Fill and Sign the Release Repair Form

Release and Waiver of Liability Regarding Repair of Roof Release executed on _______________ (date) , by ______________________ (Name of Homeowner) of ________________________________________________ (street address, city, county, state, zip code) herein referred to as Releasor , in favor of _____________________ (Name of Roof Repair Company) , a corporation organized and existing under the laws of the state of ______________, with its principal office located at _________________________________________________________ (street address, city, state, zip code) , referred to herein as Releasee . Whereas, due to the nature of the work performed by Releasee, unintentional minor damages sometimes occur to the home near where the repairs are made, including, but not limited to, ______________________________________ (describe) ; and Whereas, Releasee desires to be released from any such damages; Now, therefore, for and in consideration of making such necessary repairs to the roof of the Releasor as requested by Releasor, and other good a valuable consideration, receipt and sufficiency of which is hereby acknowledged, Releasor, for himself/herself , his/her spouse, legal representatives, heirs and assigns, hereby releases, waives and discharges Releasee, its employees, officers, agents, owners and/or assigns (hereinafter jointly and severally called Releasees), from all liability to the Releasor, his/her spouse, legal representatives, heirs and assigns, for any and all loss or damage, and any claim or damages resulting therefrom, on account of damages to the home of Releasor near where the repairs are made, including, but not limited to, _______________________________________ (describe) . Releasor understands and agrees that while Releasees intend to render services under this agreement in accordance with generally accepted professional practices, Releasees makes no warranty either express or implied and Releasor releases Releasees from any minor damages that occur to said house as a result of said repairs. In no event shall any damages or costs resulting from the failure of said repairs exceed the cost of said repairs. In witness whereof, Releasor hereby executes this Release and Waiver as of the day and date first above named. _____________________________ (Printed Name of Releasor) _____________________________ (Signature of Releasor)