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I <br />I <br />I <br />I <br />I <br /> <br />I further agree in consideration of acceptance, to waive and release any and all rights and claims for damages <br />against the City of Ramsey and agree to protect, indemnify and hold harmless the City and it's officers and <br />employees from any and all claims, liabilities, damages or rights of action (directly or indirectly) while <br />participating or using the facilities or complex(s) for the "exclusive use" of said tournament or event. <br /> <br />Signed Date <br /> <br />Approved by: <br /> <br />Park Department or City Administrator <br /> <br />Date <br /> <br />I <br /> <br />OFFICE USE ONLY <br /> <br />I <br />I <br /> <br />Deposit: <br /> <br /> Attach insurance verification to this page: <br />DATE <br /> <br /> Total: <br /> <br />AMOUNT <br /> <br />ADDITIONAL FEES* UNIT PRICE AMOUNT <br /> <br />City Labor <br />City Equipment <br />~ Lime Stripping Machine <br />Drag <br />Bases <br />Lime <br /> <br />Toilets (per day) <br /> <br />Total: <br /> <br />i* See table of Rates and Charges for current fees. <br />Date Billed: <br />I Date <br /> Paid: <br /> <br />I <br />I <br /> <br />Page 2 of 9 <br /> <br /> <br />