINSURANCE OBLIGATIONSASMAYBEREQUIREDBYTHEINSTITUTION.

Pleasetypeorprint:

NameofOrganization/Individual: ContactPerson:

MailingAddress: PhoneNumber:

City: State:

Zip: EmailAddress:

Isthebillingaddressthesameasabove?Ifnot,pleaseindicatewhereinvoicesshouldbesent:

Name:

Phone: EmailAddress:

MailingAddress: City:

State:

Zip:

Pleasefillincompletely:

Non-ProfitOrganizationFor-ProfitBusinessorOrganizationGovernmentalAgencyOther:

(Proofrequired)

LocationRequested:ClaytonPerformingArtsGoinsBuildingAuditoriumBagwellArt/MediaGalleryOtherLocation

Center(CPAC)(AL160)(GN136)(BA142)Buildingroomnumber(ifknown):

Numberofpeopleexpected:

Admission/registrationfee?

(Accommodationcannotbeguaranteedforalargernumberthananticipated)NoYes: Amount:$

_

Date(s)Requested:TimeRequested(from/to):(dailybeginningendingtimes) DateandTimeofPerformance/s:(ifapplicable)

DetailedDescriptionofActivity(indicatenameandgeneraltopicifaspeaker):

**Copiesofmarketingmaterialsneedtobeprovidedto[INSERTOFFICE]priortoadvertisingtheevent!**

Pleaselistanyspecialneedsbelow:

FoodService:[INSERTIFYOURFOODSERVICECONTRACTREQUIRESALLCATERINGTHOUGHYOURVENDOR]Room Setup(Checkall thatapply):Tables: Howmany? /Chairs: Howmany? /Podium: /Other: Audio/Visual:ArrangementswillbemadethroughtheMediaCenter.Contactinformationwillbegivenwhenreservationisconfirmed. SafetyandSecurity:DeterminationofsecurityandinsurancerequirementswillbesolelyatthediscretionoftheInstitution.

OTHER:

FORINSTITUTIONUSEONLY:

APPROVEDDENIED

Date: Comments:

Charges:

Facility: Custodial: Security:

TotalCharges:$ DepositDue:$ BalanceafterDep.:$ DateDep.Paid:

PaymentsMadeonAccount:

By::

Technician: Equipment:

Utilities:

Date:

Amount:$

TBR2012

FACILITYUSAGEAPPLICATIONPage2of2

APPLICANTCERTIFICATIONSANDAGREEMENTTOTERMSOFUSE:

(Pleasereadcarefullyandsign.Applicationwillnotbeconsideredifthissectionisnotcompleted.)

Onbehalfoftheapplicant,IacknowledgebysigningbelowthattheInstitutionhasmadeacopyof[INSERTAPPLICIABLETBR ANDINSTITUTIONPOLICYNUMBERS]availableforreview.Applicantunderstandsthatsubmittalofthisapplicationshall constituteagreementbyapplicanttothefollowingconditions,inadditiontotheconditionsdescribedinthosepolicies:

1) TheintendeduseoftheInstitutionpropertyandfacilitiesbyapplicantdoesnotviolate,andactualusewillnotviolate,the provisionsoftheTennesseeBoardofRegentsPolicyonUseofCampusPropertyandFacilitiesoranypoliciesorregulations oftheInstitution,oranyfederal,state,orlocallaworregulation.

2) Anyuseofcollegepropertyandfacilitiespursuanttothisapplicationthatiscontrarytosuchpolicies,laws,orregulationsor thatisinconsistentwiththeactivityasdescribedinthisapplicationconstitutesgroundsfortheinstitutiontoremovetheactivity fromcollegeproperty.

3) Applicantagreestoindemnifytheinstitutionandholditharmlessfromliabilitiesarisingoutofapplicant’suseofinstitution propertyand/orfacilities,includingbutnotlimitedtopersonalinjury,propertydamage,courtcostsorattorneyfees.

IherebyacknowledgethatIhavereadtheApplicantCertificationsandreferencedpolicies,andagreetoabidebythese requirements.

NameofApplicant

By: Date:

Please mail or fax the completed form to:

[INSERT ADDRESS, FAX AND PHONE NUMBERS]

.

Reservationsforuseof facilities are confirmed when the applicant receives notification from [INSERT NAME OF INSTITUTION] authorizingtherequest.Duetothehighdemandforrooms,wewillnotconfirm,pencil-in,orotherwisereservespacefornon-affiliated groupsbyphoneorverbalagreement.Ifthereisanyquestionastotheapprovalofyourapplication,orifconfirmationhasnotyetbeen received, please contact the [INSERT NAME OF OFFICE] and ask to speak with the staff member that coordinates facilityrentals

TBR2012