HomeMy WebLinkAboutRelease and IndemnificationRELEASE AND INDEMNIFICATION
As consideration for the City of College Station granting the Establishment a valid permit after being approved by
the City, I hereby state:
The Applicant and Establishment with the intention of binding themselves, their heirs, executors, administrators,
and assigns, do hereby expressly release and discharge, all claims, demands, actions, judgments, and executions,
which they have ever had, or now have or may have, or which their heirs, executors, administrators, or assigns
may have, or claim to have, against the City of College Station, or its departments, its agents, officers, servants,
successors, assigns, sponsors, volunteers, or employees, created by, or arising out of personal injuries, known or
unknown, and injuries to property, real or personal, caused by or arising out of, that sequence of events which
occur from the use of the permitted area as herein designated above, or which may arise directly or indirectly from
the use of the permitted area or created by or arising out of use of the permitted during times of this indemnity
agreement. The Applicant and Establishment hereby personally accept and assume all risk and responsibility for
any harm, injury, or damage, to myself or the Establishment or my property, while I am on City owned property
and while performing activities in the Permitted Area.
The Applicant and Establishment shall fully defend, protect, indemnify, and hold harmless the City of College
Station, Texas, and its departments, agents, officers, Servants, employees, 'successors, assigns, sponsors, or
volunteers from and against each and every claim, demand, or cause of action and any and all liability, damages,
obligations, judgments, losses, fines, penalties, costs, fees, and expenses incurred in defense of the City of College
Station, Texas, and its departments, agents, officers, servants, or employees, including, without limitation, personal
injuries and death in connection therewith which may be made or asserted by the Establishment myself, my agents,
my successors, my assigns, or any third parties on account of, arising out of, or in any way incidental to or in
connection with the use of the Permitted Area.
The Applicant and Establishment agree to indemnify and hold harmless the City of College Station, Texas, and its
departments, officers, agents, servants, employees, successors, assigns, sponsors, or volunteers from any liabilities
or damages anyone may suffer as a result of claims, demands, costs, or judgments against the City and its
departments, its officers, agents, servants, or employees, created by, or arising out of the use of the Permitted Area
herein including, but not limited to, claims and damages arising in whole or in part from the negligence of the City
of College Station and the parties to this agreement. It is understood and agreed that the indemnity provided for
in this section is an indemnity extended by,the Applicant and Establishment to indemnify and protect the City of
College Station and or its departments, agents, officers, servants, or employees from the consequences of the
negligence of the City and its departments, agents, officers, servants, or employees, whether that negligence is the
sole or contributing cause of the resultant injury, death, and damage.
I hereby verify that the infor'trtation contained in this application is true and complete; to the best of my knowledge and
that I have the authority to bind the Establishment. I understand that the City has the authority to inspect the work to be
conducted within the public right-of-way at any time. I also understand that this permit may be revoked at any time at the
discretion of the City Officials.
Applicant's Printed Name
Title and Establishment
Applicant's Signature
Date