REV.08032021
Rental Agreement #
Sports Field Rental Application
ONLY SAN PABLO INCORPORATED RESIDENTS ARE ELIGIBLE FOR CITY RESIDENT RATES Facility Requested (Hours of Operation):
Davis Park Baseball Field (8:00 AM-8:00 PM)
Davis Park Multi-Use Field (8:00 AM-8:00PM)
Rumrill Practice Field* (8:00 AM-12:00 AM)
Rumrill Field# 1 (8:00 AM-12:00 AM Depending on Day of Rental) Rumrill Field #2 (8:00 AM-12:00 AM Depending on Day of Rental) Rumrill Field #3* (8:00 AM-12:00 AM Depending on Day of Rental) *Closes at 10 pm Sun – Thur & 11 pm Fri & Sat.
Date Requested: Day of Week: Type of Activity:
Starting Field Time: am/pm TO Ending Field Time: am/pm
Name of Applicant: Phone Number:
Name of Organization: State Non-Profit ID#
Designated Person In Charge on the Day of Event: Phone:
Address: City: Zip:
Cell Phone: Email:
Below please write in attendance for each age group; attendance numbers need to be as accurate as possible.
Children (ages 1-12) Teens (ages 13-20) Adults (ages 21-35) Adults (ages 35+)
RENTAL AGREEMENT
My signature certifies I have read and understood the Sports Field Rental Policy and Rental Agreement as set forth by the City of San Pablo governing the use of Public Fields. I take full responsibility for ensuring the use of this facility and areas by the organization/party I represent is in full adherence and compliance with these rules and regulations . I understand I assume full responsibility for any penalty fees assessed by the City of San Pablo for any violations of these rules and regulations governing the use of the above requested field. I am aware my Deposit is non-refundable if I cancel within 2-weeks of my reservation for any reason. I am also aware that by signing this contract, I take full responsibility for the behavior exhibited by my guests during my rental.
APPLICANT SIGNATURE: DATE:
OFFICE USE ONLY.
Application Fee (Non-Refundable)
Deposit
Hourly Fee
Light Fee
Amount Total
$
$
$
$
$
Recreation Staff Signature: Date Received:
CM Staff Signature: Date Received:
By:
By:
X
X
X
SAT and SUN
Soccer Practice
8:00 AM
5:00 PM
Millie Moran
415-305-8306
SPUYSC
N/A
Rafael Torres
510-367-9335
510-367-9335
[email protected]
412 Mitchell Avenue
San Pablo
94806
to
100
100
50 50
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 1
REV.08032021
City of San Pablo
Sports Field Rental Policy
The City of San Pablo (City) has six (6) sports fields at three (3) different park locations that are available to rent. Fields are specifically designed for group sport use. Rumrill Sports Park has three (3) youth size artificial turf fields. Davis Park has two (2) convertible baseball fields, one youth and one mini- youth size that can be converted for field sports. Please see the following list of locations and fees for each organization, business, or group.
Rumrill Sports Park Fields (1509 Rumrill Blvd)
Rates
(per hr./per field)
Youth
Non-Profit
(Resident)
Youth
Non-
Profit
(Non-Resident)
Youth
Private
(Resident)
Youth
Private
(Non-Resident)
Youth
For Profit
(Resident)
Youth For
Profit
(Non-Resident)
Field 1 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Field 2 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Field 3 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Practice Field
Youth
$10/hr. $15/hr. $15/hr. $20/hr. $25/hr. $30/hr.
Rates
(per hr./per field)
Adult
Non-Profit
(Resident)
Adult
Non-Profit
(Non-Resident)
Adult
Private
(Resident)
Adult
Private
(Non-Resident)
Adult
For Profit
(Resident)
Adult
For Profit
(Non-Resident)
Field 1 $35/hr. $40/hr. $40/hr. $45/hr. $60/hr. $70/hr.
Field 2 $35/hr. $40/hr. $40/hr. $45/hr. $60/hr. $70/hr.
Field 3 $35/hr. $40/hr. $40hr. $45/hr. $60/hr. $70/hr.
Practice Field
Adult
$25/hr. $30/hr. $30/hr. $35/hr. $45/hr. $50/hr.
• Applications for use of the Rumrill Sports Park fields will give priority to each age category as noted below. After the long-term rental submission deadline, age and time priority is removed and all requests are processed on a first-come, first-serve basis. (See Sports Field Rental Administration section of this policy for more information on field distribution and priority use allocation).
Davis Park Sport Fields (1661 Folsom Ave) (Baseball/Field Sport Convertible):
Rates
(per hr./per field)
Non-Profit
(Resident)
Non-Profit
(Non-Resident)
Private
(Resident)
Private
(Non-Resident)
For Profit
(Resident)
For Profit
(Non-Resident)
Baseball
Field
$10/hr. $15/hr. $25/hr. $30/hr. $35/hr. $40/hr.
Multi-Field $10/hr. $15/hr. $25/hr. $30/hr. $30/hr. $40/hr. 22 Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 2
REV.08032021
Additional Fees (All Locations): Rates:
• Application Fee
• Security and Damage Deposit
• Adult Light Fee
• Youth Light Fee
• Cert. of Insurance naming the City as
additionally insured
$15 (non-refundable)
$250 (refundable)
$10/ Hour
$5/ Hour
Market Price
Fee Waiver Policy: All fee waiver requests must be made in writing and submitted to the facility coordinator for processing. Final fee waiver decisions are made by City Council. Please note that Rumrill Sports Park Field 3 is NOT eligible for fee waiver.
SPORTS FIELD RENTAL POLICY
It shall be the policy of the City of San Pablo to issue rental agreements that grant permission to use one (1) or more field(s) in City parks. Rental agreements for fields shall be issued in accordance with the defined procedure. Reservations will be made on a community resident priority, and payments are non- refundable and non- transferable. A rental agreement represents a formal agreement whereby the City allows an approved individual, association or organization to occupy a field(s) for a specific period of time. Formal provisions may include, but are not limited to, residency status of players, 501 (c)(3) status, practice and game schedule, and insurance coverage.
APPLICATION PROCEDURE
Application for a rental agreement for field use shall be submitted using the proper forms (see Sports Field Rental Application and Field Rental Agreement forms attached) to the Recreation Division. The Sports Field Rental Application form must be submitted by the reservation period deadline (outlined on page 3).
