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The following disclaimer must be signed and dated by an authorized representative of our office <br />Disclaimer of Liability <br />There are multiple steps in producing and distributing electronic bills. Your office generates . <br />original data, which is transmitted to American Business Forms. American Business Forms then <br />prints, folds, stuffs and mails the documents / forms. Finally, the US Postal Service delivers the <br />envelope. American Business Forms sole responsibility in providing its Electronic processing is <br />the complete, timely processing of data received from participating offices. It is not responsible <br />for inaccurate data, mishandled forms, or incorrectly delivered mail. Consequently, American <br />Business Forms expressly disclaims any and all responsibility for claims of direct or indirect <br />damages resulting from use of this service. In using the service, the customer agrees to hold <br />American Business Forms harmless from any such claims and shall to the extent permitted by <br />Law and insurance policies owned by the County, indemnify American Business Forms for any <br />expense incurred by any such claims made. <br />I have read and understand this Disclaimer of Liability and agree to its terms in enrolling with <br />and using American Business Forms Document Processing Service. <br />~ ~i~Lr ~- <br />Name (print): ,~Ckt ~jS Title: , C(/l~lX~ ~I~/~// <br />Signature: Date: ll~.c..~' ~{ a C~G ~ <br />Page 3 of 3 <br />