PCEC Application for Use Macros

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Pierce College Equestrian Center Application For Use (Save form with YOUR ORGANIZATION in Document Name)

A Non-Refundable $300 Booking Fee is required at time of estimate to hold your date Permit for Use will include Additional Payment Terms including a security deposit due 30 days prior to your event.

Application Date:       Requested Event Date(s): Begin mm/dd/yy:       End mm/dd/yy:       Name of Event:       Organization Name / Promoter DBA:       Daily Open and Close Time(s)       Management Arrival Date:       Time:      Management Departure Date:       Time:       Mailing Address:       Zip:       Contact person:       Phone Land Line:      Cell phone:      Email address:       Organization Website:       Estimated Number of Participants:       Estimated Number of Spectators:       Estimated # trailer parking       Estimated # passenger vehicle parking       Estimated Overnight RV use       Estimated Number of Overnight Horses:       Estimated Number of Day Haul-In Horses:       Estimated Number / Cattle or other animals: #       Type:       A Certificate of Insurance and an accompanying endorsement that includes the following is required: General Liability – Comprehensive or Commercial Form, minimum limits each occurrence $1,000,000, General Aggregate $2,000,000. Certificate must list Pierce College and Los Angeles Community College District as additionally insured. A copy of insurance must be submitted 2 weeks in advance of event All parties doing business with the LACCD and Pierce College must have Vendor Information on file. Required additional information for Vendor Form: Legal Name of Promoter / Organization       Tax Status of Promoter / Organization (partnership, non-profit, etc.)       Taxpayer I.D. (SS# or EIN#)

Review Date:      By:       Submitted Date:       To:       3/1/2014 Version PCEC Application for Use


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