"New York State Office of Children and Family Services Safe Sleep Release From Liability and Hold Harmless Agreement" - New York

New York State Office of Children and Family Services Safe Sleep Release From Liability and Hold Harmless Agreement is a legal document that was released by the New York State Office of Children and Family Services - a government authority operating within New York.

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ANDREW M. CUOMO
SHEILA J. POOLE
Governor
Commissioner
New York State Office of Children and Family Services Safe Sleep
Release from Liability and Hold Harmless Agreement
The New York State Office of Children and Family Services (OCFS), Division of Child Care
Services, and its employees and volunteers cannot guarantee that “Pack ‘n Play” portable baby cribs
are free of manufacturer defects. Any claims against manufacturer defects shall be subject to and
limited by the manufacturer’s warranty and other remedies against the manufacturer or supplier
available under the Uniform Commercial Code.
In exchange for the receipt of this “Pack ‘n Play” portable baby crib, receipt of which is hereby
acknowledged, and by signing this agreement, the undersigned agrees
1. to read the manual and follow all instructions included with the product, and
2. not to sell or re-distribute the “
portable baby crib referenced above.
Pack ‘n Play”
By accepting this “Pack ‘n Play,” I agree to indemnify, defend and hold harmless officers,
employees, agents, and partner agencies including OCFS from any and all liabilities and damages for
injuries including death arising from the “Pack ‘n Play” portable baby crib itself, the means and
manner of installation, the operation of the “Pack ‘n Play” portable baby crib, of others and any
other acts or omissions that may result in harm to person or property involving the placement and/or
use of the portable cribs provided under this agreement.
Print name:
Signature:
Date:
Program name:
Facility ID #:
Modality (check one):
Legally Exempt
Family Day Care
Group Family Day Care
Shipping Address
Street Number:
Street Name:
Floor/Apartment #:
City:
Zip Code:
Phone #: (
)
-
Email:
ANDREW M. CUOMO
SHEILA J. POOLE
Governor
Commissioner
New York State Office of Children and Family Services Safe Sleep
Release from Liability and Hold Harmless Agreement
The New York State Office of Children and Family Services (OCFS), Division of Child Care
Services, and its employees and volunteers cannot guarantee that “Pack ‘n Play” portable baby cribs
are free of manufacturer defects. Any claims against manufacturer defects shall be subject to and
limited by the manufacturer’s warranty and other remedies against the manufacturer or supplier
available under the Uniform Commercial Code.
In exchange for the receipt of this “Pack ‘n Play” portable baby crib, receipt of which is hereby
acknowledged, and by signing this agreement, the undersigned agrees
1. to read the manual and follow all instructions included with the product, and
2. not to sell or re-distribute the “
portable baby crib referenced above.
Pack ‘n Play”
By accepting this “Pack ‘n Play,” I agree to indemnify, defend and hold harmless officers,
employees, agents, and partner agencies including OCFS from any and all liabilities and damages for
injuries including death arising from the “Pack ‘n Play” portable baby crib itself, the means and
manner of installation, the operation of the “Pack ‘n Play” portable baby crib, of others and any
other acts or omissions that may result in harm to person or property involving the placement and/or
use of the portable cribs provided under this agreement.
Print name:
Signature:
Date:
Program name:
Facility ID #:
Modality (check one):
Legally Exempt
Family Day Care
Group Family Day Care
Shipping Address
Street Number:
Street Name:
Floor/Apartment #:
City:
Zip Code:
Phone #: (
)
-
Email:
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