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SPORTS AND PROGRAM CO-SPONSOR AGREEMENT (10) CITY OF CLEARWATER SPORTS AND PROGRAM CO-SPONSOR AGREEMENT THIS AGREEMENT, made and entered into this 23 day of_Lmte�mbr .__=0 by and between the CITY OF CLEAkWATER, FLORIDA, a municipal corporation of the State of Florida, herein referred to as "City", P.O. Box 4748, Clearwater, FL 33758 and the CI arwater E et herein after referred to as "Co-Sponsor Group" (address) WITNESSETH. WHEREAS, the Co-Sponsor Group is an organized recreational group or program approved by the Parks and Recreation Director, which provides its own volunteer leadership and administration; and WHEREAS, the City recognizes the Co-Sponsor Group as providing a valuable service to the community, through their extensive use of volunteers and' volunteer resources,: and WHEREAS, the Co-Sponsor Group meets all of the criteria included in this Agreement, and WHEREAS, the Co-Sponsor Group desires to use various City-owned facilities for organized sports programs and or various other recreational related activities for the citizens of Clearwater; and WHEREAS, the City owns certain public properties and facilities that are available to be utilized by the Co-Sponsor Group for their programs; and WHEREAS, the Co-Sponsor Group may use the physical facilities owned and maintained by the City or leased to the City subject to the terms of this Agreement, NOW, THEREFORE, in consideration of the covenants herein contained and other good and valuable consideration, the City agrees to allow the Co -Sponsor Group to utilize City facilities as described in Exhibit "J" attached hereto, as may be amended' from time to time, and is hereby made a part of this Agreement, under the following terms and conditions: Recitals. The foreqoina recitals are-#ue and eerFect arid die incorporated in and forma part of this Agreement. 1 1 Pa 2. The term of the Agreement will be for a period of one (1) year commencing October 1, 2020 and ending September 30,2021 3. The Co-Sponsor Group agrees to abide by and enforce all City ordinances as they relate to Parks & Recreation. The ordinances can be found at: htts://Iibrary.municode.com/fl/clearwater/codes/code of ordinances 4. This Agreement may only be amended by written amendment to this Agreement, executed by both Parties. 5. This Agreement will remain in effect unless terminated by either party as follows: a. Upon breach of this Agreement by a party, the other party will give written notice of termination of this Agreement specifying the claimed breach and the action required to cure the breach. If the breaching party fails to cure the breach within five days from receipt of said notice, then the contract will terminate ten days from receipt of the written notice. b. Either party may terminate this Agreement without cause by giving written notice to the other party that the Agreement will terminate 30 days from the receipt of said notice by the terminating party. 6, Subject to available funding, the City will provide and maintain facilities for the Co - Sponsor Group for their approved program and activity. The City of Clearwater Parks and Recreation Department is dedicated to improving the overall quality of sports and athletics in the City and reserves the right to close any field, at any time, for any reason, in its sole discretion, including but not limited to, for maintenance purposes or poor field conditions. 7. Any unpermitted use of a facility or field may result in fees, and or immediate termination of present and/or future field use. Individual teams or participants using closed facilities,will be considered representatives of the Co-Sponsor Group in which they participate. 8. The Co-Sponsor Group agrees to provide recreational programs and activities to primarily benefit the residents of Clearwater. The City will actively promote the Co- Sponsor Group programs and activities utilizing City resources i.e. my Clearwater Magazine, C-View, etc. Promotional materials must be approved by city liaison before distribution (i.e. camps, clinics, tournaments, etc.). Any promotional materials using the City of Clearwater logo must receive written approval prior fo drstr�bu ion. 2l P a g 9. The City of Clearwater complies with the Americans with Disabilities Act of 1990, Public Law 101-336, July 26, 1990 (42 USCA § 12101) ("ADA"), which prohibits discrimination on the basis of disability. The ADA, as applied to cities, counties, and other local governmental entities, requires that no qualified individual with a disability shall, on the basis of a disability, be denied the benefits of local government services, programs, or activities. The Co-Sponsor Group acknowledges the importance of complying with the ADA and agrees to educate itself and its members of all requirements of the ADA and will abide by same. M The Co-Sponsor Group shall not discriminate on the basis of race, creed, color, age, national origin, religion, sex, disability or any other protected class in accordance with current state or federal laws. The City reserves the right to terminate this Agreement. immediately upon breach of this covenant, 11. The Co-Sponsor Group shall maintain legal status as a state or federal Internal Revenue Service approved 501(c)(3) organization. Such status shall be maintained during the term of this Agreement and proof of this status shall be submitted to the City annually, If 501(c) (3) status is rescinded, suspended, cancelled, or otherwise changed, the Organization shall notify the City within thirty (30) days, Failure by the Organization to maintain such status shall be cause for immediate termination. 12. The Co-Sponsor Group agrees to provide competent leadership for the program, The Board of Directors, as established by the organization's by-laws, will include at minimum, one (1) City of Clearwater resident. The Board of Directors will conduct the program in the best interest of the City of Clearwater. 13. The Co-Sponsor Group agrees to provide recreational programs and activities to primarily benefit the residents of Clearwater. The CO-Sponsor Group agrees to promote their program to the citizens of Clearwater and that a minimum of 50% of their participants will be residents of the City of Clearwater. If the 50% target is not being satisfied, the Co-Sponsor Group may submit a plan to achieve this goal or an alternative that must be approved by the City. Failure to maintain fifty percent (50%) resident participation may be cause for termination with thirty (30) days' notice, if a viable plan to increase resident participation is not approved by the City. 114. The Co-Sponsor Group agrees to submit the following as specified, and if appropriate as outlined in corresponding Exhibits. Failure to comply with this procedure may result in future co-sponsorship agreement denial, fees, immediate termination of present and/or future field use, or .......................................................................................................................................................................... -of current-co.- sponsor agreement. 