Sports fields will only be reserved with the completed Sports Field Rental Application, a signed Field Rental Agreement Form, a certificate naming the City of San Pablo as additionally insured, verifiable proof of 501 (c)(3) status with the Secretary of State (if applicable), and full payment for the dates and location(s) requested. Sports Leagues must additionally provide schedules of practices and games to take place on the requested site/field(s). Organizations may be required to provide documentation as requested by the City including team rosters, player addresses, picture ID, utility bill, etc. to determine residency status. All organizations in Classification Group 2 and Group 4 must be prepared to provide this information when submitting a Sports Field Rental Application.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 3
REV.08032021
OBJECTIVE
T
he City intends to establish uniform standards for the rental of sports fields. In setting sports field rental standards, the City seeks to meet the following goals and objectives:
1. Fairly distribute available fields;
2. Maximize playing time; and
3. Incorporate “turf recovery periods” to maintain safe, quality fields T
he City reserves the right to suspend, modify, or revoke the application of any or all of these Rules and Regulations as it deems necessary to comply with legal mandates, or to facilitate its primary functions, to fulfill the City’s goals and objectives, or to protect the public health, safety or welfare. The City is committed to providing an environment free of discrimination. It is also the City’s policy and practice to assure equal application of these guidelines without regard to race, color, marital status, sexual orientation, religion, national origin, ancestry, age, sex, gender identity, disability, medical condition, or veterans’ status.
S
PORTS FIELD RENTAL ADMINISTRATION
1. Those who wish to rent field space at a park and enter into an agreement with the City shall be known as “Renter.” The Cit y shall designate an employee as its “Rental Administrator” to be the primary contact for Renter on issues related to sports field rentals. Questions regarding the terms, provisions, and requirements of these guidelines shall be addressed initially to the Rental Administrator.
2. Renters shall comply with these Rules and Regulations. The Rental Administrator shall determine whether the proposed renter application falls within the Rules and Regulations. In the event that the application is rejected, the party or parties who submitted the application may request in writing that the decision be reconsidered. The City Manager shall determine whether the proposed renter application will be accepted or rejected and such decision shall be final.
3. Continuous field rental agreements reserving a City sports field for more than seven dates and/or more than one field at a time (including league-organized tournaments) will be allocated on a semi- annual basis. Field Rental Applications and supporting documentation such as insurance and game/practice schedules must be submitted to the Recreation Division according to the following schedule:
Season Dates Application & Schedules Due Payment & Insurance Due Winter/Spring January – June November 1 December 1
Summer/Fall July – December May 1 June 1
Any person or organization missing these deadlines will have access to any remaining fields after the allocation process is finalized on a first come, first served basis.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 4
REV.08032021
4. Fields will be allocated by priority use as outlined below.
Classification of Priority Groups
Group 1 City of San Pablo sponsored or co-sponsored programs and events. City operated youth/adult recreation activities, programs or athletic leagues.
Group 2
San Pablo based non-profit youth sports league organizations with current IRS and California State Secretary 501(c)(3) status, whose membership is open to the public. (Groups must have membership of at least 51% San Pablo residents; current roster must be submitted with application) Group 3 Public agencies serving youth in the San Pablo Community such as Contra Costa County schools.
Group 4
San Pablo based non-profit adult sports league organizations with current IRS and California State Secretary 501(c)(3) status, whose membership is open to the public. (Groups must have membership of at least 51% San Pablo residents; current roster must be submitted with application)
Group 5
Other Non-Profit Groups:
Organized non-profit groups with current IRS and California State Secretary 501(c)(3) or 501(c)(4) status, whose membership is open to the public.
1. Resident (Groups must have membership made up of at least 51% San Pablo residents; current roster must be submitted with application)
2. Non-Resident
Group 6
Individual Renters:
1. Resident
2. Non-Resident
Group 7
Commercial Groups:
Companies, groups, or individuals whose events have the primary purpose of generating a profit such as tournaments, fee-based training programs or camps, etc.
1. Resident (Groups must have membership made up of at least 51% San Pablo residents; current roster must be submitted with application)
2. Non-Resident
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 5
REV.08032021
5. The City’s Rental Administrator will collect all field use application requests and work with applicants to determine fair allocation of field usage. Should two or more applicants within the same priority group request the same site/field at the same time the Rental Administrator will work with the applicants to negotiate revised usage requests that try to meet the needs of all applicants.
6. When a two or more organizations in the same priority group request the same site/field and it cannot be resolved between the Rental Administrator and the organizations, the following will take place:
a. Organizations will be required to submit one “final” packet with all supporting documents to determine residency of each player on the roster. Rosters shall include players names with address and proof of residency status (team rosters, player/parent addresses, picture ID, utility bill, foster care certification, W CCUSD power school database demographic information, etc.)
b. The Rental Administrator will review the packet and make determinations of verifiable residency status for each listed San Pablo resident. If supporting documentation for any resident listed is not found to be sufficient by the administrator that individual will not be counted towards the number of verifiable residents. No additional documentation will be accepted by the City after the initial packet is submitted.
c. The organization with the highest number of players who can be verified as San Pablo residents will receive priority reservation, given all other requirements are met.
7. A field use Reservation Agreement will be issued after all requirements have been met and payment has been received. A request for field use does not constitutes approval.
8. Keys or gate codes will be issued by City staff for the reserved location(s) . All keys are restricted from duplication. Please contact City staff if additional keys are needed.
Please contact the Recreation Division office at (510) 215-3080 or via email at [email protected] for more information or available locations and dates.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
City of San Pablo
Sports Field Rental Agreement
Rumrill Sports Park, Davis Park or Sports Fields
By executing this Sports Field Rental Agreement, Renter agrees to adhere to the following rules and regulations as outlined below and those posted in the park. Renter is responsible for the actions of players, coaches, volunteers, spectators, etc., and ensuring that all rules and regulations are enforced.
1. Renter, renter’s organization and all attendees will comply with all applicable laws, rules, and regulations, including but not limited to all applicable public health rules, regulations, orders, and/or guidance in effect at the time of the use of the facility.
2. Renter must keep a copy on site at all times of the approved rental agreement documentation, including receipt of payment. Any party not able to produce an approved r enter rental agreement and receipt will be excluded from park property and subject to trespassing charges.
3. Renter shall secure and keep a general commercial insurance policy covering personal injury and property damage in the amount of not less than $1million per occurrence, $2 million aggregate with an insurance carrier acceptable to the City. The City, and its officials, officers, employees and agents being named as additional insured by endorsement. Renter shal l also secure and maintain workers’ compensation insurance if Renter has employees as required by State law. Renter shall provide the certificate of insurance and additional insured endorsement to City on a form and with carriers acceptable to the City.
