INDEMNIFICATION [AND INSURANCE] AGREEMENT

TO: Name of School/Church

IN CONSIDERATION of your permitting our organization to use your facilities at: Description and Address for the purpose of briefly describe the nature of the activity the undersigned agrees to indemnify, defend, and hold free and harmless, Name of School/Church , the UPPER COLUMBIA CORPORATION OF SEVENTH-DAY ADVENTISTS, THE UPPER COLUMBIA CONFERENCE OF SEVENTH-DAY ADVENTISTS, their parent and subsidiary organizations and each of their respective members, agents, servants, employees, officer, and directors from and against any and all actions, claims, liabilities, assertions of liability, losses and costs, which in any manner may arise or be alleged to have arisen, or resulted, or alleged to have resulted from any and all activities of any nature the our organization, its agents, servants or employees or volunteers may undertake at the facilities above described. The frequency of the use shall be state the dates, or days each week, etc., and the time period

The organization has inspected the premises and feels comfortable that the premises are sufficiently safe for the activities it contemplates. It is understood that our organization will be responsible for supervising the activities and that Name of School/Church shall not be responsible for the activity or any supervision thereof.

(Insurance provision - for use, see comments below)

IN FURTHER CONSIDERATION for the undersigned's use of your facilities, it shall acquire and maintain insurance to protect your and our organization from all claims of personal injury, including death, which may arise from the undersigned's use of your facility. The UPPER COLUMBIA CORPORATION OF SEVENTH-DAY ADVENTISTS, at 3715 S GROVE RD, SPOKANE, WA 99224, shall be named as an "additionally insured" party on said policy by endorsement. Liability coverage shall be in an amount of not less than $3,000,000.00/incident and $10,000,000.00 aggregate and the undersigned shall furnish your organization a copy thereof.

The undersigned has executed this agreement on , 20__, at Designate Location .

[NAME OF ORGANIZATION]

By: [Print Name and if applicable, Title]

Note: The above Indemnification Agreement should be used in every instance a school or church permits an organization, whether incorporated or not, to use their facilities on a casual, incidental, one-time or periodic use. The insurance provision is advisable in all instances but is not mandatory if the use is for a short duration (1 day) and for one time only. If the organization will be using the facility on an ongoing scheduled basis, it is imperative that the insurance provision be included. This form should be used whether or not the school or church receives compensation for the use. A form of this nature does not have to be used in instances when a sister SDA organization is using the school or church premises.

If a school or church facility is being used on a regular long-term basis, a formal rental/lease agreement should be thoughtfully prepared. Such an agreement will contain, among other things, an indemnification and insurance clause similar to the above.

The office of legal counsel for the Conference will be happy to assist you in drafting and/or reviewing indemnification and rental/lease agreements.