Subcontractor Release And Waiver Of Liability Form printable pdf download

Subcontractor Release and Waiver of Liability Form

This Release and Waiver of Liability (the “release”) executed on the ____ day of _______, 20___

by ___________________________________________ (“Subcontractor”) release the Uncle Remus

Regional Library System (“URRLS”) and each of its successors, assigns, libraries, directors, officers,

employees, agents and Subcontractors. Now therefore, for good and valuable consideration, the receipt

and sufficiency of which are hereby acknowledged, the parties hereby agree as follows:

The Subcontractor desires to provide services to URRLS and engage in activities related to such service.

Subcontractor understands that he/she is responsible for his/her own insurance coverage in the event of

personal injury or illness as a result of services provided to URRLS.

1. Waiver and Release: I, the Subcontractor, for myself and my heirs, executors, administrators and

assigns, hereby release, waive, discharge and hold harmless, URRLS and its successors,

assigns, libraries, directors, officers, employees and agents from any and all liability, claim and

demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise

from the services I provide to URRLS. I understand and acknowledge that this Release

discharges URRLS from any liability or claim that I may have against URRLS with respect to

bodily injury, personal injury, illness, death, property damage, or any other claim that may result

from the services I provide to URRLS or occurring while I am providing services.

2. Insurance: Further, I understand that URRLS does not assume any responsibility for or obligation

to provide me with financial or other assistance, including but not limited to medical, health,

workers compensation, or disability benefits or insurance. I expressly waive any such claim for

compensation or liability on the part of URRLS beyond what may be offered freely by URRLS in

the event of injury or medical expenses incurred by me.

3. Medical Treatment: I hereby release and forever discharge URRLS from any claim whatsoever

which arises or may hereafter arise on account of any first-aid treatment or other medical services

rendered in connection with an emergency during my tenure as a Subcontractor with URRLS.

4. Assumption of Risk: I understand that the services I provide to URRLS may include activities that

may be hazardous. As a Subcontractor, I hereby expressly assume risk of injury or harm from

these activities and release URRLS from all liability.

5. Other: As a Subcontractor, I expressly agree that this Release is intended to be as broad and

inclusive as permitted by the laws of the State of Georgia and that this Release shall be governed

by and interpreted in accordance with the laws of the State of Georgia. I agree that in the event

that any clause or provision of this Release is deemed invalid, the enforceability of the remaining

provisions of this Release shall not be affected.

By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability

willingly and voluntarily.

_______________________________________________

_____________

Signature

Date

_______________________________________________

_____________

Witness

Date

Subcontractor Release And Waiver Of Liability Form