4. Subleasing is not allowed and permits are non-transferable.
5. Authorized City of San Pablo employees on duty shall have the right to enter all facilities at any time during a rental.
6. The City will furnish electricity, water, and sewer in such locations where these utilities now exist. All requests for use of these facilities and/or additional installations or any special needs must be made in writing to the City listing specific needs. The City will not furnish telephone or internet service in any location.
7. Renter must provide additional restrooms when hosting high volume events (300 plus persons), such as a tournament.
8. To avoid damage, following items are PROHIBITED on ALL park fields:
• Long cleats
• Heels on footwear
• Pets (except for approved service/assistance animals) • Paint that is not specifically designed for field marking • Barbeque grills of any kind
• Gum, shelled nuts, such as sunflower seeds. NO EXCEPTIONS!
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
• Picking or pulling of grass fibers, synthetic grass fibers or infill granules • Digging into field areas or synthetic filed areas with feet, hands, and/or any other object
9. In addition to the items listed above, the following items are PROHIBITED on the synthetic field turf areas of Rumrill Sports Park:
• Metal cleats, screw-in plastic cleats or studs
• Chairs, tents, shade canopies, team benches or umbrellas of any kind • Team or corner flags with sharp ends
• Any chalk, paint or other field marking compounds
• Wheeled ice coolers or ice chests
• Food of any kind. NO EXCEPTIONS!
• Spitting on fields (team coaches or officials are required to notify city staff any time there are bodily fluids (e.g., blood, vomit) identified on the field surface) • Sugar-sweetened beverages or other items of similar nature beverages. Water is the ONLY beverage permitted on fields.
10. Bicycles, skates, skateboards, in-line skates or scooters are PROHIBITED in the Rumrill Sports Park gated field area.
11. The following is PROHIBITED in ALL park areas including the parking lot:
• Smoking and use of smokeless tobacco products
• Alcoholic beverages of any kind
• Glass containers or objects of any kind
• Firearms or other weapons unless authorized
• Candles, open flames or fireworks of any kind
• Hitting, kicking or climbing on surrounding fencing
• Storage of equipment
• Inappropriate or indecent language, conduct and/or harassment or offensive behavior • Any conduct that may jeopardize the safety of others, or of the individual or group
12. Renter is responsible for observing, reporting and maintaining field conditions in the following ways:
• Keep debris off the fields and leave the fields in clean condition. • Place all garbage and debris in City provided garbage receptacles. The City will be responsible for emptying the trash receptacles. Do not allow garbage or other refuse to accumulate in or about the fields, or other occupied areas. • Inspect playing surfaces and all other site amenities prior to the start of play. • If damage or vandalism is discovered , notify the City of San Pablo Recreation Division immediately with an email with date and time stamped photos sent to the Recreation Office at [email protected]. This relieves the Renter or renting organization of responsibility for the pre-existing conditions.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
13. Any damage to existing fields, utilities, equipment, or finished surfaces resulting from the violation of this rental agreement shall be repaired to the City’s satisfaction at the Renter’s expense. City will deduct cost of such repairs from Renter’s Security and Damage Deposit and Renter shall reimburse such amount immediately so full Deposit amount is maintained.
14. Vending/Selling is prohibited in all parks, including the fields and parking lots. Only City of San Pablo permitted vendors are allowed to sell and must do so through designated concession stands or kiosks.
15. Field use is limited to the times specified on the Rental Agreement Receipt. • Time needed for warm-up or clean up must be included in the rental. • Players, coaches, volunteers, spectators, etc. may enter and exit the concrete area adjacent to the fields no earlier than 15 minutes prior to the permitted rental time, and exit no later than 15 minutes after the permitted rental time. • No member of the rental party is permitted to step onto any portion of the turf area (i.e. field perimeters) prior to the start of the permitted rental time. • Possession of keys or a gate access code to any fields does not grant the Renter or affiliated parties field access outside of permitted hours • Any parties remaining on site beyond the scheduled time will be subject to an hourly charge of the base rental fee plus $20/hr.
16. All non-emergency entrances to the field must be left clear for safety reasons.
17. Vehicles shall be parked only in designated parking lots. There is to be no parking or dropping off in the neighborhood streets or cul de sacs. Driveways and entrances must be clear at all times. Violators may be ticketed or towed at owner’s expense. All parking and drop off for the use of Davis Park Fields is to be done in the parking lot provided for the facility. All user groups are responsible to communicate this to their participants in writing and continually monitor the activity for compliance. Failure for a user group and participants to comply will result in the program / rental being cancelled.
18. No vehicles are permitted on the synthetic field area (including emergency vehicles).
19. Loudspeakers and public address systems are prohibited without a City of San Pablo noise permit.
20. The City reserves the right to cancel any event or to restrict access to the fields due to an emergency, severe weather, vandalism, poor playing conditions or damage that could cause safety concerns or other public health, safety and welfare needs. The City may also terminate in writing any rental that is in violation of this Rental Agreement or in violation of any local, State or Federal laws, regulations, or ordinances. Appeal of the termination shall be directed to the City Manager within ten days of the receipt of the written notice of termination of the rental agreement.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
21. If an allocated field(s) is not utilized by the Renter or designated organization/teams a total of three times during a season/or -reserved period of use, the field(s) will be reassigned.
Teams/organizations will be notified by City staff prior to reassignment if it has been determined a field(s) is not being used.
22. Renter shall be considered an independent contractor and neither the Renter nor the workers, coaches or volunteers shall, under any circumstances, be considered employees of the City.
23. The City shall not be liable for any damage caused by acts of nature, i.e. power failure, earthquake, flood, fire, explosion, theft, and vandalism to persons or properties in the space used by the renter. Renter agrees that all personal property on the premises shall be at the risk of the renter and that the City shall not be liable for any damages, losses or theft thereof.
24. Indemnity: On behalf of itself and its successors, employees, members, volunteers and participants, Renter assumes all risk of loss, damage, death or injury arising from its entry onto the Park and use of the Field. Any releases from participants shall also release the City from claims. Renter shall indemnify, hold harmless, and defend City, its officers, agents, volunteers and employees from and against any and all liability, costs, or expense for loss of or damage to property or for injuries to, sickness, disease or death of any person arising or resulting from Renter’s entry into the Park or, use of the Field or the acts, errors, or omissions of the Renter or its agents, employees, members, volunteers and participants. This provision shall survive termination of this Agreement.
Wai
ver of any stated rule shall be directed, in writing, to the Community Services Manager at least 90 days prior to the date of use.
Failure to adhere to the rules and regulations outlined in this Rental Agreement may result in the forfeiture of deposit and permit. Two courtesy warnings are provided for minor violations with the third occurrence resulting in immediate forfeiture of deposit and revocation of rental allocation. The City of San Pablo reserves the right to forego the courtesy warnings and issue a revocation should the violations warrant the action.
Ple
as
e contact the Recreation Division office at (510) 215-3080 or via email at [email protected] for more information or available locations and dates.
By submitting and signing, this Sports Field Rental Agreement Renter agrees to be bound by the all terms aforementioned as well as the policies outlined in the City of San Pablo Sports Field Rental Policy and Agreement.
Name of Applicant (please print):
Signature of Applicant Date:
Organization Name
Millie Moran
-18-2022
San Pablo United Youth Soccer Club
REV.08032021
Rental Agreement #
Sports Field Rental Application
ONLY SAN PABLO INCORPORATED RESIDENTS ARE ELIGIBLE FOR CITY RESIDENT RATES Facility Requested (Hours of Operation):
Davis Park Baseball Field (8:00 AM-8:00 PM)
Davis Park Multi-Use Field (8:00 AM-8:00PM)
Rumrill Practice Field* (8:00 AM-12:00 AM)
Rumrill Field# 1 (8:00 AM-12:00 AM Depending on Day of Rental) Rumrill Field #2 (8:00 AM-12:00 AM Depending on Day of Rental) Rumrill Field #3* (8:00 AM-12:00 AM Depending on Day of Rental) *Closes at 10 pm Sun – Thur & 11 pm Fri & Sat.
Date Requested: Day of Week: Type of Activity:
Starting Field Time: am/pm TO Ending Field Time: am/pm
Name of Applicant: Phone Number:
Name of Organization: State Non-Profit ID#
Designated Person In Charge on the Day of Event: Phone:
Address: City: Zip:
Cell Phone: Email:
Below please write in attendance for each age group; attendance numbers need to be as accurate as possible.
Children (ages 1-12) Teens (ages 13-20) Adults (ages 21-35) Adults (ages 35+)
RENTAL AGREEMENT
My signature certifies I have read and understood the Sports Field Rental Policy and Rental Agreement as set forth by the City of San Pablo governing the use of Public Fields. I take full responsibility for ensuring the use of this facility and areas by the organization/party I represent is in full adherence and compliance with these rules and regulations . I understand I assume full responsibility for any penalty fees assessed by the City of San Pablo for any violations of these rules and regulations governing the use of the above requested field. I am aware my Deposit is non-refundable if I cancel within 2-weeks of my reservation for any reason. I am also aware that by signing this contract, I take full responsibility for the behavior exhibited by my guests during my rental.
APPLICANT SIGNATURE: DATE:
OFFICE USE ONLY.
Application Fee (Non-Refundable)
Deposit
Hourly Fee
Light Fee
Amount Total
$
$
$
$
$
Recreation Staff Signature: Date Received:
CM Staff Signature: Date Received:
By:
By:
X
X
X
MON-FRI
Soccer Practice
5:00 PM
8:00 PM
Millie Moran
415-305-8306
SPUYSC
N/A
Rafael Torres
510-367-9335
510-367-9335
[email protected]
412 Mitchell Avenue
San Pablo
94806
to
100
100
50 50
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 1
REV.08032021
City of San Pablo
Sports Field Rental Policy
The City of San Pablo (City) has six (6) sports fields at three (3) different park locations that are available to rent. Fields are specifically designed for group sport use. Rumrill Sports Park has three (3) youth size artificial turf fields. Davis Park has two (2) convertible baseball fields, one youth and one mini- youth size that can be converted for field sports. Please see the following list of locations and fees for each organization, business, or group.
Rumrill Sports Park Fields (1509 Rumrill Blvd)
Rates
(per hr./per field)
Youth
Non-Profit
(Resident)
Youth
Non-
Profit
(Non-Resident)
Youth
Private
(Resident)
Youth
Private
(Non-Resident)
Youth
For Profit
(Resident)
Youth For
Profit
(Non-Resident)
Field 1 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Field 2 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Field 3 $15/hr. $20/hr. $20/hr. $25/hr. $30/hr. $35/hr.
Practice Field
Youth
$10/hr. $15/hr. $15/hr. $20/hr. $25/hr. $30/hr.
Rates
(per hr./per field)
Adult
Non-Profit
(Resident)
Adult
Non-Profit
(Non-Resident)
Adult
Private
(Resident)
Adult
Private
(Non-Resident)
Adult
For Profit
(Resident)
Adult
For Profit
(Non-Resident)
Field 1 $35/hr. $40/hr. $40/hr. $45/hr. $60/hr. $70/hr.
Field 2 $35/hr. $40/hr. $40/hr. $45/hr. $60/hr. $70/hr.
Field 3 $35/hr. $40/hr. $40hr. $45/hr. $60/hr. $70/hr.
Practice Field
Adult
$25/hr. $30/hr. $30/hr. $35/hr. $45/hr. $50/hr.
• Applications for use of the Rumrill Sports Park fields will give priority to each age category as noted below. After the long-term rental submission deadline, age and time priority is removed and all requests are processed on a first-come, first-serve basis. (See Sports Field Rental Administration section of this policy for more information on field distribution and priority use allocation).
Davis Park Sport Fields (1661 Folsom Ave) (Baseball/Field Sport Convertible):
Rates
(per hr./per field)
Non-Profit
(Resident)
Non-Profit
(Non-Resident)
Private
(Resident)
Private
(Non-Resident)
For Profit
(Resident)
For Profit
(Non-Resident)
Baseball
Field
$10/hr. $15/hr. $25/hr. $30/hr. $35/hr. $40/hr.
Multi-Field $10/hr. $15/hr. $25/hr. $30/hr. $30/hr. $40/hr. 22 Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 2
REV.08032021
Additional Fees (All Locations): Rates:
• Application Fee
• Security and Damage Deposit
• Adult Light Fee
• Youth Light Fee
• Cert. of Insurance naming the City as
additionally insured
$15 (non-refundable)
$250 (refundable)
$10/ Hour
$5/ Hour
Market Price
Fee Waiver Policy: All fee waiver requests must be made in writing and submitted to the facility coordinator for processing. Final fee waiver decisions are made by City Council. Please note that Rumrill Sports Park Field 3 is NOT eligible for fee waiver.
