Bentley Wilson Park Alpha Kappa Alpha Sorority Inc. Kappa Sigma Omega ChapterADOPT -A -PARK PROGRAM AGREEMENT (APPLICATION
THIS AGREEMENT, made and entered into this day of
Ao� \ � —, 20 n , by and between the City of Sanford, Florida,
whose address is 300 North Park Avenue, Sanford, Florida 32771, (hereinafter
referred to as the "City"), and Alpha Kappa Alpha Sorority Inc., Kappa Sigma
Omega Chapter, whose address is set forth below (hereinafter referred to as the
"Group"). This document shall serve as an application for approval until executed
by both the City and the Group.
WITNESSETH
WHEREAS; the City has responsibility for operation and maintenance of
such City Parks and streets; and
WHEREAS; the City is authorized to contract with the private sector for
performance of certain duties; and
WHEREAS; the City Commission of the City of Sanford has approved the
City's Adopt -a -Park Program by adoption of Resolution Number 2426; and
WHEREAS; the Group is desirous of adopting a section of the following
Park, trail section or public place to remove litter and conduct other related
activities at: Bentley -Wilson Park.
NOW, THEREFORE; the parties agree as follows:
(a). The Group agrees to adopt the above mentioned specific Park, trail
section or public place for litter removal and related activities consistent with the
requirements of Resolution Number 2426 adopted by the City of Sanford City
Commission and other controlling law.
(b). The Group's responsibility shall be as follows and any co-sponsors
shall be jointly and severally responsible for Program compliance relative to all
activities and obligations of the Group:
(1). For a one-year period from the date of execution of this document
by the City, to conduct Program activities along the designated Park, trail section
or public space in accordance with Program requirements. Renewal shall require
the completion of a new application.
(2). To pick up litter at least four times a year within the designated
Park, trail section or public space in accordance with Program requirements.
(3). To provide a designated coordinator for all activities. The Group's
coordinator shall advise the City in the event that the Group no longer wishes to
participate in the Program.
(4). To schedule the date and time of all Program activities through the
City's Adopt A Park contact staff.
(5). To use litter bags and the appropriate disposal at a designated
location or locations as prescribed by the City's Adopt A Park staff.
staff.
(6). To use safety equipment as prescribed by the City's Adopt A Park
(7). To not subcontract or assign its duties and responsibilities to any
other person, group, organization or enterprise.
(8). To conduct all activities on each side of an adopted Park, trail
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section or public space including all areas of the right-of-way as approved by the
City.
(9). To not enter private property during Program activities.
(10). To separate recyclable materials and process such materials as
may be instructed by City staff.
(11). To obey and abide by all laws and regulations relating to safety and
such other terms and conditions as may be required by the City's Adopt A Park
Program Coordinator including, but not limited to, adherence to the provisions of
Resolution Number 2426.
(12). To furnish one adult for every six participants of a Group who are
seventeen years of age or younger. No child under four years of age may
participate in the collection of material in the Park, trail section or public space.
(13). To be responsible for each participant of the Group to wear
approved safety equipment during activities and use City provided gloves and
any cleanup devices as needed.
(14). To be responsible for prohibiting participants from either
possessing or consuming alcoholic beverages or illicit drugs while on the
adopted section and performing tasks associated with the activities and to ensure
that participants have not consumed an any alcoholic beverage of any type or
nature in the eight hours prior to engaging in activities authorized under this
Agreement and to ensure that participants be fit to accomplish work and to not be
under any medical care or taking any prescribed drugs that would debilitate them
from safely engaging in activities.
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under any medical care or taking any prescribed drugs that would debilitate them
from safely engaging in activities.
(15). To provide a proper first aid kit and adequate drinking water for
Program participants who are participating in the activities.
(16). To keep records on City -prescribed forms which indicate, at a
minimum, the hours worked, the number of participants, and the number of bags
of trash removed which records include, but are not limited to in any way, an
individual release, hold harmless and indemnification agreement for each
participant and the parent or guardian of each participant who is a minor on
behalf of the minor.
(17). The Group covenants and agrees that it will indemnify and hold
harmless City and its officials, officers, agents and employees from any and all
claims, losses, damages, costs, charges, liabilities and expenses arising out of
any act, action, neglect or omission by the Group, or any member thereof, during
the performance of this Agreement, whether direct or indirect, and whether to any
person or property to which the City or said parties may be subject.
(18). Additionally, the City has encouraged the Group to procure and
maintain insurance coverages that relate to Program activities although the City
has not made the insurance coverages a precondition of Program involvement.
