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• <br /> 1 hereby agree to save harmless the City of Everett, the <br /> Mayor, and officers and employees for any and all claims <br /> 2 for personal injury or damage to property that may be <br /> suffered by said person or to others in connection with use <br /> 3 of said device. In addition, the undersigned agrees to <br /> indemnify and save harmless the City of Everett, its <br /> 4 officers and employees, from all claims for personal injury <br /> or damage to property that may be brought against the <br /> 5 undersigned arising out of his or her own acts while using <br /> said device and shall provide evidence of general liability <br /> 6 insurance with a minimum of $500,000 per person/per <br /> occurrence. The undersigned agrees to accept <br /> 7 responsibility for any and all damage to said device, <br /> reasonable wear and tear excepted. <br /> 8 <br /> 9 Signed this day of , 19 <br /> 10 Signature <br /> on behalf of <br /> 11 <br /> Name (Please Print) <br /> 12 <br /> Address <br /> 13 <br /> Phone Date of Birth Age <br /> 14 <br /> 15 Section 2: Neighborhood groups recognized as members of the Council of <br /> 16 Neighborhoods, are authorized to use the speed monitoring device(s) under <br /> 17 the following conditions: <br /> 18 <br /> 1 . The Neighborhood Group shall submit for approval by the <br /> 19 Traffic Engineer a use program, designating the specific <br /> location or locations where the device will be used, time <br /> 20 of use, specifying person(s) to have custody of the device <br /> and other details as may be required by the Traffic <br /> 21 Engineer. <br /> 22 2. Only persons trained to use the device by the Traffic <br /> Engineer, or his/her designee, shall use the device. <br /> 23 <br /> 3. Said groups shall follow the procedures established in <br /> 24 Section 2 hereof; provided that said groups shall be <br /> exempted from the insurance/hold ha Mess requirements. <br /> 25 <br /> 26 � <br /> '`S11151F' 1 , 'a or <br /> 27 <br /> ATTEST: <br /> 28 4rOP <br /> .9 10 R I R, , y MO- <br /> 30 <br /> 30 Passed: 08f2490 <br /> Valid: O$ /Q3/90 <br /> 31 Published: <br /> 08/2.9/90 <br /> 32 (0110) I <br /> 2 <br />