SPORTS FIELD RENTAL POLICY
It shall be the policy of the City of San Pablo to issue rental agreements that grant permission to use one (1) or more field(s) in City parks. Rental agreements for fields shall be issued in accordance with the defined procedure. Reservations will be made on a community resident priority, and payments are non- refundable and non- transferable. A rental agreement represents a formal agreement whereby the City allows an approved individual, association or organization to occupy a field(s) for a specific period of time. Formal provisions may include, but are not limited to, residency status of players, 501 (c)(3) status, practice and game schedule, and insurance coverage.
APPLICATION PROCEDURE
Application for a rental agreement for field use shall be submitted using the proper forms (see Sports Field Rental Application and Field Rental Agreement forms attached) to the Recreation Division. The Sports Field Rental Application form must be submitted by the reservation period deadline (outlined on page 3).
Sports fields will only be reserved with the completed Sports Field Rental Application, a signed Field Rental Agreement Form, a certificate naming the City of San Pablo as additionally insured, verifiable proof of 501 (c)(3) status with the Secretary of State (if applicable), and full payment for the dates and location(s) requested. Sports Leagues must additionally provide schedules of practices and games to take place on the requested site/field(s). Organizations may be required to provide documentation as requested by the City including team rosters, player addresses, picture ID, utility bill, etc. to determine residency status. All organizations in Classification Group 2 and Group 4 must be prepared to provide this information when submitting a Sports Field Rental Application.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 3
REV.08032021
OBJECTIVE
T
he City intends to establish uniform standards for the rental of sports fields. In setting sports field rental standards, the City seeks to meet the following goals and objectives:
1. Fairly distribute available fields;
2. Maximize playing time; and
3. Incorporate “turf recovery periods” to maintain safe, quality fields T
he City reserves the right to suspend, modify, or revoke the application of any or all of these Rules and Regulations as it deems necessary to comply with legal mandates, or to facilitate its primary functions, to fulfill the City’s goals and objectives, or to protect the public health, safety or welfare. The City is committed to providing an environment free of discrimination. It is also the City’s policy and practice to assure equal application of these guidelines without regard to race, color, marital status, sexual orientation, religion, national origin, ancestry, age, sex, gender identity, disability, medical condition, or veterans’ status.
S
PORTS FIELD RENTAL ADMINISTRATION
1. Those who wish to rent field space at a park and enter into an agreement with the City shall be known as “Renter.” The Cit y shall designate an employee as its “Rental Administrator” to be the primary contact for Renter on issues related to sports field rentals. Questions regarding the terms, provisions, and requirements of these guidelines shall be addressed initially to the Rental Administrator.
2. Renters shall comply with these Rules and Regulations. The Rental Administrator shall determine whether the proposed renter application falls within the Rules and Regulations. In the event that the application is rejected, the party or parties who submitted the application may request in writing that the decision be reconsidered. The City Manager shall determine whether the proposed renter application will be accepted or rejected and such decision shall be final.
3. Continuous field rental agreements reserving a City sports field for more than seven dates and/or more than one field at a time (including league-organized tournaments) will be allocated on a semi- annual basis. Field Rental Applications and supporting documentation such as insurance and game/practice schedules must be submitted to the Recreation Division according to the following schedule:
Season Dates Application & Schedules Due Payment & Insurance Due Winter/Spring January – June November 1 December 1
Summer/Fall July – December May 1 June 1
Any person or organization missing these deadlines will have access to any remaining fields after the allocation process is finalized on a first come, first served basis.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 4
REV.08032021
4. Fields will be allocated by priority use as outlined below.
C
lassification of Priority Groups
Group 1 City of San Pablo sponsored or co-sponsored programs and events. City operated youth/adult recreation activities, programs or athletic leagues.
Group 2
San Pablo based non-profit youth sports league organizations with current IRS and California State Secretary 501(c)(3) status, whose membership is open to the public. (Groups must have membership of at least 51% San Pablo residents; current roster must be submitted with application) Group 3 Public agencies serving youth in the San Pablo Community such as Contra Costa County schools.
Group 4
San Pablo based non-profit adult sports league organizations with current IRS and California State Secretary 501(c)(3) status, whose membership is open to the public. (Groups must have membership of at least 51% San Pablo residents; current roster must be submitted with application) Group 5
Other Non-Profit Groups:
Organized non-profit groups with current IRS and California State Secretary 501(c)(3) or 501(c)(4) status, whose membership is open to the public.
1. Resident (Groups must have membership made up of at least 51% San Pablo residents; current roster must be submitted with application)
2. Non-Resident
Group 6
Individual Renters:
1. Resident
2. Non-Resident
Group 7
Commercial Groups:
Companies, groups, or individuals whose events have the primary purpose of generating a profit such as tournaments, fee-based training programs or camps, etc.
1. Resident (Groups must have membership made up of at least 51% San Pablo residents; current roster must be submitted with application)
2. Non-Resident
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation 5
REV.08032021
5. The City’s Rental Administrator will collect all field use application requests and work with applicants to determine fair allocation of field usage. Should two or more applicants within the same priority group request the same site/field at the same time the Rental Administrator will work with the applicants to negotiate revised usage requests that try to meet the needs of all applicants.
6. When a two or more organizations in the same priority group request the same site/field and it cannot be resolved between the Rental Administrator and the organizations, the following will take place:
a. Organizations will be required to submit one “final” packet with all supporting documents to determine residency of each player on the roster. Rosters shall include players names with address and proof of residency status (team rosters, player/parent addresses, picture ID, utility bill, foster care certification, W CCUSD power school database demographic information, etc.)
b. The Rental Administrator will review the packet and make determinations of verifiable residency status for each listed San Pablo resident. If supporting documentation for any resident listed is not found to be sufficient by the administrator that individual will not be counted towards the number of verifiable residents. No additional documentation will be accepted by the City after the initial packet is submitted.
c. The organization with the highest number of players who can be verified as San Pablo residents will receive priority reservation, given all other requirements are met.
7. A field use Reservation Agreement will be issued after all requirements have been met and payment has been received. A request for field use does not constitutes approval.
8. Keys or gate codes will be issued by City staff for the reserved location(s) . All keys are restricted from duplication. Please contact City staff if additional keys are needed.
Please contact the Recreation Division office at (510) 215-3080 or via email at [email protected] for more information or available locations and dates.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
City of San Pablo
Sports Field Rental Agreement
Rumrill Sports Park, Davis Park or Sports Fields
By executing this Sports Field Rental Agreement, Renter agrees to adhere to the following rules and regulations as outlined below and those posted in the park. Renter is responsible for the actions of players, coaches, volunteers, spectators, etc., and ensuring that all rules and regulations are enforced.
