• My signature below authorizes the Broome County Council of Churches Inc. (a non-profit organization) to work on my property for the purpose of constructing, removing or repairing a wheelchair ramp. I understand thatthe constructed ramp becomes my property, and I will be responsible for all maintenance, repair,or removal of the ramp.I understand that the participants in this work are unpaid volunteers, and that no warranties of any kind, either express or implied, including warranties of fitness for a particular purpose, and/or merchantability, are made as to the quality of work completed.In consideration of volunteer services to be rendered at the above stated property, the signing of this release guaranteesto hold harmless the Broome County Council of Churches Inc., and its officers, directors, employees and volunteers, and any related agency from liability, injury, damages, accident, delay or irregularity related to the aforementioned volunteer services.The undersigned certify that all property taxes are current on this property and that no foreclosure is pending.This release covers all rights and causes of action of every kind, nature and description which the undersigned ever had, now has, or, but for this release, may have. This release binds the undersigned and his/her heirs, representative and assignees.The undersigned certify that the above property and its occupants may be video-taped and photographed for public broadcast and promotional use.
  • If resident and property owner are one and the same, please sign and date as the property owner.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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