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The undersigned, in consideration
of being allowed to use the following equipment:
_______________________________________________________________,
does hereby agree to indemnify, save and hold harmless NDSU, and the
State of North Dakota, and its officers, agents and employees, from
and against any and all liabilities, claims, expenses, fees and costs,
demands and actions, or causes of actions whatsoever, for damage to
personal property, personal injury or death which may result from its
use of said equipment. Furthermore, the undersigned certifies that it
shall maintain, throughout the period of its use of said equipment,
an occurrence, comprehensive general liability insurance policy covering
damages to persons or property which may arise out of the use of said
equipment. Said insurance shall provide for minimum coverages of one
million ($1,000,000) per occurrence. [The insurance provision is optional
in the case of student organizations]. The undersigned also promises
to return the equipment in a clean condition and promises to pay for
any damage to the equipment.
Dated this ______ day of _________________,
20___.
____________________________
Signature
____________________________
Printed Name
____________________________
Name of organization, title or position
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