Release and Indemnification Agreement for Pesticide Application
I understand and agree to the following Release and Indemnification Agreement:
I am volunteering to apply herbicides on property managed by the Cincinnati Park Board to
control weeds and other invasive species (“Activity”). I represent that I am licensed by the Ohio
Department of Agriculture to apply the herbicides that I will use in this Activity or that I am a
trained service person working under the direct supervision of such a licensed commercial
applicator and that I have liability insurance that covers my work as a volunteer applying
herbicides. I also represent that I understand the nature of and risks associated with the use and
applications of herbicides and have been trained in the proper application of herbicides to avoid
exposure to myself, other people, and inadvertent application to property not owned by the City
of Cincinnati. I represent that I am qualified, in good health, and in proper physical condition to
participate in this Activity. I acknowledge that if Activity conditions are unsafe, I will
immediately discontinue participation in the Activity. I fully understand that the Activity
involves risks of serious bodily injury, including permanent disability, paralysis, or death, which
may be caused by my own actions or inactions, those of others participating in the Activity, the
conditions in which the Activity takes place, or the negligent acts or omissions of the
“Releasees” named below; and that there may be other risks either not known to me or not
readily foreseeable at this time. I fully accept and assume all such risks and all responsibility for
losses, costs, and damages I incur as a result of my participation in the Activity.
WAIVER OF LIABILITY
I agree and understand that in consideration for being permitted to participate in this Activity, I
do hereby for myself, executors, administrators, and heirs release all departments of the City of
Cincinnati, the Cincinnati Park Board, their respective employees, agents, and volunteers
(“Releasees”) from all claims or demands resulting from any and all injuries sustained while
participating in or attending the Activity.
I further agree that I will indemnify, defend, and save the City, the Cincinnati Park Board, their
employees, agents, and volunteers harmless from and against any and all losses, damages,
settlements, costs, charges, professional fees, or other expenses or liabilities of every kind and
character arising out of or relating to any and all claims, liens, demands, obligations, actions,
proceedings, or causes of action of every kind and character in connection with, or arising
directly or indirectly out of, my errors or omissions or negligent acts in applying herbicides.
I represent that I am 18 years old or older.