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Ryan Carr
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Work Schedule/Seasonal Staff 2011
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Ryan Carr
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5/4/2012 1:10:29 PM
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5/4/2012 1:00:44 PM
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Public Works <br />Maintenance <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682 -4800 <br />- RELEASE FROM LIABILITY INSURANCE <br />in consideration of the right to use the weight lifting and <br />exercise facility at 1820 Roosevelt Blvd owned by the City of Eugene, agree to defend, <br />indemnify, and hold harmless, the City of Eugene, and any officers or agents thereof from and <br />against all loss, cost (including attorney fees), damages, expense and liability in any way <br />connected with the use of said facility. <br />I understand that there are certain risks inherent in weight training and related exercise activities <br />and I hereby assurrie those risks on my behalf and to hold harmless the City of Eugene and its <br />agents for damages�or injury sustained by me. <br />I agree to use the facility only when accompanied by a current City of Eugene employee. <br />I have read, understand, and agree to abide by the procedures and rules as outlined in the attached <br />sheet of rules and regulations for fitness room use. <br />I have read and understand this release from liability agreement <br />C -- <br />7 I <br />Participant's Signature Date <br />PA PWMMiability.agr 12/31/97 <br />
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