Free Hold Harmless Agreement Template 39Free Hold Harmless Agreement Template 39
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Clackamas County Film & Media Production
RELEASE AND HOLD HARMLESS AGREEMENT
Production Company Name: ___________________________________________________________
Address: __________________________________________________________________________
Contact Name: ________________________________________ Title: ________________________
Email: ____________________________________ Phone: _____________________________
Production Title: ___________________________________________________________________
The undersigned Production Company has requested a filming permit from Clackamas County for the
limited purpose of:
□ Television □ Motion Picture/Feature □ Commercial Photography □ Music Video
□ Documentary □ Educational □ Commercial □ Other: _______________________________
The undersigned is required to provide a Release and Hold Harmless Agreement from and defend
against any and all claims, lawsuits or other liability arising from as a result of the activity, event or use
relating to the permi