This agreement is made and entered into between the City of Bonney Lake, hereinafter called the “City” and
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Hereinafter called the “Group”.
Whereas City Resolution 1426 authorizes the City to establish a City-wide Adopt-A-Street program; and whereas the Group wishes to contribute toward the effort to reduce roadside litter.
The section of street adopted herein is described as: ________________________________________
From __________________________________ To __________________________.
The City does hereby authorize the Group permission to participate in the Adopt-A-Street program by picking up litter within the assigned sections of streets designated below, in accordance with the following terms and conditions:
To obey, abide by and to ensure that each participant obeys all laws and regulations relating to pedestrian and traffic safety; all recommendations, terms and conditions set forth in the City of Bonney Lake Volunteer Handbook, the Adopt-A-City Street Program and such terms and conditions that may be required by the City of Bonney Lake Public Works Director, Program Coordinator or other designee (hereinafter collectively call “Public Works Director”) for such special conditions on particular adopted City Streets.
Additionally the Group/Grantee agrees to the following:
- Conduct clean-up activities in a safe manner and comply with conditions maybe the City for the safety the participants.
- The Group will adopt at least one (1) mile of adjacent, connected or adjoining City streets for a minimum of two (2) years unless agreed upon with the Public Works Director.
- Assign a leader to the clean-up crew. The crew leader shall have a copy of this with him or her during the clean-up.
- Pick up litter no less than four (4) times per year. Additional clean-ups should be done as necessary to maintain a neat appearance. Recommended clean-up interval is once every three months (quarterly). One of the clean-ups will occur during the City's annual spring "Clean Up” event.
- All participants shall wear the safety hat, reflective vest and gloves furnished by the City during clean-up activities and must wear appropriate protective clothing such as long pants and a long sleeve shirt, and thick soled boots or shoes.
- The Group shall require the participants to work in the assigned area with a minimal number of vehicles. Vehicles should be parked clear of the City street's roadway and at least ten (10) feet from any shoulder or curb in an agricultural area. Groups are encouraged to work with nearby businesses, schools, churches, or others to utilize parking off of the City streets.
- The Group shall clean-up only one side of the adopted City Street at a time.
- Participants shall be at least 15 years old. The Grantee shall furnish supervision by one or more adults for every (8) minors (less than 18 years old) participating in the clean-up activity.
- Obtain supplies and materials to the extent that they are available from the City during regular business hours.
- Place filled trash bags and materials on the street shoulder for disposal by the City.
- Call 911 (Police/Fire Emergency) in the event of any emergency during the clean-up.
- Participants will not pick up syringes, hypodermic needles, broken glass, exceptionally large, heavy, or unwieldy objects or any other hazardous item. These kinds of materials should be flagged and the City notified as soon as possible to arrange for proper disposal.
- Provide the City with a roster of individual participants in the clean-up and hours of participation in the clean-up within three (3) working days after the clean-up.
- The crew leader will report any injuries sustained by participants during clean-up activities to the City immediately upon notification. Notice will be provided on the Incident/Accident Report Form furnished by the City.
- Return to the City within three (3) working days materials furnished by the City.
- Our organization is responsible for directly supervising the activities of all the individuals in our group who will be doing volunteer work, and therefore, in consideration of our organization and members being permitted to perform services on City property, our organization agrees to defend, indemnify and hold harmless the City of Bonney Lake and its officials, employees and agents from any damage claim or lawsuit for injury, illness, damage or other loss of any kind to anyone including members of our organization that might arise out of our activities or the actions of any individuals of our group, except for injuries or damages caused by the sole negligence of the City.
- The Group/Grantee has designated a contact person (hereinafter called “Liaison") on the application for the Adopt-A-Street program. The liaison will be responsible for the following:
- Notify the Public Works Director’s office of any changes in the designation of the contact person and of any changes in the contact person’s address and/or telephone number.
- Notify the City before each clean-up event.
- Notify the City of the precise location of any bags and heavy or hazardous trash found during the clean-up event.
- Prior to each clean-up event, distribute and collect signed “Release Waiver and Hold Harmless” from each participant and forward to the Public Works Director.
- Assure that all participants have reviewed the Adopt-A-Street program regulations and guidelines prior to the clean-up event.
- Provide the Public Works Director with information about the group, photos and notices of clean-up events and related activities to be posted on the City’s website.
The City agrees to:
- After completion of the first event, the City shall furnish and install an ADOPT-A-Street sign with the Grantee name or acronym. The sign will be installed at one end of the section of street (one for each direction of traffic) the Group is responsible for.
- Provide coverage on the City website for the Group including a brief biography, photos, and notices of clean-up events and related activities.
- Furnish the Group trash bags, safety hats, gloves, trash pickers, reflective vests and "Volunteer Litter Crew Ahead" advance warning signs and stands for the participants to use during the clean-up activity.
- Remove the filled trash bags from the street shoulder.
- Assist the Group in clean-up if necessary, i.e., when large, heavy or dangerous items are found.
- Provide the Group safety training and materials as necessary to enable the participants to perform their volunteer services.
- Provide the Group with traffic control equipment. The equipment consists of an advance warning sign. The advance warning sign is diamond shaped, with black letters on an orange background that reads VOLUNTEER LITTER CREW AHEAD. The sign should be placed on the shoulder, approximately three feet from lane edge, and no farther than one mile from the nearest worker.
- Maintain necessary records required to secure medical aid benefits under chapter 51.12.035 RCW for participants.
The City recommends the Group have a first aid kit available at the clean-up site and at least one person with a valid first aid card be present during clean-up activities. The City also recommends the Group have a cellular phone or radio at the clean-up site.
Recycling is an accepted and encouraged activity. Recyclable items collected by participants may be removed from the site at the option of the Group. Profits from the sale of recyclable items shall belong to the Group.
The City may suspend this agreement temporarily because of construction in the assigned area. After the construction is complete the Group will be notified and the agreement restored.
The term of this agreement shall begin on the date of execution indicated below and shall end on the date of termination unless terminated by the City or the Group upon 30 day written notice. Upon termination of this agreement the ADOPT-A-STREET sign will be removed and remain the property of the city.
City of Bonney Lake
Public Works Department
21719 96th ST E, Buckley, WA 98321
253-447-4319
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Name of Organization
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Address
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City, State, and Zip
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Date of Execution
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Name of Liaison/Group Contact
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Date of Termination
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Home Address
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City, State, and Zip
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Day Phone Evening Phone
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ADOPT-A-STREET Coordinator
City of Bonney Lake
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Signature of Liason/Group Contact
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Title
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Email
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