3 1 P a. The Co-Sponsor Group will provide the following information each year as outlined in Exhibit A. Specific range of dates for their primary season and registration dates. Request the facilities and/or fields for their primary season • Request any special event dates such as tournaments, clinics, camps, fundraisers, etc. Charges will be determined per the agreement. b. Current roster as defined in Exhibit J Due Date: or as defined in Exhibit J. Rosters must include the following: 0 Name of participant 0 Participant's home address 0 Participant's date of birth 0 Parent/Guardian Name 0 School Attending C. Payment for participants who do not have valid participant cards. Due Date: or as defined in Exhibit J. Each participant is expected to possess a current City of Clearwater Recreation Card, The card must be valid for at least % of the Co-Sponsor Group's season as outlined in Exhibit J. A fee will be accessed to the organization for each member determined not to have a current City of Clearwater Recreation Card, regardless of whether the individual is a City of Clearwater resident or non -resident. 0 Current fees are as follows: • $128,40 for recreational • $192.60 for competitive ............. Oras i��MOIMTWbit J. ....... .... .......................... ......................... 4 1, P a R e • If a player does not have or purchase a Recreation Card, the fee charged to the organization will include tax. The organization is acting as a conduit for the individual and as such is responsible for the tax portion of the Recreation Card purchase, • Roster payments must be accompanied with a Participant Card Application for each person without a valid Recreation Card, See Exhibit K. • This fee is subject to change as defined in Clearwater Code of Ordinances, Appendix A - Schedule of Fees, Rates, and Changes; X1 Parks, Beaches, Recreation - Use of Facilities by nonresidents (ch 22). • It is recommended that the Co-Sponsor Group retain a copy of the participant's recreation card or a copy of the recreation card receipt. d. An accurate facility and/or field schedule for approved season, depicting actual use. See Exhibit J. e. A complete list of current Board of Directors: Due date: 10/15/2020 f. A list of all coaches and their certifications and proof of required Level 11 or City approved equivalent background checks. See Exhibit C & J. 9. Copy of by-laws: Due date: - 10/15/2020 h. Verification of non -profit status.- Due date: 10/15/2020 i. A copy of Insurance Certificate naming the City of Clearwater and the Pinellas County School Board as additionally insured, and waiver, if applicable. See Section 16 for coverage requirements: Due date, 8/1/2021 or as needed See Exhibit H for Insurance Exemption Form j. DR-14 (tax exemption form), if applicable: 10/15/2020 k. Annual financial statement, Due date: 2/1/2021 See Exhibit I for template of minimal requirements, I. Annual Co-Sponsor Group Summary Report: .. ...... .... ................ .......... - S-ubrnifted at the end of the approved season. See Exhibit G for template and due date. 5 1 P a F", e M. Submit nomination for Excellence in Youth Sportsmanship Award: Due date- 12/31/2020 n. Copy of concessions manager certification, if applicable.- Due date: N/A 0. Emergency Action Plan for each facility used during season: Due date: 10/15/2020 See Exhibit F for Emergency Action Plan template. 15. The Co-Sponsor Group agrees that it will indemnify and hold harmless the City, its officers and employees from liabilities, demands, damages, losses, and costs to the extent caused by the negligence, reckless, or intentionally wrongful conduct of Co- Sponsor Group, staff, volunteers or agents, or on account of any unsafe condition that may exist as a result of the negligent operation by Co- Sponsor Group, staff, volunteers or agents of the facilities. 16. The Go-Sponsor Group further agrees to carry at its own cost and expense, acquire and maintain during the term with the City, sufficient insurance to adequately protect the respective interest of the parities. Specifically, the Co- Sponsor Group must carry the following minimum types and amounts of insurance on an occurrence basis, or in the case of coverage that cannot be obtain ed on an occurrence basis then coverage can be obtained on a claims- made basis with a minimum three (3) year tail following the termination or expiration of the Agreement. These insurance requirements shall not limit the liability of the Co-Sponsor Group. The City does not represent that these types or amounts of insurance to be sufficient or adequate to protect the Co -Sponsor Group,"s interests or liabilities, but are merely minimums: a. Comprehensive General Liability insurance on an: "occurrence" basis including but not limited to bodily injury, personal injury, and property damage with limits not less than $11,000,000 per occurrence, $2,000,000 aggregate. b. Automobile Liability insurance for any motor vehicle owned by, hired by, used by, or used on behalf of the Co-Sponsor Group, providing Bodily Injury Liability and Property Damage Liability covering any injury or damage with limits no less than $1,000,000 per occurrence, $2,000,000 aggregate. If the Co-Sponsor Group does not own any motor vehicles or use City Property as the origin for group travel, this insurance is not required. c: The City'recommends but does not require thefollowing coverages to protect the Co-Sponsor Group. The City is not liable and shall be 6 1 P a g �e indemnified against any claims arising from any claims made against the recommended coverages provided below® i. Property Insurance ii. Crime and Employee Dishonesty Coverage iii. Sexual Abuse & Molestation Coverage iv. Workers Compensation Coverage V. Employers Liability Insurance ADDITIONAL INSURED: The City is to be specifically included as an additional insured on all liability coverage described above except for the Workers' Compensation coverage. OTHER INSURANCE PROVISIONS: The General Liability and Automobile Liability policies are to contain, or be endorsed to contain, the following provisions: 1. PRIMARY INSURANCE COVERAGE: For any claims related to this Agreement, the Co-Sponsor Group's insurance coverage shall be primary insurance as respects the City, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Co- Sponsor Group's insurance and shall not contribute to it. 2. RIGHT OF RECOVERY- Except for Workers' Compensation, the Co- Sponsor Group waives its right of recovery against the City, to the extent permitted by its insurance policies. CERTIFICATE OF INSURAN'CE/CERTIFIED COPIES OF POLICIES: The Co- Sponsor Group will provide the City with a Certificate or Certificates of Insurance showing the existence of coverage as required by the Agreement. In addition, the Co -Sponsor Group will provide to the City, if asked in writing, certified copies of all policies of insurance. The Co-Sponsor Group will maintain the required coverage with a current Certificate or Certificates of Insurance throughout the term of the Agreement with the City. New certificates and new certified copies of policies shall be provided to the City whenever any policy is renewed, revised, or obtained from other insurers. The address where such certificates and certified policies shall be sent or delivered is,as follows: 71 Pr e City of Clearwater Attention: Athletics Office 1160 Seminole Street Clearwater, EL 33755 And City of Clearwater Attention: Risk Manager 100 S. Myrtle Ave. Clearwater, FL 33756 17. The Co-Sponsor Group will maintain a positive relationship with the City and Parks and Recreation Department by: a. Obtaining prior approval for any activities. b. Obtaining prior approval for any field or facility improvements. c. Providing all requested information and paying all fees on time. d. Informing Parks and Recreation staff of field problems or schedule change requests in a timely manner. e. Enforcing and abiding by all applicable laws, rules, policies and procedures. f. The Co-Sponsor Group President will be the liaison with the City unless the President appoints another representative. 