HomeMy WebLinkAbout03/11/2021 6WMOTUCK
PARK®IS ROO
MATTITUCK
PARK DISTRICT
P.O. BOX 1413 ® MATTITUCK, NEW YORK 11952
Ph: (631) 298-9103 ® Email: mattparkdist@optoniine.net
RECEIVED
April 13,2021
APR 1 6 2021
Ms. Elizabeth A. Neville, Town Clerk Southold'town Clerk
Town of Southold
PO Box 1179
Southold,NY 11971-0959
RE: Mattituck Park District
Dear Ms. Neville:
Enclosed please find Mattituck Park District's meeting packet from our'regulaf,,meeting and
special meeting held on March-1 1�"2021 containing the meeting agenda, minutes and resolutions
and the Treasurer's Report for filing with your office.
If you have any giiestions=regarding the enclosed,please do not hesitate to contact me. Thank
you for your attention.
Sincerely, _
Jenni er Mannino
Secretary
Enclosures
MATTITUCK PARK DISTRICT
BOARD OF COMMISSIONERS REGULAR MEETING MINUTES
March 11, 2021
Attendance
Charles Gueli, Chairman via Zoom
George Lomaga, Commissioner
Nick Deegan, Commissioner
Angela Noncarrow, Treasurer
Chris Shashkin, Clerk
Stephen Kiely, Attorney via Zoom
Jennifer Mannino, Secretary
Denise Geis was present from the public
CALL TO ORDER
Meeting called to order 6:37 PM
APPROVAL OF MINUTES
Motion by C Gueli, seconded by G Lomaga, all in favor and motion carried
unanimously to approve the Minutes from the February 11, 2021 submitted via email.
TREASURER'S REPORT (A. Noncarrow)
Presented/Discussed:
• Bill Payment Register dated March 11, 2021
• Budget Ledger dated March 11, 2021
• Balance sheet dated March 11, 2021
• Commissioners reviewed Purchase Orders and approved where needed
• A Noncarrow strongly cautioned the Commissioners about spending, it is not a
good idea to spend to the limit of our budget as over the normal course of the
year some budget items go over and the "cushion" is for those overages at the
end of the year.
• She noted that it is only March and the Site/Maintenance facility budget is
already fully used.
Motion by C Gueli, seconded by G Lomaga, all in favor and motion carried
unanimously to accept and approve the Treasurer's Report.
Veterans Park
• C Shashkin informed the Commissioners that there are additional repairs needed
at the playground for safety reasons. The additional repairs will cost $11,000.00
however 2 items and not urgent and can be removed.
• Kyle from Pettrinelli Playground stated that as all of the major repairs are being
done this year, there will only be minor repairs needed over the next few years
• The Commissioners agreed to repair the playground but to remove the 2 items
not urgently needed bringing the cost to approximately $8500.00
RESOLUTIONS
RESOLUTION 2021-20
RESOLUTION SETTING MEETING DATES FOR APRIL 2021
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby set the
following meeting dates for the month of April 2021: Work Session, Thursday, April 1, 2021 at
6:30 P.M. and monthly meeting, Thursday, April 8, 2021 at 6:30 P.M.
RESULT: Motion byC Gueli seconded by G Lomaga, all in favor and motion carried
unanimously to approve Resolution 2021-20.
RESOLUTION 2021-21
RESOLUTION APPROVING BILL-REGISTER AND AUTHORIZING
PAYMENT OF CURRENT BILLS
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby approve the
Bill Register submitted by the Treasurer for the March 11, 2021 meeting and further authorizes
payment of the current bills.
RESULT: Motion by G Lomaga seconded by C Gueli, all in favor and motion carried
unanimously to approve Resolution 2021-21.
RESOLUTION 2021-22
RESOLUTION TO ENTER INTO LICENSE AGREEMENT
WITH RESIDENT SCOUT ORGANIZATIONS
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby approves
the entry into license agreement between local scout organizations and Mattituck Park District
for use of the Scout Lodge at Bailie Beach in Mattituck for 10 years in the amount of$100.00
per year per organization to be reviewed every 10 years beginning September 2021. This
agreement is subject to approval by the Mattituck Park District Attorney.
RESULT: Motion by,G Lomaga seconded by C Gueli, all in favor and motion carried
unanimously to approve Resolution 2021-22.
