CONTRA COSTA COUNTY LIBRARY
APPLICATION AND PERMIT FOR USE OF
EXHIBIT CASE
Name of Library:
___________________________________________________________________
Dates of Exhibit: From_________________ To_________________
Exhibit Set-Up Date/Time: ___________________________________________________________
Exhibit Space: ____________________________________________________________________
Exhibit Removal Date/Time:_________________________________________________________
Name of Contact Person/
Name of Organization preparing exhibit:________________________________________________
Exhibit Content/Purpose: _____________________________________________________________
I have read, understood and
agree to abide by and uphold all rules and policies of the Contra Costa County Library and
the
branch library governing the use of library exhibit cases, and I understand that failure
to do so will result in loss of future
privileges for the use of library exhibit cases.
(Description of exhibit
contents)
____________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
I agree that
__________________________shall defend, indemnify, save, and hold harmless
Contra Costa County and its officers
(name of person)
and employees from any and all claims, costs, and liability for any damages, sickness,
death, or injury to person(s) or property,
including without limitation all consequential damages, from any cause whatsoever arising
directly or indirectly from or connected with
the operations or services of ________________________or its agents, servants, employees,
or subcontractors hereunder, save and
(name of person)
except claims or litigation arising through the sole negligence or sole willful misconduct
of Contra Costa County or its officers or
employees and that_________________________ shall reimburse Contra Costa County for any
expenditures, including
(name of person)
reasonable attorneys fees. Contra Costa County may make by reason of the matters that are
the subject of this indemnification, and if
requested by Contra Costa County, will defend any claims or litigation to which this
indemnification applies at the sole cost and
expense of________________________
(name of person)
I agree that Contra Costa County and its officers and employees are not responsible for
any theft of or damage to. any or all of the
exhibit or display.
Signature ___________________________Date
_____________________________________
Name of Organization____________________________________________________
Position in organization____________________________________________________
Home address _______________________________________Phone ________________________
Business address_____________________________________ Phone ________________________
--For Library Use Only--
Exhibit Case Use
Approved __
Not Approved__ Reason___________________________________________________Librarian
in Charge______________________________________Date______________ |