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Permit Contract
Permit #41987, Approved
Pecos Community Center 17010 S. 48th Street PHOENIX, AZ 85048 Phone: (602) 534-5252 FAX: -Email:
[email protected] Nov 22, 2017 4:41 PM
Company: AYSO Region 1046 5742 W. Gary Dr Chandler, AZ 85226
Customer Type: Customer Prepared By: dromero2
Agent: Michael Hollar Email:
[email protected] Secondary: (480) 786-3177 Primary: (602) 549-8712 Charges
Taxes
Discounts
Total Charges
Deposits
Deposit Taxes
Total Payments
Refunds
Balance
$6,692.00
$0
$0
$6,692.00
$0
$0
($6,692.00)
$0
$0
RESERVATIONS Event
Resource
Center
Notes
2018 Spring Allocation - AYSO 1046 Youth Soccer Type: Athletic Field - Youth Resident Attend/Qty: 48
Turf Field 04
Pecos Park 17010 S. 48th St. Phoenix, AZ 85048 (602) 262-6111
--
Days Requested Day
Date
Event Begins
Duration
Tuesday
Jan 2, 2018
4:00 PM
Wednesday
Jan 3, 2018
Thursday
Jan 4, 2018
Monday
Event Ends Date
Time
6 hours
Jan 2, 2018
10:00 PM
4:00 PM
6 hours
Jan 3, 2018
10:00 PM
4:00 PM
6 hours
Jan 4, 2018
10:00 PM
Jan 8, 2018
4:00 PM
6 hours
Jan 8, 2018
10:00 PM
Tuesday
Jan 9, 2018
4:00 PM
6 hours
Jan 9, 2018
10:00 PM
Wednesday
Jan 10, 2018
4:00 PM
6 hours
Jan 10, 2018
10:00 PM
Thursday
Jan 11, 2018
4:00 PM
6 hours
Jan 11, 2018
10:00 PM
Friday
Jan 12, 2018
6:00 PM
4 hours
Jan 12, 2018
10:00 PM
Tuesday
Jan 16, 2018
4:00 PM
6 hours
Jan 16, 2018
10:00 PM
Wednesday
Jan 17, 2018
4:00 PM
6 hours
Jan 17, 2018
10:00 PM
Thursday
Jan 18, 2018
4:00 PM
6 hours
Jan 18, 2018
10:00 PM
Friday
Jan 19, 2018
6:00 PM
4 hours
Jan 19, 2018
10:00 PM
Monday
Jan 22, 2018
4:00 PM
6 hours
Jan 22, 2018
10:00 PM
Tuesday
Jan 23, 2018
4:00 PM
6 hours
Jan 23, 2018
10:00 PM
Wednesday
Jan 24, 2018
4:00 PM
6 hours
Jan 24, 2018
10:00 PM
Thursday
Jan 25, 2018
4:00 PM
6 hours
Jan 25, 2018
10:00 PM
Friday
Jan 26, 2018
6:00 PM
4 hours
Jan 26, 2018
10:00 PM
Saturday
Jan 27, 2018
8:00 AM
2 hours
Jan 27, 2018
10:00 AM
Monday
Jan 29, 2018
4:00 PM
6 hours
Jan 29, 2018
10:00 PM
Tuesday
Jan 30, 2018
4:00 PM
6 hours
Jan 30, 2018
10:00 PM
Wednesday
Jan 31, 2018
4:00 PM
6 hours
Jan 31, 2018
10:00 PM
Thursday
Feb 1, 2018
4:00 PM
6 hours
Feb 1, 2018
10:00 PM
Friday
Feb 2, 2018
6:00 PM
4 hours
Feb 2, 2018
10:00 PM
Saturday
Feb 3, 2018
8:00 AM
8 hours
Feb 3, 2018
4:00 PM
Monday
Feb 5, 2018
4:00 PM
6 hours
Feb 5, 2018
10:00 PM
Tuesday
Feb 6, 2018
4:00 PM
6 hours
Feb 6, 2018
10:00 PM
Wednesday
Feb 7, 2018
4:00 PM
6 hours
Feb 7, 2018
10:00 PM
Thursday
Feb 8, 2018
4:00 PM
6 hours
Feb 8, 2018
10:00 PM
Friday
Feb 9, 2018
6:00 PM
4 hours
Feb 9, 2018
10:00 PM
Saturday
Feb 10, 2018
8:00 AM
8 hours
Feb 10, 2018
4:00 PM
Monday
Feb 12, 2018
4:00 PM
6 hours
Feb 12, 2018
10:00 PM
Tuesday
Feb 13, 2018
4:00 PM
6 hours
Feb 13, 2018
10:00 PM
Wednesday
Feb 14, 2018
4:00 PM
6 hours
Feb 14, 2018
10:00 PM
Thursday
Feb 15, 2018
4:00 PM
6 hours
Feb 15, 2018
10:00 PM
Friday
Feb 16, 2018
6:00 PM
4 hours