RESOLUTION 2021-23
RESOLUTION APPROVING THE PURCHASE OF REPLACEMENT WINDOWS
FROM RIVERHEAD BUILDING SUPPLY
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby approves the
purchase of 4 awning style windows with tempered glass from Riverhead Building Supply at
$257.20 per window for a total of$1031.20 to be installed in the stand alone bathroom facility at
Veteran's Park.
RESULT: Motion by,G Lomaga seconded by N Deegan, all in favor and motion carried
unanimously to approve Resolution 2021-23.
RESOLUTION 2021-24
RESOLUTION APPROVING ADDITIONAL REPAIRS TO THE
PLAYGROUND AT VETERANS PARK
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby approve the
additional repairs for the playground at Veterans Park from Pettrinelli Recreation Inc, located at
199 Blessing Rd, Slingerlands, NY 12159 in the amount of approximately $8500.00 from quote
# R0070210051.
RESULT: Motion by, G Lomaga seconded by N Deegan, all in favor and motion carried
unanimously to approve Resolution 2021-24
RESOLUTION 2021-25
RESOLUTION SETTING THE PARK HOURS FOR THE 2021 SUMMER SEASON
RESOLVED that the Board of Commissioners of the Mattituck Park District hereby set the
following hours for Veterans Park and Breakwater Beach:
When the attendants are working, the gates will be opened at 9:00 AM and closed at 10:0013M.
The gates shall remain open when there are no attendants on duty for the day.
RESULT: Tabled
PUBLIC COMMENTS
D Geis asked S Kiely about the waiver for the Easter Egg Hunt. C Shashkin will put on
the website when complete. She asked if MPD will make copies of the waiver or is she
responsible? N Deegan suggested to have public download the waiver from the
website.
D Geis asked if T Pumillo could watch the eggs at the beginning of the event to make
sure they are not disturbed. The Commissioners said they can adjust his hours during
the week so there is no overtime. He can leave when the event starts.
Matt,ituck Park District
;Balance Sheet
3/11/2021
Assets
Account Account, me" Balance "
A,200.1 BNB"(Operating) 321041.04 '
A.201:2 BNB - Cash,in Time (Money,Market) 554,9978.00
A.202:1B'NB�Payro�I,Acct 6,902.'06
A210 Petty'cas`h
Total Assets 59:3;921:10
,
" r
1
Mattituck Park District
Bill Register
March 11, 2021
Cheek'# Date Payee Amount Notes
202031774233 2/18/21 W IONOS Inc 119.49 Website Domain
27260 3/9/21 All-Out Fire Equipment Co., Inc. 267.00
27261 319/21 Ama6arisett Building Materials 257.64
27262 3/9%21 BP 327.77
27263 3/921 klverhead Buildin ,Sup I 494.04
27264 3/9/21 Carrot-Top Industne's,1nc. 79.86
27265 3/9'/21 d F.Van,D,uzer"Gas,S508
ervice Inc. .01
27266' 3/9/21 Island Portable6;1 c. 267.00
27267 3/9/21 Law Oifires,of'Stepheri,F.'Kiely 2,600,:00
27268 3/9/21 Lamo'`&,1Bamosky, LLP 335:00
27269 31921 L'i lithouse`Security Inc.' 792.00
. 27270 3/9/21 Lund Valve Testirig 45.00
27271 3/,9%21 Natiohm 6, id 430.21
27272 3/9/21 NBWrockl Smith'LLP 2,500:00,
27273 3/9%21 ;Arigdlaznlonca`rrow,
27274 -- 2,063' ,
3%9/21 Optimlum ' , ''�,''" 283.80'
27275 3/9/21 Orlowski,Har'dwaee'Com 'an", Inc, 331.48
27276 3/9/21 Mattituck Plumbing Supply-,lnc., 1,435.00
27277 3%9/21 PSEG°,Lon 'Islerid '`'s ;3;259.40`
i 27278 319121 Sout Id Touun;Dep#',Solid Waste "7.20
27279 3%9%21 Verizon. 37.60
27280 3/9/21 Verizon,�Wireless' 1
32.B4
Total
t
i
Mattituck Park District
Budget Ledger
,0$/11/2021
tLccouirit ID Month to date
-
Description , Current Expenses& Year to.Date
1Zemaining,
A.l Budget Income' Bud,et'.
