(SAMPLE FOR GROUP/ORGANIZATION REQUEST FOR REAL ESTATE AGREEMENT) (Date) COMMANDER I CORPS & FORT LEWIS, MS 17 BOX 339500 ATTN: Real Property Branch, Public Works FORT LEWIS WA 98433-9500 Dear Sir, On behalf of ( ORGANIZATION NAME), I would like to request a Fort Lewis Land Use Agreement to use Fort Lewis for the following types of events (complete one full set of information for each type of event you plan to do during this time period agreement is effective): TYPE OF EVENT( i.e., Hunt, horseback ride, Dog Field Trial, etc.)_____________________________ DATE(S) OF EVENT(if know or approximate month if annual events)_________________ START/ END TIME OF EACH DAY_________________ AREAS REQUESTED_____________________ALTERNATE AREAS__________________________ WE WILL CONTACT DPCA TO USE THE FOLLOWING RECREATION FACILITIES _____________ DESCRIPTION OF ACTIVITY/EVENT: (Explain what type of activities/actions will be taking place, when and where). Be as specific as possible. ____________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FUND RAISING INFO: OPEN TO PUBLIC____ MEMBERS ONLY ____ OTHER CLUBS___ PARTICIPATION FEE CHARGED__________ REGISTRATION FEE ________________ SERVICES/PRODUCTS SOLD AT EVENT________________________________________________ SERVICES CONTRACTED TO OUTSIDE VENDORS_______________________________________ FUNDS COLLECTED FOR (state what this funds will be used for)_______________________________ ____________________________________________________________________________________ INSURANCE POLICY IN THE AMOUNT OF ________ ATTACHED COVERING ____ EVENT/PARTICIPANTS ____ ORGANIZATION MEMBERS ONLY _____ OTHER ENVIRONMENTAL CONSIDERATIONS: NUMBER OF _____ PEOPLE ____ DOGS ____ HORSES ____ OTHER ANIMALS ____ ANIMAL TRAILERS _____ VEHICLES ____ OVER NIGHT SECURITY VEHICLES. Please note that overnight camping on Fort Lewis is not allowed. Overnight security is limited to two vehicles and does not include horse trailers or dogs. METHOD OF COLLECTION AND DISPOSAL OF TRASH, FECES, HAY, ETC. ____________________________________________________________________________________ METHOD OF REPAIR OF GROUND DAMAGE BY VEHICLES/ANIMALS: ____________________________________________________________________________________ ____MAP ATTACHED SHOWING AREA WE PLAN TO USE. WEAPONS:Purpose of Weapons_________________________________________________________ Type of Weapons to be used: ____________________________ Type/Size of Ammo________________ Location where weapons will be used______________________________________________________ We understand that use of weapons must be controlled and all safety procedures taken to ensure no participants, non-participants, animals, wildlife not covered under State Wildlife permit, or others are injured. We understand weapons brought onto the installation are subject to inspection by Military Police. Requests received without required documents and/or less than 180 days prior to event cannot be processed, per Fort Lewis Regulation 350-33. Fund Raisers require State Permit to verify Non-Profit Status and IRS Form 872-C, Tax Exemption Status. We understand that: a. Military training will take priority and that we will receive an answer to our request after the appropriate Range Scheduling Conference, held approximately 6-8 weeks prior to the period of the event. b. Standard restrictions concerning no open fires, no camping, no consumption of alcoholic beverages and cleanliness of the area apply to our event, and will comply with these requirements. c. Approval for use of Fort Lewis Training areas does not include Recreational Facilities/Sites managed by the Directorate of Personnel and Community Affairs (DPCA), and we must obtain approval for use of these facilities from DPCA. No weapons may be brought into or used in any manner in these facilities without written approval by the DPCA. Please find at Enclosure 2 a copy of our current $1 million Insurance Policy that names the US Army and Fort Lewis as beneficiary for liability purposes for this event. Copy of Wildlife permits will be provided to you as soon as possible, but no later than the last working day prior to event. List of participants will be brought to the Fort Lewis Area Access Office, Bldg 4074, Stryker & Kaufmann Ave., no later than the morning of the event according to Fort Lewis regulations and with the understanding that only those persons with our group and covered by our insurance will be allowed in the area. [This paragraph in its entirety must be included and understood by the letter writer and the parent organization.] Point of contact for this organization is (FULL NAME, MAILING ADDRESS, TELEPHONE NUMBER, FAX NUMBER/EMAIL ADDRESS, if available.) Sincerely, JOHN Q. PRESIDENT Organization Representative Title Enclosures: 1 - Map 2 - Insurance Policy 3 - List of Attendees (if known in advance) 4 - State Permit for Non-Profit Status/ IRS Form 872-C (only for Fund Raisers) 5 - Wild Life Permit (if applicable)