9- The City and the Co-Sponsor Group will make a good faith effort to reply to all communications (phone, e-mail, etc.) within two (2) business days. 18, The Co-Sponsor Group will act as a good caretaker and custodian of all City of Clearwater property by avoiding any activity that may damage the facilities, by cleaning up trash after each use, by enforcing the "no smoking" policy, by utilizing lights only when needed and turning them off after use. 19. The Co-Sponsor Group will assume all responsibility to monitor storm conditions and evacuate playing fields of participants and spectators when the threat of lightning or dangerous conditions approaches. Co-Sponsor Group will cancel 81 Page games when field or playing conditions could cause harm or damage to participants or to the facilities i.e. flooded fields. 20. The Co-Sponsor Group will validate the quality of adult leadership by conducting and authorizing annual Level 11 or City approved equivalent criminal background checks, on all persons acting as a coach, and any person acting in an official capacity with any organization directly overseeing the Co-Sponsor Group's youth activities. These checks shall be conducted and completed prior to the beginning of each playing season or involvement with children and shall remain valid for the duration of this agreement. The Co-Sponsor Group shall employ a reputable company to conduct such checks. A statement confirming the completion of the background checks is due to the Athletics Office prior to the first day of utilization of any City facility hereunder. Co-Sponsor Group is responsible to notify the City of any persons acting in an official capacity with the organization added during the season or after initial form was provided. Said individuals shall undergo the criminal background check and a notarized form must be provided for each individual added. The Co-Sponsor Group shall also adopt and publish a criminal background check Policy to be used for determining an individual's eligibility to coach. Should an individual be disqualified' as a result of the check, the Co -Sponsor Group will prohibit that individual from serving in any official capacity with the Co-sponsor Group's activities, 'disqual'ify that individual from providing any services or participating inl any activities contemplated under this Agreement, and notify the City of said applicant disqlualification. The Co-Sponsor Group shall establish a, Policy as to how its criminal background checks will be processed and will pay for the cost of each background check, Exhibit "C" — Criminal' Background Investigation Policy is shown as a base required for the Co-Sponsor Group. The Co-Sponsor Group shall furnish to the City a listing of the persons that have successfully undergone a Level 11 or City approved equivalent criminal background check prior to the beginning of any individual's involvement with any youth related activities. A Co-Sponsor Group Board member and Notary Public shall sign this listing for final verification of the actions taken by the Co-Sponsor Group. 21. Volunteers under the age of 18 must be approved by the Co -Sponsored Group in advance. A written list of all qualified volunteers under the age of 18 must be submitted to the City prior to use of volunteer. 9 1 P a a. Minors may access the facility but only in the presence of an approved coach. b. Minors cannot supervise other minor participants of the program. 22, The Co-Sponsor Group will recognize and support City public/private partnerships. The Co-Sponsor Group will be given ample notice of such partnerships and their responsibility if any. 21 The Co-Sponsor Group must receive prior written approval from Parks and Recreation to make any alterations, changes or additions to the existing facilities. The Co- Sponsor Group is responsible for submitting a facility improvement request form for reviewlapproval. 24. The Co-Sponsor Group is not permitted to operate a concession stand when an outstanding City agreement is in place. The Co-Sponsor Group will not engage in private third-party operations of the concession stand. In the absence of an outstanding City agreement, the Co-Sponsor Group is permitted to operate a concession stand. The Co-Sponsor Group will also be responsible to maintain the concession stands to the standards established by the State of Florida Department of Health and the City of Clearwater as outlined in Exhibit B. Any Co-Sponsor Group that operates a concession stand will be required to have their concession manager become a Certified Professional Food Manager. As regulated by the Florida Department of Health, food service operations must provide annual training for employees. It is the responsibility of the certified manager or person in charge to train or ensure the training of all employees under their supervision and control who engages in the storage, preparation, or serving of food, or cleaning of equipment, utensils, or food contact and, non -food contact surfaces, and to do so in accordance with acceptable sanitary practices. The trainings must be annual, and provided to employees by March 31 of each year. Employees hired after the annual training has been provided for that calendar year must receive training within 30 days of being hired. The certified manager or person in charge must also maintain a copy of the establishment's most recent regular food service inspection form provided by the department. Employees shall present this inspection form to guests or patrons for their review upon request. 25. Facilities constructed by the Co-Sponsor Group i.e. press boxes, concession stand, batting tunnels etc., will be maintained by the Co-Sponsor Group. Failure to maintain these facilities in a manner acceptable to the City shall be a material 10 1 P a g e breach of this Agreement and may result in the termination for cause of this Agreement, 26. Schedules submitted by the Co-Sponsor Group must accurately depict field/facility use and any changes must be approved before they are implemented. The City reserves the right to revise or revoke schedules of facilities based on inappropriate use or non -use by the Co-Sponsor Group. The City also has the sole right to assign fields or facilities to others if use by the Co Sponsor Group is not substantiated. 