Forms • Snoqualmie, WA • CivicEngage

Snoqualmie Fire Department Meeting Room Request

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Primary Contact Name*
Secondary Contact Name*
Organization Name*
Address*
City*
Zip Code*
Phone (Main)*
Phone (Day of Event)*
E-Mail Address*
Date Room Requested*
Time Requested From:*
Time Requested To: (Include set up, break down and clean-up time in your request)*
Description of Event*
# of Adult Attendees (21 & older)*
# of Youth Attendees (under 21)*
INSURANCE REQUIREMENTS The City may require liability insurance for use of this facility. If determined so, the City will require insurance and proof of insurance in the form of a Certificate of Insurance naming the City of Snoqualmie as an additional insured. Insurance amounts for use of the premises will be for $1 million general liability coverage each occurrence and $2 million general aggregate. Organizations may have Commercial Liability Insurance or may obtain insurance from the Washington Cities Insurance Authority (WCIA) for certain events. The WCIA may be contacted at www.wciapool.org, phone (206) 575-6046 or Fax (206) 575-7426. The certificate must be submitted to us a minimum of seven (7) days prior to the event date.

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