1. Renter, renter’s organization and all attendees will comply with all applicable laws, rules, and regulations, including but not limited to all applicable public health rules, regulations, orders, and/or guidance in effect at the time of the use of the facility.
2. Renter must keep a copy on site at all times of the approved rental agreement documentation, including receipt of payment. Any party not able to produce an approved r enter rental agreement and receipt will be excluded from park property and subject to trespassing charges.
3. Renter shall secure and keep a general commercial insurance policy covering personal injury and property damage in the amount of not less than $1million per occurrence, $2 million aggregate with an insurance carrier acceptable to the City. The City, and its officials, officers, employees and agents being named as additional insured by endorsement. Renter shal l also secure and maintain workers’ compensation insurance if Renter has employees as required by State law. Renter shall provide the certificate of insurance and additional insured endorsement to City on a form and with carriers acceptable to the City.
4. Subleasing is not allowed and permits are non-transferable.
5. Authorized City of San Pablo employees on duty shall have the right to enter all facilities at any time during a rental.
6. The City will furnish electricity, water, and sewer in such locations where these utilities now exist. All requests for use of these facilities and/or additional installations or any special needs must be made in writing to the City listing specific needs. The City will not furnish telephone or internet service in any location.
7. Renter must provide additional restrooms when hosting high volume events (300 plus persons), such as a tournament.
8. To avoid damage, following items are PROHIBITED on ALL park fields:
• Long cleats
• Heels on footwear
• Pets (except for approved service/assistance animals) • Paint that is not specifically designed for field marking • Barbeque grills of any kind
• Gum, shelled nuts, such as sunflower seeds. NO EXCEPTIONS!
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
• Picking or pulling of grass fibers, synthetic grass fibers or infill granules • Digging into field areas or synthetic filed areas with feet, hands, and/or any other object
9. In addition to the items listed above, the following items are PROHIBITED on the synthetic field turf areas of Rumrill Sports Park:
• Metal cleats, screw-in plastic cleats or studs
• Chairs, tents, shade canopies, team benches or umbrellas of any kind • Team or corner flags with sharp ends
• Any chalk, paint or other field marking compounds
• Wheeled ice coolers or ice chests
• Food of any kind. NO EXCEPTIONS!
• Spitting on fields (team coaches or officials are required to notify city staff any time there are bodily fluids (e.g., blood, vomit) identified on the field surface) • Sugar-sweetened beverages or other items of similar nature beverages. Water is the ONLY beverage permitted on fields.
10. Bicycles, skates, skateboards, in-line skates or scooters are PROHIBITED in the Rumrill Sports Park gated field area.
11. The following is PROHIBITED in ALL park areas including the parking lot:
• Smoking and use of smokeless tobacco products
• Alcoholic beverages of any kind
• Glass containers or objects of any kind
• Firearms or other weapons unless authorized
• Candles, open flames or fireworks of any kind
• Hitting, kicking or climbing on surrounding fencing
• Storage of equipment
• Inappropriate or indecent language, conduct and/or harassment or offensive behavior • Any conduct that may jeopardize the safety of others, or of the individual or group
12. Renter is responsible for observing, reporting and maintaining field conditions in the following ways:
• Keep debris off the fields and leave the fields in clean condition. • Place all garbage and debris in City provided garbage receptacles. The City will be responsible for emptying the trash receptacles. Do not allow garbage or other refuse to accumulate in or about the fields, or other occupied areas. • Inspect playing surfaces and all other site amenities prior to the start of play. • If damage or vandalism is discovered , notify the City of San Pablo Recreation Division immediately with an email with date and time stamped photos sent to the Recreation Office at [email protected]. This relieves the Renter or renting organization of responsibility for the pre-existing conditions.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
13. Any damage to existing fields, utilities, equipment, or finished surfaces resulting from the violation of this rental agreement shall be repaired to the City’s satisfaction at the Renter’s expense. City will deduct cost of such repairs from Renter’s Security and Damage Deposit and Renter shall reimburse such amount immediately so full Deposit amount is maintained.
14. Vending/Selling is prohibited in all parks, including the fields and parking lots. Only City of San Pablo permitted vendors are allowed to sell and must do so through designated concession stands or kiosks.
15. Field use is limited to the times specified on the Rental Agreement Receipt. • Time needed for warm-up or clean up must be included in the rental. • Players, coaches, volunteers, spectators, etc. may enter and exit the concrete area adjacent to the fields no earlier than 15 minutes prior to the permitted rental time, and exit no later than 15 minutes after the permitted rental time. • No member of the rental party is permitted to step onto any portion of the turf area (i.e. field perimeters) prior to the start of the permitted rental time. • Possession of keys or a gate access code to any fields does not grant the Renter or affiliated parties field access outside of permitted hours • Any parties remaining on site beyond the scheduled time will be subject to an hourly charge of the base rental fee plus $20/hr.
16. All non-emergency entrances to the field must be left clear for safety reasons.
17. Vehicles shall be parked only in designated parking lots. There is to be no parking or dropping off in the neighborhood streets or cul de sacs. Driveways and entrances must be clear at all times. Violators may be ticketed or towed at owner’s expense. All parking and drop off for the use of Davis Park Fields is to be done in the parking lot provided for the facility. All user groups are responsible to communicate this to their participants in writing and continually monitor the activity for compliance. Failure for a user group and participants to comply will result in the program / rental being cancelled.
18. No vehicles are permitted on the synthetic field area (including emergency vehicles).
19. Loudspeakers and public address systems are prohibited without a City of San Pablo noise permit.
20. The City reserves the right to cancel any event or to restrict access to the fields due to an emergency, severe weather, vandalism, poor playing conditions or damage that could cause safety concerns or other public health, safety and welfare needs. The City may also terminate in writing any rental that is in violation of this Rental Agreement or in violation of any local, State or Federal laws, regulations, or ordinances. Appeal of the termination shall be directed to the City Manager within ten days of the receipt of the written notice of termination of the rental agreement.
Recreation Division • 2450 Road 20, San Pablo, CA, 94806 Phone 510-215-3080 • Fax 510-215-3015 • [email protected] www.sanpabloca.gov/recreation
REV.08032021
21. If an allocated field(s) is not utilized by the Renter or designated organization/teams a total of three times during a season/or -reserved period of use, the field(s) will be reassigned.
Teams/organizations will be notified by City staff prior to reassignment if it has been determined a field(s) is not being used.
