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PBGYAA Facilities Form
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PBGYAA Facility Maintenance Form
Please be as specific as possible so that the request can be properly assigned and completed.
Which division is submitting this request?
-- Select One --
Football - Flag
Football & Cheer - Pop Warner
Is the sport willing to contribute to the funding of this project?
Which City facility?
-- Select One --
Burns Road Community Center
Gardens District Park
Gardens Park Baseball Complex
Joseph R. Russo Athletic Complex
Lake Catherine Sportsplex
PGA National Park
Plant Drive Park
Describe the exact location. Please be specific.
If the request is for maintenance of a CURRENT feature of a City facility, please explain the issue in detail.
If the request is for a NEW feature or piece of equipment for a facility, please describe the request in detail.
Please let us know if there is anything else that you would like to add in regards to the request.
Is PBGYAA requesting that City staff complete this project or would the PBGYAA be hiring a 3rd party vendor?
Please check the box to confirm that you understand and agree to the statements below.
City must approve of all work being completed. Files such as work scope or quotes may be attached below.
City must have detailed work schedules of when vendor will be on site.
Vendor must list City as additionally insured.
If a 3rd party vendor, please list the vendor.
If a 3rd party vendor, will the work require access to a City building?
If a 3rd party vendor, list the anticipated start date and completion date for the work to be comleted.
If a 3rd party vendor, list the anticipated start date and completion date for the work to be comleted. Start Date
If a 3rd party vendor, list the anticipated start date and completion date for the work to be comleted. End Date
If City staff is being requested to complete this request, please select the appropriate priority level.
Please list the name of the PBGYAA point of contact.
Please list the phone number for the PBGYAA point of contact.
Please list the email address for the PBGYAA point of contact.
Upload a file, if necessary.
Upload another file, if necessary.
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Fee Schedule (PDF)
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