STATE OF NORTH CAROLINA
COUNTY OF ROWAN
I, the signer of this electronic form, (“Releasor”) acknowledge having this day entered into an agreement with Downtown Salisbury, Inc. and the City of Salisbury to perform work for Downtown Salisbury, Inc. do hereby take full responsibility for their personal safety and property and waive their right to seek worker’s compensation against the Downtown Salisbury, Inc. and the City of Salisbury and damage to their personal property.
In consideration of this allowance, I do hereby release and forever discharge the City of Salisbury, its officers, agents, and employees from any and all claims, actions, and liabilities associated with this permitted activity. The intention hereof being to completely, absolutely, and finally execute a hold harmless agreement to release the City of Salisbury from all liabilities arising wholly or partially from the aforementioned activity by way of subrogation or otherwise, for any loss or damages.
By signing this document, I agree to hold harmless Releasees from all liabilities arising wholly or partially from the activity by way of subrogation or otherwise, for any loss or damages.
I understand that this release shall bind myself and each of my respective heirs, personal representatives, successors, and assigns and shall inure to the benefit of the Releasees. This Release shall be governed by and construed in accordance with the laws of the State of North Carolina.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this.