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HENNEPIN COUNTY SHERIFF'S OFI WATER <br />PATROLUNIT <br />SPECL4L EVENT MBILITYRELEASE <br />7Ws is a legallY binding instrunwit and the provisions herein are subject 10 enfOrcc=nt in court. <br />Consultation With legal c0u"sel is strOR91Y recommend,d prior to signing this docunwnt. <br />The Organization indicated below (may hereinafter be referred to as "Organization'), agrees that it shall ensure that <br />every participant in the LLaC prk0ye e -S (event) on Z'A201 -1 (date) shall execute a written agreement <br />acknowledging and agreeing with, at least, the following (-i) �thatOrganizaflon is responsible for administering, <br />Mallaging, directing, sponsoring and over -seeing the i2mch1ce n <br />10I (ieve t); (ii) that <br />EiA-� (descrf be niture of event) may be an inherently dangerous activity; an� <br />(iii) that the parffci� �Rthas 7actual =nowle��ge of the particular risk or danger associated therewith. <br />Organization shall defend, indemnify and hold free and harmless the County of Hennepin, its Present and former <br />officials, officers, agents, volunteers and employees from any and all liability, assertions of liability, claims, causes <br />Of action, judgments, damages, losses, costs or expenses, including reasonable attorney's fees, which in any manner <br />arise or be alleged to arise directly or indirectly from any and all activities connected directly or proximately with <br />the event(s) referenced in the accompanying special event Permit application filed on behalf of said Organization. <br />ISSUANCE OF A PERMIT UNDER MINNESOTA STATUTES §86B. 121 DOES NOT MAKE HENNEPIN <br />and effectively waives any and all rights, defenses and claims whatsoever assertable by the Organization i u <br />COUNTY LIABLE FOR ANY INJURY OCCURING AT THE EVENT. The undersigned forever relinq ishes <br />action by the County of Hennepin to enforce the provisions herein. n any <br />The undersigned attests that he/she fully understands the above and declares that he?'she is authorized to legally bind <br />Organization to the Provisions herein. The Organization shall, upon request by HCS0, submit applicable <br />documentation (articles, bylaws, resolutions or ordinances) that confirm the signatory's authority to sign and bind <br />Organization as set forth herein. <br />Please PRINT or TYPE <br />Organization Name (must match application): L cc rl I L.:, 1, p <br />%C. .I L -a-, <br />City State 77P <br />contact Person: AA --r— <br />Print Name <br />Title <br />Signaftre of above contact person. <br />1II dg=lw witnessed by a She. -I Orwe employee or m4t Z-j4—rl <br />IN WrrNESS WHEREOF, the undersigned voluntarily sets hi&/heT hand thi <br />SL ___.._4ay of <br />Month, Year Sivature: <br />Notary <br />Sherifirs Office Witness: Notary Stamp: <br />14CS0 Stiff Member <br />161 BERWEM NOR <br />mftry Awwo-1whisft <br />