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Application to Hire Bundaberg Civic Centre

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					                                                                                                                  PO Box 3130, Bundaberg QLD 4670
                                                                                                          190 Bourbong Street, Bundaberg QLD 4670
                                                                                                                         T 1300 883 699 F 4150 5410
                                                                                                                      E ceo@bundaberg.qld.gov.au
                                                                                                                    W www@bundaberg.qld.gov.au
                                                                                                                                 ABN 72 427 835 198
APPLICATION TO HIRE
BUNDABERG CIVIC CENTRE
Return to Bundaberg Regional Council, Venues & Facilities Section,
PO Box 3130, Bundaberg Qld 4670.
Applicants must be over 18 years old. Proof of age is required.
Please note that Council does not accept tentative bookings.



Please select the area/s required for your event

     Auditorium                                  Supper Room                                Kitchen                                     Bar


Access to Centre                   From                       .......................................         ........... :..............     am          pm
                                                                                Date                                   Time

                                   Vacated By                 .......................................         ........... :..............     am          pm
                                                                                Date                                   Time

Function/Event                     From                       .......................................         ........... :..............     am          pm
                                                                                Date                                   Time

                                   To                         .......................................         ........... :..............     am          pm
                                                                                Date                                   Time



Organisation: ............................................................................................................................................

Type of function: .....................................................................................................................................

Contact Name: .......................................................................................................................................

Address: ....................................................................................................................................................

Telephone:                Home .................................................                  Mobile ..................................................

                          Work ...................................................                Facsimile ..............................................

Email: .........................................................................................................................................................


                                Does your organisation have Public Liability Insurance:
                                               Please refer to term 5 of the Conditions of Use

                              YES (attach copy)                              NO (attach Casual User form)

 You may only tick NO if your group uses the facility less than ten (10) times in twelve (12) months. If
 you tick NO a “Casual User” form needs to be completed. Public Liability Insurance is required for
 all groups using the facility more than ten (10) times in a twelve (12) month period.




Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                              FM-7-227 Rev 1 16/03/10 1 of 7
                                                                                                               PO Box 3130, Bundaberg QLD 4670
                                                                                                       190 Bourbong Street, Bundaberg QLD 4670
                                                                                                                      T 1300 883 699 F 4150 5410
                                                                                                                   E ceo@bundaberg.qld.gov.au
                                                                                                                 W www@bundaberg.qld.gov.au
                                                                                                                              ABN 72 427 835 198
Charity

Is this event raising funds for Charity?                                        Y          N
Please provide details of the Charity to receive funds below?
Charity Organisation: .............................................................................................................................
Contact Name:.....................................................................                 Contact Number: ...........................

Alcohol

Is Alcohol to be consumed?                              Y        N                         Is alcohol to be sold?                           Y       N
If alcohol is being sold a Liquor Permit is required. Please refer to term 32 of the Conditions of Use

Catering / Food Preparation

Does the Event have Catering or Food Preparation?                                                        Y       N
Caterer: ...............................................................................           Contact Number: ...........................
Signature: ...........................................................................             Date: .................................................
                                 BRC Environmental Health Officer


Equipment

Hirers are to abide by the operation instructions provided for any equipment used during
the hire and are to report any defects to the Venues & Facilities Section as soon as
practicable. Any repair costs for damage caused to equipment will be recovered from the
Bond.

     Tables                                   Glassware                                 Screens                                  Drop leads
     Chairs                                   Microphone                                Piano                                    3-Phase Power

     Catwalk              Layout Number                              51             2          3             4        5          6          7          8
     Council Staff Setup

Declaration
I agree that I / the nominated organisation/group shall be bound by and shall observe, the
terms and conditions attached and that such terms and conditions shall be deemed to be
part of this Agreement and that I / the organisation/group shall promptly and punctually
pay to Bundaberg Regional Council, all monies which may become payable in respect of
the facility hire and this Agreement.

Signature: ...........................................................................             Date: .................................................
                  Keys are to be collected from Council before 4:00 p.m. business days.
                                FAILURE TO COLLECT KEYS will result in an additional
                             call-out fee for staff required to unlock venues after hours.

