5-Appendix I –Sample Forms.pdf
PDF 425 KB Posted
- Attached to
- General Painting Services
- Solicitation number
- 26-048
- Issued by
- Maryland
About this file
This file is an appendix of sample forms provided by the Maryland Stadium Authority (MSA) for equipment use and reimbursable materials documentation at the Camden Yards Sports Complex (CYSC), which includes Oriole Park at Camden Yards, the Warehouse at Camden Yards, Camden Station, and M&T Bank Stadium. The forms establish procedures for equipment rental requests, including certification requirements for specialized equipment such as forklifts and boom lifts, with designated fields for start and end dates and times. The documentation includes a comprehensive waiver and release agreement that requires equipment operators to assume all risks, release MSA and related entities from liability, indemnify the agencies against claims, and certify that all personnel are properly trained under OSHA regulations and have inspected equipment for safe operating conditions. The forms also contain a summary section for tracking reimbursable materials and supplies from on-call vendors, requiring documentation of vendor names, invoice numbers, amounts, and a 10 percent markup calculation, with all receipts to be attached.
The file does not address pricing terms, set-asides, incumbency, or funding requirements, as it functions solely as a template and procedural document for operational use at the Camden Yards Sports Complex rather than as a solicitation or contract award document. Equipment use is strictly limited to the stated purposes, dates, and times identified in each request, and the waiver and release agreement binds the requestor, administrators, executors, next of kin, and assigns. The forms were revised in 2020 and serve as standardized documentation for managing equipment access and material reimbursement claims at the sports complex facilities.
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Text version
APPENDIX I – SAMPLE FORMS
Equipment
Equipment Type (Certification Required if marked with asterisk) Forklift*:
O Tool: Boom Lift*:
Ladder:--------- Scissors Lift: ---------
Other: Start Date (MM/DD/YYYY)
End Date (MM/DD/YYYY)
Start Time
I
End Time
Date(s) & Time(s)
COVENANTS & AGREEMENTS 1. The undersigned, for himself/herself and for any others who may claim rights, injuries or losses by, through or under
He/She does hereby:
a. Assume all risks and hazards involved or incidental to the use of such equipment; b. Release and discharge MSA, the Baltimore Ravens, the Baltimore Orioles, its members, officers, agents, employees and invitees from any liability or responsibility of any kind whatsoever; c. Waive any and all claims or rights to claims that he may have against MSA, the Baltimore
Ravens, the
Baltimore Orioles, its members, officers, agents, employees and invitees; Agree to indemnify and hold harmless the MSA, the Baltimore Ravens, the Baltimore Orioles, its members, officers, agents, employees and invitees from and against all claims, demands or liabilities that may be made against or incurred by such parties (including any claims that may be made by the undersigned's immediate or extended family) as a result of any injury, loss or damage that the undersigned may sustain or incur as a result of the use of such equipment by the undersigned; and e. As the operator(s) of said equipment or person in charge, the undersigned hereby states that he/she and all other personnel of their party are properly trained under the rules and regulations of OSHA and will adhere to these rules and regulations as they apply to this equipment. The operator/person in charge has thoroughly inspected the equipment and determined it to be in safe operation condition.
2. It is understood that the use of the equipment by the undersigned shall be limited to the stated purposes, date(s) and time(s) identified in this document. It is further understood that the exercise of any such rights by MSA shall not in any way limit or diminish the covenants and agreements set forth herein. 3. This waiver and Release is binding upon the undersigned, his administrators, executors, Next of Kin and assigns.
SIGNATURES This is a complete waiver and release; please read it carefully and understand before affixing your signature below. The Requestor ("Undersigned") desires that the Maryland
Stadium Authority (
MSA) allows the undersigned to use the identified equipment for the purpose(s) stated above.
MSA is willing to allow the undersigned to use the identified equipment for purpose(s) stated, during the specified date(s) and time(s) only, however, with the covenants and agreements expressed above. Undersigned
Witness Name Title Date (mm/dd/yyyy) Signature
(Revised 2020)
Summary of reimbursable Materials and supplies
On-Call Vendor Name : ex. DEH Company
Period of work covered : ex. March 1-6, 2020
Invoice No. : ex. 123B
Important: Attach all receipts mentioned in the summary
Vendor supplier Vendor Invoice# Amount 10% mark-up
TOTAL
Grand Total
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