Legal Travel Attestation

LEGAL TRAVEL ATTESTATION

This Legal Travel Attestation (the "Attestation") is entered into by and between Attesting Party Name: and Receiving Party Name: . The Attesting Party and the Receiving Party are each referred to herein as a "Party" and collectively as the "Parties."

RECITALS

WHEREAS, the Attesting Party intends to undertake travel beginning on Departure Date: from Origin: to Destination: for the purpose of Purpose of Travel: ; and

WHEREAS, the Receiving Party requires written attestation from the Attesting Party concerning health status, compliance with applicable travel restrictions and orders, and the accuracy of travel documentation prior to permitting or otherwise recognizing the travel; and

WHEREAS, the Parties desire to set forth the Attesting Party's representations, warranties and covenants regarding the travel and to provide an enforceable attestation for reliance by the Receiving Party.

NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

1. DEFINITIONS

1.1 "Attesting Party" means the individual or entity identified above that is making the attestations and representations contained in this Attestation. 1.2 "Receiving Party" means the individual or entity identified above that is entitled to rely on the Attestation. 1.3 "Applicable Orders" means any health, quarantine, travel restriction, immigration, or other governmental orders, directives or requirements applicable to the Attesting Party's travel.

2. ATTESTATION AND REPRESENTATIONS

The Attesting Party hereby certifies, represents and warrants to the Receiving Party that, as of the date of signature below, the following statements are true and correct:

I am not experiencing fever, cough, shortness of breath, loss of taste or smell, or any other symptom identified by public health authorities as associated with communicable disease transmission.

I have taken any required diagnostic test for contagious disease and the result is negative as of Test Date:

I have received vaccination(s) as required or recommended by applicable public health guidance. If vaccinated, Vaccine Details:

The Attesting Party further represents that they will comply with all Applicable Orders during the travel period and, to the extent required by law or directive, will quarantine, seek testing, and report any symptoms or positive test result to appropriate public health authorities and to the Receiving Party without undue delay.

3. TRAVEL DETAILS

4. HEALTH DECLARATIONS AND CONSENT

The Attesting Party authorizes the Receiving Party and its representatives to collect, record and retain health-related information and travel details provided in this Attestation for the limited purpose of determining compliance with Applicable Orders and for contact tracing if necessary. The Attesting Party acknowledges that such information may be disclosed to public health authorities where required by law.

I consent to the collection and limited disclosure of my health and travel information as described above.

5. COMPLIANCE; COVENANTS

The Attesting Party covenants to promptly comply with any reasonable direction from the Receiving Party intended to reduce transmission risk, including but not limited to testing, verification of documentation, postponement or cancellation of travel, and temporary isolation pending confirmation of health status. Failure to comply shall constitute a material breach of this Attestation and may result in denial of access, revocation of privileges, or other remedies available to the Receiving Party.

6. INDEMNIFICATION

The Attesting Party agrees to indemnify, defend and hold harmless the Receiving Party, its officers, directors, employees and agents from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from any false representation, breach of covenant, or failure to comply with Applicable Orders by the Attesting Party.

7. CERTIFICATION; PENALTIES

The Attesting Party acknowledges that making a material false statement in connection with an official attestation may subject the Attesting Party to penalties under applicable law, including administrative sanctions and criminal penalties where authorized. The Attesting Party certifies that the facts set forth in this Attestation are true and correct to the best of their knowledge and belief.

8. NOTICES

9. MISCELLANEOUS

9.1 Amendments. This Attestation may be amended only by a written instrument signed by both Parties. 9.2 Waiver. No waiver by either Party of any breach shall be valid unless in writing and signed by the waiving Party. No waiver of any breach shall operate as a waiver of any other breach. 9.3 Severability. If any provision of this Attestation is held invalid, illegal or unenforceable, the remaining provisions shall remain in full force and effect to the fullest extent permitted by law. 9.4 Governing Law. This Attestation shall be governed by and construed in accordance with the laws of the jurisdiction mutually agreed by the Parties in writing or, absent agreement, the laws of the jurisdiction where the Receiving Party is located. 9.5 Entire Agreement. This Attestation constitutes the entire agreement between the Parties with respect to the subject matter and supersedes all prior and contemporaneous understandings, agreements, representations and warranties, both written and oral.

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