Okaloosa County BOCC — October 18, 2016 — Notarized Hold Harmless 100316

HOLD HARMLESS AGREEMENT The undersigned does hereby agree to indemnify and hold Okaloosa County, the Okaloosa County Sheriff’s Department, and their agents, employees, or officers, harmless from any and all liability of any nature or kind resulting directly or indirectly from (event title) Glen Bishop — Deadhead Logging off of Yellow River from September 15, 2016 through September 14, 2017 at the Milligan and Oak Grove Boat Ramps. These boat ramps will not be used on a daily bases. The undersigned does hereby certify that he/she has full authority to enter into this Agreement on behalf of (organization): GlenpBishop - Deadhead Logging off of Yellow River. fi(/éw\ /Kw//wfi (/\ LVW] %(5%00 Signature Printed Name Organization: GlennBishop Street Address: 95 Buck Bishop Rd., Bruce, FL 32531 City: Bruce State: FL ZIP: 32455 Phone: _(850)835-4059 ACKNOWLEDGMENT The foregoing instrument was acknowledged before me this day of Seu t , 20/( , by Clinn A,)L.” ” who has acknowledged that he/she has full authorlty to execute this instrument on behalf of LS, b bl Noasie /3 J g’ My Commission FF 201646 NOTARY PUBLIC or Expires 03/28/2019 Personally Known OR Produced Identification Type of Identification Produced: