The Mission of Keep Tampa Bay Beautiful is to promote a culture of environmental                                    
stewardship through volunteer and educational opportunities

Adoption Program
City of Tampa Application

Application Date: 		Renewal (Y/N):  	

Applicant GROUP Name:  	

(*As it should appear on adoption sign*)

Group Representative Name:  		 Mailing Address: 	

Day Phone #: 		Cell Phone #: 	

Email Address: 	

Name of Location to be Adopted: 	

Road/Location From: 	Road/Location To: 	

Length (miles/acres): 	Pier/Dock/Monofilament Tubes? (Yes/No)  	

Type of Adoption (Road(must be one mile stretch)/Park/Shoreline/Boat Ramp/Monofilament Tube/Watergoat):

Expected # of Litter Removals (Hold a minimum of 4 projects at your adoption location (one every three months) plus sign up for two of our event cleanups e.g., HRCC (Hillsborough River Coastal Cleanup) and GAC (Great America Cleanup), World Ocean Day etc.) 	

* Monofilament Tubes/Watergoat (minimum once a month) 
PLEASE MAIL SIGNED APPLICATION TO:
Keep Tampa Bay Beautiful, Inc.
P.O. Box 2104 Tampa, FL 33601

Adoption Program City of Tampa Application

THIS ADOPTION PROGRAM AGREEMENT, herein referred to as the “Agreement”, made and entered into at Tampa, Florida, this 	day of 	, 20 	by and between Keep Tampa Bay Beautiful, a 501(c)(3) non-profit organization, hereinafter referred to as “Organization” and
 	 hereinafter referred to as the “Group”.
WHEREAS, the City of Tampa is promoting an Adoption Program Agreement, hereinafter
referred to as “Program”, to encourage corporations, organizations, and/or individuals to
provide the care and maintenance necessary to the City’s rights-of-way, parks, shorelines, boat ramps, monofilament tubes, watergoat or other public areas; and

WHEREAS, the City has entered into an Agreement with the Organization for the administration of the Program.

WHEREAS, it has been deemed to be in the best interest of the Organization to enter an Agreement with the Group setting forth the respective duties, terms and conditions thereof.

NOW, THEREFORE, in consideration of the mutual covenants, promises and representations contained herein, the parties agree as follows:

ARTICLE I. SCOPE OF SERVICES
A.	The Group shall provide the following services and/or contributions set forth herein below in  	
(hereinafter “Adopted Area”).

B.	Services to be provided by Group in accordance with all City, state and federal guidelines.

C.	The items to be done by the Group might include:
1.	Pick up litter and debris.
2.	Collect monofilament and or other fishing gear from the monofilament tubes.
3.	Remove invasive plants.
4.	Other duties as agreed upon with Keep Tampa Bay Beautiful.

ARTICLE II. Organization Duties
A.	The Organization shall recognize the Group of the Adoption Program Agreement through the installation of a standard sign in the Adopted Area containing the name of the Group. 

B.	The Organization will work together with the Group and the City to facilitate the site monitoring process through the provision of the necessary tools, training, data/information management infrastructure and other materials as per the mutually available resources to undertake restoration – relevant monitoring of the Adopted Area.
A.	
ARTICLE III. PERIOD OF AGREEMENT
The period of this Agreement shall be for two (2) years from the date hereinabove first written, unless either party provides the other with a written notification forty-five (45) days prior to the end of the two (2) year term of its intent not to extend the Agreement. Should the Group not meet the terms defined in ARTICLE I. SCOPE OF SERVICES of this agreement, written
notification of deficiencies will be provided to the Group’s Lead Contact. If the deficiencies outlined in written notification are not addressed within 14 days, this agreement may be voided by the Organization and any recognition of the Group’s adoption of the site removed.

ARTICLE IV.	NEGATION OF AGENT OR EMPLOYEE STATUS
The Group shall perform the services provided under the Agreement as an independent contractor; and nothing contained herein shall in any way be construed to constitute the Group, its officers, employees, agents or subcontractors to be a representative, agent, subagent, or employee of the City or Organization, nor any political subdivision of the State of Florida.

ARTICLE V. NO ASSUMPTION OF LIABILITY
Neither the Organization nor the City shall be responsible nor incur any liability for the actions, inactions, omission, or commissions of the Group or any of its officers, employees, or agents in performing this Agreement.

ARTICLE VI. SIGN CLAUSE
A standard sign will be ordered after the group correctly submits their second project report after completing their second cleanup event. The sign will be placed within the group’s adopted area. There is no set timeline with the order and installation of the sign. The City is responsible for the installation of the sign. Keep Tampa Bay Beautiful has the right to remove a sign if this contract is broken.

ARTICLE VII. SUPPLIES RETURN POLICY
The Group shall return supplies within 3-5 business days of their cleanup event. Grabbers, first aid kits, vests, and any extra supplies are to be returned to the Keep Tampa Bay Beautiful office located at 730 W Emma St. Keep Tampa Bay Beautiful might be unable to continue to provide to the Group if these conditions aren’t met. 

ARTICLE VIII PARTNERSHIP AGREEMENT
The Group and Keep Tampa Bay Beautiful will both sign the Partnership Agreement. The agreement will go into effect on the signed date and end two years later.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed at the place and on the day hereinabove first written:

GROUP REPRESENTATIVE

TYPE OR PRINT NAME	Signature	Date

APPROVED BY:

Kristina Moreta, Executive Director_	 Kristina Moreta		 ORGANIZATION REPRESENTATIVE		Signature	Date