t)('eo\ou.s fe..la.\'al€nds ' 3/.2043
Rental Agreement #.
CITYuSAN-PABLO
Sports Field Rental Application
ONLY SAN PABLO INCORPORATED RESIDENTS ARE ELIGIBLE FOR RESIDENTjiATES Facility Requested (Hours of Ooeration):
[IEI Portal Field (8:00AM-Time of Sunset) ...15Rumri]] Fie]d #1 (8:00AM-12:00AM Depending on Day of Renta]) [IDavis Park BasebalIField (8:00AM-10:00PM) $Pq.umri]] Fie]d #2 (8:00AM-12:00AM Depending on Day of Renta]) umrill Field #3 (8:00AM-11:00PM Depending on Day of Rental) and Wed Type of Activity: Soccer Practice
[IDavis Park F
Date Requested: on
Starting Field Time 5:00 PM
M illie Moran
. am/pm .!.Q Ending Field Time: 1? 99 PM
'i.)liitJ \.Ji5 C...Phone Number: 415-305-8306
am/pm
Name of Applicant
Name of Organization: SPUYSC State Non-Profit ID#
Designated Person in Charge on the Day of Event: R.afael Torres Phone: 510-367-9335 Address:412 MitcheIAvenue .city:San Pablo .zi,:94806
CeiiPhone:510-367-9335 EmaH: nineth4@msn .com
Below please write in atteitdance for each age group. Attettdattce lttuttbers heed to be as accurate as possible Children(ages 1-12).11119. Teens(ages 13-20).]!!g lts(ages 21-35).]!P9. lts(ages 35+).]P9
RENTAL AGREEMENT
My signature certifies that Ihave read and understood the rules and regulations as set forth by the City of San Pablo Recreation Division governing the use of the Public Field Rentals, that lwilltake fullresponsibility For ensuring that the use of this facility and areas by the organization/party I represent is in fulladherence and compliance with these rules and regulations, and that lwillhold the City of San Pablo harmless from any damage, claim for damage for personal injury or death, damage or loss of property, claim for damage to or loss of property incuned in the use of the field(s) reserved. I willaccept full responsibility for them throughout the period specified in the Sports Field RentaIApplication. I further understand that as [he app]icant ]assume h]]responsibi]ity for any pena]ty fees assessed by the City of San Pablo for any violations of these rubes and regu]ations governing the use of the above requested field. I am fully aware that the Deposit is non-refundable ifl cancel within 2-weeks of my reservation for any reason. lam also aware that by signing this contract, lta!$i:-4illrespogsil;iljty for the behavior exhibited by my guests during my rental.
SIGNATUREOFAPPLICANT: l'n''7 DATE:05- 2-2023
Recreation Staff Signature: Date Received a3 Appro
Appro
ved [] Denied C:]
Denied C]CM Staff Signature Date Received
OFmCE USE ONLY
Application Fee(Non-Refundable)
Deposit
Hourly Fee
Insurance Fee(Willorganization/applicant provide their own Insurance? Alcohol Fee
Staff Fees ($20/person/hour)
Security Guards
Equipment
Amount Total
$o a..J .J
$
$
$
$
$
$
$
Rental Agreeme nt #.
Sports Field Rental Application
ONLY $ANPABL(nN(;QRPQRATED RESIDENTS ARE ELIGIBLE FOR RESIDENT RATES CITY«SAN PABLO
[IEIPortaIField(8:00AM-Time of Sunset)
[IDavis Park BasebalIField(8:00AM-10:00PM)
[IDavis Park Field.
on
pill)ay Q11
lal
PracticeDate
StartingField Time: 5:00 PM . am/pm .!.Q Ending Field Time: 8:00 PM am/pm Name of Applicant: Number:415-305-8306
Name of Organization: SF)UYSC State Non-Profit ID#
Designated Person in Charge on the Day of Event: R.afael Torres Phone: 51-367-9335 Address:412 MitcheIAvenue .city:San Pablo .zi.:94806
Cellphone:.q.19l:367-9335 EmaH: nineth4@msn .com
Below please write in attendaltce for each age group. Attendaltce ttttltbers need to be as accttlate as possible Children(agesl-12).ll11g. ns(ages13-20).1119. lts(ages21-35).11.9q(ages35+).!!g.
