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of • <br /> , , �1 <br /> • <br /> 5. Release and hold harmless the City from any and all liability relating to the Program, the <br /> Project, or to contracted services or products that may be installed as a part thereof. Any <br /> claim you may have based upon any defect or failure of performance of a contracted service <br /> or device or material purchased by you should be pursued with the Contractor or <br /> manufacturer/distributor. The City of Santa Ana makes no representation or warranty <br /> relating to contracted services or products that may be installed as a part of this Program. <br /> By participating in this Program, you waive and release the City, its contractors, and agents <br /> from any and all claims and causes of action arising out of the purchase, installation or use <br /> of devices and materials in connection with this Program. <br /> 6. By signing this form, I certify that all information provided Is true and correct to the best of <br /> my knowledge and agree to comply with the Program Participation Requirements. Terms <br /> and Conditions. as well as all federal, state, and local codes, including covenants, policies, <br /> conditions and restrictions, as applicable. I further agree to hold harmless the City, its <br /> directors, officers, and employees against all loss, claims, damage, or liability resulting from <br /> participation in the Program. including but not limited to any loss or liability arising out of the <br /> installation or use, except to the extent arising out the gross negligence or willful misconduct <br /> of the City and/or its Contractors. <br /> THIS DOCUMENT RELIEVES THE CITY AND OTHERS FROM LIABILITY FOR INJURY, <br /> LIABILITY AND DAMAGE DUE TO NEGLIGENCE. I HAVE READ THIS DOCUMENT, <br /> UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS AND ASSUME ALL RISK BY <br /> SIGNING IT, AND SIGN IT VOLUNTARILY. <br /> rjk <br /> '(40 3E6 UZ4AAf ?J :ro,e3 - AV <br /> PRINTED NAME SIGNATURE 111 <br /> DA E <br />