001
Real, $ 288,660.00
Brest-R1 ' 85 996.64 $ 223 591,27 `
AJ 090 � lnt 'ea,Ph`'.'Tax, $ 65'06$:73
A.2'401 0:00 0.00 0.00
Interest'&,Earning ;0':00 ;
A.2440 s 3,500.00 21.85 40.Q1 '394.5'999
Concession'Ren`tal ' ;45999, ''4'`
A:259 " 0.00
9 Bcach'Fee Non`-Resident 90,000,00 O.Od;
' 0.00 0.00 '
A:2591 [3each'TF e,kesident ; ' 9'000.0 1,0;OO,Oi00
of Ex r 0, 0.00 10,0,•; pi r,
A.26S0. Sale cess 1vlate'rials 0.00 0 8;990;0
A.2705 Gifts&'';Donations 0,00 0.00 0;00
A.2771 ,0.06 ;0.00 0:00
Other•Reven`ues'. '0:00
35 0,00` 0.00
i` ,:2771.1 � ",l�od`�e' 0.0 _ 0.00, 35,0;00.00;
g, ti.0o, o.00 ;,;,,
? CJ7,71,2 Duni .R ''0:00' ;O:OO `.'�``�'
„�,, Comm tY„ oonn
A ;,•'0:00
Picriic�A'r`ea OAO 0.00
A:2771.4 ,;Fields 0.00 0:00
A:599 0.00 0.00
propr`iated;Fund rica X350'' ,0:00
P Bala ,0'00.00 J:
,t' 0.00 0.00 '350000: 0'
To
Revenues''
696;160 8G 018 223 641
:,•, '472;5,1872 ;
A 56,5,0.12 parkin Attend.,;;,' rl
g, Y, ''6'S00, ;,;r;'
',!rr r ' '0.0'0 0.00 `��`
A<<7,1;10:12 Rarks1?arf:T' „ ;6aS00,0
�.>•;;.,. ime,�Hourl ti ���, ;,,,, 0
S, �',.�, 28��50 ,�
,1;604:46',
'3,175,:26 ',25 3 4
I?arks;��Full-tinne,�Hourl 7
A,7d 12:12 Parks`Of9ice' ;- ;087}. ,48
5 10;136:25,. .5351.1.75
,.. .rA{ �� �'',� . . 636
60,000 2,426.58' ,4 833:27 :;
71 ;10.452 Secreta ,' 55166.73'
, �, r1'' x `; 7826
At7,1 `602,00 1 20,400
, oasu�ei r:
;10.453 Tr6622;00
it 11ga iJi1',v +ri-.,.�.. ',1, 'I
�, �' ,$52 9$8''62
�' ,`�`� �R; �r' 1''977:2,
:71;$0:11 B` ' 4 10'874:
each�`Nlana(Q]�`'er' ' �,•� ��; <',' �„ '�., , 76I,
,606, 0,00
A:71 Beaches 'Atten�aa` �x, ;0:00 ,600:00
8012. , nts`I burly :'' 1'5350
A:7180.14 ' � u ;:r, _ ,, '00, 0:00'`' 15356,00
Lifeguards,Hourl „ ;,'•`
Y,: 27500.,
��0.00 1.0.00 500,:00, '„ ',
;
T,ota��Personnel'Ezpense,' .
227;836 10,708:9,1 2
1,326.02
A:7•,110,242
Site lmproveinents' '"
. ��F100;00.0
A'.7;110.243 E uipinent '0.00 U.00 `` 100`0'00;00
;x,24. :,x,x ,
24,0Q0,,,QQ
otai',c 06;Quiia ti :124o00' ,; '
oo ' ,,.'_'
"0.00 0:00 1 i4,aoo:00, ;.
A:711,0.411
. Su'pplie's'&Mafe
ria ls' ;'39'200 1,
394:14 059.64 '
At7,1,10.412 Office�Stationary, 2, ,' 37,140:36'
..,,, r E , 500 0:00
A:7;1;10.42i Te16ph 'ne' O.OQ 500'00
7,475 `^ ;453:07 91 ;
A71;10:422` E�ec'tric 6`12 6558.88
• .
0"0 t
00
9
99.
98 ,
.7
. 9 ,
69
A.7+1,10,423. Water,, -', - , , , .18,200:3,1
A.71 0'.424 'Gas 0.00 187.51 1,212:49
Natural 0
A 7i�10k-5 Oil, 7,80 745:95 1,033.32 `6;466:6'8
A'.