(c). The City agrees to:
(1). Erect a sign at each of the adopted section with the Group's name
or acronym displayed in one color, as the Group approved on the application
form. No logos may be used. The City reserves the right to approve, disapprove
4113a<
and/or edit names or acronyms to go on the signs; provided, however, that the
content on the signage shall be, and shall remain at all times, government
speech for the benefit of the City and no other.
(2). Issue a Group with a reminder if no activities are reported within six
months. If no activities are reported within nine months, the Park signs will be
removed so that another Group may adopt this section of Parkway.
(3). Provide safety equipment for use during Program activities after the
issuance of which shall be the responsibility of the Group.
(4). Provide forms to document activities which are undertaken and
which are completed.
(5). Provide instructions and training relative to safety practices as well
as with regard to familiarization with the guidelines and conditions that pertain to
the Adopt A Park program to include, but not be limited to, instruction as to
wastes that may pose a hazard to Program participants (i.e. syringes, chemicals,
etc.).
(6). Provide such other materials, coordination, interaction, training and
related matters as the City determines to be necessary and appropriate for the
implementation of the Program.
(d). This Agreement shall remain in effect for a one-year period. The
City or the Group may terminate this Agreement for any reason upon a thirty -day
written notice to the other party.
(e). This Agreement is non -transferable and non -assignable in whole or
in part without written consent of the City.
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The Group to complete the followingo perfect its
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Group Name: Kul
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Group Representative/Coordinator:
Group Mailing Address:
Group E -Mail Address:
Group Telephone Number.• ?)OLA _01a_jqq
K)
Attest:
Witness # 1 Signature
Printed Name:
fitness # 2 Signature
Printed Name: &/-,/ &�,q
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Attest.
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Group
licAtion:
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By:'�4'RkYAQ t
Printed Name: �
Date:
CITY APPROVAL:
For use and reliance of the Sanford
City Commission only
Approveddj4s to form
City of Sanford
I
By:
Signature oT__C7ity Manager or
delegatee)
V. z 2.1
Date.
Name: N\
Organization/Group: On kKfv)Y).,, A(&
A(ress,, ity, Zi code - I \11-0-W SS � (�"
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Email Address: a�Y,,sc� a�)
Day Phone:
Night Phone:. 4
Fax:
Date:
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(Release and Agreement)
The undersigned expressly understands, agrees and acknowledges that
participation in the City's Adopt A Park program could result in bodily injury, death
and/or property damage. The undersigned hereby assumes full responsibility for,
and risk of bodily injury, death and/or property damage due to the negligence of
the City of Sanford (City), volunteers or the organization/group. Further, the
undersigned expressly agrees not to make any claim, suit, action or other demand
for damages against the City for any bodily injury, death or property damage
resulting, in whole or part from the negligence of the City volunteers or the
organization/group whether occurring before or after the date that this Release and
11 P a g e
Agreement is signed. Any and all such claims, suits, actions and demands against
the City are hereby expressly and irrevocably released and waived regardless of
the cause. The foregoing release and waiver of liability is intended to be as broad
and inclusive as is permitted by law. In the event of any part thereof is held to be
invalid, that part of this Release and Agreement which is not invalid shall remain
in full force and effect. The undersigned is competent, of sound mind, and freely,
voluntarily, and knowingly signed their name hereto and having read the Release
and Agreement and on behalf of the volunteers and the organization/group. No
oral representations, statements or inducements have been made. The
undersigned has read and fully understands the rules, regulations and guidelines
for participating in the City's Adopt A Park program. Additionally, the undersigned,
as an individual and organizational/group representative/authority, covenants not
to sue the City in any means or under any process or procedure. The undersigned
binds her/himself individually, all organizations/groups of which he/she and the
volunteers are members participating in the City's Adopt A Park program as
organizations as well as the participants participating from such
organizations/groups. The undersigned represents to the City that he/she has the
full and complete authority to make the statements made herein and undertake the
obligations, liabilities and responsibilities as set forth herein for her/himself and all
others and organizations/groups referenced herein. The undersigned recognizes
the responsibility to obtain releases from individual volunteers and the parents of
individual volunteers who are minors/children. And, the undersigned recognizes
and acknowledges that the City has encouraged the organization/group to procure
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insurance coverages to protect the interests of the individuals and the
organizations/groups referenced herein. The use of the word "City" herein means
and includes the government of the City of Sanford and its officials, officers,
employees, agents, servants, invitees and guests.
I— i,,t �r
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Signature For Organization/ d up
Print Name art
Date: /,2 ( �
Witness # 1 Signature
Print Name: �,
Date: `�• �`{•
i ss# 2 Si atu/re 1
Print Nam �► f rU/71
Date:
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