22. Renter shall be considered an independent contractor and neither the Renter nor the workers, coaches or volunteers shall, under any circumstances, be considered employees of the City.
23. The City shall not be liable for any damage caused by acts of nature, i.e. power failure, earthquake, flood, fire, explosion, theft, and vandalism to persons or properties in the space used by the renter. Renter agrees that all personal property on the premises shall be at the risk of the renter and that the City shall not be liable for any damages, losses or theft thereof.
24. Indemnity: On behalf of itself and its successors, employees, members, volunteers and participants, Renter assumes all risk of loss, damage, death or injury arising from its entry onto the Park and use of the Field. Any releases from participants shall also release the City from claims. Renter shall indemnify, hold harmless, and defend City, its officers, agents, volunteers and employees from and against any and all liability, costs, or expense for loss of or damage to property or for injuries to, sickness, disease or death of any person arising or resulting from Renter’s entry into the Park or, use of the Field or the acts, errors, or omissions of the Renter or its agents, employees, members, volunteers and participants. This provision shall survive termination of this Agreement.
Wai
ver of any stated rule shall be directed, in writing, to the Community Services Manager at least 90 days prior to the date of use.
Failure to adhere to the rules and regulations outlined in this Rental Agreement may result in the forfeiture of deposit and permit. Two courtesy warnings are provided for minor violations with the third occurrence resulting in immediate forfeiture of deposit and revocation of rental allocation. The City of San Pablo reserves the right to forego the courtesy warnings and issue a revocation should the violations warrant the action.
Ple
as
e contact the Recreation Division office at (510) 215-3080 or via email at [email protected] for more information or available locations and dates.
By submitting and signing, this Sports Field Rental Agreement Renter agrees to be bound by the all terms aforementioned as well as the policies outlined in the City of San Pablo Sports Field Rental Policy and Agreement.
Name of Applicant (please print):
Signature of Applicant Date:
Organization Name
Millie Moran
-18-2022
San Pablo United Youth Soccer Club
CITY OF SAN PABLO RECREATION DIVISION
2450 ROAD 20, SAN PABLO, CA 94806
PHONE: (510) 215-3080
FAX: (510) 215-3015
PARK KIOSK AND CONCESSION STAND RENTAL APPLICATION
Rumrill Food Kiosk Davis Park Concession Stand
( ) # 1 ( ) # 2 ( ) # 1
1. Applicant’s Name: _________________________________________________________Day Phone: _____________________ (Please Print Clearly) Eve Phone: _____________________ Designated/ Contact Person Name: _____________________________________ Day Phone: _____________________ (Please Print Clearly) Eve Phone: _____________________
2. Address: ________________________________________ City: _____________________ Zip Code: __________________
3. E m a i l A d d r e s s :
4. Requested Rental Start Date: Lease Duration: ( ) 1 month trial ( ) 3months ( ) 6 months ( ) 1 year
5. Request access to San Pablo Community Center (SPCC) commercial kitchen? ( ) Yes ( ) No
a. Requested Days of the week:______________________________________________________________________________________
b. Rental Times: _________________ a.m. /p.m. to ____________________ a.m. /p.m.
6. D e s c r i p t i o n o f g o o d t o b e s o l d :
RENTAL AGREEMENT
My signature certifies that I have read and understood the rule s and regulations as set forth by the City of San Pablo Recreat ion Division governing the use of the Public Facility a nd Field Rentals, that I will t ake full responsibility for ensuring that the use of this facil ity and areas by the organization/party I represent is in full adherence and compliance with these rules and regulations, and that I will hold the City of San Pablo harmless from any damage, claim for damage for personal injury or death, damage or loss of property, claim for damage to or loss of pro perty incurred in the use of this facility. I will accept full responsibility for th em throughout the period specified in the Park Kiosk and Conces sion Stand Rental Application. I further understa nd that as the applicant I assu me full responsibility for any penalty fees assessed by the Cit y of San Pablo for any violations of these rules and regulations governing the use of the above requested facility or field. I am fully aware that the Deposit is non-refundable if I cancel within 2-weeks of my reservation for any reason.
Applicant’s Signature: ____________________________________________________________ Date: ________________________
Contract Approved By Recreation Staff Name:_________________________________________ Date:________________________
For Office Use Only
Application Fee (non-refundable) $ ______________ D e p o s i t $ ______________ Rental Fee $______________ I n s u r a n c e F e e $ ______________ Other___________________________ $______________ TOTAL $______________
Amount Paid__________ Date_______ RECPT/NO._______________ Amount Due__________ Date_______ RECPT/NO._______________ Amount Paid__________ Date_______ RECPT/NO._______________ Amount Due__________ Date_______ RECPT/NO._______________ Amount Paid__________ Date_______ RECPT/NO._______________
Amount Refunded___________ Payment Request Date _____________ Request sent to Finance Date___________ Check NO. ______________ X
San Pablo United Youth Soccer Club
510-367-9335
Rafael Torres
412 Mitchell Avenue
San Pablo
94806
[email protected]
January 1, 2023
X
7 days a week
24 hrs
Enrolled soccer players. serves as registration booth
10-18-2022
October 14, 2022
City Council Members
City of San Pablo
13831 San Pablo Avenue
San Pablo, CA 94806
Dear City Council Members:
On behalf of San Pablo United Youth Soccer Club and as a President of the club I am formally requesting a fee waiver for the use of soccer fields at Rumrill Field 1,2,3 from January 3rd to July 31st 2023 for our Winter Season.
We are still in the hope that the fee agreement for the use of Rumrill 1, 2, and 3 be honored by the City of San Pablo. SPUYSC is a volunteer run, non-profit organization dedicated to the youth and families of our community, and we do not get subsidize by any other organization. We are still an organization that try to maintain very low registration fees compared to other organization in our nearby cities, and this only possible with the support of city officials and our long list of parent involvement that understand the need of providing a safe place to our youth. Our goal is not to leave any child behind due to socioeconomic disadvantages and now more than ever that our families are still facing the economic impact of the Covid-19 and increase in prices, we are determined to continue with program at affordable fees and reachable to every single child in our community.
We continue to struggle finding fields for our older children, fighting to secure a Middle/High School field for 13th years and up teams has become a competition with adult leagues and bigger money clubs in our region, we would like to encourage City Council Member to seek an opportunity to build a full adult size soccer field, like EL Portal, that was our home from the beginning of this league and where thousands of kids benefited from over the years.
