Franklin Lakes Hold Harmless Agreement Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Release Franklin The The Borough of Franklin Lakes and Vendors of the Farmers & Artisan MarketOrganization Name *Organization Type *Owner Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryTerms and ConditionsRelease of Liability *I agreeUnless waived in writing by the Borough of Franklin Lakes, I agree to furnish a Certificate of Insurance specifically naming the Borough of Franklin Lakes as an additional insured providing general liability, bodily injury and property damage coverage with minimum limits of liability not less than $1,000,000 combined single limit. Said certificate shall state that the issuing company shall mail 30 days’ written notice to the certificate holder named, certified mail return receipt. It shall also contain a statement acknowledging this Hold Harmless Agreement. No exceptions or limitations will be accepted.Indemnification *I agreeI agree to indemnify and hold the Borough of Franklin Lakes, its officers, agents and Employees harmless from any and all liabilities, claims, costs, and attorney’s fees arising out of the use of the property referred to above. I understand that this Hold Harmless Agreement also requires that the Borough of Franklin Lakes is indemnified from any losses or damages resulting from the acts or omissions from any guest, participant, visitor, or other person attending the event herein referred to.Use of Premises *I agreeI acknowledge the potential risk of my participation in this activity or event.Covid Release *I agreeBy signing this agreement, I further acknowledge the contagious nature of COVID-19, the fact that there are cases in Franklin Lakes, and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending activities sponsored by the Borough of Franklin Lakes and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of the Borough its employees, volunteers, and other participants and their families and I specifically agree to accept and assume full responsibility for these risks and all family members who participate in any activities sponsored by the Borough of Franklin Lakes.Additional *I agreeThe facilities being utilized will be cleaned following its use by the organization, so that it is at least as clean as it was prior to its use by the organization.Date *As the binding act and deed of:Signature * Clear Signature Submit
Recent Comments