Waiver Of Liability And Hold Harmless Agreement printable pdf download

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

(Frozen Water Laterals)

I, ____________________________________ (“Owner), am the owner of the residence located at

_________________________________________ (Property Address), ___________(City)

Minnesota (the “Property”).

As a result of cold weather conditions, the lateral water lines (the “Lines”) located on the Property

have frozen. I have requested the City of __________________________________(the “City”) for

help in thawing the Lines. I understand that the repair or thawing of the Lines is NOT the

responsibility or obligation of the City of ______________________________________(the “City”).

I have, however, requested help from the City to thaw the Lines. THE PURPOSE OF THIS

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT IS TO ASSURE THE CITY

THAT IT WILL NOT BE HELD RESPONSIBLE FOR ANY DAMAGE, DIRECT OR INDIRECT,

THAT I, THE PROPERTY OR ITS CONTENTS MAY INCUR, NOW OR IN THE FUTURE AS A

RESULT OF THE WORK THE CITY PERFORMS ON THE PROPERTY IN THE COURSE OF

ATTEMPTING TO THAW THE LINES.

I ACKNOWLEDGE that the process or procedure to be used by the City to attempt to thaw the lines,

which may include the use of_________________________(name of equipment used), involves risk

of damage to the Property, and that the City does not assure me or make any representations to me

that damage will not occur to the Property or its contents as a result of the process or procedure used

to attempt to thaw the lines. The risks involved in the process or procedures that the City may use to

attempt to thaw the lines include, but are not limited to, fire losses and claims for damage of any kind

to buildings, appliances, electronics, etc. I hereby represent that I am willing to accept all such risks,

and to protect the City from such claims that may be made by me or others.

I FURTHER ACKNOWLEDGE that the City will not assist in the thawing of the Lines unless this

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT is signed by me and delivered

to the City prior to the City performing any such work on the Property.

IN CONSIDERATION for help from the City to thaw the lines on the Property, I agree as follows:

I HEREBY RELEASE the City, it’s employees, officials and agents from any and all claims for

damages that I or the Property or its contents may sustain or incur now or in the future as a direct or

indirect result of the City’s attempt to thaw the lines, and I hereby waive any right of claim I may

have, now or in the future, against the City, its employees, officials and agents as a result of any such

damage that may result from that attempt.

I AGREE that neither I nor any other owner of the Property or its contents will make a claim, sue, or

otherwise assert rights against the City, its employees, officials or agents for damages claimed to

have resulted from the City’s attempt to thaw the lines.

I AGREE TO DEFEND AND HOLD HARMLESS the City, its employees, officials and agents from

all claims, suits, judgments, damages, losses and expenses, including reasonable legal fees and costs

arising in whole or in part from the work performed by the City in its attempt to thaw the lines. This

waiver of liability does not waive liability for any injuries that I obtain as the result of willful, wanton

or intentional misconduct by the City or any person acting on behalf of the City.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS

CONTENTS. I AM AWARE THAT THIS IS A LEGALLY BINDING RELEASE OF LIABILITY

AND HOLD HARMLESS AND I SIGN IT OF MY OWN FREE WILL. I HEREBY

ACKNOWLEDGE RECEIPT OF A COPY OF THIS AGREEMENT.

SIGNATURE OF OWNER:_____________________________________ Date of Signature ______

Waiver Of Liability And Hold Harmless Agreement

Related Articles

Related forms

Related Categories