7110.43., Insurance, . 55000 505.47 505.47
14494:53
A:7,11 35,0'00 0.00 `0.00
0.442 ;Site Maint%Fahility Rprs 35,000:00
70,OOb 1,746.49 3,330.49, 66,609.51
�A.7,110.443.,Equipment Repair's � ' , ,+ � � `
9,000 15.00 599.59 $,400.41
` Mattituck Park District
Budget Ledger
03/11/2021
A.7110.451 Legal Council
g 15,600 0.00 1,300.00 14,300.00
".7,110.461 Postage 700 . 0.00 55.00 645.00
A.7110.454 Election Tellers 500 128.00 128.00 372.00
' ".7110.455, Auditing;5ervices, 10,000 0.00 0.00 10,000f00
A,7110.456" Professional Fees 15,000 688.50 2,398.00 12,602.00
A.1990 Contingency 12,000 0.00 0.00 12,000.00
"`.711,0.462 Permits 2,000 0.00 50.00 1,95,0.00
A.7109 Payroll,Fees
3,566 275.91 •899.41 2,666:59.
".7110 Bank Fees 100 0.00 0.00 100:00
":5,001.47 Freight/Shipping Exp. 100' 0.00 0.00100:00
":5002 Mileage Reimbursement 3,000 0.00 346.26 ` 211,653:74
Total Co'htraetu6il Expense, 257,641 6,953
15,609 ,242,033
A:903;0.8• FICA,Employee Benefits 26,250 '
"`,9'050.8 819.21 1,631.40 24;61,8:60
Unemployment insurance , .2 100 0.00 `
0.00 2,1,00,00
A,9Q60,8, Medical lnsurance5,000
0.00 ,0.00 5"4,00.00 '
A°:94,61.8, Disability lnsuranoe 20,0
0.00 200 "'''
.36
At9062.8, Workers,Comp.,Insuran ce 2;000 0.00 0.00 2,000:0`0
Total 61)ioyee i'enefits '35550 81 3.1,719
, 9, 1 832
Total,Appropnations $ '645;027 $ ° 1
8,481 $ 38;766 ,$ dtl4 261
Clerk's Report of Receipts
Period: 1 - 31 March 2021
Deposit Other Revenue Picnic Comm Total Beach Concession
Date Group/Payee Description Dates Booked Lodee Area Room Fields Other Other Rev. Permits Donations Rental
January Report - - - - - 10.00 - -
February Report - - - - - _ _
Total Previously Reported $ - $ - - $ - $ - $ - $ - $ 10.00 $ - $ -
March Report
09-Mar 21 Our Lady of Good Counsel Usage Fee 12-Sep 300.00 25.00
09-Mar 2,1 Mary Griffin Usage Fee 30.00
12=Mar 21 MFD Usage Fee 300.00
12-Mar 21 Ken Richert Usage Fee 400.00 a
12-Mar 21 Beach &Guest Permits Usage Fee 30.00
31-Mar 21 Beach &Guest Permits Usage Fee 20.00
MARCH RECEIPTS: - 1,000.00 30.00 - 25.00 1,055.00 50.00 -YEAR TO DATE $ $ 1,000,00 $ 30.00 $ - $ 25.00 $ 1,055.00 $ 60.00 $ - $ -
1 31/03/2021
SPECIAL MEETING MINUTES
Mattituck Park District
Board of Commissioners Special Meeting
Thursday March 11, 2021 5:30PM
Attendance
Charles Gueli, Chairman via Zoom
George Lomaga, Commissioner
Nick Deeggan, Commissioner
Angela Noncarrow, Treasurer
Stephen Kiely, Council via Zoom
Chris Shashkin, Clerk
Jennifer Mannino, Secretary
Call to Order: 5:28 PM
Appointment 5:30 PM: Michael Collins, Southold Town Engineer
Wolf Pit
• Mr. Collins explained the drainage plan for Wolf Pit Lake
• There will be 3 drains, the first one to catch the most runoff the other two to catch
the over flow
• There will be four catch basins with a chain link fence around the parcel
• N Deegan asked if fence necessary, Mr. Collins explained it is required by law
• When project complete there will be no drains running into Wolf Pit Lake
• Southold Town will be fully responsible for drainage area
• Once drainage repaired and no runoff is going into the lake, Mr. Collins
suggested to take core samples of the Lake to see how much sludge is at the
bottom and how much dredging will need to be done.