We thank the City of San Pablo for all its generous support in the past and present. We cannot do what we do without the continuous help we receive from The City, and we are very pleased to continue serving the community of San Pablo and its families
Sincerely,
Rafael Torres
President
SPUYSC
City of San Pablo
Recreation Division
2450 Road 20
San Pablo, CA 94806
Field Rental Fee Waiver Application
ORGANIZATION DETAILS
Name of Organization:
Contact Name: Phone:
Organization Email Address:
Organization Mailing Address:
FEE WAIVER REQUEST DETAILS
Season:
Season Dates:
*Location Requested:
*If requesting the Davis Park location, your group must schedule a mandatory parent meeting to be had with Community Services and the Police Department to discuss parking restrictions to address public safety concerns.
Copies of the following items are required at the time of application submittal:
1) 501(c) Status / IRS documentation – Articles of Incorporation 2) Current Organization Roster of Membership
a) Roster must include player’s names, guardians, and addresses 3) List of Organization Officers and Contact Information 4) Certificate of Insurance
a) Must be valid for the season requested
b) List the “City of San Pablo” as the additionally insured party for the season 5) Copy of Organizations bylaws or articles of incorporation
CITY OF SAN PABLO STAFF USE ONLY
Received By: Date:
Council Review Date: Council Decision: Date:
Special Conditions:
San Pablo United Youth Soccer Club
Rafael Torres
510-367-9335
[email protected]
412 Mitchell Avenue San Pablo 94806
Winter 22/23
Rumrill Sport Complex
January 3 to July 31, 2023 , except holidays
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
7/22/2022
Insurance Office of America, Inc.
1855 West State Road 434
Longwood FL 32750
United States Fire Insurance Company
21113
USCLUBS-01
Accredited Surety & Cas Co Inc
26379
National Association of Competitive Soccer Clubs
dba US Club Soccer
774 S Shelmore Blvd Ste 104
Mount Pleasant SC 29464
HDI Global Specialty SE
884648609
B
X
2,000,000
X
2,000,000
5,000
X
Participant LL
2,000,000
4,000,000
X
Sanctioned Event
Y
Y
1-TRE-SC-17-01338515-00
8/1/2022
8/1/2023
2,000,000
Abuse & Molestation
2,000,000
B
X
3,000,000
X
Y
1-TRE-SC-17-01228516-00
8/1/2022
Y
8/1/2023
3,000,000
A
C
Accident Medical
Full Excess
Excess Liability
Y
Y
US1819977
HDHX003700505
8/1/2022
8/1/2022
8/1/2023
8/1/2023
Medical Maximum
Med. Deductible
Excess of $3mm primar
200,000
500
1,000,000
The Certificate Holder is included as an Additional Insured (per Form #RSCG0303 0921) with respect to General Liability on a Primary & Non-Contributory basis (per Form #CG2001) and includes Waiver of Subrogation (per Form CG2024) when required by written contract, but only with respect to the operations of the Named Insured. This Certificate is issued on behalf of all valid YOUTH US CLUB SOCCER registered and approved players and staff participating with:
San Pablo United YSC, Club ID# C6bbbf
City of San Pablo, its Officers, Agents, Volunteers &
Employees
1000 Gateway Avenue
San Pablo CA 94806
POLICY NUMBER: 1-TRE-SC-17-01338515-00 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RSCG 03 03 09 21 Includes copyrighted material of Insurance Services Office, Inc., with Page 1 of 2 its permission
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
1. Additional Insured
Paragraph 2. of Section II – Who Is An Insured is amended by the addition of the following:
e. Any person or organization is included as an additional insured, but only to the extent such person or organization is held liable for “bodily injury”, “property damage” or “personal and advertising injury” caused by your acts or omissions. With respect to the insurance afforded to such insured, all of the following additional provisions apply:
(1) You and such person or organization have agreed in a written “insured contract” that such person or organization be added as an additional insured under this policy; (2) The “bodily injury”, “property damage” or “personal and advertising injury” for which said person or organization is held liable occurs subsequent to the execution of such “insured contract”; (3) The most we will pay is the lesser of either the Limits of Insurance shown in the Declarations or the Limits of Insurance required by the “insured contract”; (4) Such person or organization is an insured only with respect to:
(a) Their ownership, maintenance, or use of that part of the premises, or land, owned by, rented to, or leased to you, except such person or organization is not an insured with respect to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization;
(b) Your ongoing operations performed for that insured; (c) Their financial control of you, except such person or organization is not an insured with respect to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization;
(d) The maintenance, operation or use by you of equipment leased to you by such person or organization;
(e) Operations performed by you or on your behalf and for which a state or political subdivision has issued a permit, provided such operations are not performed for such state or political subdivision, and are not included within the “products-completed operations hazard”; (5) This insurance does not apply to “bodily injury”, “property damage”, “personal and advertising injury”, “occurrence” or offense:
(a) Which takes place at a particular premise after you cease to be a tenant of that premises; (b) Which ta kes place after all work, including materials, parts or equipment furnished in connection with such work to be performed by or on behalf of the additional insured at the site of the covered operations, has been completed;
(c) Which takes place after that portion of “your work” out of which the injury or damage arises has been put to its intended use by any other person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project; (d) Which takes place after the expiration of any equipment lease to which (4)(d) above applies; (6) With respect to architects, engineers or surveyors, coverage does not apply to “bodily injury”, RSCG 03 03 09 21 Includes copyrighted material of Insurance Services Office, Inc., with Page 2 of 2 its permission
“property damage” or “personal and advertising injury” arising out of the rendering or failure to render any professional services by or for you, including:
(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; (b) Supervisory, inspection, architectural or engineering services.
However, if an Additional Insured endorsement is attached to this policy that specifically names a person or organization as an insured, then this subsection 2.e. does not apply to such person or organization.
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to
an additional ins ured under your policy provided
that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
POLICY NUMBER: 1-TRE-SC-17-01338515-00 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organization(s):
ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transf er Of
Rights Of Recovery Against Oth ers To Us of
Section IV – Conditions:
We waive any right of recovery against the person(s)
or organ ization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against
such person(s) or organization(s) prior to loss. Th is
endorsement applies only to the person(s) or
organization(s) shown in the Schedule above.
To whom it may concern,
We are San Pablo United Youth Soccer Club, SPUYSC, a non-profit volunteer soccer organization. We do not have employees for our organization; therefore, we do not provide workers compensation insurance. All of our board members and coaches donate their time. We do not pay any individual for their services.
Sincerely,
X Rafael Torres
Rafael Torres
President of San Pablo United Youth Soccer Club