George Touhy Park Preservation HallADOPT -A -PARK PROGRAM AGREEMENT (APPLICATION)
THIS AGREEMENT, made and entered into this 1 day of
20L2, 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 Preservation Hall, 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: George Touhy 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
I I I I a a e
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
21 P ag e
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.
31Pa
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 : i,�t :r:s a;,: iui5, off° ers, agEi,ts and am;ioyee rri: a,y died 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). Erecta 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
41''
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 "ity 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
..
u' . d pt Pa -kr buy, iot lirr ii(^; ; to. 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 wit! out vaett6n consent or the City.
5I
The Group to complete
Group Name:
(lowing to perfect its application:
M
Group Representative/Coordinator:
Al-. ,
Maiiii-i.p Address:_ _____..__ ALI/ »
Group E -Mail Address:�
Group Telephone Number:
_(
�Atest: Group
it, s "0 Signature Printed Name:
�r nted Name: A Date:
Witness # 2 Signature
Printed Name: ( ,,
Attest:
Cynthia Porter, City Clerk
For use and reliance of the Sanford
City Commission only
Approved as to form and legality.
/I- t . /0!5 w 'w'
ill-iam L. Colbert, City Attorney
City of Sanford
B w.
Signature of City ager or
delegatee).
Date: A / a /
61
SIGN UP SHEET AND AGREEMENT ACCEPTANCE
CITY OF SANFORD ADOPT -A -PARK PROGRAM
B«nnysignature to,Ulisdocument, | acknowledge and agree that | have read and understood
the attached Release and Agreement attached to this Sign Up Sheet and inUand, in exchange
for the city Of GoDford's permitting my participation and/or my minorchild's participation in the
ao8 on 2O, / . at
0 of fo a (location) to be fully and legally bound by the
terms at A r�ee
PLEASE PRINT CLEARLY
« /L� � | ndiAddress:
Email:
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City, State & Zip Code:Volunteer
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Address:
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City, State & Zip Code:
trILLegal Guardia ignature:
Phone:
3 69
Minor — Yes
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Minor's Nan -(e:'
Volunteer or Legal Guardian Name:
Email:
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Address:
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A/,&/ o e- Z&te
City, State & Zip Code:
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Minor — Ye's or
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3 69
Minor — Yes
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Minor's Nan -(e:'
Volunteer or Legal Guardian Signature:
Phone:
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Volunteer or Legal Guardian Name:
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Email:
Address:
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City, State & Zip Code:
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Minor — Ye's or
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Minor's Name:
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CITY OF SANFORD ADOPT -A -PARK PROGRAM
N am e:
<,,
Organization/Group:
Address, City, Zip code:
-lid -7
Email Address: X42.
Day Phone:
Night Phone:
Fax:
Date: "7
(Release and Aqreement)
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 rieghgu,i6e ol'tare City of Sanford volunteers of trie urganizatioriigroup.
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 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
1 nder�,+ands 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 <A `oz ger} and 'organizaflons/grnkjos 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 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.
Signature For Organization/Group
Print Name:-1A.S�
Date: a 1A ("7
Witness # 1 Si
Print Name: _
Date: <—
,V# 2 Signature
ame: ,