D. PLC Waiver and Release of Liability.pdf

Waiver and Release of Liability

Pocahontas Landmark Center (PLC)

4290 Anderson Highway, Powhatan, Virginia 23139

Participants Full Name:

Date:

I, [Participates Full Name], hereby acknowledge and agree to the following terms and conditions as a prerequisite for participating in the Event defined below taking place at the property identified above:

1) Acknowledgment of Understanding and Agreement

I acknowledge that I am choosing to voluntarily enter the property identified above by participating in a non-mandatory, pre-proposal site walkthrough meeting (the Event) for potential offerors in response to the County of Powhatan’s Request for Proposals 2026-02 for a Pocahontas Landmark

Center Feasibility Study.

2) Voluntary Participation

I affirm that entry into these spaces is voluntary and not required as a condition of submitting a proposal. I elect to participate with full knowledge of the potential risks involved.

3) Acknowledgment of Conditions and Risks

I understand that portions of the PLC Campus may include dormant, unconditioned, vacant, or infrequently accessed spaces, and that entry into these areas may involve known or unknown risks, including but not limited to uneven or deteriorated surfaces, poor lighting, temperature extremes, environmental conditions such as dust, mold, or water intrusion, exposed utilities or mechanical systems, and the risk of slips, trips, or falls. I further acknowledge that these areas are not regularly open to the public and may not meet current building, safety, or accessibility standards.

4) Assumption of Risk

I knowingly and voluntarily assume all risks, both known and unknown, foreseeable or unforeseeable, arising out of or related to entering and moving through the PLC property and its facilities during the walkthrough.

5) Medical Responsibility

I certify that I am physically able to participate in the walkthrough and acknowledge the County of

Powhatan, the Powhatan County School Board, and each of their officers, employees, agents, and representatives have no responsibility to provide medical treatment in the event of injury.

6) Release of Liability

I hereby release the County of Powhatan, the Powhatan County School Board, and each of their officers, employees, agents, and representatives from any liability for accidents, damage, injuries, or losses that may occur as a result of my Participation in the Event. I understand that I am solely responsible for any harm or damage that may arise from my actions.

7) Agreement to Indemnify and Hold Harmless

I agree to indemnify and hold harmless the County of Powhatan, the Powhatan County School

Board, and each of their officers, employees, agents, and representatives from any legal claims, liabilities, costs, or expenses, including attorney's fees, arising from or related to my participation in the Event. I assume full responsibility for any legal consequences resulting from my actions.

Participant’s Signature: Date: __________

[Participant’s Full Name (Printed):]

Witness Signature: Date:___________

[Witness Full Name (Printed):]