Central Point CERT
140 South Third Street • Central Point, Oregon 97502
541-664-3321 ext 269 or 263
AGREEMENT INCLUDING RELEASE & INDEMNIFICATION
FOR
CENTRAL POINT CERT MEMBERS
WHEREAS, the City of Central Point (hereinafter referred to as “CITY” consents and agrees to permit
_________________________________ (hereinafter referred to as “VOLUNTEER”), to participate in the
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Central Point Community Emergency Response Team (CERT) subject to the adherence of the VOLUNTEER to any
provisions set out in the rules and regulations of the CP CERT.
NOW, THEREFORE, for and in consideration of the premises and the mutual promises, covenants, and agreements
set forth in this Agreement, the CITY and VOLUNTEER agree that the CITY, its agents or employees, shall not be
liable or responsible for, and shall be SAVED, HELD HARMLESS, RELEASED AND INDEMINIFIED by
VOLUNTEER from and against any and all suits, actions, losses, damages, claims, or liability of any character,
type, or description, including but not limited to all expenses of litigation, court costs, and attorney fees for injury or
death to any person, or damage to any property received or sustained by any person or persons or property arising
out of, or occasioned by, directly or indirectly, the participation of VOLUNTEER in the Central Point CERT
Program.
IT IS THE EXPRESS INTENT OF THE PARTIES TO THIS AGREEMENT THAT THE INDEMNITY
PROVIDED FOR IN THIS AGREEMENT IS AN INDEMNITY EXTENDED BY VOLUNTEER TO
INDEMNIFY AND PROTECT THE CITY, ITS REPRESENTATIVES, AGENTS OR EMPLOYEES FROM
ANY AND ALL CLAIMS OR ACTIONS, AS SET FORTH ABOVE, OR ANYKIND, ARISING DIRECTLY
OR INDIRECTLY FROM THE PARTICIPATION OF VOLUNTEER IN THE PROGRAM.
It is further understood and agreed that the VOLUNTEER will participate solely as an individual on a voluntary
basis and not as an employee, contractor or agent of the CITY or its agents or employees.
In making this agreement, VOLUNTEER relies wholly upon his/her judgment, belief and knowledge and has not
been influenced to any extent whatsoever by any representative or statements not contained in this Agreement.
________________________________________________ __________________________________
Volunteer Signature Date
_____________________ _________________________
Age at time of application Date of Birth
_____________________________________________________________________________________________
Address
_____________________________________________________________________________________
City State Zip Code
_____________________ _____________________________________________________
Telephone Number Signature of Parent or Guardian if Volunteer is a Minor
CP CERT Indemnification Agreement Created 7-14-2010
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