Orange County NC Website
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 I <br /> f <br /> E <br /> ANY LIABILITY ARISING OUT OF MY WORK FOR THE I SIGN IT OF MY OWN FREE <br /> WILL . <br /> i <br /> (SAMPLE — NOT FOR SIGNATURE) <br /> l <br /> 1 <br /> 3 <br /> j]3 <br /> 3 <br /> Signature <br /> Name (printed) <br /> Today ' s Date <br /> Telephone <br /> Email <br /> I <br /> 14 <br /> E <br />