                                    OFFICE USE ONLY                                                                       RECEIPT
 Facility Hired
 Bond Paid in to Trust A/c                                $
 Hire Fee                                                 $

Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                           FM-7-227 Rev 1 16/03/10 2 of 7
                                                                                                       PO Box 3130, Bundaberg QLD 4670
                                                                                               190 Bourbong Street, Bundaberg QLD 4670
                                                                                                              T 1300 883 699 F 4150 5410
                                                                                                           E ceo@bundaberg.qld.gov.au
                                                                                                         W www@bundaberg.qld.gov.au
                                                                                                                      ABN 72 427 835 198
BRC CIVIC CENTRE – CATWALK STAGE LAYOUT
Each section weighs 85kg and measures 2.4m x 1.2m (2400 x 1200mm)




Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                 FM-7-227 Rev 1 16/03/10 3 of 7
                                                                                                                                             PO Box 3130, Bundaberg QLD 4670
                                                                                                                                     190 Bourbong Street, Bundaberg QLD 4670
                                                                                                                                                    T 1300 883 699 F 4150 5410
                                                                                                                                                 E ceo@bundaberg.qld.gov.au
                                                                                                                                               W www@bundaberg.qld.gov.au
                                                                                                                                                            ABN 72 427 835 198
CASUAL USER OF COUNCIL FACILITIES LIABILITY INSURANCE
ACKNOWLEDGEMENT AND DECLARATION FORM

I, .......................................................................................................................................................................................................
                                                                                          Hirer’s Name (s)


of .....................................................................................................................................................................................................
                                                                                                Address


Acknowledge that Bundaberg Regional Council (herein referred to as “Council”) has in place a Casual Hirers
Liability Insurance Cover with a $7,500 Policy Deductible (Excess) and Limit of Indemnity for Casual Users of
Council facilities at no cost to the Casual User.

I further acknowledge that I have read the following clause which provides an understanding of what
constitutes a Casual User for the purpose of this Insurance cover.

  Casual User Coverage:-
  The Liability Insurance policy cover is restricted to Hirers who can be described as non-commercial, not
  incorporated and irregular users of Council facilities.

  Casual Hirers are further defined as third parties who hire Council facilities for no more than a total of ten (10)
  days over a twelve (12) month period.

  No cover is provided for incorporated bodies, sporting clubs or associations of any kind.

  This cover does not extend to business or commercial operators who must submit a copy of their public
  liability insurance certificate, with cover to at least $5 million.


I advise that upon reading this, and having received independent advice (legal or otherwise) to satisfy my
needs, I believe this definition extends to include myself in the circumstances I will be using the Council facility
and I will avail myself of the cover.

I understand and acknowledge that Council is not representing the insurer and/or myself in respect to this
insurance and is not in a position to grant or confirm cover in my particular instance other than to confirm that
the Casual Users Liability Insurance policy is current.

I understand that in the event of an incident occurring that could possibly result in a claim under this policy that I
must advise Council as soon as possible thereafter so that guidance can be provided on the appropriate action
to take to ensure the Insurer is advised as in accordance with the Policy Conditions. I also understand that it will
be my responsibility to pay the $7,500 Policy Deductible (Excess).

I also understand and acknowledge that if for some reason I may not be indemnified under this insurance that I
would be personally liable for any claims arising out of my use of this facility.

FACILITY AND HIRE DETAILS:

Council Facility Hired / Used:                         ...................................................................................................................................................
                                                                                         Name / Location


Date of Hire / Use:                  From: ..............................................................................                     To: ......................................................


Signed: ................................................................................................................                      Dated: ..............................................
                                      Hirer(s) of Council Facility


Notes:
   1. For the purpose of this acknowledgement “I” is construed to read “I” or “we” and “myself” is construed
       to read “myself” or “ourselves” to represent one or more persons.
   2. Bundaberg Regional Council strongly recommends that you seek professional independent advice
       before deciding to avail yourself of this insurance cover.



Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                                                               FM-7-227 Rev 1 16/03/10 4 of 7
                                                                                                       PO Box 3130, Bundaberg QLD 4670
                                                                                               190 Bourbong Street, Bundaberg QLD 4670
                                                                                                              T 1300 883 699 F 4150 5410
                                                                                                           E ceo@bundaberg.qld.gov.au
                                                                                                         W www@bundaberg.qld.gov.au
                                                                                                                      ABN 72 427 835 198

COUNCIL FACILITIES CONDITIONS OF USE
To be retained by the hirer.

GENERAL CONDITIONS

1. Completed Booking Forms are to be submitted to the Customer Service Centre in the location of
   the facility at the earliest opportunity but no later than 5 working days prior to the event. A
   booking cannot be confirmed until the completed Booking Form is returned to Council, and no
   tentative bookings are to be taken.

