2007-10-26 Robby Defrain
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CITY OF BLAIR
PROPERTY ACCESS
WAIVER OF LIABILITY
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In consideration of being permitted to utilize theS/air City Neihardt Park
facilities on Friday, October 20 and/or Saturday, October 27, 2007 from dl,lsk until 2:00
a.m., the undersigned assumes all risks of damage or loss either to his I her person,
cast members and/or crew members from any and all causes, including but not limited
to negligence, violation of law, or willful misconduct on the part of the City of Blair, its
employees or agents, during the time the undersigned has access to the City of Blair
property indicatecl above. It is unclerstood that the City of l3lair, it's employees or
agents, shall incur no liability or obligation to the undersigned, his I her heirs,
successors or assignees for any damages, injury or other i.oss that the undersigned may
have .as a result of his/hergaining access to City of Blair property. Further, the
undersigned must Tully compiywith all safety requirements of the City of Blair.
THIS WAIVER APPLIES TO THE DATE OR OCCURRENCE THAT THE
UNDERSIGNED HAS ACCESS TO 'THE CITY OF BLAIR PROPERTY.
Signahire:
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Printed Name: Robby D~Frain
Phone: (402) 770..1965
Authorization by City:
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Phil Green, Assistant City Administrator
Date: /O-;;'3~-07
CITY OF BLAIR
PROPERTY ACCESS
WAIVER OF LIABILITY
NAME:
DOB:
ADDRESS:
CITY:
STATE:
In consideration of being permitted to utilize the Blair City Neihardt Park
facilities on Friday, October 26 and/or Saturday, October 27, 2007 from dusk until 2:00
a.m., the undersigned assumes all risks of damage or loss either to his / her person,
cast members and/or crew members from any and all causes, including but not limited
to negligence, violation of law, or willful misconduct on the part of the City of Blair, its
employees or agents, during the time the undersigned has access to the City of Blair
property indicated above. It is understood that the City of Blair, it's employees or
agents, shall incur no liability or obligation to the undersigned, his / her heirs,
successors or assignees for any damages, injury or other loss that the undersigned may
have as a result of his/her gaining access to City of Blair property. Further, the
undersigned must fully comply with all safety requirements of the City of Blair.
THIS WAIVER APPLIES TO THE DATE OR OCCURRENCE THAT THE
UNDERSIGNED HAS ACCESS TO THE CITY OF BLAIR PROPERTY.
Signature: Date:
Printed Name: Robby DeFrain
Phone: (402) 770-1965
Authorization by City:
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Phil Green, Assistant City Administrator
Date: IO"';J. '3 -- 07
Phil Green
218 South 16th Street
Blair, NE 68008
Mr. Green,
My name is Sandy Veneziano, Adjunct Professor, Teaching and Practice, at The
Johnny Carson School of Theatre and Film, UNL. I am mentoring Robby DeFrain, film
department senior, on his thesis film this fall. Regarding Robby shooting on location at
your Neihardt Park facilities - Robby will be accompanied by a total of7 cast members
and no more than 7 crew members. All liability is placed on the students during this film
shoot. Robby will pay for any and all damage incurred on the property in full, but I
assure you that this will not be an issue with Robby to begin with.
He isplanIling on shooting thereFriday~ Q~tQlLet 26, andLoLS.aturd~,~nct{}Q~_27=_
dusk until 2 a.m.
Robby has been granted permission by the City of Lincoln Department of Parks &
Recreation to shoot on their Wilderness Park premises from dusk until dawn on Friday,
October 19 through Sunday, October 21. Robby has been working primarily with Mary
Johnson at the Parks & Recreation administrative office (402-441-7847) as well as their
secretary, Janet.
If you need to contact Robby, you can reach him on his cell phone at (402) 770-
1965. Thank you so much for you time and consideration.
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Sandy Veneziano ,
(402) 730-6827
Member of the Motion Picture Academy of Arts and Sciences
Local 800 Art Directors Guild
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