27. The Co-Sponsored Group will be responsible for all tournament fees for any tournament. Any other events including fundraising events or activities will be charged per the Athletics Office fee schedule. The Co-Sponsored Group will be responsible for all facility fees for any non -sponsored seasons. Th e Co- Sponsored Group will be responsible for all facility fees for any camps/clinics when registration fees are required to participate, The Co-Sponsored Group will be responsible for direct City costs for any camps/clinics open to the public and free to participate. 28. Any revenue collected by the Co-Sponsor Group on City property must be used to promote and support the Co-Sponsor Group's activities. Use of funds for other purposes could result in termination of this Agreement. 29. The Co-Sponsored Group agrees that all staff, coaches, volunteers and agents of the Co-Sponsored Group shall conduct themselves as good role models exemplifying good sportsmanship, cooperation and appropriate behavior. The City reserves the right to require removal of any person associated with the Co- Sponsored Group if he/she is deemed to be exhibiting behavior detrimental to overall success of the organization or City. 30. The Co-Sponsor Group and all its invitees will abide by all applicable law s and all City policies when using City facilities, including those policies which state that the consumption of tobacco products or alcoholic beverages on City or School property is prohibited, 31. The Co-Sponsor Group further agrees to make no unlawful, improper, or offensive use of the facilities. 32. If either party terminates the Agreement, any improvements made to the property by the Co-Sponsor Group will remain the property of the City. 33. The Co-Sponsor Group may not assign this Agreement or any of its rights hereunder, nor permit others to use the facilities or any part thereof without the written consent of the City. The Co-Sponsor Group shall not permit any third- 111 P a g F.- party usage. This Agreement is a privilege for the benefit of the Co-Sponsor Group only and may not be assigned in whole or in part by the Co-Sponsor Group to any other person or entity. Any attempt to assign the rights or obligations of this Agreement shall render this Agreement null and void in total. The Co-Sponsor Group understands that the Co- Sponsor Group's use of the facilities is nonexclusive, 34. Use of facilities by the Co-Sponsor Group is intended solely for the purpose of training and competition for the Co-Sponsor Group's rostered participants. Any personal use by volunteers is prohibited 35. Any vendor sales (merchandise or concessions) must be approved in writing by the City of Clearwater Athletics Office prior to the event, 36. Co-Sponsor Groups are responsible for informing their members of current guidelines and rules as outlined in this Agreement. Organizations are expected to take reasonable measures to ensure compliance during their events. Violations may result in the suspension or cancellation of this Agreement. 37. Any questions arising out of the use of the facilities or otherwise arising under this Agreement must be submitted in writing. 38. Special conditions or other issues (i.e. maintenance issues, payment of fees, special needs) will be covered in Exhibit(s) and attached hereto and made a part hereof. 12 1 P IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first written. Witnesses: As to City Manager or Designee "tt 4 As to Co -Sponsor Group President Designee/City Liaison By: By: CITY OF CLEARWATER, FLORIDA City Manager or Designee or Designee 13IPage EXHIBIT A City of Clearwater Co-Sponsor Group Primary Season Use Request DUE DATE: Co-S,ponsorGroup: Specific Range of Dates for Primary Season: Requested Facility/Field Primary Season: Requested Special Event Dates (Tournaments, Clinics, Camps, Etc.). Charges will be determined per agreement. E-mail: Phone#: Submitted By: Date: 141 Page EXHIBIT B City of Clearwater Concession Stand & Office Building Policies & Procedures City of Clearwater Parks and Recreation Department permits various organizations, groups, and agencies to use the con cession/storage/office bu i Id ing on property owned by the City of Clearwater. Permission to use City of Clearwater property and/or facilities shall be based on the following conditions: A. The use of the property and/or facilities shall be on a seasonal basis rather than a permanent one. For example, a baseball organization may be permitted to use the facilities and/or property during the baseball/softball season and a soccer organization may be permitted to use the facilities during the soccer season. B. All groups who use the concession will be responsible to maintain the concession stands to the standards established by the State of Florida Department of Health. Any Co-Sponsored Group that operates a concession stand will be required to have their concession manager become a Certified Professional Food Manager. Concession cooking and sales are only permitted with a valid license from the Department of Health. With prior written approval from the Athletics Office, concession stands without a valid license from the Department of Health can only sell prepackaged foods that do not require preparation (chips, pretzels, etc.). Bringing foods to, sell from home or grilling on site is not permitted. C The City will retain the rights to program any facility and associated amenities (concession, press box, conference rooms, storage rooms, etc.) it deems appropriate at anytime during the year. All due diligence will betaken to minimize the impact on a Co- Sponsor Group during their season. The City of Clearwater reserves the ri g h t to open a n d staff the concession stand for a n y City sponsored event, regardless of the gime of year of the event, The City will make every effort to work with the organization if the event is held during the organization's "tradition al"season. D. The City of Clearwater shall have the right to enter and remain upon its property for the purpose of examining and inspecting the space and determining whether the Co- Sponsor Group is in compliance with Department policies with respect to care and maintenance. Access to the concession stand and/or office building (pin numbers an:d/or keys) will be issued on an as needed basis through the City of Clearwater Parks & Recreation Department. The Co- Sponsor Group is prohibited from making copies of said issued keys. The organization may not change out any locks on any of the buildings. Anyreq,uest 15 1 P a g E., for a changing of the locks must be submitted to the Athletics Office in writing. Additionally, no improvements (painting, signs, etc.) can be made at any building without prior written approval by the Parks and Recreation Athletics Office. Any unauthorized hanging of signs will result in their removal and the organization will be billed for the labor and any resulting damage. The Co -Sponsor Group shall provide keys/access to any shed or equipment stored at or on city property. E. The Co -Sponsor Group may be required by the City of Clearwater Parks & Recreation Department to remove all stored materials following the completion of the