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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