• Mr. Collins recommended that MPD contact the DEC to help with water samples
and dredging plan
• Before dredging can begin, approval is needed from the DEC and the Southold
Town Trustees
• This project will most likely begin next year
• N Deegan asked Mr' Collins about the flooding at Bailie Beach, the Town
Highway Dept. is aware of the problem and will repair when they are working in
that area
• C Shashkin asked about the water issue at Mattituck Yacht Club, Mr. Collins
explained that is the County responsibility. The Town will take care of the issue
on the street but the pipe was put in by Vector Control and it is they are
responsible for any issues with the pipe
Bailie Beach Scout Agreement
• The Commissioners and S Kiely discussed the Lease agreement vs. a License
agreement.
• S Kiely explained that a license agreement can be revoked at any time
• The Commissioners agreed to go with a license agreement.
• It was decided the license agreement will be for 10 years at $100.00 per year
• This fee is $100.00 per each local scout troop, a letter will be sent to each troop
explaining this decision
Love Lane
• C Gueli says enough work to be done at Love Lane and repairs can be done
over a few years
• G Lomaga strongly opposed to this and would like a plan for Love Lane before
any work is done
• N Deegan explained to open the park will be a minimal cost, the new roof and
new floats are not needed this year, the only repair for this year is the bathroom
facility and as it is part of MPD it should be available for the public
• The bathroom is already painted inside and the water just needs to be turned on
and the outside west wall needs to be repaired at an estimated cost of$5000.00.
• N Deegan will get other bids for the wall repair
• N Deegan and C Gueli agree to do repairs to bathroom and open it this year then
over the next several years do other repairs
• G Lomaga disagrees and wants to know who will maintain it when open
Aldrich Lane
• C Shashkin presented the NYS Park guidelines and edited it for MPD use
• C Shaskin presented the field use agreement, the Commissioners decided to
keep the fees the same for this year with the exception of a $5.00 increase for
the lighting fee. (Field light use fee now$20.00 per hour)
• C Gueli suggested we take the information from Chesterfields proposal to repair
the drainage and write up the specs and send them out to bid, the
Commissioners agreed
Park M17MI
park D
�� ,� ❖ Lifeguard Supervisor ❖
GENERAL FUNCTION:
The Lifeguard Supervisor is responsible for the hiring, training and supervision of lifeguards engaged in
safeguarding bathers at Veterans Memorial Beach and Breakwater Beach. The work also involves
maintaining daily beach records, payroll records, staff scheduling, and oversight of lifeguard equipment
to ensure proper maintenance. The work is seasonal in nature and is performed under the general
supervision of the Park District Commissioners, who review work through conferences and periodic
inspections of beach records and facilities.
DUTIES:
1. Makes daily inspections of-both beaches, lifeguard facilities and equipment, and instructs
lifeguards on work problems.
2. Assigns lifeguards to routine beach maintenance patrols, to rake beaches, dispose of debris
and other safety hazards.
3. Is readily available by cell at all times during working hours.
4. Prepares reports on activities and emergencies. Manages statistics and required record
keeping.
5. Supervises the enforcement of rules and regulations relating to beach activities.
6. Keeps abreast of all advances in techniques and methods of lifesaving and lifesaving
equipment.
7. Notifies lifeguards and Park District staff of Suffolk County Department of Health water
quality advisories to close Breakwater Beach and/or Veterans Beach.
8. Immediately notifies lifeguards and Park District staff of pending or active weather conditions
that could result in the closure of the beaches; coordinates with Park Staff if beaches should
open in the morning, due to weather conditions.
9. Plans and documents all training of the lifeguard team.
10. Maintains physical fitness and efficiency of Lifeguards by assisting or conducting ongoing in-
service training and safety checks for lifeguards.
11. Ensures that lifeguard team members follow established procedures consistent with the
training they receive.
12. Schedules lifeguards to meet the facility's needs.
13. Completes incident and accident reports as necessary. Attends and conducts staff meetings.
14. Investigates complaints and takes appropriate action to resolve complaints and maintain
good public relations.
15. Keeps and reviews time sheets of employees.
16. Supervises safety inspections, general care and cleaning of the lifeguard facilities.
17. Communicates the need for equipment replacement or repairs to the Park Commissioners.
18. Reports unsafe conditions to the Park Commissioners immediately.
19. Maintains all appropriate documentation and reports.
Adopted 6/14; Revised 3/21
Board of Commissioners: Charles Guelli, Chairman
Nicholas Deegan and George Lomaga, Commissioners
Mattituck Park District Fields Permit Apbficati6n Instructions & Signature Page
FIELD USE PERMITS: in accordance with the Mattituck Park District's (MPD) Field Use Policy, Field Use permits
will only be issued to groups/organizations/teams who,have filled out a Field Use Permit Application and submitted
all required documents, and fees, if applicable. Please refer to the Field Use Policy for a detailed description of
policies and procedures.