season so another user group may use the area. The user is responsible for keeping the storage area in good condition and must meet all OSHA or applicable regulations for storing materials. Violationsof these rules may result in the user losing the use of the storage area. F. The Co -Sponsor Group is required to maintain the cleanliness of the office and common conference room area and any storage room assigned to the organization. All records relating to the organization (registration forms, medical releases, etc.) shall be kept in a secure office or secure cabinet, not the general conference room. The common room must be cleared of all organizational paperwork, equipment, etc. at the end of the season. Rooms designated to Co - Spon sor o-Sponsor Group during approved season; Room/Space Duration of use The undersigned acknowledges receipt of this document. Contact/Representative: Date: - Z --z 161 Page EXHIBIT CA Criminal Background Investigation Policy For Adult Volunteer Coaches in Youth Sports The City of Clearwater, Florida has a desire to protect the safety and welfare of its youth during their participation in all sports or athletic activities that are Co-Sponsored by the City. Recognizing the nation-wide incidence of crimes against children requires pro- active steps to provide protection to children participating in organizations involving sports a n d ath I eti c competiti o n. The City requires that all coaches (must be at least 18 years or older) that utilize th e City ath letic facilities,or the facilities secu red by the City„as a part of any City sponsored youth sports or athletic activities shall be required to submit themselves to undergo a Level 11 or City approved equivalent criminal background investigation prior to their participation. One such example of a City approved equivalent is a NCSI criminal background investigation. After initial compliance and everytwelve (12) months thereafter, all volunteer coaches as stated above must undergo criminal background investigation. Criminal background investigations must be performed Eipr to the volunteer being assigned any duties or responsibilities at any City sports or athletic facilities, The City may determine the time of year the investigations are to be conducted depending on the beginning,of their practice season(s)or events. An individual convicted of any of the following criminal offenses shall be disqualified from participation as a volunteer in any City sponsored sports or athletic activities utilizing City sports or athletic facilities. Aggravated kidnapping In decent exposure Injury to elderly or Aqqravated robbery disabled. Aggravatedsexual assault Intoxication offenses* Arson Kidn,apping Assault* Marijuana r)ossession* Any violation of the law intendedto control Murder the possession or distribution of any Obscen ity Prohibited sexual conduct controlled substance or Illegal druq Prostitution (including promotion of, Crimes again st ch ildren --aggravated promotion of, solicitation) Criminally negligent homicide Ra e Deadly conduct Sexual abuse Delive ofmagi uana Theft* DUl- Voluntary Manslauahter 17 1 P g *NOTE. Assault/ D U I / Intoxication offenses/ Marijuana possession /Theft— Eligibility depends on the severity and length of time passed since the offense occurred. In misdemeanor convictions for these offenses, the disqualification will occur with a second misdemeanor conviction. Depending on the time frame of the DIUI, driving while representing the organization is not recommended. This list of offenses is not intended to be all inclusive and in no way sets limits on the offenses that are deemed grounds for disqualifying an individual from affiliation with the Co,-Sponsor Group. Decisions on all other crimes or offenses not otherwise described above will be made at the sole discretion of the Co-Sponsor Group or City, in accordance with the law. If a volunteer or other agent of the Co-Sponsor Group is determined eligible for affiliation and is laterarrested or convicted of any of the above crimes, he/she is required to notify the Co-Sponsor Group immediately. He/she will be removed immediately from his/her volunteer position until the case has been finally adjudicated. Failure to notify the Co- Sponsor Group of any arrests or convictions from the list above, will result in the volu Meer being immediately removed from all Co-Sponsor Group volunteerduties for a minimum of twelve (12) months beginning on the date the failure to notifywas discovered, or for such othertime as required by law. In the event the Co-Sponsor Group is notified that a volunteer has been determined ineligible to volunteer for the organization, it is the responsibility of the organization to supply the Athletics Office with a revised volu nteer list. IN DEPEN DENT SANCTION ING AUTHORITY COACHES,,ASSISTANT COACHES, AND REFEREE BACKGROUND SCREENING The City requires that an "independent sanctioning authority", defined therein as, "a private, non-governmental entity that organizes, operates, or coordinates a youth athletic team in this state if the team includes one or more minors and is not affiliated with a private school as defined in s. 1002.01" (Florida Statutes), conduct Level 11 (2) background screening pursuantto s. 435.04, F.S., or City approved equivalent, of each current and prospective athletic coach. Athletic Coach is defined for these purposes as 1) "a coach, ,assistant coach, or referee working for 20 or more hours within a calendar year, whether for compensation or as a volunteer, for a youth athletic team based in Florida-, and 2) has direct contact with one or more minors on the youth athieticteam." This responsibility may not be delegated to an individual team. The independent sanctioning authority may not authorize any person to act as an athletic coach unless a Level 11 (2) or City approved equivalent screening is conducted which does not result in disqualification as provided for in s. 435, F.S. Level 11 (2) or City approved equivalent background screenings must be conducted annually for each coach. The background screening shall include a search of the athletic coach's name, or other 18 1 F) �1 g e identifying information against state and federal registries of sexual predators and sexual offenders, which are available to the public on Internet sites provided by the Florida Department of Law Enforcement under s. 943-043, F.S. and the Attorney General of the United States under42 U,S.C. s. 16020. An independent sanctioning authority shall disqualify any person from acting as an athletic coach as provided for in s. 435.04 or if he or she is identified on a registry as described above, must notify a disqualified person within seven (7) days of the background screening,advising of the results; and maintain for at least five (5) years, a copy of the res u Its a n d written notice. 