Addendum Regarding Mold Template Page 2

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Tenant/Buyer may terminate this contractual agreement by giving Landlord/Seller written notice
within 14 days after the effective date of this agreement. If Tenant/Buyer
Addendum
Regarding
Mold
Concerning
____________________________________________________________________
occupies the Property prior to giving Landlord/Seller written notice or if written notice is not
received within 14 days of the effective date, Tenant/Buyer waives the opportunity to conduct a
risk assessment or inspection and is occupying the Property at their own risk.
C.
TENANT/BUYER’S ACKNOWLEDGEMENT: [Tenant/Buyer to initial and sign]
Tenant/Buyer is hereby notified that notwithstanding any other provision of the Residential Lease
Agreement, One to Four Family Residential Contract (Resale), or any other documents or agreements
related with this real estate transaction, there is no coverage for the following: any loss or damage
involving in any way the actual or potential presence of mold, mildew, or fungi of any kind whatsoever,
even if directly or indirectly caused by or resulting from an insured peril. This includes any bodily injury,
property damage, or medical claim of any kind directly or indirectly relating to the actual, potential,
alleged, or threatened presence of mold, mildew, or fungi of any kind whatsoever. We will not pay for
any loss, cost or expense that you may incur in testing for, monitoring removing, treating, or in any way
responding to the actual, potential, alleged or threatened presence of mold, mildew or fungi of any kind
whatsoever.
TENANT/BUYER HEREBY RELEASES AND FOREVER DISCHARGES LANDLORD/SELLER,
THEIR PRINCIPALS, AGENTS AND REPRESENTATIVES FROM ANY AND ALL RIGHTS,
CLAIMS, DEMANDS AND DAMAGES OF ANY KIND, KNOWN OR UNKNOWN, EXISTING
OR ARISING IN THE FUTURE, RESULTING FROM OR RELATED TO BODILY INJURY OR
PROPERTY DAMAGE ARISING FROM MOLD, MILDEW OR OTHER FUNGI.
Tenant/Buyer
Initials ________ ________
“Mold or other fungi” means:
a.
any type or form of mold or mildew;
b.
any other type or form of fungus; or
c.
any mycotoxin, spore, scent, or byproduct produced or released by such mold, mildew, or other
fungus.
I/We have read this Addendum and this Release and understand it.
______________________________________
_____________________________________
Tenant/Buyer
Date
Tenant/Buyer
Date
D.
CERTIFICATION OF ACCURACY:
The following parties have reviewed the information above and certify, to the best of their knowledge, that the
information they have provided is true and accurate.
Tenant/Buyer Initials _______ _______
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