Property Loan Agreement FYCCN! _ _
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fuEpl PropertV Loan Agreement
Recipient Information
Site Name Scott Rakow Youth Center
Contact Name,Title Willie Priegues, Recreation Supervisor
Storage Address 2700 Sheridan Ave, Miami Beach, FL 33140
Phone Number 305-673-7784, Ext. 6490
E-mail WilliePriegues@miamibeachfl.gov
Loan Period
Date Loaned: 8 30 18 Date to be Returned: 1 31 19
Statement of Purpose
Please describe your agency/organization's intended us of these items.
Start beginners' course youth archery program.
APPROVED AS TO
- FORM &LANGUAGE
&FOR EXECUTION
City Attorney Dote
Acknowledgment of Receipt
I hereby acknowledge receipt of the described loaned property and accept full responsibility for any
damages or loss resulting from the use of the loaned property. I also agree to the conditions of loan
listed on the page 2 of this document.
Signed: tcc (1cvL -re( j1 NI Date: I ?, 19
Borrower must also initial the Conditions of Loan page of Property Loan Agreement.
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Property Loan Agreement
Conditions of Loan
1.The Borrower agrees to return the loaned 7.The Borrower agrees to indemnify and
property in the same condition as received from hold FYCCN and Florida Fish and Wildlife
the Florida Youth Conservation Centers Network Conservation Commission harmless from any
(FYCCN) except for normal wear and tear, on claim-or liability resulting from the use of the
the date to be returned as indicated on page 1, loaned property. If the Borrower is a Florida
unless the loan period is extended by written State agency, local government or Water
agreement between both parties and reviewed Management District, this requirement shall be
by the FYCCN Office. subject to the limitations of Section 768.28, F.S.
2. Loaned property lost or damaged beyond 8.The conditions of this loan agreement shall
repair shall be replaced by the borrower with only be modified with the written approval of
equivalent property approved by FYCCN. The both the FYCCN and the Borrower.
Borrower shall maintain property insurance
covering the loaned property that is adequate to 9.The equipment listed in this property loan
ensure this provision. agreement(PLA) will be used for educational
programming.
3.The property shall not be loaned to a third
party without written approval from the FYCCN 10. Use of the equipment listed in this PLA will
Property Assignee. be reported to FYCCN quarterly.
4.The Borrower shall account for the property 11. Each program utilizing the equipment listed
when so requested by the FYCCN. in this PLA will evaluate the outcome of the
program and provide a written report to FYCCN
5.The FYCCN reserves the right to recall the annually.
loaned property at any time.
I have read and acknowledge the above
6.The Borrower shall pay all transportation costs terms and conditions.
associated with the receipt and return of the
property.
Borrower Initials ,
FYCCN approval is granted for this loan.
Org. Code Equipment Assigned To: L9.o-Viii r
Property Assignee: Date: 161
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Property Loan Agreement
FYCCN Property Being Loaned
Property Description Genesis Compound Bows: Additional Notes
Right-Handed
Orange 697626
Property#(s) See notes Orange 697661
Blue 653412
Estimated Value $113/bow Blue 665362
Quantity Loaned 6 Purple 695887
Purple 705579
Req.Certification Obtained ■ USA Archery Ll
Condition Upon Return: Q Excellent 0 Good 0 Fair ❑Poor I ❑Needs Repair
Property Description Genesis Compound Bows: Additional Notes
Left-Handed
Yellow 557264
Property#(s) See notes Yellow 699162
Estimated Value $113/bow
Quantity Loaned 2
Req.Certification Obtained • USAArchery•L1
Condition Upon Return: l�Excellent 0 Good 0 Fair 0 Poor I 0 Needs Repair
Property Description SKB Case w/Key Additional Notes
Property#(s) 8
Estimated Value $262
Quantity Loaned 1
Req.Certification Obtained
Condition Upon Return: 0 Excellent Good 0 Fair 0 Poor � ❑Needs Repair
Borrower Initials ',( !.-Ca 30,1
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Property Loan Agreement
FYCCN Property Being Loaned
Property Description Easton Arrows Additional Notes
Property#(s) N/A
Estimated Value $147/box
Quantity Loaned 1 box(60 arrows)
Req.Certification Obtained
Condition Upon Return: 'Excellent ❑Good 0 Fair 0 Poor 1 0 Needs Repair
Property Description. Bow Tree Additional Notes
3 pieces:
Property Ws) N/A -Hanger
-Riser
Estimated Value $91 -Base
Quantity Loaned 1
Req.Certification Obtained -
Condition Upon Return: Excellent 0 Good 0 Fair 0 Poor I ❑Needs Repair
Property Description Rinehart 32" Round Foam Additional Notes
Target
•
Property#(s) N/A
Estimated Value $203 each
Quantity Loaned 3
Req.Certification Obtained
Condition Upon Return: /Excellent 0 Good 0 Fair 0 Poor 1 0 Needs Repair
Borrower Initials J2 4::,-vu.t.
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Property Loan Agreement
FYCCN Property Being Loaned, continued
Property Description Archery Kit Accessories Additional Notes
6 Arm Guards
Property#{s) NIA 3 Green Traffic Cones ($8 each)
3 Signs w/Stands ($8 each)
Estimated Value S84 total 3 Ropes (S12 each)
1 Roll of Caution Tape (consumable)
Quantity Loaned See notes 2 Allen Wrenches
1 Genesis Owner's Manual
Req.Certification Obtained
Condition Upon Return: la(cellent 0 Good 0 Fair 0 Poor I 0 Needs Repair
Property Description Arrow Curtain Kit Additional Notes
1 curtain
Property Ws) N/A Several plastic curtain clips
1 vinyl-coated braided steel cable
Estimated Value 2 cable loops
Quantity Loaned See notes Carrying case
Req.Certification Obtained
Condition Upon Return: C1 Excellent 0 Good 0 Fair 0 Poor I 0 Needs Repair
Borrower Initials ,1.
Property Return and Loan Cancellation Statement
I hereby certify that the loaned property described in this agreement has been returned to FYCCN
in satisfactory condition. —"
Property Assignee: � Date: t al
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