19 1 11 e EXHIBIT C.2 AFFIDAVIT OF CRIMINAL BACKGROUND SCREENING INDEPENDENTSANCTIONINGAUTHORlTY (1.S.A.") NAME: DATE: By signing this form, I am swearing or affirming that all individuals employed by, or volunteering as a Coach, Assistant Coach, or Referee within my organization ("I.S.A.") providing services to City under this Agreement, or conducting activities on City property, have completed the background screening requirements set forth above and as required by law, and been deemed eligible by I.S.A. to provide services as a Coach, Assistant Coach or Referee underthis Agreement. The information contained in this Affidavit is up to date as of the date this Affidavitis dated and furnished to the City of Clearwater Parks and Recreation Department per the requirements of Sections 14(f), 20, and 30 of this Agreement. All individuals providing services u nderth is Agreement are listed below. Each individual shall be identified by name, birth date and date deemed eligible. This affidavit must be provided to the City on the annual anniversary of the date above, for as long as this Agreement is effective. [Please attach additional sheet(s)if needed]. (List of Individuals) Name Birth Date Date Deemed Eligible 01 Pape Signature of Affiant Sworn to and su bscri bed before me th is day of 20 Notary Public MY Commission Expires: My signature, as Notary Public, verifies the Affiant°s identification has been validated by Personally Known OR Produced Identification Type of Identification Produced 1lP $; g EXHIBIT C.3 ATTESTATION OF COACHES' CERTIFICATIONS By my signature, I attest that the coaches listed below have completed the following certifications/classes and are eligible to coach with the Organization. Name Certification Contact/Representative Date: -Z-2o2 22 IPage EXHIBIT 0 PARKING RESTRICTIONS During the Co -Sponsor Groups season, the Co -Sponsor Group is responsible for assigning members of their organization to manage and control parking, and to keep fire Ian esand access for emergencyvehiclesclear. The Co-SponsorGrou ps will ensu re that all vehicles only park in designated legal parking lots or stalis. Parking or driving on fields, medians, sidewalks, bike lanes, paths, or other unauthorized areas inside the park are strictly prohibited. The City ultimately retains the right to prohibit parking at any Location. The Co -Sponsor Groups will control the parking at the facilities they occupy to conduct their programs. For example: a. Countryside Sports Complex: Parking is not permitted along the right-of-way on McMullen Booth Road. Additionally, vehicles may not park in the swale between the sidewalkand the right-of-way. Co-SponsorGroups usingthisvenue will help promote good neighbor cooperation with Chi Chi's Golf Course by ensuring that Chi Chi's parking is not encroached upon. b. David Martin Fields at Glen Oaks Park: Parking is not permitted along South Hillcrest Ave., South Turner St., or South Evergreen Ave. c. ECM 8 and 9 Fields: Parking is not permitted in the Eisenhower School parking lot during school hours. d. Frank Tack Fields: Parking is not permitted in the grass along Montclair Road. e. Joe DiMaggio Baseball Fields: The Go -Sponsor Group will ensure that vehicle traffic associated with their activities will not drive on the maintenance/emergency access road between the turf multi-purpose fields. Additionally, no vehicles are permitted to park next to the baseball fields. f. Sid Lidcton Park: Parking is not permitted along the roadside of Saturn Ave. g. Vehicles/trailers are not permitted inside any of the facilities nor on any turf su rface without prior written approval from the Athletics Office. h. Long Center: No field parking unless approved and responsible to reserve spaces for Long Center patrons as directed by staff. Failure of the Co -Sponsor Group to control the parking at any of these facilities during their activities will result in the Ath letics Office reassigning the number of games, game start times, and/or the number of fields that can be in use at each facility to ensure compliance with the parking restrictions at each site. In addition, the City reserves the right to schedule staff at the Co -Sponsor Group's expense to assist with mitigating any parking concerns. Non-compliance with the assigned game schedule will result in the loss of privileges at that facility. Contact/Representative: Date: `i- x 1-2o2 23 i P a g;e EXHIBIT E CO-SPONSOR GROUP'S RESPONSIBILITIES The Co -Sponsor Group agrees that during the term of this Agreement, the Co -Sponsor Group will at no cost or expense to the City, provide the following maintenance and/or repair: a. Stripe each turf field as needed. b. Pick up all paper, cigarette remnants and debris and place in trash receptacles, including the breakdown of all boxes. c. The Co -Sponsor Group will enforce the City's No Smoking Ordinance, No Pets Ordinance, and all other posted rules. d. The Co -Sponsor Group, any league, team, group, or person, using a City park under this section and failing to leave it clean of litter to the satisfaction of the City, will reimburse the City for city worker time used to dean the facility. e. Provide for an y special needs or services such as security or traffic control devices or officers needed as a result of Co -Spon sor Group's use of the Facility. f. Light deaning of the restroom facilities on a daily basis when in use. g. The Co -Sponsor Group shall not store any items outside the storage room nor dispense of any trash outside the facility area otherthan in containers provided bythe City. h. The Co -Sponsor Group will issue to the City three keys to any Co -Sponsor Group initiated lock used at any City facility as well as anytime the locks are changed. i. As noted earlier, while the Co -Sponsor Group's use of the facility is nonexclusive, subleasing of the facility or assigning use of the facility by the Co - Sponsor Group is not permitted. Such activity by the Co-SponsorGroup could result in termination of this agreement j• The press box, multi-purpose areas, office space, concession areas and storage rooms must be cleaned and organized on a nightly basis. The Co -Sponsor Group shall receive an invoice from the City, as applicable, if the Co - Sponsor Grou p does not follow through with these re.sponsibilities. Failure to make such a payment will be grounds to bar the Co -Sponsor Group from use of the facility until the fee is paid or acceptable remedial action is taken. Contact/Representative—, Date: '-3D 24IPage EXHIBIT F EMERGENCY ACTION PLAN EMERGENCY ACTION PLAN for Facility Name: Facility Ad'dress- Facility Phone Number: Date Prepared: EMERGENCY PERSONEL NAMES AND NUMBERS Designated Emergency Contact Name: Phone: Back-up Emergency Contact: Name. Phone: EVACUATION ROUTES Site personnel should know at least two evacuation routes. Evacuation route plan. The following information is to be marked clearly on an evacuation plan that is readily accessible to the Emergency Contacts on-site. 0 E me rg e n cy exits, 0 Primary and secondary evacuation routes a Location s,of f i re extinguishers 0 Fire alarm pull stations' location 0 Assembly points EMERGENCY PHONE NUMBERS: 9-1-1 UTILITY COMPANY EMERGENCY PHONE NUMBERS Electric Company: Water Company: Gas Company: 2 5 P a EMERGENCY REPORTING AND EVACUATION PROCEDURES Types of emergencies to be reported to site personnel are: Medical, Severe Weather, Fire 0 Other Terrorist attack, bomb threat, hostage, etc. MEDICAL EMERGENCY Call medical emergency phone number- 9-1-1 Provide thefollowing information- • Nature of medical emergency, • Location of the emergency (address, building, room number), and 16 Your name and phone number from which you are calling. Do not move victim unless, absolutely necessary, The following personnel are trained in CPR and First Aid to provide the required assistance prior to the arrival of the professional medical help: 1. 