HomeMy WebLinkAbout2008-053Liability
Liability Release Form
Date: p�
I, Frank Leo Zorc ("Owner"), hereby release, hold harmless, and indemnify the BOARD
OF COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY, FLORIDA, a political
subdivision of the State of Florida ("County"), from any liability for loss or damage to the
following items: 43 (forty-three) framed pictures of United States Presidents, each 16 by
20 inches on loan to County ("Art").
Owner has provided the above described items to be exhibited at the location described
as: The new County Administration Building, 1801 27" Street, at location(s) approved by
the Indian River County Administrator or his designee from the minimum term of February
15, 2008 to February 28, 2009, subject to Owner providing written notice to County a
minimum of 2 (two) months in advance that Owner desires to remove the Art .
Owner and county will coordinate on the removal of the Art. Owner has provided the
attached evidence of insurance for the Art.
OWNER: Frank Leo
Signature
Address:
Telephone:
7 72 > G
INDIAN RIVER COUNTY
By: ce).
Tom Frame, Indian River County General Service irector, as designee of the
Indian River County Administrator [approved by BCC February 12, 2008]
Original: to Indian River County Clerk to the Board of County Commissioners
Please send copy to: Mr. Zorc
4PPi3 u .AS TO FORM
AN !F &UFFIGIENCY
ASS I STANT COUNTY ATTOR EY
C2/.5/2I 13:49 T27942999 THE DE—r;NDO 5?CUP FACE 01/01,
ACORD„, CERTIFICATE_ OF PROPERTY INSURANCE
PICOWCEft THIS CERTIFICATE 15 ISSUED
DATE
021152010e
The Delgado Group, Inc
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EAILND UK
128 43rd AYE
ALTER
THE _COVERAGE
AFFORDED BY THE POLICIES BELOW.
Vero Beath
FL 32986
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AFFORDIN COVERAGE
(772) 778-5555
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Indian River COLrty do Risk Mane.iement Department
1800 270) Streel
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NO OBLIGATION
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