AGREEMENT OF ASSUMING RISK OF INJURY OR DAMAGE WAIVER AND RELEASE OF CLAIMS AND INDEMNITY

Whereas, I, of the address stated above, not being a member of the Mead Police Department, have made voluntary request to ride as a guest in a vehicle assigned to the Mead Police Department and to accompany a member or members of the Police Department during the performance of their official duties, and; Whereas, the Mead Police Department, is willing to allow me to ride as a guestin a vehicle assigned to the Police Departmentand to accompany a member or members of the Police Department during the performance of their duties on the following conditions: Now therefore, in consideration of the permission given to me to ride in a vehicle assigned to the Mead Police Department and to accompany a member or members of said Police Department during performance of their official duties, I do hereby agree:

1. Thatlamaware that the work of the Police Departmentis inherently dangerous and that I may be subjected to the risk of death or personal injury or damage to my property by accompanying a member or members of the Police Department during the performance of their official duties and that I freely, voluntarily and with such knowledge assume the risk ofdeath, personal injury, or property damage arising from or in any way connected with the use of weapons, unlawful acts or resistance by law violators or suspected law violators, unlawful riot, breach of the peace, fire, explosion, gas, electrocution or the escape of radioactive substances while accompanying a member or members of the Police Department during the performance of their official duties.

2. That the Town of Mead, Chief of Police, his sureties, all members of the Mead Police Department, their sureties, and each of them shall not be responsible or liable for any injury, damage, loss or expense, either to me or my property, incurred while riding in any vehicles assigned to the Mead Police Department or while accompanying any member or members of said Police Department during the performance of their official duties and resulting from any negligent actor omission on the partofany member of the Mead Police Department or myself.

3. For myself, my heirs, executors, administrators and assignees to defend and indemnify the Town of Mead, Chief of Police, all members of the Mead Police Department, their sureties and each of them, against anyand all manner of actions, causes ofactions, suites, debts, claims, demands or damages or liability or expense of every kind and nature incurred or arising by reason of any actual or claimed negligent or wrongful act or omission while riding in any vehicle assigned to the Mead Police Department or while accompanying any member or members of said Police Department during the performance of their official duties. The foregoing agreement to indemnify shall continue in full force and effect notwithstanding the conclusion of my participation with the ride along program.

RESPONSIBILITIES OF APPLICANT / PERSON RIDING ALONG

You are not to touch, alter, or use any of the equipment owned or controlled by the Police Department, unless instructed by the Officer. You will not enter any investigation or converse with any witness or prisoner concerning a police incident or investigation. You will always weara seatbelt while in the police vehicle. You are to abide by all orders given to you by the Officer, any other Officer, or an Officer's Supervisor immediately. You will aid the Officer if requested as required by the Colorado Revised Statutes. You will be attired appropriately, not wearing any clothing displaying obscene language, gestures, pictures, etc.; wearing pants (no shorts, jeans with holes, etc.) and bring with you clothing for changing weather conditions as you feel you will need. If you fail to comply with a directorder of a Police Officer, orabide by the responsibilities stated herein, it may result in the permanent termination of your ride-along privileges. Current Mead PD policy applies to this request.