Form

Name  (Required)

Address  (Required)

Phone  (Required)

Email  (Required)

Event Information

Pursuant to the District's facility rental policies, additional liability insurance may be required for events that the District determines in its sole discretion should require additional liability insurance (i.e. bounce houses, food trucks, personal training/group exercises, etc).

Specify Intended Use  (Required)

Date  (Required)

Start Time  (Required)

End Time  (Required)

Acknowledgements

1. The reservation is not confirmed until both the completed Amenity Rental Agreement and the Fee have been received by the Amenity Manager.

2. There is a maximum of 40 guests permitted, consistent with the District’s adopted policy.

3. The rental duration includes set-up and post-event clean-up and applies to all guests in attendance. Standard Guest policy applies outside the scheduled rental time and to all other District amenities during the rental time. For the time of the scheduled use (reservation), the renter has the exclusive use of the rented Amenities only.

4. The interior and exterior of the Amenities are under closed-circuit television surveillance.

5. A Fee made out to “Epperson North Community Development District” shall be provided to the Amenity Manager upon submitting this reservation request.

6. Rental Fee: A non-refundable Rental Fee will be charged for rental of the Amenities. A check shall be made out to the “Epperson North Community Development District” and submitted to District Staff at least thirty (30) days in advance of the reservation date or the date will be released. Cancellations made less than fifteen (15) days prior to the reservation date will forfeit the Fee.

7. Bounce houses and similar apparatuses are permitted only outdoors and at the discretion of, and in areas designated by, the District. Proof of liability insurance acceptable to the District is required.

8. Additional fees may be assessed if the clean-up is incomplete, the event is not limited to the reservation time frame, or if there is damage to the Amenities.

9. I have reviewed, fully understand, and agree to abide by, the Amenity Rules.

10. I understand that at the conclusion of my rental period, I am responsible for the following clean-up tasks:

• Remove all garbage, place in dumpster, and replace garbage liners;
• Remove all decorations, event displays, and materials;
• Return all furniture and other items to their original position;
• Wipe off table tops;
• Otherwise clean the rented Amenities and restore them to the pre-rented condition, and to the satisfaction of the Amenity Manager.
• Ensure all doors and windows are closed AND locked at my departure.

11. During two separate event parties, restroom facilities are shared. All guests will be respectful and courteous in their use.

12. Balloons and confetti are prohibited.

Alcohol

Will alcohol be served?  (Required)

1. I understand that if I intend to personally serve or sell alcohol, I must hire a licensed and insured vendor of alcoholic beverages and must provide proof of this to the Amenity Manager prior to the event.

2. I understand that I am solely responsible for ensuring that alcohol is consumed in a safe and lawful manner, in accordance with all applicable laws, regulations, and policies, and I agree to assume all liability for damages resulting from or arising in connection with the consumption of alcohol on the District’s property.

3. If event liability insurance coverage is required, the Epperson North CDD is to be named on the policy as an additional insured party as follows: Epperson North Community Development District and its supervisors, District Manager, Amenity Manager, agents, officers, staff, and contractors.

4. I have reviewed and agree to comply with the insurance requirements below:

	BYOB	Served/Sold
Permitted	Yes	Yes, but only if a licensed bartender/caterer is hired
Insurance	None required if resident only and with up to four authorized guests. Otherwise, a Homeowner's Insurance Rider/Endorsement providing special event coverage	Event liability insurance: $250,000 Property Damage $1,000,000 Personal Injury Alcohol Rider District named as an additional insured

Documents

Insurance Documents

Alcohol License

Indemnification

I agree to indemnify, defend and hold harmless the Epperson North Community Development District (“District”), and any of their affiliates, supervisors, officers, managers, attorneys, engineers, agents, employees, volunteers, organizers, officials or contractors (collectively, the “Indemnitees”) from any and all liability, claims, actions, suits, liens, demands, costs, interest, expenses, damages, penalties, fines, judgments, damage or loss of any kind, whether monetary or otherwise, arising out of, in whole or in part, the use of the Amenities, and if alcohol is present, arising out of, or in connection with the, the consumption or provision of alcohol. I further acknowledge and agree that I shall be bound at all times by the terms and conditions of the District’s Rules (the terms of which are incorporated herein by this reference), as currently in effect and as may be amended from time to time. Additionally, I acknowledge that the District is not responsible for supervising the Amenities, and that I am responsible for supervising my minor children and guests and am further responsible for their acts and omissions. Nothing herein shall constitute or be construed as a waiver of the District’s limitations on liability contained in section 768.28, Florida Statutes or other law.

Electronic Signature  (Required)

Intended Use  (Required)