1.

ARMORY:

MANAGER:

2.

LESSEE (Complete name of Organization)

ADDRESS:

,

,

Street

City

Zip

PHONE:

IF APPLICABLE:

Illinois Tax Number

Federal Tax-Exempt Number

Not-For-Profit Certification Number

3.

PERSONS AUTHORIZED TO REPRESENT LESSEE:

(Contract will be mailed to this address for signature.)

Name:

SSN:

Address:

City, St, Zip:

Phone:

Business:

Home:

4.

DESCRIBE IN DETAIL HOW THE ARMORY WILL BE USED:

5.

WILL THERE BE INCOME TO THE LESSEE BEECAUSE OF THIS USE THROUGH:

a.

Ticket sales

Program sales

b.

Sale of Advertising

Concessions

c.

Contributions

Vending

d.

Subletting

Other

6.

HOW IS THE LESSEE USING THE INCOME FROM THIS RENTAL:

7.

ESTIMATED NUMBER OF PEOPLE ATTENDING THE EVENT:

8.

DATE/HRS REQUESTED:

(attach schedule sheet if required)

Date(s)

Time (From – To)

Total # Hours

9.

Will alcohol be served

or sold

Yes or No

Yes or No

10.

AREAS OF ARMORY TO BE RENTED:

Assembly area:

(Includes supporting hallways and restrooms

Classrooms:

Room numbers or identification

11.

INSURANCE

I understand I MUST submit a certificate of insurance as proof of liability and property damage coverage along with the signed contract. I understand also that if liquor is to be served, I will be required to show proof of Dram Shop Insurance. The insurance certificate must reflect that liability and property damage/loss coverage has been extended to the armory being rented.

12.

RENTAL CHARGES:

a.

Total number of hours this rental (to be multiplied times the hourly rate shown in Appendix B which includes routine clean-up and security charges).

b.

Subletting fees (if applicable). Number of spaces to be sublet: ____; at $_____each, for a total of $_____. DMAIL fee – 15% of total:

c.

Total number of hours Armory Manager administration (preparation of payrolls and rental oversight)

d.

Adjustments to rental charges (to be multiplied times the hourly fee for that service as shown in Appendix B); may be adjusted upward or downward:

1.

Total of number of hours clean-up required:

a)

By DMAIL janitorial personnel

b)

By personnel hired by DMAIL pursuant to contractor's authorization

2.

Total number of hours security required:

a)

By security personnel during normal duty hours

b)

By personnel hired by DMAIL during non-duty hours pursuant to contractor's authorization

13.

How is contract to be paid:

a.

Paid in advance in full when contract is signed (required payment method for all one-time use rentals and lessee's option for all others)

b.

*Semi Annually

c.

*Quarterly

d.

*Monthly

*  Lessee's option for all leases except one-time use rentals – payments will be due 15 days after each billing from DMAIL

I have read the foregoing and understand the charges for my rental will be determined by the Office of the Adjutant General upon receipt of this worksheet, and that a contract will be prepared and forwarded to me for my signature. I further understand that I am under no obligation to enter into this contract when forwarded to me for signature.

Lessee's Signature

I recommend approval of the proposed rental on the term described on this worksheet.

Armory Manger

ALL QUESTIONS MUST BE ANSWERED TO ENSURE PROMPT PROCESSING OF CONTRACT, IF NOT APPLICABLE ENTER N/A.