Medical Marijuana "Caregiver" License Application Page 7

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Release of Liability, Indemnification and Waiver
This Application or the granting of a license hereunder is not intended to grant, nor shall it be
construed as granting, immunity from a criminal prosecution for growing, sale, consumption,
use, distribution or possession of marijuana not in strict compliance with State or Federal law.
Also, since Federal law is not affected by the State Act (Michigan Medical Marihuana Act,
Initiated Law 1 of 2008), nothing in this license application, the granting of a license hereunder,
or any Township of Sumpter ordinance, policy or rule, is intended to grant, not shall they be
construed as granting, immunity from criminal prosecution under Federal law. The State Act,
this license application or the issuance of a Township license does not protect users, caregivers
or the owners of properties on which the medical use of marijuana is occurring from Federal
Prosecution, or from having their property seized by Federal authorities under the Federal
Controlled Substances Act.
Upon issuance and acceptance of a Medical Marijuana License and/or renewal, the undersigned
individually hereby unconditionally and irrevocably waives, discharges and releases the
Township of Sumpter, its agents, employees and officials from any and all claims damages and
liability in any way arising out of or related to the licensed premises including, but not limited
to, issuance of a license to licensee and any and all acts, omissions, damages or injuries to any
person or property resulting from any act, omission, condition, occurrence or criminal act
occurring upon or in relation to the licensed premises, and to indemnify, defend, and hold
harmless the Township of Sumpter, including its agents, employees and officials to the fullest
extent permitted by law and equity for any and all claims, damages, injuries or liabilities at law
or equity in any way arising out of or related to any acts, omissions, activities, conditions or
occurrences or incidents in any way related to the licensed premises.
Additionally, the applicant herby agrees to not violate any of the laws of the State of Michigan
or the ordinances of the Township of Sumpter in conducting the business in which the license
will be used, and that a violation on the premises may be cause for objecting to renewal of the
license, or for requesting revocation of the license. As well, the applicant agrees to make the
premises open for inspection upon request by the Building Official, the Fire Department and
Law Enforcement officials for compliance with all applicable laws and rules, during the stated
hours of operation/use and as such other times as anyone is present on the premises. The
applicant agrees to quarterly inspections by the Township of Sumpter’s designee to confirm the
growing/manufacturing is operating in accordance with applicable laws including, but not
limited to, State Law and Township Ordinances.
Applicant Signature
Date
Page 7

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