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��-0 Get �• Ypr '�O *` z 5. Release and hold harmless the City from any and all liability relating to the Program, the Project, or to contracted services or products that may be installed as a part thereof. Any claim you may have based upon any defect or failure of performance of a contracted service or device or material purchased by you should be pursued with the Contractor or manufacturer/distributor. The City of Santa Ana makes no representation or warranty relating to contracted services or products that may be installed as a part of this Program. By participating in this Program, you waive and release the City, its contractors, and agents from any and all claims and causes of action arising out of the purchase, installation or use of devices and materials in connection with this Program. 6. By signing this form, I certify that all information provided is true and correct to the best of my knowledge and agree to comply with the Program Participation Requirements, Terms and Conditions, as well as all federal, state, and local codes, including covenants, policies, conditions and restrictions, as applicable. I further agree to hold harmless the City, its directors, officers, and employees against all loss, claims, damage, or liability resulting from participation in the Program, including but not limited to any loss or liability arising out of the installation or use, except to the extent arising out the gross negligence or willful misconduct of the City and/or its Contractors. THIS DOCUMENT RELIEVES THE CITY AND OTHERS FROM LIABILITY FOR INJURY, LIABILITY AND DAMAGE DUE TO NEGLIGENCE. I HAVE READ THIS DOCUMENT, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS AND ASSUME ALL RISK BY SIGNING IT, AND SIGN IT VOLUNTARILY. y, '-, 67it. ) "1 Cik 1\z 1 a ryAL/7-)0..j c1 ( , 7., , (4 2 j'il-i PRINTED NAME tGR' ft DATE