Bolivar County Multipurpose Expo Center Rental Application
Insurance: All applicants shall provide a certificate of liability insurance and endorsement of additional insured verifying comprehensive liability coverage in the amount of $1,000,000 and naming the "County of Bolivar, its officers, employees and agents" as additional insured. The certificate must be submitted no less than ten ( 15) days in advance of the scheduled use of the facility or at the time of the reservation if less than fifteen ( 15) days from the date of event. All organizations and individuals serving/selling alcohol must provide proof of liability insurance coverage for the serving, consumption and/or selling of alcohol. Lessee agrees to indemnify the Lessor and hold harmless the Lessor of any liability arising under the rental agreement. Proof of insurance and acceptance required prior to event (see Facility Use Rules and Regulations) Note: An asterisk (*) indicates the information is required.
Name of Applicant(s):
Applicant Address:
Zip Code
Email:
Are you 21 years of age or older? (Proof & picture I.D. must be provided)
Yes
No
Phone Number:
Organization Name (if applicable):
Government Entity?
Yes
No
Non-Profit?
Yes
No
For Profit?
Yes
No
Government Entity Address:
Zip Code:
Type of Event: (Give a detail description of the event , such as event name including whether or not you will charge admission or require attendees to purchase a ticket in advance. Provide ticket price amount at the door and/or in advance below.)
Event Preferred Usage Date: (No request will be honored more than 12 months in advance. No Exceptions)
List Event Alternate Usage Date(s) (*All professional events requiring a stage, live performance, selling of tickets, and/or sound systems & lighting, is prohibited for hazard & safety issues on the Annex without written pre-approval from the county.
Rental Selections: (*Security deposit is half (1/2) of total rental fee)
Magnolia Room (only) $750.00
State Room (only) $750.00
Magnolia State Rooms (Combined Two Rooms) $1,400
Grounds (Only) $850.00
Arena (Only) $2,800
Estimated Attendance:
Will your event be using the facility's table & chairs?
Yes
No
Both
Additional Tables Quantity: (Standard quantity of tables is 12 in Magnolia & State Room. Additional price for tables is $10 each.
Additional Chairs Quantity: (Standard quantity of chairs is 72 in Magnolia & State Room. Additional price for chairs is $3 each.
Requested Date for setup?(Any set-up time requested a day accordingly. Requests before 11:00am must be pre-approved with Expo Director or County Administrator with the understanding Facilities employees may not have facility ready for use as normal.)
Event Start Time: (Check in 11:00am)
Event End Time: (Must end 2:00am or earlier)
Departure Time: (Facility must be vacated & all personal items removed before 6:00am.)
Will this be an annual event?
Yes
No
Will you be selling alcohol to attendees? (Note: All applicable permits from alcoholic beverage control (ABC) must be submitted no less than 15 days of event)
Yes
No
Application Date
Submit
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