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including but not limited to, possible health side effects, loss of revenues, damages, claims, demands or <br />actions. The foregoing release, indemnity, and limitation of liability shall be as broad and inclusive as is <br />permitted by the state in which you live. <br />Personal Information <br />Recipient understands that AHA does not retain screening results or any other information provided by <br />the participants in this program, or generated from Recipient's use of the Equipment. <br />The foregoing release shall be as broad and inclusive as is permitted by the State or Province in which <br />the Recipient is located. Ifany portion of it is held invalid, the remainder shall continue in full force and <br />effect. <br />I have read, understand, and agree to this Equipment Release. <br />RECIPIENT'S NAME: Santa Ana Public Library <br />SIGNATURE OF RECIPIENT'S AUTHORIZED OFFICIAL: �- <br />PRINTED NAME OF AUTHORIZED OFFICIAL: Kristine Ridge, City Manager <br />DATE: April _, 2023 <br />Form LEG-950 mv.6-16-12 <br />