In consideration of me and/or my minor child being permitted to enter the premises and/or facilities of Pittsburgh Water, I agree on behalf of myself and/or my minor child to all of the following:
1. I agree to comply with all applicable rules. I will listen carefully to all information and instructions given to me by my tour guide(s) and Pittsburgh Water personnel.
2. I agree that I will stay on course in the tour. I will not deviate from the tour course set by the tour guides at any time.
3. I agree that I will conduct myself in an orderly, professional, and respectful manner at all times while on Pittsburgh Water premises and facilities.
4. I agree that I will not touch or attempt to operate any equipment.
5. I agree that I will wear appropriate clothing and footwear for the tour, including PPE provided by the Pittsburgh Water.
6. I agree to NOT use my cell phone or other recording devices during the tour.
7. I agree not to take any photographs or recordings.
8. I understand that certain Pittsburgh Water facilities (such as the Water Treatment Plant)can be designated as an industrial facility with certain dangers inherent to such a facility, such as hazardous materials, chemicals, equipment, pipes, water, risk of falling or of items falling, and risks associated with high voltage electricity.
9. In consideration of being allowed to visit Pittsburgh Water premises and facilities, I, HEREBY, VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY AND ALL RISK OF PERSONAL INJURY OR DEATH, PROPERTY DAMAGE, OR LOSS THAT MAY BESUFFERED BY ME AND/OR MY MINOR CHILD DURING THE VISIT TO PITTSBURGHWATER PREMISES AND FACILITIES, INCLUDING, BUT NOT LIMITED TO, INJURY, DEATH OR DAMAGE CAUSED OR ALLEGED TO ARISE FROM THE NEGLIGENCE OFTHE CITY OF PITTSBURGH, PITTSBURGH WATER OR THEIRSUCCESSORS/ASSIGNS. I, VOLUNTARILY, ON BEHALF OF MYSELF AND/OR ONBEHALF OF MY MINOR CHILD, MY/MY CHILD’S HEIRS, ASSIGNS AND PERSONALREPRESENTATIVES, RELEASE, INDEMNIFY AND HOLD HARMLESS THE CITY OFPITTSBURGH, PITTSBURGH WATER, THEIR RESPECTIVE SUCCESSORS/ASSIGNS, ALONG WITH THEIR ELECTED OFFICIALS, OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, CONSULTANTS, VOLUNTEERS ANDINDEPENDENT CONTRACTORS, FROM ANY AND ALL LIABILITY AND WAIVE THERIGHT TO BRING ANY CLAIM OR LEGAL ACTION, WHATSOEVER, ARISING FROMMY AND/ORMY CHILD’S VISIT TO PITTSBURGH WATER PREMISES ANDFACILITIES.
If any part of this Waiver, Release, Indemnity Agreement is found to be unenforceable or invalid, that portion shall be severed, and the remainder shall remain in full effect.
I HAVE CAREFULLY READ, AND I FULLY UNDERSTAND THE WORDS AND THE LANGUAGE IN THIS AGREEMENT. I HAVE BEEN ADVISED OF THE POTENTIAL DANGERS THAT I MAY ENCOUNTER WHEN I AND/OR MY MINOR CHILD VISIT PITTSBURGH WATER PREMISES AND FACILITIES. I AND/OR MY MINOR CHILD AM AWARE THAT THIS IS A RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND A WAIVER OF ALL CLAIMS BETWEEN MYSELF AND/OR MY MINOR CHILD AND THE CITY OF PITTSBURGH AND PITTSBURGH WATER. I UNDERSTAND THAT THIS DOCUMENT IS BINDING ON ME AND/OR MY MINOR CHILD, MY/MY CHILD’S HEIRS, ASSIGNS, AND PERSONAL REPRESENTATIVES.
I sign this document of my own free will.
IF AN ADULT, AGE 18 OR OLDER, PLEASE COMPLETE THE FOLLOWING: