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2025-IG121
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Last modified
1/9/2026 12:01:47 PM
Creation date
1/9/2026 11:57:45 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/22/2025
Control Number
2025-IG121
Entity Name
WTSDA Region 21
Subject
Black Belt Testing & Fall Event October 9, 2026, 4:00 pm – 9:00 pm &
October 10, 2026, 8;00 am - 4:30 pm Gymnasium/141
Area
Intergenerational Recreation Center
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EXHIBIT B Intergenerational Venter License Agreement Fees - Nonprofit <br />AMENITIES <br />PER EVENT (Equipment)TY <br />Bluetooth Sound tem <br />$ 75.00 x <br />= S - <br />Sound System, Mobile <br />$ 125.00 x <br />= S - daily <br />I <br />Gyrnnasiurn Score Board <br />S 25.00 x <br />= S - daily <br />Podium <br />$ - x <br />= No fee, included in Reservation <br />Serving Carts <br />$ 25.00 x <br />= S - <br />200 AMP Electrical Power, Per Hour <br />$ 75.00 x <br />= S - <br />ho <br />Electrical Power tie-in and tie -out must be performed by a licensed electrician. Electrician must provide proof <br />oflicensure and insurance. Acquiring service and all costs for electrician shall be borne by the Applicant. <br />ALCOHOL PERMIT FEE <br />per day) <br />$ 200.00 xj <br />- <br />S daky <br />A minimum of one (1) Indian River County Sherijj's Deputy is required to be on site during alcohol service and <br />EVENT SETUP & BREAKDOWN FEE <br />Event Add Ons <br />iG Event/Reservation Usage <br />$ 50.00 x <br />= S <br />Gyrnnasiarn Restroom <br />$ 100.00 xi <br />= S - <br />West Wing Restrooms <br />$ 100.00 .1 <br />= S - <br />East Wing Restrooms <br />$ 100.00 x <br />= S - <br />Guests less than 75 <br />$ 75.00 <br />S - <br />Guests between 75 to 150 <br />$ 100.00 <br />IXA <br />SGuests <br />ater than 150 <br />$ 200.00 <br />$ 200.00 <br />Post Setup and Breakdown Fee does not include decorations. Applicant is responsible for items brought in to <br />decorate roon✓area to include any 3rd party vendor items (e.g. lighting, sound, tents, etc.), plates, cutlery, <br />drinks, linens, slipcovers, balloons, etc. Tables must be cleared prior to Applicant departure. <br />Any 3rd party items left by Applicant's subcontracts or 3rd parry vendors past the indicated loadout time <br />Garbage - IRC Rate w/Waste Management; may be subject to change <br />15 ft Dumpster, pw tiff of gwty <br />$ 157.34 x <br />= S - <br />10 ft Dumpster, p& off a 8*0 <br />$ 120.00 x <br />= $ - <br />Delivery Charge, oot lihw &sw <br />$ 75.00 x___J <br />= $ - <br />Dumpster Disposal <br />$ 50.00 x <br />= S - <br />STAFF <br />QTY <br />Hours <br />Staff 1019/26 5:OOPM-9:OOPM <br />$ 25.00 x 2 <br />x 4 = S 20000 <br />Staff(Holiday Rate <br />$ 50.00 x <br />x = $ - <br />iG License gre Page 4 of 19 <br />Initials <br />
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