Feb 16, 2018
10:00 PM
Saturday
Feb 17, 2018
8:00 AM
8 hours
Feb 17, 2018
4:00 PM
Monday
Feb 19, 2018
4:00 PM
6 hours
Feb 19, 2018
10:00 PM
Tuesday
Feb 20, 2018
4:00 PM
6 hours
Feb 20, 2018
10:00 PM
Wednesday
Feb 21, 2018
4:00 PM
6 hours
Feb 21, 2018
10:00 PM
Thursday
Feb 22, 2018
4:00 PM
6 hours
Feb 22, 2018
10:00 PM
Friday
Feb 23, 2018
6:00 PM
4 hours
Feb 23, 2018
10:00 PM
Saturday
Feb 24, 2018
8:00 AM
8 hours
Feb 24, 2018
4:00 PM
Monday
Feb 26, 2018
4:00 PM
6 hours
Feb 26, 2018
10:00 PM
Tuesday
Feb 27, 2018
4:00 PM
6 hours
Feb 27, 2018
10:00 PM
Wednesday
Feb 28, 2018
4:00 PM
6 hours
Feb 28, 2018
10:00 PM
Thursday
Mar 1, 2018
4:00 PM
6 hours
Mar 1, 2018
10:00 PM
Friday
Mar 2, 2018
6:00 PM
4 hours
Mar 2, 2018
10:00 PM
Saturday
Mar 3, 2018
8:00 AM
8 hours
Mar 3, 2018
4:00 PM
Monday
Mar 5, 2018
4:00 PM
6 hours
Mar 5, 2018
10:00 PM
Tuesday
Mar 6, 2018
4:00 PM
6 hours
Mar 6, 2018
10:00 PM
Wednesday
Mar 7, 2018
4:00 PM
6 hours
Mar 7, 2018
10:00 PM
Thursday
Mar 8, 2018
4:00 PM
6 hours
Mar 8, 2018
10:00 PM
Friday
Mar 9, 2018
6:00 PM
4 hours
Mar 9, 2018
10:00 PM
Saturday
Mar 10, 2018
8:00 AM
8 hours
Mar 10, 2018
4:00 PM
Monday
Mar 12, 2018
4:00 PM
6 hours
Mar 12, 2018
10:00 PM
Tuesday
Mar 13, 2018
4:00 PM
6 hours
Mar 13, 2018
10:00 PM
Wednesday
Mar 14, 2018
4:00 PM
6 hours
Mar 14, 2018
10:00 PM
Thursday
Mar 15, 2018
4:00 PM
6 hours
Mar 15, 2018
10:00 PM
Friday
Mar 16, 2018
6:00 PM
4 hours
Mar 16, 2018
10:00 PM
Saturday
Mar 17, 2018
8:00 AM
8 hours
Mar 17, 2018
4:00 PM
Monday
Mar 19, 2018
4:00 PM
6 hours
Mar 19, 2018
10:00 PM
Tuesday
Mar 20, 2018
4:00 PM
6 hours
Mar 20, 2018
10:00 PM
Wednesday
Mar 21, 2018
4:00 PM
6 hours
Mar 21, 2018
10:00 PM
Thursday
Mar 22, 2018
4:00 PM
6 hours
Mar 22, 2018
10:00 PM
Friday
Mar 23, 2018
6:00 PM
4 hours
Mar 23, 2018
10:00 PM
Saturday
Mar 24, 2018
8:00 AM
8 hours
Mar 24, 2018
4:00 PM
Monday
Mar 26, 2018
4:00 PM
6 hours
Mar 26, 2018
10:00 PM
Tuesday
Mar 27, 2018
4:00 PM
6 hours
Mar 27, 2018
10:00 PM
Wednesday
Mar 28, 2018
4:00 PM
6 hours
Mar 28, 2018
10:00 PM
Thursday
Mar 29, 2018
4:00 PM
6 hours
Mar 29, 2018
10:00 PM
Saturday
Mar 31, 2018
8:00 AM
8 hours
Mar 31, 2018
4:00 PM
Monday
Apr 2, 2018
4:00 PM
6 hours
Apr 2, 2018
10:00 PM
Tuesday
Apr 3, 2018
4:00 PM
6 hours
Apr 3, 2018
10:00 PM
Wednesday
Apr 4, 2018
4:00 PM
6 hours
Apr 4, 2018
10:00 PM
Thursday
Apr 5, 2018
4:00 PM
6 hours
Apr 5, 2018
10:00 PM
Friday
Apr 6, 2018
6:00 PM
4 hours
Apr 6, 2018
10:00 PM
Saturday
Apr 7, 2018
8:00 AM
8 hours
Apr 7, 2018
4:00 PM
Monday
Apr 9, 2018
4:00 PM
6 hours
Apr 9, 2018
10:00 PM
Tuesday
Apr 10, 2018
4:00 PM
6 hours
Apr 10, 2018
10:00 PM
Wednesday
Apr 11, 2018
4:00 PM
6 hours
Apr 11, 2018
10:00 PM
Thursday
Apr 12, 2018
4:00 PM
6 hours
Apr 12, 2018
10:00 PM
Friday
Apr 13, 2018
6:00 PM
4 hours
Apr 13, 2018
10:00 PM
Saturday
Apr 14, 2018
8:00 AM
8 hours
Apr 14, 2018
4:00 PM
Monday
Apr 16, 2018
4:00 PM
6 hours
Apr 16, 2018
10:00 PM