2. 3. Attempt first aid ONLY if trained and qualified. FIRE EMERGENCY When fire is discovered: 0 Activate the nearest fi re alarm (if i n sta I led) 0 Notify the local Fire Department by dialing 9-1-1 0 If afire alarm is not available, dial 9-1-1 and notify everyone at the facility to evacuate to their closest exit. Fight the fire ONLY if: 0 The Fire Department has been notified. 0 The fire is small and is not spreading to other areas. 0 Escaping the area is possible by backing up to the nearest exit. 0 The fire extinguisheris in working condition and personnel are trained to use it. Upon being notified about the fire emergency, occupants must: & Leave the building using the designated escape routes. 0 Assemble in the designated area (specify location): 26 zi g e Remain outside until the competent authority (Designated Official or designee) announces that it is safe to reenter. Designated Emergency Contact should: Coordinate an orderly evacuation of personnel. Perform an accurate head countof personnel reported to thedesignated area. ■ Determiine method to locate missing personnel. Provide the Fire Department personnel with the necessary information about the incident. CHEMICAL SPILL: 0 Do not attempt to clean the spill unless trained to do so. 0 Call 9-1-1 and attend to any injured persons. a Evacuate building as necessary. The following are the locations of: Spill Containment and Security Equipment: Personal Protective Equipment(PPE): MSDS: When Chemical Spill has occurred: 0 Secure the area.. and alert other site personnel, a Call the Fire Department if site personnel are unavailable. SEVERE WEATHER AND NATURAL DISASTERS Hurricane,- If Pinellas County is under a Hurricane Watch or Warning, all activities will be cancelled, and no one will be allowed to enter our facilities. Please instruct all parents, coaches, athletes to stay home and seek shelter, LightninglThunders'btm (www.lightningsafety.noaa.gov) 0 NoplaceOUTSIDE is safe during ath u nderstorm! A house,orotherfu 11yenclosed building with wiring and plumbing offers your best protection against lightning, A car with a metal roof and sides is you r secon d4)est protection agai n st I igh tn ing. 0 The "30-30 Ru le"offers easy to follow lightning safety guidance. Wh en you see lightning,countthe time until you hearthunder. If that time is 30 seconds or less, the thunderstorm is close enough to be dangerous. Seek shelter. Ifyou can't see the lightning,just hearing the thunder is a good back-up rule. & Wait at least 30 minutes after the lightning flash before leaving shelter, 71 P Tomado: a When a warning is issued by sirens or other means, seek inside shelter. a Consider the following: - Small interior rooms on the lowest floor and without windows, - Hallways on the lowest floor away from doors and windows,and - Rooms constructed with reinforced concrete, brick, or block with no windows. 0 Stay away from outside walls and windows. 0 Use arms to protect head and neck. s Remain sheltered until the tornado threat is announced to be over. 2 8 P EXHIBIT G CO-SPONSOR ORGANIZATION ANNUAL REPORT This documentation provides a breakdown of the organization. The document is an overview of the (year. season) City of Clearwater Co -Sponsorship Agreement. This report is due Organization Description: (Brief description of organization's mission, history, and programs offered) Participation Numbers: (Number of participants per session and/or program; include participants info for each division/age bracket) Volunteer Numbers: (Number of volunteers and hours volunteered) Accomplishments/Highlights: (Awards, crinics, camps, championships) Requested Facility Improvements: (Add-ons or renovations which may benefit organization/offier facility users) Con ctiRepresentative: Date: `r?-Z*-2.ciz-b 29 J Page EXHIBITH Certificate of Insurance Sample SAMPLE CERTIFICATE OF UASIXY INSURANCE mn um"Au m mwo P&A moarif�or Oft'LW ANO C61MR03 NO AKWit upi'm THE; A&MCA" WWI NOT A"ANARNOV ON NiaAM14T AMEW IVIND UR R,Mk ?1401 0700141.,A'1�1141 A0i�411)10d:16C'l VY 10110 PICININAV,* RFLC�6 THIS ERTOFICATE OF Wii*Aw�f&,oEll w`tl 0,1°,DkTRACT RETWFFN THE irtlthWl WWRFIRk q, AUIA-V,4HZ!�Cl, aRmy,wyk ............. w MM WAIVED _"o w M W_M—ow-4 M".1 —Q.lam Qw ---—-— M M._=Qw N&V 0 uy i,A wxj%wh&,�6.0 uMaVOdPWnO .................... INSUWK�E CA.,4571AMI WIFORMAT11,3N NAME? WrMrirm WNSURNG CHGANAZA I HAJ ..................... " ................ 4, "'P, + `,,AW ImWx, Cf Ktm K"i .................. 4'il.,�,[_Jill,,,�kwHI"I txR qi PA.r`r K'4 "I lw"ItIWIWIII�IRIN111,10*00 Q1r,1Q�X14'S,'WP11 AN,' r�,/ r'lll,�1-111"""Jlli""�,,�"",U ow R dMD N M"K97,kN IE P'q2,.*xv,,1 AhFOb<'Xl V NZ PNnXS DCARIM =M"S SARV R&I"A E C11,J111"A'DAV�Alhil-11D,:101i"D,fPNS ly SIVIC.4, .)V,77swa remr!MAr-XVE REF4 R0"Z1JLZ,S i FAC C-AAKI, X y A.W�WQX71 -M bamw#&fft w WNIM m t 1 014,w` "on AVA sm rw " ryyovuAm"wwwo t X AnNAU _2� L NUMAM SIV IV ............. . ........ 2, L] MUMMY WSWOKE Agwo,4we ........... &t CAMWr OPMU'M I LCCAMM hwfMCIft gXX09, req'516OWNG 0RGNKUTWKDP1 v,6LREE,TEOV,NAME X TEAM cr 7EAM7,# My of Clearwatcv SWULD ANY w 7w Aww MsrRwa 644 r"'E.S sip 4,"rg Lpx.wl;ofiF, WRL, EjPRvKvg [Ayc rwwuf, NDTKE wnLL K 06406WP P.O. Box 474A Clearwater, FL 33758-4W C11101041#11 ACINU) AV rqoRo reserved AA C'Ab 2E&g101 V02, he A(GOID,namw wd Muqu N f.,rep9tAw-,A ma 3Ql Pa g EXHIBIT I ANNUAL FINANCIAL STATEMENT ANNUAL FINANCIAL STATEMENT FISCAL YEAR ENDING NAME OF OGANIZATION REVENUE Amount ltem Registration CFYGrants Clinics Tournaments Sponsorships Concessions Fundraisers Donations Miscellaneous $0.00 Total Revenue $0.00 Total Expenses $0.00 Total Revenue $0.00 Profit/Loss EXPENSES Amount Item Marketing Uniforms Awards Dues (erk() Day Concessions Benefits Salaries Miscellaneous $0.00 Total Expenses Contact/Representative: Date: '1 -V37 -74e4) 31IPage EXHIBIT J — Clearwater Bullets Special Conditions The organization's president or authorized representative must attend the co - sponsor president's meetings conducted by the Athletics Section. Rosters for each team using city property. o (Season): January 1, 2021-April 30, 2021 • Roster due- 1/11/2021 or_prior to first scheduled use • Card good: through: 3/1/2021 (at least 50% of season) o (Season): May 1, 2021 —August 31, 2021 Roster due- 5/1/2021 or..P.rior to first scheduled use ■ Card good: through: 7/1/2021 (at least 50% of season) o (Season): September 1, 2021 —January 10, 2022 • Roster due., 9/112021 orprio,to first scheduled use • Card good through: 11/15/2021 (at least 50% of season) • Roster Payments • (Season): January 1, 2021-April 30, 2021 0Roster payment due: 1/15/2021 • (Season)- May 1, 2021 —August 31, 2021 - Roster payment due, 5/15/2021 • (Season): September 1, 2021 — January 10, 2022 a Roster payment due: 8/15/2021 An accurate