UNIVERSITY DISTRICT ORGANIZATION, INC.
APPLICATION FOR USE OF ROOM 100
2231 N. HIGH STREET, ROOM 200
COLUMBUS, OH 43201-1101

Phone: 294-5113; Fax: 294-5114

(This form must be on file prior to the use of the room)

Organization Name:
_________________________________
Website:
_________________________________
Organization Address:
_________________________________
   
Contact Person #1:
_________________________________
Phone Number:
_________________________________
E-Mail Address:
_________________________________
_________________________________
Contact Person #2:
_________________________________
Phone Number:
_________________________________
E-Mail Address:
_________________________________
   
Date(s) Requested:
_________________________________
Hours:
_______________
Number of persons expected:
_______________

Purpose: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________

The applicant agrees to the following conditions for the use of Room 100:

1. Users indemnification and responsibilities: See other side for Users of the Community Space (Room 100) indemnification and responsibilities.

2. Smoking and inappropriate illegal behavior are prohibited.

3. The placing of posters, placards and other materials on the walls is prohibited.

4. The Using organization agrees to return the room to its original condition, including depositing all trash in the dumpster located in the parking lot.

5. The Using organization is responsible for any additional cost for clean-up or repair as a result of its use of the room.

6. Business hours are Monday - Thursday 8:00 AM to 8:00 PM; Friday and Saturday 8:00 AM to 5:00 PM. The building is closed on Sunday.

7. The room is equipped with tables, chairs and a roll down screen. No other equipment, including lecterns, overhead projectors, coffee pots and the like are available.

8. Room 100 also doubles as an art gallery and a community event room. There are several permanent installations in the room. These are the property of the UDO. Please do not touch or move them. Please keep all chairs and tables away from the art panels so to avoid damage. Also keep tables and chairs out of the entryway to the room.

9. Community offices are operating in the loft above the room. Please be conscious of your noise level.

10. Any supplies in the drawers near the sink are the property of the UDO and others; Please do not use them. Please bring whatever you need with you.

11. This room is provided free of charge to OSU departments during business hours and community non-profits in the evenings. If you are charging admission or making a profit from an activity in Room 100, the UDO fee is 10% amount.

12. This contract expires one year from the date signed below.

Accepted by: ___________________________________

Date: _________________________

USER'S INDEMNIFICATION
Individuals, organizations and all other entities using the space identified as Room 100, 2231 N. High Street, (the USER) on a scheduled or interim basis shall indemnify and save and hold harmless the UDO, the building owner, and its officers, agents and employees from and against any and all loss, liability, damage, cost and expense, including but not limited to reasonable attorney fees, for injury, death, loss or damage of whatever nature to any person, property or any other claim by the USER or its officers, agents, customers, licensees, invitees or any other person, firm or corporation resulting from the USERS occupancy or use of the premises. In the event that any action or proceeding is instituted against the USER by any reason of any such claim or event, User shall resist and defend such action or proceeding at USERS sole cost and expense or cause it to be resisted and defended by an insurer.

Not withstanding the above indemnification, USERS that fail to, or choose not to shall provide for the following responsibilities:

USER'S RESPONSIBILITIES
Individuals, organizations and all other entities using the space identified as Room 100, 2231 N. High Street, (the USER) on a scheduled or interim basis shall, at their sole cost and expense, carry and maintain for the itself, UDO and the building owner, a policy of fire and extended coverage insurance insuring all fixtures, furnishings, equipment, inventory and personal property at any time located upon the premises and all additions, alterations and improvements to the same, against damage and destruction by all causes generally insured against in policies of fire and extended coverage insurance written upon on properties in Franklin County, Ohio in the amount of 80% of the full insurable value thereof, as determined by the insurance company issuing such policies of insurance.

USERS of the space will indemnify UDO and the building owner for all monies which any subrogation hereunder becomes entitled and cost of reasonable attorney's fees of any claim for subrogation. USERS of the space shall, at its sole cost and expense, carry and maintain, for the mutual benefit of itself, UDO, and the building owner, a policy of general liability insurance against claims for personal injuries, wrongful death of property damage occurring on or about the premises with minimum amount of coverage of One Million Dollars ($1,000,000) on account of bodily injury and/or death of persons and/or account of damage to property.