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Albany County Sheriff Release Agreement

This document is a release, hold harmless, and indemnification agreement for participants in the Albany County Sheriff's Department Civilian Police Academy Program. The participant agrees to release from liability, hold harmless, and indemnify Albany County, the Sheriff's Department, and their employees from any claims or expenses resulting from participation in the program, except those due to intentional wrongful acts, negligence, or violations of law by the county or department. The participant affirms they understand and voluntarily sign the agreement and provides their contact and identification information.

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53 views1 page

Albany County Sheriff Release Agreement

This document is a release, hold harmless, and indemnification agreement for participants in the Albany County Sheriff's Department Civilian Police Academy Program. The participant agrees to release from liability, hold harmless, and indemnify Albany County, the Sheriff's Department, and their employees from any claims or expenses resulting from participation in the program, except those due to intentional wrongful acts, negligence, or violations of law by the county or department. The participant affirms they understand and voluntarily sign the agreement and provides their contact and identification information.

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ACSOtweet
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Albany County Sheriffs Office

16 Eagle Street
Albany, NY 12207
(518) 487-5400
[email protected]

THIS IS A LEGAL DOCUMENT - DO NOT SIGN UNLESS YOU FULLY UNDERSTAND


THE TERMS AND CONDITIONS CONTAINED HEREIN.
************************
RELEASE, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT
Name of Participant____________________________________
The above named Participant hereby, individually and on behalf of his/her heirs, executors, administrators and
assigns, agrees that in consideration of the privilege of being allowed to participate in the Albany County Sheriffs
Departments Civilian Police Academy Program he/she will and hereby expressly agrees to release from liability, hold
harmless and indemnify the Albany County Sheriff, the Albany County Sheriffs Department and the County of Albany
and each of their officers, employees, agents and insurers from all demands, claims, suits, liabilities, costs and/or
expenses, in connection with injuries or death to persons and/or damage to property or by reason of any other matter
relative or incident to the undersigneds participation in the Albany County Sheriffs Departments Civilian Police
Academy Program, excepting: (1) those demands, claims, suits, liabilities, costs and/or expenses, in connection with
injuries or death to persons and/or damage to property or by reason of any other matter relative or incident to the
undersigneds participation in the Albany County Sheriffs Departments Civilian Police Academy Program to the
extent the injury or damage to which they relate was caused or contributed to by the intentional wrongful act,
negligent act and/or other fault of the Albany County Sheriff, the Albany County Sheriffs Department and/or the
County of Albany and/or any of their officers, employees, agents and insurers, and (2) those demands, claims, suits,
liabilities, costs and/or expenses, in connection with violation of any law, code, rule or regulation imposed upon the
Albany County Sheriff, the Albany County Sheriffs Department and/or the County of Albany and/or any of their
officers, employees, agents and insurers.
The above named Participant hereby affirms that he/she has read, understands, and has voluntarily signed this
Agreement.
Participants Signature__________________________________ Date _____________
Participants Address _____________________________________________________
Participants Date of Birth ___________________Last four digits of Participants SSN _______
ACKNOWLEDGMENT
STATE OF NEW YORK )
COUNTY OF ALBANY

) SS.
)

On the _____ day of _______________ 20___, before me, the undersigned, personally appeared
__________________________________________ personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is subscribed to the above Agreement and acknowledged to
me that he/she signed the same, and that by his/her signature, he/she executed the above Agreement.
___________________________________

NOTARY PUBLIC - STATE OF NEW YORK

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