facility and/or field schedule, depicting actual: use ie. games, practices, meets, tournaments, and events. Blanket schedules will not be accepted as firm schedules. The following dates apply- o (Season)- January 1, 2021-April 30, 2021 a Due- 12/15/2020 o (Season): May 1, 2021 —August 31, 2021 0 Due: 4/15/2021 o (Season): September 1, 2021 — January 10, 2022 0 Due- 8/115/2021 A list of all coaches and their certifications and proof of required Level 11 or City approved equivalent background check is required prior to the start of every season, for each, team using city property. o January 1, 2021- April 30, 2021 coaches Level 11 or City approved equivalent • Due- 1/1/2021 or prior to the first scheduled use o January 1, 2021- April 30, 2021 coaches' certifications • Due- 1/1/2021 or prior to the first scheduled use o May 1, 2021 equivalent • o May 1, 2021 • — August 31, 2021 coaches Level II or City approved Due: 5/1/2021 or prior to first scheduled use — August 31, 2021 coaches' certifications Due: 5/1/2021 or prior to first scheduled use o September 1, 2021 -- January 10, 2022 coaches Level II or City approved equivalent • Due: 9/1/2021 or prior to first scheduled use o September 1, 2021 — January 10, 2022 coaches' certifications • Due: 9/1/2021 or prior to first scheduled use • Co -Sponsored Usage Dates: o This agreement covers the requested dates for competitive softball team practices only based on availability: a October 2020 — September 2021 • Additional Considerations: N/A Contact/Representative: Date: EXHIBIT K Participant Card Application CLEARdw ATER PARKS.E RECREATION DEPARTMEST RECREATION CARD APPLICATION w _ laZv r All REGUIWA 770W,P V(PYRIr"A VALIP P 101t;w Fnrst dd.LU Loa_NAMdta cfEartla t. E. d, E, Mailimp Address: "Cape t7 Cratem E-MaJlAddrez,,s Teiapaho ne a%a Cell##r Eatergeaacpw Tedepslaamtae a#,. WAWER OF RELEASE OF UARILITY 44,rr4awa nw a w rw,ry;w uerw,;m4w nmro 2'a mmud aar xr a��w Jxnrr,!s, ^rui wd�a waw P ewsaVtaM+u#xwema�,�r kM ufr, a"rkruu*gnu.Mwawi s'd'wr Vdr a r Prrd waxes#c ad a'diwr,u.wadrw a 5imre the Cater of Gearnwatar is asaa t arvware of Me or eamt depveanaieaawm"'s)p hy'sirap condition or trasaaiaag far various acor dams and dta ctoanradrs atwaraa of the daetaetits sand opropaortao-mltawr:of d to my dependeantts,i acne by partjrnpanou in a tMtes sptrMMred by idoe Citi mat CGwar star,p state a,tmdpwr.: 111 or=V a*psesideaacgs p dsraul d r"uffot aaa inju7 or 41nary,as a ¢pAnz,p awatlicrire 'saps aepre:wwaatadvols to rase them distretiv a to have mai Or amP andetntpsp vanspoated to a tnedtcai tadUtF ttrr treatrmneaet and'd We fuU ramp owi&idary for this arboaa and a-pew to pawn a ^expense 6msaarr*d for this treatsaaennt: G cmrtser agree to amdemamaaaf,y&n d save shad d aodd harzWoss d ww Carp„mP Ciearawatar,ds a nes mar Age=for Any personal aa* my deFe ndeolls,k or I Might zaaew durl a g pa atdrra dra recreation a ravrraes' FLEASS READ WK OF F'td9ddA9 FOR IMPCdddTAXT PARTICIPANT WORMATION MORE E,dCrPd'$no, 14ppdiramt s Ep; ft"or L*gal Gamaardiaan Cao-dMpplicaart Date Offla USE ONLY dfResiidrmm ptwmmftafaesddemwcp MaawtifiratawaatiscludeddmtaanantmatmtmfWoo Resident � C:m�t aentaatEa Pw s:tatesm amt�'�dd daFr sr lwss� ttehiete reRistraattaam Prop"rOwner 12 Fltarmda Photo LD.Card 0 poter pall, a ' „ urdrdictie,an Koaa-dtesideaat r", Cnarreatt aatilitY lualld`s,i ierrt dram 90 days mlda Type utdity tictdre£banter Mdi jtry 0 ddilttary LD, Silver Easealrers C property dppraisex",s:dtffa,ce C#rcfaer city Employ" Ck)t LM City 3dad Eaepr flo e dadraaa-Rasrderwt Disabled Veteran(will roared to pro Rede documentation Bram,the Veteran's a dvaiattmtrationt Patron-ldeside-alit Youth Sports Card,fv*r*rrtterta program are applicable I l Total Fees paid Pled"of Payr neat Eeceiprt 0 (Psmch4dimnE sales tax) 1ta, atio m Verdied dna g4 ry raguyna tlr r,�ap araiJd d9„'F'8m' ",daune r'"i 6t P,",�.'a APIAwm ONA1`MYMMArmN o,wk,ma�'r^rom'M arod' Y#data tl" ,a aWYwrv ,rmx MAIGANA 10 u: wr �°wm .agWa+rrwrRvarv) r 9rd;Myd'oaae adla*ww' r"a.�e xru^mw vw:aaaJ V,7,'war lSJaa.R`Yaw,r rrerin, aaV "c"rcmm;mamrva.I�,dro�,rvkraWrM. 0"f�nrr�uru> pnruw mrar enmwd'ma^�roamroma uuwwmusP�wnx"r mwa*f.dlYar,�wq'4ndmw're dm&',rcmwx . 3 A P a !" bu 5, IrA r,P,If I A I"a(""ard ,ry,I A 001,0;"',; Ii-d'At's nre,"711 A") CLEARWATER PARKS&RECREATION DEPARTMENT RESIDENCY GUIDELINES A, Provide psoof of residenqr, Stas up to theappbcarn to pwrvetilait lie or sbeis,a ourrentre:Wetuoftate ctr of iClearwater,Any rvroi ) Frootof,dependency®-Dirt cert tate air other,pirwfaf,dependency Maybe required. 21 A ct=m onrumAl voter ildentficanon card shomnj the City as"LlIP", 3. Any orik =IrrI bil]�ess diem90 darz old that suers applicant"r name and a Ciq,aff Clearwater rendential 4. A curr*I r_ng propemy ran bill(w nonce I ro four,name shwMnj a I of Clearwater properre address. 51 An qriMV,4 notarized or reg4isvereddeed,,maMagekrlease showingyour name a:the owneiror Occupant at that cin,of cleanva"T*ddmz,o An,2riWjiA notxIzO zatemear frotnm Laduft relagne drat are a tu,N torr resident in hu,or her home and any lL_ — other two proofs hste,4 abowneshaviiing that home Sias a CTof Clearwater address R. FAMILY: Husband and wife ornmro Wsomi vAth a Ragtstered DarnestfcPartnerslmpwitli the City,ofiClrat waterat, ft, eH&s County,Flonda,or a ie Pak guardian xN4 therr aiDdrez who live in the samehousahoid.who are 18 years of aha or under,or less than 23 rears of agL-and a fiiH-iftme college=,dent,WI of any age w"family statu:rmay be required, C, Complete-and ngn the fifer*ado n CA rd,App,1I DPay the apprI re g=—ation fee, Note 1, "FiLIMIA11*111"City of atarwater emplM!ees,their immediate family. members,City of Clearwater retirees and acdr* durl members of the U4 CoIw 0 uard or mikitary and their immediate farad es(proof requzi*d)are ane mpt from the ather procfefresidenzy reqvacements, Moto 2: Fahstified bacmucon-Paficaton of appheAdon information zaay da: the APph=-1 fr=hiture paitripation in Chir of Clearwater recreation prorams and co-,;ponsar sports participation. 11. R: "S.(Rec CArd/Plus Free) A. Prmde proof of CUMsm Pension par stuh Wfth medical inswance, En" NON-RESIDENTS� Programs that t7pwa,27 reach capactit.7 may,have registrabor,para rates that,O"Clearwater reslder=pharity, IV. NON-RESIDENT DUABLED VETERANS: Will need to provide docamentation tam the Veterans Adoamistritiom is wffl fine attached to the Rec.Card Apphratian. U, ALL PARTICIPANTS PLLUE NOTE: APersonal training is probfted at any ofour fecilrdes,unless the individual L,a ca=.act m=icwrWft the City,of Clearwater. 8, Loss Cards-A replacement card for residents and non-residents cost$5 plus to C Refund Policies All reftud roquem are 54R ,pecir to adminutraman approval. AB(ow fourtc,six week,,fist rehinds to he Processed,. Recreation f Ratand7, Re,creation Cards wig not be reftuded after ten busiriess days fran:I af issue,Requet's for refunds,mus be submAted in wraing with the r'Ard Wr pas",Attached, Open Swilm/Opea,51kAire Refund It the city, niust diase a poial or skate park,unexpecte&y,parniII who hav*b*en M the for,less than an hour may be given a rain chfiIck for another visit, Nerain()RIGINALir durceiverkv Ow Wendar,piI 34 1 P vera