01.02.11 - Attachments
M E M O R A N D U M TO: List committee members FROM: Event Coordinator and title CC: Department heads/supervisors of committee members DATE: Minimum of one month in advance of event
Two months is preferable RE: Subject/event Attachment “A” Policy 01.02.11 This information memorandum pertains to the needs for departmental assistance. • Event Name of event & Location
• Date and time of event • Date, time and location for first interdepartmental meeting Below is a list of departments and the assistance that will be required of each: Risk Management
– Risk Manager • List duties Facilities Management – Facilities Management Supervisor • List duties Public Works/Streets – Streets Maintenance Supervisor • List duties Police Department
– 1st Sergeant • List duties Fire Department – Fire Marshal • List duties Parks Division – Parks Crew Supervisor • List duties Recreation Division – Director of Recreation & Parks •
List the responsibilities of each position from whom you are requesting assistance • List equipment req
uired RECREATION & PARKS DEPARTMENT EQUIPMENT RENTAL FORM This form must be completed in its entirety and applicable deposit account number received prior to pick-up/delivery of equipment.
Thank you. NAME: DATE: ______________ DEPARTMENT: PHONE:________________ DEPOSIT: $_______________________ ACCOUNT NUMBER: _____ (City Function) PICK UP DATE: TIME: RETURN DATE: TIME:
Equipment requested (Be Specific): ______________________________________________________________________ _____________________________________________________________________________________
Item(s) will be used for what purpose ___________________________________________________ _____________________________________________________________________________________ Inside________________
Outside_________________ Condition of item(s) prior to use: Poor Fair Good Excellent Comments: Important Information regarding 10 x 10 tents: Always stake or weight down your 10 X
10 tent(s). Do not use in any potentially windy or rainy weather. Wind and rain can damage the 10 X 10 tent(s) and may also result in injury to you or others. Do not use 10 x 10 tent(s)
in a lightning storm. The 10 X 10 tent(s) is designed as a temporary shelter. Do not leave up for extended periods. Do not leave the 10 X 10 tent(s) unattended. Keep all flame
and heat sources away from fabric top. Estimated Replacement Costs: Tent $175; Table $215; Chair $10; Podium $1,000; Microphone/Cord/Stand $50/25/50; Power Amp $1,000; Mixing Board $1,000;
Speakers $900; Bounce House $3,800 The undersigned hereby agrees to accept full responsibility for all items borrowed, return items in the same condition and replace or reimburse the
City the full purchase price for all damaged items. SIGNATURE: DATE: Attachment “B”
For Staff Use Only: Request Received by: Date: APPROVED BY: DATE: Comments: Condition of item(s) upon return: Poor Fair Good Excellent Comments: If items returned damaged, bill department?
Yes No Cost: _____