2. Payment of the hire fee is required in full when the Booking Form is submitted.

3. Notice of Cancellation is required at the earliest opportunity but at least 5 working days prior to
   the event. Cancellations with less than 5 working days notice may attract an administration fee.

4. Bonds are required for all private functions, those of celebratory nature and those requiring
   additional resources. Bonds may be imposed on any booking at the discretion of Council.
   Where bonds are required, they are to be paid prior to the event and no refunds are to be paid
   until authorised by Council. Costs of any excess cleaning, damages of any type, loss of
   equipment, or unauthorised use of equipment, is to be recovered from the Bond prior to a refund.
   If the Bond does not cover these costs, an invoice for the excess charges will be forwarded to the
   hirer. Bond refunds are paid only by cheque, which may take 7 to 10 working days to process.

5. All incorporated community groups, organisations, or business or commercial operators must
   submit a copy of their Public Liability Insurance Certificate with the completed Booking Form.
   Public Liability Insurance is the responsibility of private or unincorporated group hirers.

6. Subject to clause 8, the Hirer will at all times indemnify Bundaberg Regional Council from and
   against any foreseeable loss or liability that is caused by any unlawful or negligent act or omission
   by the Hirer or breach of this contract by the Hirer.

7. The Hirer’s liability to indemnify Bundaberg Regional Council under this clause will be reduced
   proportionally to the extent that such loss or liability was contributed to by any unlawful or
   negligent act or omission or breach of this contract by Bundaberg Regional Council or its officers,
   employees, subcontractors, agents or professional advisers.

8. Notwithstanding any prior booking made to any other person or persons, the property will be
   made available to the Local, State or Federal Governments for the purpose of conducting
   Elections or for any other purpose which Council may consider necessary.

9. Council reserves the right not to accept bookings from any person or persons.

10. The Hirer shall abide by all directions given by Council.

11. No smoking is permitted in, or within four (4) meters of, all Council venues.

12. Keys and security codes to venues may only be issued after the Booking Form and payment has
    been received, but no earlier than 3 working days before the event, and returned at the earliest
    convenience after the hire. The Hirer or his/her agent shall be responsible for the return of all keys
    issued and these must be signed back in by the Hirer or agent. Should a key or keys be lost, the
    Hirer shall be responsible for the replacement of as many locks as are affected by the loss of the
    key or keys.

13. A maximum sound level of 90 decibels has been fixed for all functions.

Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                 FM-7-227 Rev 1 16/03/10 5 of 7
                                                                                                       PO Box 3130, Bundaberg QLD 4670
                                                                                               190 Bourbong Street, Bundaberg QLD 4670
                                                                                                              T 1300 883 699 F 4150 5410
                                                                                                           E ceo@bundaberg.qld.gov.au
                                                                                                         W www@bundaberg.qld.gov.au
                                                                                                                      ABN 72 427 835 198

14. For private functions, Security Attendants or mature adults may be required to be in attendance
    in sufficient numbers, to control the number of guests, and to ensure only invited guests are given
    access to the premises. These attendants are also to ensure that there is no inappropriate
    behaviour or activities are being undertaken by guests that will require excess cleaning, such as
    litter or discarded or broken bottles, or that will be of nuisance or annoyance to surrounding
    residents.

15. Period of Hire shall include any period when auxiliary activities are undertaken, including
    preparation and cleaning of the Facility. The period that is booked for the function is to be the
    charge paid by the Hirer, regardless of whether the function concludes earlier than expected. If
    the function goes over the time booked, additional fees are payable for that time.

16. Where the facility is to be hired on a night following a function held the previous night, the Hirer
    will not be permitted to utilise the facility before 10.00am unless arrangements have been made
    with Council’s Venues & Facilities Section.

17. Hirers are notified that all premises and surrounding grounds SHALL BE VACATED BY MIDNIGHT.

18. It shall be the responsibility of the Hirer of the premises to ensure that all persons have vacated
    the Building by the completion time as stated on the Application Form and that all doors and
    windows are locked and all lights turned off.

19. The Hirer shall be responsible for any maintenance and preservation of good order in the
    properties or any rooms appurtenant thereto and in the approaches thereto throughout the
    whole duration of the Hiring.

20. The Hirer shall leave the premises and all equipment in the same condition as found. Floors are to
    be swept and washed as required and all benches wiped down. Chairs and tables, where used,
    are to be carried and placed into position. Please do not drag these items across the floor.
    Tables and chairs are to be wiped down and returned to their original position after use.

