This Release of Liability is made on this ______ day of ______________ XXXX and reads as follows:

I ______________________, Contact Info: ______________, being any Employee for ___________________, Contact Info: ___________________ (hereinafter referred to as “Company”) with operations in ___________________ [City/Town] in the State of _____________________, hereby declare:

I assume all and any costs for the damages I caused on or about _____ day of _______ 2021, while carrying out my employment obligation at the Company’s Client’s premises located at _________________________, and all the damage caused to two neighboring condos.

I understand the damage caused during the events of that day and I have received the estimated cost repairs for ________________ Dollars.

I hold the Company blameless and I shall defend and indemnify the Company against all and any claims from the client. The Company shall neither be obligated nor be pressured into assuming any repair costs for the damage I caused.

This Agreement shall be governed by and construed in accordance with the laws of the State of XXX, XXX. Exclusive jurisdiction and venue shall be in the State of XXX

I certify that I have read this document, and I fully understand its content. I am aware that this is a General Release of Liability and a contract that I hereby sign at my own free will.

NAME ___________________________.                     DATE ________________________.

SIGNATURE ________________________.

COMPANY’S PRINT NAME: ________________________. DATE ____________________.

SIGNATURE __________________________.

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