Reserve Space Grand Park Rental Request Form ORGANIZATION Organization Name * Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Organization Phone Number * (###) ### #### Market Segment * Association Organization Website http:// POINT OF CONTACT Name * First Name Last Name Direct Phone * (###) ### #### Email * EVENT Event Name Start Date * MM DD YYYY Start Time * Hour Minute Second AM PM End Date * MM DD YYYY End Time * Hour Minute Second AM PM Business Classification * Consignment Show Football Holiday Home and Outdoor Lacrosse Marching Band Political Religious Soccer Ultimate Disc Other Event Type * Camp Trade Show Combine Convention or Conference Consumer or Public Show Corporate Meeting Games Meeting League Practice or Training Scrimmage Tournament Tryouts Other Number of Fields Needed * Field Type * Natural Grass Synthetic Indoor Synthetic No Preference Number of Anticipated Attendees * Number of Venders Anticipated Estimated Hotel Room Nights Supplementary Space Needs Event Headquarters Locker Rooms Private Room Meeting Space Classrooms Other ADDITIONAL INFORMATION Will your event need food and beverage service? No Food or Beverage Concessions Private Catering Grab & Go Other Rental Requests (Per Day) Tents Tables Trash Recepticles Other Rental Requests (Continued) MEDICAL Grand Park Sports Campus has a designated "Medical Services Manager" to provide all medical services and coordination for the events at the Campus. Upon execution of the User Agreement, User must contact the Client Services Manager who will exclusively coordinate all trainer and medical personnel arrangements for the Event(s) to be held under the User Agreement. The Grand Park Sports Campus has standards in place that require one (1) athletic trainer per every four (4) fields/diamonds for each hour of use. SECURITY Grand Park requires Westfield Police Department exclusively coordinate all on or off-duty security for event needs. The rate for security personnel is $45.00/hour with a three (3) hour minimum. HOUSING Grand Park Sports Campus has an exclusive in-house housing service to provide housing coordination for all events at the Grand Park. INSURANCE POLICY User will, at its sole cost and expense, and throughout the term of this Agreement, will obtain and continuously maintain in full force from during the time of this Agreement, the following insurance; a. Commercial General Liability insurance of One Million Dollars ($1,000,000.00) per occurrence; b. Commercial General Liability insurance of Four Million Dollars ($4,000,000.00) aggregate; c. Automobile Liability insurance in the minimum amount of One Million Dollars ($1,000,000.00) each accident combined single limit for any automobile.; d. Workers' Compensation and Employers' Liability. During the term of this Lease, User will obtain and continuously maintain in full force and effect Workers' Compensation Insurance in full compliance with the laws of the State of Indiana; e. User shall furnish to the Commission a Certificate of Insurance verifying such coverage, listing the certificate holder as additional insured for the general liability and automobile liability coverage. The certificate holder on the Certificate of Insurance shall be as follows: 1.) Westfield Redevelopment Authority, 2728 E. 171st Street, Westfield, Indiana 46074 2.) Westfield Redevelopment Commission, 2728 E. 171st Street, Westfield, Indiana 46074 3.) City of Westfield, Indiana, 2728 E. 171st Street, Westfield, Indiana 46074 Do you or your attendees have a need for housing? * Yes No Is your organization Tax Exempt? * Yes No Does your organization currently have insurance? * Yes No Additional Notes Thank you!