21. All glassware, crockery and other equipment is to be thoroughly cleaned and dried before
    storing; failure to do so will incur a cleaning charge payable by the Hirer. The Hirer is responsible
    for the payment of any replacement glassware, crockery and other equipment broken,
    damaged or missing after their occupancy.

22. The Hirer is responsible for the payment of any replacement equipment broken, damaged or
    missing after their occupancy.

23. The Piano is not to be moved. Liquids and food of any type must not be placed on the Piano.
    The Hirer will be held responsible for any malicious damage to the Piano caused through misuse.

24. Should the Hirer wish to decorate the premises, the Hirer shall make the necessary arrangements
    with Council and shall, immediately after the function, or at a time agreed upon by Council,
    remove all such decorations. No nails, pins, blu tac or sticking tape is to be used in or on walls.
    The use of any item causing damage or marks will result in repair costs being recovered from the
    bond.

25. Any electrical items brought into and used in the complex must have a current electrical safety
    test tag. Fires or damage caused by untagged equipment being used will result in the hirer being
    invoiced for repairs and costs associated with said fires or damage.

26. All Caterers’ equipment, temprites, musical instruments and other equipment used for the
    function are to be removed from the building immediately after the function has concluded, or
    at the time approved by Council.

Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                 FM-7-227 Rev 1 16/03/10 6 of 7
                                                                                                       PO Box 3130, Bundaberg QLD 4670
                                                                                               190 Bourbong Street, Bundaberg QLD 4670
                                                                                                              T 1300 883 699 F 4150 5410
                                                                                                           E ceo@bundaberg.qld.gov.au
                                                                                                         W www@bundaberg.qld.gov.au
                                                                                                                      ABN 72 427 835 198

27. Council Facilities are not residential premises, nor are they designed or licensed to accommodate
    people. Using Council facilities for residential purposes, ie: sleeping/camping overnight is not
    permitted. Should this occur, people will be removed and bond forfeited.

28. At all dances and rock concerts, lights shall be burning at all times as directed by Council Staff.

29. No props or the like are to be used on the Civic Centre floor. Any mess or damage caused by
    allowed props is the responsibility of the hirer to rectify.

30. Council’s amplification system is available only for announcements and is not allowed for use by
    bands using amplified instruments. One microphone only can be provided.

31. In the case of a dramatic or other performance or concert, the hirer shall not produce, or permit
    to be produced or performed, any dramatic or musical work in infringement of the copyright or
    performing right of any owner of such right or rights, and the hirer agrees to indemnify the Council
    against any claim for breach of copyright or any other action herewith.

32. A Liquor Permit is to be obtained for a function being conducted at a Council Venue where
    alcohol is being sold on site. A copy of such Permit shall be displayed in the Bar whilst the
    function is in progress and a copy of the Permit is to be submitted to Council prior to the hire. A
    Liquor Permit Application must be submitted 21 days prior to the event to the liquor licensing
    office in the locality of the function.

33. All loading and unloading must be carried out on the eastern side of the building or at the roller
    door on the western side.

34. The driveway is to be kept clear at all times to allow Emergency vehicles entrance. All vehicles
    must be removed immediately after allowing passengers to alight under the Portico.

35. Hirers and exhibitors and participants must abide by the Regulated Parking restrictions in force
    around the subject venue.

36. The Hirer shall maintain clear and useable, without hindrance, all EXITS provided and ensure that
    Exit Lights be lit at all times.

37. No First Aid Kits are held in Council facilities and you will be required to provide your own First Aid
    Kit for your booking.

38. Fire extinguishers are provided for hall hirers in emergency situations that require their use. If,
    during the period of hire, it is found that the extinguishers have been inappropriately used, the
    hirer will be responsible for the cost of recharging the fire extinguisher(s) and any damage
    caused by its use. If, during the course of the hire, it is necessary to use a fire extinguisher, it is
    requested that the hirer advise Council of the event.

39. The hirer shall comply in every respect with legislation, Codes or Australian Standards with regard
    to public buildings for the prevention of overcrowding and obstruction of gangways, passages,
    corridors, Fire Exits or of any part of the building. Any person causing an offence against such
    regulations shall be removed from the building. Copies of Codes or Australian Standards may be
    purchased through the Standards Australia website.

40. Hirers may not have “exclusive” use of the facility for their function. Other bookings may be taken
    throughout the facility for other rooms, buildings or areas.




Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The
information will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or
the like. Your information will not be given to any other person or Agency until you have given us permission or we are required to by law.

                                                                                                                 FM-7-227 Rev 1 16/03/10 7 of 7

				
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Description: Application to Hire Bundaberg Civic Centre