CarteretCountyParks and RecreationPark Policies and Procedures
Addendum C. Park Facility Improvement Request
(Includes, but is not limited to:
Fields, Buildings, Structures and Erecting Signs)
Name (Organization): ______
Address:______
______
Telephone:______
Fax:______
E-Mail:______
Park/Facility:______
Projected Start Date:______
Projected Finish Date:______
On page three (3)
Give a detailed description of the Park/Facility Improvement:
Draw a diagram of project or submit drawing:
Submitted By:______Date:____/____/____
Approved By: ______Date: ____/____/____
CarteretCounty Maintenance Division Representative
Comments: ______
______
______
Approved By: ______Date: ____/____/_____
CarteretCountyParks and Recreation Director
RELEASE OF LIABILITY
Indemnification – It is expressly agreed and understood that the department will not be liable for any claim damages, losses or expenses of any kind whatsoever, whether to persons or property (including, but not limited to those claims, damages, losses or expenses resulting from or by reasons of the department’s negligent acts or omissions) arising out of, related to or connected with any accident, occurrence or event on or about the department’s property, when the accident, occurrence or event takes place while the individual/league/organization is repairing, building, erecting signs, installing or any improvement outlined on the parks on said property pursuant to the Agreement. The individual/league/organization will be responsible for maintaining signs, or improvements that are installed and are portable or removable. As a result of the expressed Agreement and understanding, each party will, at all times, indemnify and hold the other party harmless, and will defend the other at its own expenses whether such claims, damages, losses or expenses are covered by the other’s insurance. It is also understood that a licensed contractor will be on site for major park/facility improvements. Any Park Facility Improvement that is considered by the Department to be a permanent structure/improvement will become the property of Carteret County Parks and Recreation and shall not be removed from the facility.
I have read and understand the terms and conditions of this document. I am, at this time, in full concurrence with this document.
______Date: ____/____/____
Signature
______
Title
Approved By:
______Date: ____/___/_____
CarteretCountyParks and Recreation Director
Return completed original application to:
CarteretCountyParks and Recreation
1702 Live Oak Street, Suite 300
Beaufort, NC 28516
Give a detailed description of the Park/Facility Improvement:
______
______
______
______
______
Draw a diagram of project or submit drawing:
Adopted February 2007page C1 of 2