Sioux munyon insurance services10801 redlander waylakeside, ca 92040phone: (619) 463-2773 fax: (619) 342-8531rapid subdivision bond application & indemnity agreementdeveloper informationtype of business:check oneindividual/proprietorshipllcname of...
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Release and indemnity agreement dated in consideration of the issuance of a permit/permission by the city of oregon city (the city) for . (description of activity) the undersigned (permittee) hereby agrees to the following terms: 1. release....
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Release and indemnity agreement know all men by these presents: 1. i hereby acknowledge the educational, recreational, and/or personal benefits accruing to my minor child name: date of birth: by reason of his/her voluntary participation in...
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Plymouth state university-global education office release and waiver of liability, hold harmless, and indemnity agreement this agreement is signed by whose permanent address is: , herein after referred to as the "student, " and if the student is...
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Release of liability and indemnity agreement in consideration, the receipt and sufficiency of which is hereby acknowledged, for being allowed entry into and participation in activities associated with the emcfa, the undersigned hereby enters into...
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Rider release, waiver of liability and indemnity agreement all information must be completed, signed and notarized. (print) riders name birth date address city state zip nearest relative not attending national, in case of emergency: phone ( ) this...
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Release and waiver of liability and indemnity agreement(read carefully before signing)in consideration of being permitted to participate in any way in the martial arts program indicated below and/or being permittedto enter for any purpose any...
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Wksc release and indemnity agreement i hereby acknowledge receipt of the following prize which was presented to me by radio station wksc-fm, as a winner of: prize description: value: in consideration of wksc-fm radio providing me with the above...
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United states department of the interior office of surface mining reclamation and enforcement self-bond indemnity agreement permit no. self-bond no. this agreement of indemnity, by and between the united states office of surface mining reclamation...
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Short form indemnity agreement this agreement is made by the undersigned indemnitor(s), on behalf of indemnitor(s) and on behalf of its/their respective subsidiaries, whether direct or indirect, all of which are individually and collectively...
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Unity corporate multipay card indemnity agreement please complete the relevant information below, sign in accordance with your unity trust bank mandate and return with your application pack. this agreement is made on 2015 between (1) unity trust...
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Commonwealth of virginia department of mines, minerals and energy division of mined land reclamation p. o. drawer 900; big stone gap, va 24219 telephone: (276) 523-8100 permit number: application number: bond to be applied to (e.g. increment #):...
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Waiver and release of liability and indemnity agreement this release is entered into as between (parent/natural guardian) as natural guardian and/or parent of (child 's name), a minor child, and crew boosters of winter park, inc., their officers,...
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Waiver of liability, indemnity agreement this agreement is between (print name) whose address is: (hereinafter referred to as client) and d pilates, llc whose principle business location is 7008 bishop road, suite 1101, plano, texas, 75024...
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Waiver, release, and indemnity agreement know all men by these presents: realeasor(s): county: county of kauai, a political subdivision of the state of hawaii vehicle: year, make & model: license no: vehicle identification no: body type, color:...
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