• No organization may use MPD facilities without a;Permit.
• Permit is only valid for the dates,times,and field number approved on schedule. No hopscotching between
fields.
• Violation of any term of the field, policy or providing misleading or false information will result in
revocation of permit. ,
FIELD USE APPLICATION: All. organizations shall fill out a Field Use Permit application, which includes the
following:
• PROPOSED SCHEDULE: The application includes space for your proposed schedule to fill out online, or
download and fill out. Please complete in accordance with the format on the form.
s ROSTER OF PLAYERS: Each club is responsible for filling out the MPD Roster of Players form provided with
the application.
• RELEASE/HOLD HARMLESS AGREEMENT. Every-group/organizations or team is responsible for obtaining
a signed Waiver of Liability, Release and Hold Harmless Agreement on the form provided in the application
from each player or legal guardian indemnifying and holding'harmless the MPD and the Mattituck-
Cutchogue Union Free School District (School District), and submitting same with the application. The
form only needs to be completed once by participants/players for 2021 and the original paper copy MUST
be returned to the MPD.
• NON-PROFIT CERTIFICATE: If the organization is non-profit, a copy of the certification must be included
with the application.
• INSURANCE: Permittees, at their own expense, shall procure, carry and maintain, for the entire period of
the Permit, a Comprehensive General Liability Policy issued by a reputable and solvent insurance company
authorized to do business in the State of New York with a rating of no less than B+. Coverage limit shall be
no less than $1,000,000 aggregate covering bodily and injury and property damage and shall be primary
coverage for MPD and the School District. Permittees are required to name MPD and the School District
as "Additional Insured" on the above described General-Liability Policy by using endorsement CG 2026
or broader.
At least 10 days prior to access to the facility, Permittees shall, provide MPD a Certificate of Insurance
evidencing that such policy is in full force and in effect.
COMPLETED APPLICATIONS AND FEES ARE DUE 10 DAYS PRIOR TO FIELD USAGE.
*THERE IS A$50.00 LATE PENALTY FEE FOR THE FIRST WEEK AND $50 FOR EACH INEEK THEREAFTER*
NOTE: THERE IS NO EXCEPTION FOR SIGNED WAIVERS.
FEES: ORGANIZED GROUPS (NON-PROFIT CLUBS, LEAGUES, TEAMS)
• RESIDENT (Mattituck/Laurel)—No charge
• NON-RESIDENT - $10.00 per non-resident team member or program participant per season. Includes
training camps, tryouts, and developmental programs.
® TEAMS - $50.00 per team per season. Includes training camps, tryouts, and developmental programs.
® TEAMS DAILY- $10.00 per day for teams that use the fields less than four (4) days per season
• LIGHTING Field light charges at Aldrich Park are $41 per hour for overhead or portable lights. Fees due
end of season. Z10
INDEMNIFICATION BY PERMITEE:The applicant/group/organization, the holder of the Permit issued by MPD,
shall (each if more than one) indemnify and hold harmless the MPD, its Commissioners, employees, agents and
the Mattituck School District, its directors, officers, employees and agents, from and against all claims, cost,
judgments, lawsuits, hospital and/or doctor bills, actions, proceedings, and liabilities for the loss or damage to
property, or any injury, the death of a person, including without limitation any expenses incurred by the MPD
or the School District defending any claims, lawsuits, or action that may arise as a result of the conduct, actions,
including the negligence of the applicant/group/organization to the fullest extent permitted by applicable law.
The indemnification shall extend, without limitation,to use of said facilities and to the restoration of the facilities
to their condition prior to use of the same by the Permittee, its members, agents, guests, or employees.
I have read the MPD Field Use Policy and the Rules and Regulations governing the use for which 1 have applied
and agree that by my signature, 1, as well as the organization that I represent, will abide by them.
1 acknowledge that everyone in my organization who uses MPD property and facilities MUST show respect to
one another at all times, including players, parents, coaching and league staff. I also understand that any breach
of these rules can result in penalties,'up to and including my league forfeiting field time for the duration of the
season.
I also agree to ensure that all COVID19 procedures are followed and that all players will have'their temperature
taken at each practice or game by myself or designated adult.
Print Name and Title:
Signature:
Organization:
Date: