Appliance Installation Liability Sheet
Installations for Imagine Plumbing & Appliance
Date
*
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Month
-
Day
Year
Date
Installer
Please Select
Chris Ritchie
Address
Street Address
Street Address Line 2
City
State
Zip Code
Builder
Builders Name
Reason
Reason for the waiver
Terms and Conditions
*
No damages done to unit(s) or property. Your signature below releases Imagine Plumbing & Appliance and all associates, & Beyond Normal Artwerx from any liability regarding any and all claims.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND, INDEMNITY AGREEMENT. BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT OR INCIDENT.
I confirm that Imagine Plumbing & Appliance Ltd. ("Imagine") has been hired to install appliance(s) at the above address. I acknowledge that Imagine has advised against installing said appliance(s) in said location(s) I realize that there are potential risks, dangers and hazards associated with Imagine installing said appliance(s) in said location(s) and I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM. In consideration of Imagine agreeing to install said plumbing fixture(s)/appliance(s) in said location(s),
I hereby agree as follows: 1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future, against Imagine, its owners, officers, directors, employees, contractors, subcontractors and agents and TO RELEASE Imagine, its owners, officers, directors, employees, contractors, subcontractors and agents from any and all liability for any loss, property damage, expense or injury, including death, that I may suffer, or that my next of kin may suffer, resulting from said plumbing fixture(s)/appliance(s) being installed in said location(s). 2. TO HOLD HARMLESS AND FULLY INDEMNIFY Imagine, its owners, officers, directors, employees, contractors, subcontractors and agents from any and all liability for any damage to, property of, or personal injury to myself or any third party, resulting from the installation of said plumbing fixture(s)/appliance(s) in said location(s). 3. That this Agreement shall be effective and be binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity; 4. That this Agreement shall be governed by and interpreted in accordance within the laws of the Province of Alberta; and
I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST IMAGINE PLUMBING & APPLIANCE LTD, ITS OWNER, OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS AND AGENTS. I HAVE BEEN GIVEN AN OPPORTUNITY TO SEEK INDEPENDENT LEGAL ADVICE CONCERNING THIS WAIVER AND HAVE SPECIFICALLY DECLINED SAME.
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Email
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