SportsManual_Flip

Appendix “F” – Douglas County Parks and Recreation Key Contract

DOUGLAS COUNTY PARKS AND RECREATION DEPARTMENT KEY CONTRACT I, the undersigned, hereby acknowledge receipt of _____ key(s) described as _____________________________________________ with the understanding that I shall be held solely responsible for such key(s) safekeeping for the full period during which the key(s) are in my custody and until the key(s) are returned to the Douglas County Parks and Recreation. I, the undersigned, hereby further agree to inform the Douglas County Parks and Recreation Department immediately upon loss of any key(s). I, the undersigned, hereby further agree that should said key(s) described above be lost or otherwise not available for return upon demand, I will pay Douglas County Parks and Recreation the sum of $100.00 per key for each key lost or otherwise not available for return upon demand toward the defrayment of such costs as may be occasioned thereby. I, the undersigned, hereby further agree that I will neither make, cause, or knowingly permit to be made, nor otherwise obtain, procure, or provide any unauthorized duplicate copy of facsimile of said key(s) described herein. I, the undersigned, hereby further agree that I will not loan the key(s) to any other person. I, the undersigned, hereby further agree that any willful violation or infraction of any provision hereof shall be considered full and sufficient cause for cancellation, discharge of any and all contracts or agreements with the Douglas County Parks and Recreation Department and that I will be barred from use of all Douglas County Parks and Recreation facilities without liability to Douglas County Parks and Recreation without prior notice to the undersigned. Signature: ________________________________ Title: _________________________ Printed Name: _____________________________ Date: _________________________ Home Address: ___________________________________________________________ Home Telephone: _________________________________________________________ Social Security Number: ________________ Driver’s License Number ______________ Employer: _______________________________________________________________ Employer’s Address:_______________________________________________________ Work Telephone Number: ____________________________ Issued by: ______________________________ Title: ____________________________ Date: __________________________________