Tuesday
Apr 17, 2018
4:00 PM
6 hours
Apr 17, 2018
10:00 PM
Wednesday
Apr 18, 2018
4:00 PM
6 hours
Apr 18, 2018
10:00 PM
Thursday
Apr 19, 2018
4:00 PM
6 hours
Apr 19, 2018
10:00 PM
Friday
Apr 20, 2018
6:00 PM
4 hours
Apr 20, 2018
10:00 PM
Saturday
Apr 21, 2018
8:00 AM
8 hours
Apr 21, 2018
4:00 PM
Monday
Apr 23, 2018
4:00 PM
6 hours
Apr 23, 2018
10:00 PM
Tuesday
Apr 24, 2018
4:00 PM
6 hours
Apr 24, 2018
10:00 PM
Wednesday
Apr 25, 2018
4:00 PM
6 hours
Apr 25, 2018
10:00 PM
Thursday
Apr 26, 2018
4:00 PM
6 hours
Apr 26, 2018
10:00 PM
Monday
Apr 30, 2018
4:00 PM
6 hours
Apr 30, 2018
10:00 PM
Tuesday
May 1, 2018
4:00 PM
6 hours
May 1, 2018
10:00 PM
Wednesday
May 2, 2018
4:00 PM
6 hours
May 2, 2018
10:00 PM
Thursday
May 3, 2018
4:00 PM
6 hours
May 3, 2018
10:00 PM
Monday
May 7, 2018
4:00 PM
6 hours
May 7, 2018
10:00 PM
Tuesday
May 8, 2018
4:00 PM
6 hours
May 8, 2018
10:00 PM
Wednesday
May 9, 2018
4:00 PM
6 hours
May 9, 2018
10:00 PM
Thursday
May 10, 2018
4:00 PM
6 hours
May 10, 2018
10:00 PM
Monday
May 14, 2018
4:00 PM
6 hours
May 14, 2018
10:00 PM
Tuesday
May 15, 2018
4:00 PM
6 hours
May 15, 2018
10:00 PM
Wednesday
May 16, 2018
4:00 PM
6 hours
May 16, 2018
10:00 PM
Thursday
May 17, 2018
4:00 PM
6 hours
May 17, 2018
10:00 PM
Summary
Notes
Total Number of Dates: 105 Total Time: 622 hours
--
RESERVATIONS Event
Resource
Center
Notes
2018 Spring Allocation - AYSO 1046 Youth Soccer Type: Athletic Field - Youth Resident Attend/Qty: 48
Turf Field 05
Pecos Park 17010 S. 48th St. Phoenix, AZ 85048 (602) 262-6111
--
Days Requested Day
Date
Event Begins
Duration
Thursday
Jan 4, 2018
4:00 PM
Thursday
Jan 11, 2018
Thursday
Jan 18, 2018
Thursday
Event Ends Date
Time
6 hours
Jan 4, 2018
10:00 PM
4:00 PM
6 hours
Jan 11, 2018
10:00 PM
4:00 PM
6 hours
Jan 18, 2018
10:00 PM
Jan 25, 2018
4:00 PM
6 hours
Jan 25, 2018
10:00 PM
Thursday
Feb 1, 2018
4:00 PM
6 hours
Feb 1, 2018
10:00 PM
Thursday
Feb 8, 2018
4:00 PM
6 hours
Feb 8, 2018
10:00 PM
Thursday
Feb 15, 2018
4:00 PM
6 hours
Feb 15, 2018
10:00 PM
Thursday
Feb 22, 2018
4:00 PM
6 hours
Feb 22, 2018
10:00 PM
Thursday
Mar 1, 2018
4:00 PM
6 hours
Mar 1, 2018
10:00 PM
Thursday
Mar 8, 2018
4:00 PM
6 hours
Mar 8, 2018
10:00 PM
Thursday
Mar 15, 2018
4:00 PM
6 hours
Mar 15, 2018
10:00 PM
Thursday
Mar 22, 2018
4:00 PM
6 hours
Mar 22, 2018
10:00 PM
Thursday
Mar 29, 2018
4:00 PM
6 hours
Mar 29, 2018
10:00 PM
Thursday
Apr 5, 2018
4:00 PM
6 hours
Apr 5, 2018
10:00 PM
Thursday
Apr 12, 2018
4:00 PM
6 hours
Apr 12, 2018
10:00 PM
Thursday
Apr 19, 2018
4:00 PM
6 hours
Apr 19, 2018
10:00 PM
Thursday
Apr 26, 2018
4:00 PM
6 hours
Apr 26, 2018
10:00 PM
Thursday
May 3, 2018
4:00 PM
6 hours
May 3, 2018
10:00 PM
Thursday
May 10, 2018
4:00 PM
6 hours
May 10, 2018
10:00 PM
Thursday
May 17, 2018
4:00 PM
6 hours
May 17, 2018
10:00 PM
Summary
Notes
Total Number of Dates: 20 Total Time: 120 hours
--
CHARGES Event / Resource
Description
Unit Fee
Units
