Cornwall Hill Ballfield Rental Rates Application Form (Page 2 of 2) in pdf

In consideration for accepting this application I the undersigned, intending to be legally bound for myself, my

heirs, executor, administrators and assigns, waive and release any rights and claims for damages, or lost or

stolen equipment, I may have against any or all agents, chaperones, or employees of the Town of Patterson and

any other sponsors, their representatives, successors and assigns for any and all injuries and/or damage suffered

to any of the equipment used in connection with this activity. The undersigned will provide insurance for the

aforementioned activity.

AGREEMENT

THIS AGREEMENT made this _______ day of _______, 20___

by and between the TOWN OF PATTERSON, a

municipal corporation of the State of New York, having its principal offices at 1142 Route 311, Patterson, NY 12563,

hereinafter

referred

TOWN;

and

______________________,

residing

___________________________________________, New York, hereinafter referred to as LESSEE;

WHEREAS, LESSEE has requested the use of the TOWN of Patterson Recreation Center Facility, and

WHEREAS, the TOWN wishes to provide the facility to the LESSEE;

NOW, IN CONSIDERATION of the mutual covenants contained herein, the TOWN and the LESSEE hereby agree as

follows:

1. The LESSEE, its successors, heirs and assigns hereby agrees to hold the TOWN harmless and indemnify the

TOWN in connection with any activity which takes place while the LESSEE is using the Cornwall Hill Road

Ballfield. Furthermore, the LESSEE shall indemnify and hold harmless the TOWN, its officers, employees and

agents from and against any and all liability, damage, claim, demands, costs, judgments, fees, attorney’s fees

or loss arising directly or indirectly out of the acts or omissions hereunder by the TOWN or third parties under

the direction or control of the TOWN; and

2. The LESSEE shall also provide defense for and defend, as its sole expense, any and all claims, demands or

causes of action directly or indirectly arising out of the Agreement and to bear all other costs and expenses

related thereto.

3. The LESSEE shall comply with the rules and regulations governing the use of the Cornwall Hill Rd. Ballfield

which have been established by the Town of Patterson and the Town of Patterson Recreation Department.

IN WITNESS WHEREOF, the parties have executed this Agreement in Patterson, New York on the date hereinafter set

forth.

Signature: _______________________________________

Date: ________________________________________

Lessee

Signature: _______________________________________

Date: ________________________________________

Town Employee

Cornwall Hill Ballfield Rental Rates Application Form Page 2