RENTAL AGREEMENT
My signature certifies that Ihave read and understood the rules and regulations as set forth by the City of San Pablo Recreation Division governing the use of the Public Field Rentals, that lwilltake fullresponsibility for ensuring that the use of this facility and areas by the organization/party I represent is in fulladherence and compliance with these rules and regulations, and that lwillhold the City of San Pablo harmless from any damage, claim for damage for personal injury or death, damage or loss of property, claim for damage to or loss of property incurred in the use of the field(s) reserved. I will accept fullresponsibility for them throughout the period specified in the Sports Field Rental Application. I futher understand that as the applicant lassume fullresponsibility for any penalty fees assessed by the City of San Pablo for any violations of these rules and regulations governing the use of the above requested field. I am fully aware that the Deposit is non-refundable ifl cancel within 2-weeks of my reservation for any reason. lam also aware that by signing this contract, ltakg,fE$bresponsjl3flityybr the behavior exhibited by my guests during my rental.
SIGNATUREOFAPPLICANT: DATE:05-12-2023
Recreation Staff Signature: Date Received Denied []
Denied C]CM Staff Signature: Date Received
OFFICEUSEONLY
Application Fee(Non-Refundable)
Deposit
Hourly Fee
Insurance Fee(Willorganization/applicant provide their own Insurance? AlcohoIFee
Staff Fees ($20/person/hour)
Security Guards
Equipment
Amount Total
$
$
$
$
$
$
$
Rental Agreement #
CITY.SANPABLO
('ityo$ New f>ircctians
Sports Field RentaIApplication
ONLY SAN PABLO INCORPORATED RESIDENTS ARE ELIGIBLE FOR RESIDENT RATES Facilitv Requested (Hours of Ooeration)
[IEIPortaIField(8:00AM-Time of Sunset)
[JDavis Park BasebalIField(8:00AM-10:00PM)
[IDavis Park Field
umljlIField #1 (8:00AM-12:00AM Dependi on Da
.umrilIField #2 QQAMJ;2;00.4M Dependi f Renton Da
lri intal(8:GUAM-lU:DORM) n
Soccer MatchSAT&SUNDec17-2023Day of Week:Requested .Type of Activity:Date Starting Field Time: 9:00AM . am/pm .!.Q Ending Field Time: 5:00 PM am/pm Name of Applicant: Millie Molar'i Phone Number: 415-305-8306 Name of Organization: SPUYSC State Non-Profit ID#
Designated Person in Charge on the Day of Event: R.afael Torres Phone: 510-367-9335 Address:412 MitcheIAvenue .city:San Pablo .zi.:94806
Cellphone: 510-367-9335 EmaH: nineth4(@)msn .com
Below please write itt atteltdance for eclch age group. Attettdattce itttmbers need to be as accurate as possible Children(agesl-12).119q ns(ages13-20).l!!g. ults(ages21-35).!f?q lts(ages35+).119q
RENTAL AGREEMENT
My signature certifies that Ihave read and understood the rules and regulations as set forth by the City of San Pablo Recreation Division governing [he use of the Public Field Rentals, that ]wi]]take fu]]responsibi]ity for ensuring that the use of this faci]ity and areas by the organization/party ] represent is in fulladherence and compliance with these rules and regulations, and that lwillhold the City of San Pablo harmless aom any damage, claim for damage for personal injury or death, damage or loss of property, claim for damage to or loss of property incurred in the use of the field(s) reserved. I willaccept fullresponsibility for them throughout the period specified in the Sports Field RentaIApplication. I further understand that as the applicant lassume 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 fully aware that the Deposit is non-refundable ifl cancelwithin 2-weeks of my reservation for any reason. lam also aware that by signing this contract, lli&e fullresllgJlsibility for the behavior exhibited by my guests during my rental.
SIGNATUREOFAPPLIC.ANT: '""z MATE:05-12-23
Recreation Staff Signature: Date Received Approved C] Denied [] Denied []CM Staff Signature: Date Received Approved
OFTICEUSEONLY
Application Fee(Non-Refundable)
Deposit
Hourly Fee
Insurance Fee(Willorganization/applicant provide their own Insurance? AlcohoIFee
Staff Fees ($20/person/hour)
Security Guards
Equipment
Amount Total
$a/ i. [
$o'h tl z.
$
$
$
$
$
CITY OF SAN PABLO RECREATION DIVISION
2450 ROAD 20, SAN PABLO, CA 94806
PHONE: (510) 215-3080
FAX: (510) 215-3015
CITY. SAN PABLO
PARK KIOSK AND CONCESSION STAND RENTAL APPLICATION
RumrilIFood Kiosk Davis Park Concession Stand
(X)#l ( )#2 ( )#l
l Applicant's Name:
Millie Moran
.Day Phone:
EvePhone
Day Phone:
EvePhone
415-305-8306
Designated/ Contact Person Name:
(Please Print Clearly)
RafaeITorrei ' 510-367-935
(Please Print Clearly)
2. Address 412 Mitcllel Avenue
City: !?n 11?1?1S? . zip Code: ..?.If06
3. Email Address
4 5
Requested RentalStart Date: Januarv 1- 2024 Lease Duration: ( ) I month trial( ) 3months ( ) 6 months (X) I year Request access to San Pablo Community Center (IPCC) commercialkitchen? ( )Yes ( )No a. Requested Days of the week: 7 days a Meek
b.RentaITimes: 24hrs a.m./p.m.to a.m. /p.m
6. Description of good to be sold:.
Selves as a registration booth
RENTALAGREEb4ENT
My signature certifies that Ihave read and understood the rules and regulations as set forth by the City of San Pablo Recreation Division goveming the use of the Public Facility and Field Rentals, that lwilltake full responsibility Gor ensuring that the use of this facility and areas by the organization/party Irepresent is in fulladherence and compliance with these rules and regulations, and that lwillhold the City of San Pablo hamtless from any damage, claim for damage 6or personal idury or death, damage or loss of property, claim Hor damage to or loss of property incurred in the use of this facility. I will accept full responsibility for them throughout the period specified in the Park Kiosk and Concession Stand Rental Application. I further understand that as the applicant I assume full responsibility lor any penalty lees assessed by the City of San Pablo for any violations of these rules and regulations goveming the use of the above requested facility or field. I am fully aware that the Deposit is non-refundable iflcancelwithin 2-weeks of my.FesSrvation 9peny reason. 'ikl"7 Date: 05-12-2023Applicant's Signature:
Contract Approved By Recreation Stan'Name: Date
For OfHlce Use Only
Application Fee(non-refundable) $
Deposits
Rental Fee $
[nsurance Fee . $
Others
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.
May 12, 2023
City Cou nciIMembers
City ofSan Pablo
13831 San Pablo Avenue
San Pablo, CA 94806
Dear City Cou nciIMembers
On behalf of San Pablo United Youth Soccer Club and as a President of the club lam formally requesting a fee waiver for the use of soccer fields at RumrilIField 1,2,3 from July 5th to December 20th 2023.
We are stillin the hope that the fee agreement for the use of Rumril11, 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 stillan 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 ouryouth. Our goalis not to leave any child behind due to socioeconomic disadvantages and now more than ever that our families are stillfacing 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 Schoolfield for 13th years and up teams stella problem, competing with adult leagues and bigger money clubs in our region, we want to continue encouraging CityCounciIMember 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 allits 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,
RafaeITorres
President
SPUYSC
'i ll I '
2014
San Pablo
City of San Pablo
Recreation Division
2450 Road 20
San Pablo, CA 94806
CIT Y« SAN PABLO
Field RentaIFee Waiver Application
Copies of the following items are reauired at the time of al >lication submittal 1 )
2)
3)
4)
5)
501(c) Status / IRS documentation - Articles of Incorporation Current Organization Roster of Membership
a) Roster must include player's names, guardians, and addresses List of Organization Officers and Contact Information
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 Copy of Organizations bylaws or articles of incorporation
CITY OF SAN PABLO STAFF USE ONLY
Received By: (I.llSCli o,*.: Sli.Sla.Z
CounciIReview Dade Count iIDecision Date
SpecialConditions
ORGANIZATION DETAILS
Name of Oraanization: SPUYSC
Contact Name: Rafael torres Phone: Olu-uo/-uuus
Oraanization EmaiIAddress: nineth4@ msn.com
Oraanization Mailina Address: iilileui(Spriisii.cyril
FEE WAIVER REQUEST DETAILS
Season: Winter
Season Dates: Julv 5th to December 20th 2023
+Location Reauested: Rumril field 1, 2. and 3
*lf 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 oarkina restrictions to address public safetv concerns.