COMMUNITY USE OF SCHOOL DISTRICT BUILDINGS & SITES & EQUIPMENT

APPLICATION FORM

Code No.  905.1E1

The undersigned entity makes an application for the use of the school district facility or equipment as designated below.  The entity will provide police protection at its own expense, if necessary, to maintain order and to properly protect the building or site. 

Please refer to Policy 905.1 to determine the proper use of school facilities and equipment.  The entity is responsible for complying with the law, board policy and the administrative regulations.

The entity must provide an Indemnity and Liability Insurance Agreement, Code No. 905.1E2, prior to the use of school district buildings or sites.

Building/Site/Equipment_____________________________________Date ________________

Purpose ___________________________________________________Hours ______________

Custodial Fee: $ ____________

Total Fee  $_________________

Name of entity making application:_________________________________________________

Name of person making application:  _______________________________________________

Address:  _______________________________________  Phone #:  _____________________

_____________________________________                _____________________________

      (Signature of Applicant)                                                                   (Date)

I.C. Iowa Code: § 123.46; § 276; § 278.1; § 279.8; § 297; § 8D

Cross References: 705.4 Expenditures for a Public Purpose

905.2    Nicotine/Tobacco-Free Environment

Revised: 9/8/2025

Reviewed: 9/8/2025

COMMUNITY USE OF SCHOOL DISTRICT BUILDINGS & SITES & EQUIPMENT

INDEMNITY AND LIABILITY INSURANCE AGREEMENT

Code No. 905.1E2

The undersigned, hereafter referred to an “entity,” state that it will hold the Edgewood-Colesburg School District, hereafter referred to as “school district,” harmless from any and allP damages and claims that may arise by reason of any negligence on the part of the entity in the use of any facilities or equipment owned by the school district.  In case any action is brought therefore against the school district or any of its officers, employees or agents, the entity will assume full responsibility for the legal defense thereof, and upon its failure to do so on proper notice, the school district reserves the right to defend such action and to charge all costs, including attorneys’ fees, to the entity.

The entity agrees to furnish and maintain during the usage of the facilities or equipment owned by the school district such bodily injury and property damage liability insurance as will protect the entity and the school district from claims for damages for personal injury, including accidental death, and from claims for property damages which may arise from the entity’s use of the school district’s facilities or equipment whether such operations be by the entity or by anyone directly or indirectly employed by the entity.

The entity will furnish the school district with a certificate of insurance acceptable to the school district’s insurance carrier before the contract is issued.

Dated at __________________________, Iowa, this_______ day of _______________20_____

____________________________________School District

                            (Entity)

By___________________________             By _____________________________________

                                                                                                      Superintendent

Title__________________________            By _____________________________________

                                                                                                         Secretary

Address:  ______________________________

                ______________________________

I.C. Iowa Code: § 123.46; § 276; § 278.1; § 279.8; § 297; § 8D

Cross References: 705.4    Expenditures for a Public Purpose

905.2     Nicotine/Tobacco-Free Environment

Revised:

Reviewed: 6/26/2023

COMMUNITY USE OF SCHOOL DISTRICT BUILDINGS & SITES & EQUIPMENT REGULATION

Code No. 905.1R1

1.         Alcoholic beverages will not be brought to or consumed on school grounds.

2.         All tobacco and nicotine products are prohibited in school district facilities and on school district grounds, including in private vehicles.  “Nicotine products” mean any product containing nicotine or any other preparation of tobacco and any product or formulation of matter containing biologically active amounts of nicotine.  “Nicotine product” does not include any cessation product specifically approved by the United States Food and Drug Administration (FDA) for use in reducing, treating, or eliminating nicotine or tobacco dependence.

3.         A school district employee must be present while the school district facility or equipment is being used by an entity, unless prior arrangements have been made with building administration.

4.         After a school district facility, site, or equipment has been used by an entity, cleaning, including restoring the facility, site, or equipment to the condition it was in prior to its use will be done by employees assisted by a committee from the entity.  The fee charged to the entity for the use of the facility, site, or equipment will include these costs.  However, if excessive costs are involved in cleaning or otherwise restoring the facility, site, or equipment to the condition it was in prior to its use, the board reserves the right to charge the entity for these excessive costs. 

5.         Entities are required to stay within the area of the school district facility or site and use             only the school district equipment authorized by the school district for use by the entity.  Other school district facilities, sites, or areas in the school district building or equipment are off limits to the entity.

6.         A cancellation after the facility or equipment is made ready for the entity will be charged at the full rate.  Cancellations made prior to that time will be charged a minimum cancellation fee or the costs incurred to the school district in anticipation of the entity's use, whichever is greater.

Iowa Code: § 123.46; § 276: § 278.1; § 279.8; § 297            ;§ 8D

Cross References        705.04 Expenditures for a Public Purpose

705.04-R(1)    Expenditures for a Public Purpose - Use of Public Funds Regulation

905.02 Nicotine/Tobacco-Free Environment

Adopted:
Revised:           07/23/2012

Reviewed:        06/26/2023

COMMUNITY USE OF SCHOOL DISTRICT BUILDINGS & SITES & EQUIPMENT FEES SCHEDULE

Code No. 905.1R2

Rates For Use Of Buildings And Sites:                  

Custodial Fees:

Custodial fees will be $25.00 per hour with $25.00 minimum during regular working hours.  $35.00 per hour with $35.00 minimum during non-working hours.  Additional fees may be charged to due weather, for snow removal and ice melt application. 

The renting party will not set up and tear down the gym.  This will be subject to custodial fees.        

Iowa Codes:      § 123.46: § 276; § 278.1; § 279.8; § 297; § 8D

Cross References:          705.4    Expenditures for a Public Purpose

905.2    Nicotine/Tobacco-Free Environment

Revised: 09/8/25

Reviewed: 09/8/25