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4.1c ERMUSR 10-12-2021 DISPOSAL OF UTILITY PROPERTY RELEASE OF LIABILITY AND IDEMNIFICATION AGREEMENT I,__________________________ representing___________________________ acknowledge that I take ownership of the used and unwanted utility property subject to the following terms: 1.I acknowledge that I have had ample opportunity to inspect and evaluate the Utility Property and agree I take ownership of Utility Property and without any warranty or representation relating to its condition or design. 2.I waive any claim on my behalf and agree to hold Elk River Municipal Utilities (ERMU) harmless from any loss, injury or liability arising from the subsequent use of the Utility Property, including payment of reasonable 3.I hereby agree to defend, indemnify, and hold harmless ERMU against any ng, transporting, and use of the used Utility Property including any and all costs associated with the use, handling, storage, release or disposal of any hazardous substances. Signature: _________________________________________ Printed Name: ______________________________________ Address: ___________________________________________ Phone: ____________________________________________ Date: _____________________________________________ 48 EXHIBIT A DESCRIPTION OF UTILITY PROPERTY 49