Fillable Printable Contractor Liability Waiver Form - Florida

Contractor Liability Waiver Form - Florida

INDEPENDENT CONTRACTOR

RELEASE, WAIVER OF LIABILITY

AND

COVENANT NOT TO SUE

I fully understand that I have agreed to provide services, as an independent contractor, for 888 Production Inc. As an

independent contractor, I understand that I am responsible for all related income/self-employment taxes for fees

received from 888 Production Inc. for services provided. In addition, I acknowledge that I am solely responsible for

any medical or other costs arising out of any bodily injury or property damage sustained while providing services as an

independent contractor. I certify that I have adequate insurance coverage, including health and accident, for any

injuries I may sustain while providing said services.

I further covenant and agree that I will not sue 888 Production Inc., its successors, assigns and licensees, its advertising

agency, its producers, agents, or employees for any claim for damages, for bodily injury or other, arising while

performing services for 888 Production Inc. as an independent contractor.

I certify that I am _____ years of age and suffering under no legal disabilities and that I have read the above carefully

before signing.

This _____ day of _______________, 200__.

_____________________________ _____________________________

Signature of President Signature of Independent Contractor

888 Production, Inc.

_____________________________

Print Name

_____________________________

Social Security Number

_____________________________ _____________________________

Witness Passport Number

_____________________________ _____________________________

Print Name Address line 1

_____________________________

Address line 2

_____________________________

Phone Number