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CITY OF ALBANY OFFICE OF THE CITY CLERK CITY HALL, ROOM 202 ALBANY, NEW YORK 12207 TELEPHONE (518)434-5090 FAX (518)434-5081 CITY HALL ATRIUM USE APPLICATION Daytime/Weekday Fee: (9am – 6pm) $150.00 Evening/Weekend Fee: (after 6pm) $350.00 Please complete the following in its entirety and return it to the City Clerk’s Office at least 20 days prior to your event. Atrium rental privileges are reserved for not-for-profit organizations. No group/organization is permitted to sell any type of goods/items in the Atrium. A fee of either $150.00 or $350.00 is to be submitted upon approval of this application. The earliest a caterer can begin setting up is 4pm and alcohol cannot be served until 6pm on business days. Atrium use permits are for reserving the space/Atrium of City Hall only. Groups are responsible for providing and setting up their own equipment. Once approved, a preferred vendor list is available upon request. This list will provide vendor contact information that could supply equipment needed for your event. Date: Applicant’s Name: (Responsible person filing application – must be on site during permit hours) Organization: Address: (Street) (City) (State) (Zip) Phone: (Day) (Evening) (Fax) Email Title of Event: Date of Event: Time: (Event Start) (Event End) (Set-up & breakdown) Number of Expected Attendees: (Atrium capacity is 250) ---PAGE BREAK--- Purpose and Explanation of Event: Will this event be catered? yes no (Caterer’s name) (Address) (Phone) Will alcoholic beverages be served? Yes no sold? yes no (If alcoholic beverages are being sold, the Caterer must provide a NYS Liquor Authority Permit to the City of Albany with this application.) NOTE: The supplies listed below are the ONLY items the City of Albany provides based on availability. Equipment Requested: General Public (Please indicate number requested) Trash Containers: Tables: (6ft or 8ft) Chairs: Groups must supply their own equipment. Please indicate what equipment you will be bringing to the event. For example: Extension cords, P.A. System, Projector and Screen etc. How will the site be cleaned following the event? Are you requesting the City of Albany Podium* for this event? yes no *This must be a City of Albany affiliated event and podium is based on application approval and availability. Please explain the nature of the City’s participation/affiliation (department & contact): City of Albany Employees / Department Events ONLY: (Please indicate number needed) Podium_____ PA System_______ Projector and Screen_________ Extension I am aware, as the applicant of this permit, that I am responsible for: - possession of the permit at the site - supervision at the event - orderly conduct of participants and/or spectators - maintenance and clean up of the event area - payment for any damages to the facility and/or equipment - paying all fees and charges - Adhering to all conditions and limitations on the permit, including, but not limited to, facility and space to be used, duration of use, and the presence of a responsible person as named on this application. Signature Date