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AgdaPkt 2017-09-11 Closed and Joint SA PFA
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AgdaPkt 2017-09-11 Closed and Joint SA PFA
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Last modified
9/21/2017 12:51:50 PM
Creation date
9/7/2017 6:06:39 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
9/11/2017
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6.3.13. - Page 12 <br /> HeOW000 <br /> URV081ifarnla <br /> Fuunded IB67 <br /> Agreement to Hold Harmless the City of Redwood City <br /> Name: <br /> Home Address: <br /> ID Number: State: <br /> Telephone Number: <br /> Name and description of event planned: Sequoia Stampede Run <br /> Date of Activity: September 16, 2017 <br /> I hereby waive, release and discharge any and all claims for damages for death, personal <br /> injury or property damage which I may have, or which hereafter accrue to me, against the City <br /> of Redwood City, the City Council, their officers, officials, employees and volunteers, any other <br /> involved municipalities or public agencies (collectively "Entities") as a result of my participation <br /> in the event. This release is intended to discharge the Entities from and against any and all <br /> liability arising out of or connected in any way with my participation in the event, even though <br /> that liability may arise out of the negligence or carelessness on the part of persons or Entities <br /> mentioned above. <br /> I further understand that accidents and injuries can arise out of the event, including, but <br /> not limited to, over-exertion, running, walking on surfaces not intended for that purpose. <br /> Knowing the risks, nevertheless, I hereby agree to assume those risks and to release and to hold <br /> harmless all of the Entities mentioned above who (through negligence or carelessness) might <br /> otherwise be liable to me (or my heirs or assigns) for damages. It is further understood and <br /> agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. <br /> Participant Signature: _Date: <br /> Parent Signature if under 18 years of age: <br />
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