Tax
Charge
Athletic Light Fee
2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 04
$5.00
368.00
--
$1,840.00
Reservation Fee
2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 04
$6.00
622.00
--
$3,732.00
Athletic Light Fee
2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 05
$5.00
80.00
--
$400.00
Reservation Fee
2018 Spring Allocation - AYSO 1046 Youth Soccer #41987 Turf Field 05
$6.00
120.00
--
$720.00
Payments and Refunds Receipt #
Date
Charge Description
Resource Event
Payment
1009834.018 Dec 19, 2017 Athletic Light Fee
Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
$1,840.00
1009834.018 Dec 19, 2017 Reservation Fee
Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
$3,864.00
2001035.018 Jan 12, 2018 Reservation Fee
Turf Field 04 Credit for 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987-Reservation Fee
2001035.018 Jan 12, 2018 Reservation Fee
Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
2001036.018 Jan 16, 2018 Reservation Fee
Turf Field 04 Credit for 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987-Reservation Fee
2001036.018 Jan 16, 2018 Reservation Fee
Turf Field 04 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
$3,732.00
1009834.018 Dec 19, 2017 Athletic Light Fee
Turf Field 05 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
$400.00
1009834.018 Dec 19, 2017 Reservation Fee
Turf Field 05 2018 Spring Allocation - AYSO 1046 Youth Soccer #41987
$720.00
($3,864.00) $3,816.00 ($3,816.00)
CUSTOM QUESTIONS Question
Answer
What is the Insurance Expiration Date MM/DD/YYYY
7/1/2018
WAIVERS Facility Use Eligibility Agreement Waiver for:Michael Hollar Due Date: Jan 2, 2018 Facility Use Eligibility. Field Conditions and Maintenance - Any concerns with the condition of your assigned field, equipment or park grounds should be reported to your field coordinator. Prior to beginning your activity, team coaches or league officials should inspect the field and related equipment to ensure it is in acceptable condition for the scheduled activity. Your organization needs to exercise good judgment emphasizing participant safety. Any suggestions or questions regarding our maintenance practices should be directed to the appropriate Field Coordinator. Organizations are not to make any repairs, modifications, alterations or adjustments to any portion of the field, equipment or park grounds. Failure to obtain required insurance and all permits and licenses required by law, ordinance, or Parks and Recreation Department rules and regulations; AND/OR failure to comply with any law, city ordinance, park regulation, established stipulations of usage, or reasonable request from an authorized staff person can result in immediate suspension of facility use privileges, AND/OR citation, AND/OR loss of eligibility to utilize any City of Phoenix facilities on the part of the individual(s) AND/OR the user group.
