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SEVILLA, DON
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Last modified
10/29/2019 7:06:05 PM
Creation date
10/29/2019 7:04:17 PM
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Contracts
Company Name
SEVILLA, DON
Contract #
N-2019-230
Agency
COMMUNITY DEVELOPMENT
Expiration Date
10/27/2019
Destruction Year
2024
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CITY OFSANTA ANA <br />RISK MANAGEMENT a 4,a� 4 HUMAN RESOURCES <br />Managing Risk. rhnou4h Positive Change <br />WAIVER AND LIABILITY RELEASE FORM <br />i5-ott- Ar"'V9.sc.r,Y <br />In consideration of being permitted to participate in c e) cb r,1-i o.. ("the Event") I hereby <br />assume all responsibility for any and all risk of property damage or bodily injury that I or my <br />employees and/or personnel connected to my operations may cause or sustain while <br />participating in the Event, including my participation in activities and the use of equipment while <br />participating or providing services at the Event. <br />Further, I, for myself and my heirs, executors, administrators and assigns, hereby release, waive <br />and discharge the City of Santa Ana and its officers, directors, employees, agents and volunteers <br />of and from any and all claims which I or my heirs, administrators and assigns ever may have <br />against any of the above for, on account of, by reason of or arising in connection with my <br />participation or presence at the Event site, and hereby waive all such claims, demands and <br />causes of action. <br />Further, 1 expressly agree that this release, waiver and indemnity agreement is intended to be as <br />broad and inclusive as permitted by the State of California, and that if any portion thereof is held <br />invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. <br />Further, I have carefully read the foregoing release and indemnification and understand the <br />contents thereof and sign this release as my own, free act. <br />ion Sevl I\c. 1 �— ro �8 <br />& APr is <br />IgEMENT V, <br />21 2i;:J <br />M. CAMBER i <br />
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