CITY OF CRETE DEPARTMENTS OF PUBLIC WORKS

• Permit to enter City property for purposes of woodcutting and wood hauling

Conditions: 1. A valid permit is required to enter City property for purposes of cutting and hauling wood. 2. Permit is valid only for the undersigned as listed. 3. Permit only valid during the hours between 8:00 am to 8:00 pm Monday through Saturday and 10:00 am to 8:00 pm on Sunday. 4. City personnel will not aid or assist in cutting or loading. 5. Each permit holder is responsible for their own personal safety. The City of Crete assumes no responsibility or liability for permit holder or accompanying parties in case of accidents. 6. Permit holders are expected to be courteous of others. The City reserves the right to expel permit holders for any reason. 7. This wood is for individual personal use only. No resale for profit or commercial use is allowed. 8. By signing below, applicant agrees to all terms as listed above. Applicant will also read and sign the release statement accompanying this permit for permit to be valid. 9. This permit is valid from January 1 to December 31.

10.$10.00 fee charged to residents outside of City Limits.

Name: ______

License number of vehicle/and trailer to be used: ______

Date permit issued: ______

Signature of applicant: ______

Issued by: _____

City of Crete ! Departments of Public Works ! 243 E. 13th Street/P.O. Box 86 ! Crete NE 68333 ! 402.826.4312 WAIVER AND RELEASE OF LIABILITY

In consideration of granting of woodcutting and hauling permit by the Public Works Department of the City of Crete, Nebraska, we, the undersigned, hereby agree to hold harmless, indemnify and release, the City of Crete, its Public Works Department and any of their agents, employees, independent contractors, and/or assigns from any and all present and future claims resulting from negligence on the part of the City of Crete or others listed for property damage, personal injury, or wrongful death, arising as a result of each of us engaging in the above listed activity or any activities incidental thereto, wherever or however the same may occur. We hereby voluntarily waive any and all claims resulting from negligence, both present and future, that may be made by us, our families, estate, heirs or assigns.

We are aware that this activity is vigorous, involving stress and physical activity. We understand that this activity may involve the use of motorized and un-motorized saws and that certain risks, including, but not limited to death and serious injuries to virtually all bones, joints, muscles and internal organs and that equipment, which we must individually provide for our protection, may be inadequate to prevent serious injury. Furthermore, we understand that participation in this activity involves activities incidental thereto, including, but not limited to, travel to and from the site of the activity and the possible reckless conduct of other participants. WE ARE VOLUNTARILY PARTICIPATING IN THIS ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT ANY AND ALL INHERENT RISKS OF PROPERTY DAMAGE, PERSONAL INJURY OR DEATH.

We affirm that each of us are of legal age and each of us freely sign this agreement. WE HAVE READ THIS FORM AND FULLY UNDERSTAND THAT BY SIGNING THIS FORM, EACH OF US ARE GIVING UP LEGAL RIGHTS AND REMEDIES WHICH MAY BE AVAILABLE TO US, OUR FAMILIES, ESTATE, HEIRS, OR ASSIGNS FOR THE NEGLIGENCE OF THE CITY OF CRETE OR ANY OF THE PARTIES LISTED ABOVE.

Dated this ______day of ______, 20____.

______(Signature of Participant) (Signature of Participant)

______(Signature of Participant) (Signature of Participant)

City of Crete ! Departments of Public Works ! 243 E. 13th Street/P.O. Box 86 ! Crete NE 68333 ! 402.826.4312