Form Center

2. A. Lessee is responsible for obtaining all necessary banquet, banquet special event or mixed beverage special event licensing from the Virginia ABC Board.
   
   B. Lessee of the auditorium/rooms with alcohol permits are required to be covered by an additional comprehensive liability special event policy in the amount of $1,000,000 in effect the dates of facility use listing the City of Fredericksburg as the named insured, which is to be submitted to the office 2 weeks prior to rental.
   
   C. Lessee is required to pay an additional deposit of $300 for the auditorium and $200 for any other room, in addition to the current deposit fees. These deposits are refundable provided there is no damage and the area is returned clean.
   
   D. Lessee will pay a fee of $200 for alcohol usage in addition to rental fees which are due 2 weeks prior to the event. This will cover any additional administrative time required to track permitting and scheduling.
   
   E. Alcohol usage fees are NOT refundable even if all other fees are refundable. (i.e., cancellation)
   
   F. Alcohol will only be consumed in the room that is covered under the ABC permit. No alcohol will be permitted outside of the Dorothy Hart Community Center.
   
   G. Lessee assumes responsibility for all guests that consume alcohol.
4. Contact Person*
5. Representative of the following group:
7. In consideration for the use of the Dorothy Hart Community Center, 408 Canal St., Fredericksburg, VA for myself and all my legal representatives, I do hereby agree and undertake to save and hold harmless, release and forever discharge the City of Fredericksburg, its officers, agents, employees and any and all other persons, firms and corporations, acting on behalf of the City from any and all actions, demands or claims for damages to persons or property, that may arise out of the use of said City property specified here, without regard to a negligent act or omission of the applicant, the City of Fredericksburg, or any other person, organization , firm, or corporation acting on behalf of the City.
9. By my signature below, I certify that I have received a copy of, read, and fully understand the alcohol policy & contract for Dorothy Hart Community Center rental. I further understand that my failure to meet any of these responsibilities or comply with the policy may result in the immediate termination of the rental agreement by the on-site facility supervisor. I also agree that, if termination of the rental agreement is deemed necessary by the supervisor, I will ask that my guests exit the facility in a quick and orderly fashion and personally oversee the clean-up of the rental space. Finally, I understand and agree that, should early termination of my rental contract become necessary, I will receive no refund of alcohol fees and my deposit may be withheld.
11. Lessee Signature: I understand that checking the box below is equivalent to signing my name.*

    1. I Accept:
13. Lessee Name*
14. Date*
    Date
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20. 1. Receive an email copy of this form.
21. Email address

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