LEASE AGREEMENT BETWEEN
                                             QUAD CITIES MEXICAN AMERICAN ORGANIZATION
                                                                                       AND
(Renter)_________________________________________________________________________
Address__________________________________________________________________________
Phone__________________________
On the date of ________________for the purpose of conducting a__________________________
               This contract must be signed and returned BEFORE the doors will be opened on the
                                                                           Day of the event.  
All of the following rules and regulations must be followed for your function to be a success. If rules
are not followed, it will be up to the discretion of Management as to what actions need to be taken.
Actions may include but are not limited to, cancellation of the function or ending the function early.
PROVISIONS:
1.
The rental fee for the above named date shall be $1,000.00. A NON REFUNDABLE deposit  of
$500.00 must be paid to confirm the date, and will be applied towards the rental fee. This
deposit  MUST BE PAID BEFORE any advertising is done for said event. The remaining rent
balance of $500.00, plus the security fee must be paid NO LATER THAN 14 days prior to the
reserved date.
2.
Renter must provide the QCMAO with a LIABILITY INSURANCE POLICY for no less than 
$1,000,000.00 naming the Col Ballroom additionally insured.
3.
PRE-ARRANGE all entertainment set-up and loading times with the Col Ballroom personnel.
4.
All music and entertainment must end no later than 12:00 midnight. THIS IS NON-NEGOTIABLE.
5.
The renter agrees to pay, above and beyond the rental fee, adequate house security provided
by the Col Ballroom. This amount is based on the type of event, and number of ticket sales. 
6.
NO CHANGES OR ALTERATIONS shall be made by the renter regarding the premises or fixtures
contained therein.
7.
ALL EQUIPMENT MUST BE MOVED ON ROLLERS OR BY A FLOOR PROTECTOR DEVICE.
8.
All stage props, including piano, must have Col Ballroom authorization to be used or moved.
9.
The Renter is responsible to sell all tickets and collect all monies at the door for admissions, also
assuming all liability for State and Federal Taxes on admissions and renters concessions.
10.
The Col Ballroom charges 15% of renter’s concessions and any other sales pertaining to the act. 
11.
The Col Ballroom has complete charge of the check room, refreshments, reservations and other
concessions, retaining all monies pertaining to such, unless otherwise agreed in writing.
12.
ABSOLUTELY NO FOG MACHINES, SMOKE MACHINES OR ANTHING CONTAINING HELIUM ARE
ALLOWED IN THE BALLROOM.
13.
All Col Ballroom rules and regulations WILL BE ENFORCED regarding advertising, admissions
rights,dancing,dress and conduct of patrons.
14.
RENTER assumes responsibility for all real and personal property owned by the QCMAO and
hereby agrees to reimburse the QCMAO for all damages or theft to the Col Ballroom resulting
on the above contract date during hours of occupancy.
15.
RENTER shall indemnify and save harmless the QCMAO from and against any and all loss,
cost(including attorney’s fees), damages, expense and liability (including statutory liability and
liability under workmen’s compensation laws) in connection with claims for damages as a result
of injury or death of any person or property damage to any property sustained by RENTER, and
all other person’s which arise from or in any manner grow out of any act or neglect on or about
the premises by RENTER, renter’s partners, agents, employees, customers, invitees, contractors
and subcontractors.
16.
QCMAO shall not be liable to RENTER, renter’s agents, employees, servants, customers, patrons,
visitors, or guests for loss of any personal property due to theft or other cause.     
17.
RENTER may assign this lease to a purchaser of the real estate comprising the COL BALLROOM.
Upon such assignment, Renter agrees that the QCMAO shall be discharged of all responsibilities
under this agreement so long as such purchaser agrees, in writing, to assume the obligations
under this agreement.
18.
NO BEVERAGES OF ANY KIND ARE ALLOWED TO BE BROUGHT INTO THE BALLROOM UNLESS
APPROVED BY MANAGEMENT.
19.
THE COL BALLROOM IS A NON SMOKING FACILITY.
20.
IF YOUR SHOW IS AN ALL AGES SHOW, YOU MUST PROVIDE THE COL BALLROOM WITH A
SUFFICIENT NUMBER OF WRIST BANDS FOR ATTENDEES 21 AND OVER WHO WISH TO
PURCHASE ALCOHOL.
$500.00 Deposit Received on                  _________________ CASH      CHECK (         )
$500.00 Balance Received on                  _________________CASH       CHECK (         )
Security Fee of ($             ) Received on _________________CASH        CHECK (         )
Insurance Policy Received on                  _________________CASH        CHECK (        )
RENTERS SIGNATURE________________________________________ DATE_______________
PLEASE SIGN AND RETURN ONE COPY RETAINING THE SECOND FOR YOUR RECORDS, WITHIN 7
DAYS OF RECEIPT. PLEASE SEND CONTRACT TO: 
                                     Quad Cities Mexican American Org.
                                   PO Box 2557 Davenport, Iowa 52809
             Phone (563)322-4431  Fax (563)322-1448  Website: thecolballroom.com
SIGNATURE FOR THE COL BALLROOM ___________________________ DATE____________