Orange County NC Website
16 <br /> Exhibit E <br /> WORKER ACKNOWLEDGEMENT AND RELEASE <br /> I, , hereby acknowledge that I have entered into an <br /> agreement to work under the supervision of ("TABLE") at <br /> Twin Creeks Future Park which is owned by Orange County subject to the terms and conditions <br /> of the License Agreement between ORANGE COUNTY and TABLE dated <br /> (the "License Agreement"). I acknowledge that I have <br /> received a copy of, read, and understand the License Agreement and agree to abide by its terms <br /> and restrictions, including but not limited to: Section 5 — TABLE's Use of the Property, Section <br /> 17—Indemnification; Section 18—Hazardous Materials; and Section 20—Disclaimer of Liability. <br /> I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT,WHICH INCORPORATES THE <br /> TERMS OF THE LICENSE AGREEMENT, I AM RELEASING ORANGE COUNTY FROM <br /> ANY LIABILITY ARISING OUT OF MY WORK FOR THE I SIGN IT OF MY OWN FREE <br /> WILL. <br /> (SAMPLE—NOT FOR SIGNATURE) <br /> Signature <br /> Name (printed) <br /> Today's Date <br /> Telephone <br /> Email <br /> 14 <br />