Your Name
Your Confirmation Number
Your Phone Number

 

Please fill in only one of the boxes below to indicate the Recreational Jumping Device Company you wish to use.

Enter a Pre-registered Recreational Jumping Device Company

-OR-

Enter a Non-registered Recreational Jumping Device Company

Please email or fax us a copy of your insurance documentation. Email: parksreservations@smcgov.org. Fax: (650) 599-1721.

 

Hold Harmless Agreement

Please sign. (This agreement has been automatically generated from the fields you filled in at the top of this form.)

Reservation Number: ########

The duty of permittee to indemnify and hold harmless, as set forth herein, shall include the duty to defend as set forth in Section 2778 of California Civil Code.

It is agreed the permittee, APPLICANT NAME, shall indemnify and hold harmless the County of San Mateo, its officers, agents and employees (County) from all claims, suits or actions of every kind and description brought for or on account of injuries to or death of any person or damage to property caused by, arising out of, or in any way connected with Permittee’s activities at NAME OF PARK under this Permit.

Further, it is specifically agreed that permittee (applicant) takes the property “as is” and shall indemnify and hold harmless the County, its officers, agents and employees, from all claims, suits or actions of every kind and description brought for or on account of injuries to, or death of, any person or damage to property caused by, arising out of or in any way connected with Permittee’s activities at NAME OF PARK under this Permit.