IFPO COVID-19 Safety Acknowledgment -- Liability Waiver and Release of Claims

COVID-19 SAFETY INFORMATION

Due to the unprecedented risks posed by the COVID-19 global pandemic, and in an effort to ensure that Interfaith Food Pantry of the Oranges Inc. (“IFPO”) volunteers understand the potential risks of exposure and/or infection posed by volunteering, IFPO Board is requiring each member sign this waiver of liability. The waiver is necessary due to the risks posed by the highly transmissible nature of the Coronavirus and COVID-19. 

The Board has been and will continue to be guided by federal, state, and local mandates and guidelines, and the medical information incorporated into those guidelines, in its efforts to develop a protocol designed to minimize the risk of COVID-19 exposure and/or infection. These efforts, however, require the cooperation of everyone who works at an event.

IFPO’s protocol and guidelines encourage, among other measures. social distancing, frequent handwashing and use of hand sanitizer which will be available on site and requires wearing a face-covering at all times. 

I acknowledge that despite these efforts, COVID-19 transmission can still occur. It may occur despite the best intentions and responsible actions of both myself and others at IFPO’s events. I alone can decide if it is safe for me to volunteer/work and voluntarily assume the risk from participating and sign this waiver in acknowledgement of such risk.

In light of the ongoing spread of COVID-19, I understand that if I fall within any of the categories below should not participate in any IFPO events. By attending an IFPO Foundation event, I certify that I do not fall into any of the following categories: 

 

            1.  Within the past fourteen (14) days, I have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among others; 

 

            2. I have traveled at any point in the past fourteen (14) days either internationally or to a community in the U.S. that has experienced or is experiencing sustained community spread of COVID-19; or 

 

            3. I believe that I may have been exposed to a confirmed or suspected case of COVID19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment.

 

DUTY TO SELF-MONITOR

 

I agree to self-monitor for signs and symptoms of COVID-19 (symptoms typically include fever, cough, and shortness of breath) and, contact IFPO at IFPOranges@gmail.com if I experience symptoms of COVID-19 within 14 days after volunteering with IFPO.

 

LIABILITY WAIVER AND RELEASE OF CLAIMS 

 

I acknowledge that I derive personal satisfaction and a benefit by virtue of my voluntarism with IFPO, and I willingly engage in IFPO events and/or other fundraising activities (the “Activity”).

 

RELEASE AND WAIVER. I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST IFPO AND ITS AFFILIATED PARTNERS AND SPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, AND AGENTS (THE “RELEASED PARTIES”), EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATION WITH THE ACTIVITY. 

 

ASSUMPTION OF THE RISK. I acknowledge and understand the following: 

 

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; 

 

2. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID19, even if arising from the negligence or fault of the Released Parties; and 

 

3. I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.

 

MEDICAL ACKNOWLEDGMENT AND RELEASE. I acknowledge the health risks associated with the Activity, including but not limited to transient dizziness, lightheaded, fainting, nausea, muscle cramping, musculoskeletal injury, joint pains, sprains and strains, heart attack, stroke, or sudden death. I agree that if I experience any of these or any other symptoms during the Activity, I will discontinue my participation immediately and seek appropriate medical attention. I DO HEREBY RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAY HEREAFTER ARISE ON ACCOUNT OF ANY FIRST AID, TREATMENT, OR SERVICE RENDERED IN CONNECTION WITH MY PARTICIPATION IN THE ACTIVITY. 

 

As a participant, volunteer, or attendee, I recognize that my participation, involvement and/or attendance at any Activity is voluntary and may result in personal injury (including death) and/or property damage. By attending, observing or participating in the Activity, I acknowledge and assume all risks and dangers associated with my participation and/or attendance at the Activity, and I agree that: (a) IFPO, (b) the property or site owner of the Activity, and (c) all past, present and future affiliates, successors, assigns, employees, volunteers, vendors, partners, directors, and officers, of such entities (subsections (a) through (c), collectively, the "Released Parties"), will not be responsible for any personal injury (including death), property damage, or other loss suffered as a result of my participation in, attendance at, and/or observation of the Activity, regardless if any such injuries or losses are caused by the negligence of any of the Released Parties (collectively, the "Released Claims"). BY ATTENDING AND/OR PARTICIPATING IN THE ACTIVITY, I AM DEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

 

Signature   ________________________________________________________

Print name ________________________________________________________ 

Date          _________________________________________________________

Kontakte nou:

IFPOranges@gmail.com

PO Box 341

Short Hills, NJ 07078

(973) -856-4000

Depo Location:

105 Main Street, Orange, NJ 07050

© 2020 pa E.Sterling

pou IFPO la.

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