1. Applicant Information
2. Automobile Information
(please provide information for the vehicle used primarily)
3. Vehicle Insurance Information
(please complete this section entirely)
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4. Account Information
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Estimated Parking Period
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NOTICE TO APPLICANT
Parking Permits are issued on a month to month basis and should be paid in advance to avoid ticket and towing. Permit is only mailed once payment is received and processed. Estimated time for processing and mailing is five (5) to seven (7) business days. The Facility Owner or its managing agent assumes no responsibility or liability for any personal injury, theft, towing or damage to vehicles or their contents while parked on this lot. Submission of this application acknowledges that the applicant understands and agrees to above terms.
FACILITY USAGE/INDEMNITY AGREEMENT
Parish: St. Augustine Catholic Church (Parish is understood to include the Archdiocese of Washington)
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The above named Facility User agrees to defend, protect, indemnify and hold harmless the above named Parish against and from all claims arising from the negligence or fault of the above named Facility User or any of his or her agents, family members, volunteers, helpers or associates which arise out of the above identified Facility Usage at the above named Parish. Additionally, the above named Facility User agrees to protect, defend, hold harmless and fully indemnify the above named Parish for any claim or cause of action whatsoever arising out of the above mentioned Activity or Usage which takes place during the above identified Dates(s) of Usage that is brought against the Parish by the above named Facility User or their family members whether such claim arises from the alleged negligence of the Parish, its employees or agents or Facility User’s negligence. Facility User agrees to provide a certificate of insurance to the Parish, which provides evidence of automobile liability coverage or not less than five hundred thousand dollars ($500,000) per occurrence. Facility User also agrees to have the Parish as an “Additional Insured” on its automobile liability policy for the (Dates of Facility Usage) in relationship to the (Type Of Facility Usage) for claims which arise out of Facility User’s operations or are brought against the Parish by Facility User’s spouse, dependents, family members, guests, invitees, agents or associates. Facility User also agrees to ensure that its automobile liability insurance policy will be primary in the event of a covered claim or cause of action against Parish. If and only if Facility User fails to comply with the second paragraph, then the above named Facility User agrees to protect, defend, hold harmless and fully indemnify the above named Parish for any claim or cause of action whatsoever arising out of or related to the usage which takes place during the above identified Date(s) of Facility Usage that is brought against the Parish by the above named Facility User or his or her spouse, dependents, family members, guests, agents or associates, even is such claim arises from the alleged negligence of the Parish, its employees or agents, or the negligence of any other individual or organization. If any portion of this agreement is held invalid, it is agreed that the balance thereof shall continue in full legal force and effect.
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