Waiver Signed by:AYSO Region 1046 on Nov 22, 2017 Release of Liability Waiver for:Michael Hollar Due Date: Jan 2, 2018 In exchange for me or my child being allowed to participate in the City of Phoenix Parks and Recreation activities, programs or leisure, I hereby for myself, my child, my heirs and assigns, agree to waive, release and forever discharge any and all claims, rights and causes of action against the City of Phoenix, its officers, officials, employees, agents and volunteers (the City), for injury or damage caused or alleged to be caused in whole or in part by the negligence of the City. I understand that this means that I will not make any claims against or sue the City of Phoenix, its agents or employees, for injuries or damage sustained by me or my child. I recognize that this means I will not recover any money from the City of Phoenix, its agents or employees, for injuries or damage sustained by me or my child. I recognize that the negligence of the City of Phoenix may include, but is not limited to, acts or failure to act regarding facilities and equipment maintenance, field design, construction, instructions of City personnel, interpretation and enforcement of rules, provision of medical or emergency medical assistance, inattention, and supervision of participants and their surrounding environment. I recognize that injuries and damage may be caused by any of the following: falling; tripping; being pushed; running; sliding; exposure to bodily fluids, infection or disease; bodily reactions to insect or animal bites, food or materials used in the activity; striking or being struck by another individual; equipment used in the activity; a condition of the land or building where the activity is located; drowning; criminal acts of known or unknown persons; an error in administering first aid; or by a motor vehicle accident; and other similar acts, incidents or conditions. The type of injuries may range from minor injuries and fractures to paralysis, brain damage and death. I understand and expressly agree that this waiver and release of all claims is intended to be as broad and inclusive as permitted by the laws of Arizona. If any portion of this waiver is held invalid, I agree that the remainder shall continue in full force and effect. Also, and in addition to the above waiver and release, I understand and voluntarily assume all risks associated with my child's or my own participation in this activity. I (or my child) am physically capable of participating in this activity. I (or my child) have the necessary degree of skill, training, experience or ability to participate at the level I choose. I do not expect the City to coach, manage, instruct or train me (or my child). I understand that the City does not carry insurance to cover participants, and that there would be an increase in the activity fee if the City were to provide insurance. Waiver Signed by:AYSO Region 1046 on Nov 22, 2017 Signature: ____________________________________
The signed has read and on behalf of the Client agrees to be bound by this Permit and the Terms and Conditions contained herein and attached hereto, and hereby warrants and represents that he/she executes this Permit on behalf of the Client and has sufficient power, authority and capacity to bind the Client with his/her signature. Permit Revocable at Will: This revocable permit is subject to revocation at any time in the discretion of the City Council or by the City Manager or his designee. Such discretion shall be controlled solely by consideration of the best interests of the City of Phoenix; which may include but are not limited to violation or breach of any federal, state or City of Phoenix law, ordinance, code, rule, regulation, court decree or any condition of this permit. For a complete list of Park Regulations, please visit: http://www.codepublishing.com/az/phoenix/html/Phoenix24/Phoenix24.html. Applicant is responsible for following all park regulations. Violations of these regulations may jeopardize this Special Use Permit and/or future requests. Fees are subject to change based on City Council and/or Parks and Recreation Board action. Disorderly Conduct: The Phoenix Parks and Recreation Department reserves the right to eject or cause to be ejected any person or persons considered by staff to be disorderly. Disorderly conduct includes, but is not limited to, conduct committed with the intent to disturb the peace or quiet of a neighborhood, family or person by engaging in fighting or seriously disruptive behavior; or by making unreasonable noise; or by using abusive or offensive language with the likely result of provoking physical retaliation. For the Policy on Codes of Conduct, please visit http://phoenix.gov/parks/parks/rules/codeconduct.html. *Emergency after business hours issues ON DAY OF THE ACTIVITY Contact: (DTD) Downtown Division (602)262-6412, (NED)Northeast Division Parks (602)262-6696, (NWD) Northwest Division Parks (602)262-6575, (NRD) Mountain Preserves (602)4955458, (SD) South Division Parks (602)262-6111, (SOD) Special Operations (602)261-8011 .
City of Phoenix Parks and Recreation
Methods of Payment
200 W. Washington, 16th Floor
Visa, MasterCard, Discover Card, Other
Phoenix, AZ 85003 Monday through Friday8:00 am - 5:00 pm
Have Questions?
Tel. (602) 262.6861
Online Registration FAQs
Email:
[email protected] Terms of Use
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