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Croton-on-Hudson, New York · Saturday, August 15, 2026· Aug 15, 2026
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Use of Facilities Form 1XBAJgxAtKox4o

correspondence 2 pages
Meeting: portal event 944 (no meeting page on file)
Agenda item: Correspondence — Request from the Croton Rotary Club to use of a portion of the Croton-Harmon Train Station parking lot on September 29, 2024, for the 40th Annual Croton Rotary Car Show.
Correspondence, 2 pages. Attached to agenda item: “Correspondence — Request from the Croton Rotary Club to use of a portion of the Croton-Harmon Train Station parking lot on September 29, 2024, for the 40th Annual Croton Rotary Car Show.”
Retrieved 2026-04-15 from the village's meeting portal. View the original PDF ↗
Also attached to this agenda item: Memo from Manager re%3A Rotary Car show
USE OF FACILITIES/PROPERTY DOCUMENT Village of Croton on Hudson, NY 10520 APPLICATION FOR USE OF COMMUNITY FACILITIES/PROPERTY Today's Date:______________________________ Date(s) Requested: _________________________ Facility/Property Requested: ___________________________________________________________ INFORMATION ABOUT YOUR GROUP Name of Organization or Individual: _____________________________________________ Time: ________ to ________. Your supervisor in charge: __________________________ Mailing Address: ________________________________________________________________ Telephone: (Day) __________________________ (Night) ____________________________ INFORMATION ABOUT YOUR INTENDED USE OF MUNICIPAL FACILITIES/PROPERTY Purpose of Use: _________________________________________________________________ ______________________________________________________________________________ Total Participants Expected: ________ Adults: _______ Children: _______ Is material or equipment required from municipality? Yes _____ No _____ If needed, state what types and for what purpose: ____ _____________________________________________________________________________ Residents (Number): ________ Non-Residents (Number): _______ Is an admission fee charged? Yes _____ No _____ If so, what will proceeds be used for? ___________________________________________ AGREEMENT The undersigned is over 21 years of age and has read this form and attached regulations and agrees to comply with them. He/she agrees to be responsible to the municipality for the use and care of the facilities/property. He/she, on behalf of Name of Organization does hereby covenant and agree to defend, indemnify and hold harmless the Village of Croton on Hudson from and against any and all liability, loss, damages, claims, or actions (including costs and attorney’s fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of or in connection with the actual or proposed use of the Village of Croton on Hudson’s property, facilities and/or services by Organization. ________________________________ Signature of Organization Representative Email address ________________________________ 09/29/2024 Croton Harmon Train Station parking lot Croton Rotary 8am 4pm Janeen Violante P.O.323, Croton-on-Hudson, NY 10520 (40th Annual) Croton Rotary Auto Show fund raiser. This is and auto show and a community event: food trucks, chili contest, kids ga chairs & tables for dining and vendors Rotary scholarships, community service Address: ______________________________________ Telephone Number _______________________________ rotaryofcroton@gmail.com G G 03/14/2024 READ ATTACHED REQUIREMENTS AND RETURN APPLICATION TO: Village of Croton on Hudson, 1 Van Wyck Street, Croton on Hudson, NY 10520 ATTENTION: Pauline DiSanto, Village Clerk FACILITY/PROPERTY USE REQUIREMENTS The use of all Municipal facilities/property shall be subject to the approval and rules of the Board of Trustees administered by the Village Clerk. 1. Organizations wishing to use municipal facilities/property shall first apply to the Village Clerk on the prescribed form. The Village Manager has final authority on approval. 2. In the event of inclement weather, the Village Manager or her designee has the final authority on whether facilities are usable. 3. [Alcohol use is allowed only by permit. Alcohol is not permitted in glass bottles, kegs or barrels. A separate fee of $150 is required for an alcohol permit.] 4. All posted rules must be adhered to. 5. Profanity, objectionable language, disorderly acts or illegal activities of any kind are absolutely prohibited, and those violating this prohibition will be ejected from the premises. 6. Any damage to municipal facilities/property shall be promptly repaired at the user's expense. No exceptions. 7. Organizations using the facilities/property must clean-up afterwards. 8. Permits may be revoked at any time. 9. Any organization with youth under 18 years old requires the presence of adequate adult supervision at all times. 11. The emergency telephone number for police is: 911; fire: 911. The appropriate authority must be contacted in the event of an emergency. 12. Users must provide the following insurance prior to using facilities/property: FAILURE TO DO SO PRIOR TO USE WILL RESULT IN REVOCATION OF YOUR PERMIT: Commercial Users: A. The user hereby agrees to effectuate the naming of the municipality as an unrestricted additional insured on the user's policy. B. The policy naming the municipality as an additional insured shall:  be an insurance policy from an A.M. Best rated "secured" New York State licensed insurer;  contain a 30-day notice of cancellation;  state that the organization's coverage for the Village of Croton-on-Hudson and their assigns, officers, employees, representatives and agents should be named as an “Additional Insured” on the policy and shall apply on a primary and non-contributory basis, including any self-insured retentions. The Certificate of Insurance should show this applies to the General Liability coverage on the certificate.; C. The user agrees to indemnify the municipality for any applicable deductibles. D. Enclose a copy of the endorsement providing additional insured status. E. Required Insurance: Commercial General Liability Insurance $1,000,000 per occurrence/ $2,000,000 aggregate. F. User acknowledges that failure to obtain such insurance on behalf of the municipality constitutes a material breach of contract and subjects it to liability for damages, indemnification and all other legal remedies available to the municipality. The user is to provide the municipality with a certificate of insurance, evidencing the above requirements have been met. The failure of the municipality to object to the contents of the certificate or the absence of it shall not be deemed a waiver of any and all rights held by the municipality. Individuals: Required Insurance: •Homeowners Insurance Section Two – Liability: $300,000 limit of liability. Policy shall not exclude the off-premises activities of the insured. 13. In the event of an accident, please notify the police department.

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