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Adopt-A-Spot Commitment Form

KPWB Adopt-A-Spot Interest Form

    I/We agree to conform to all terms and requirements of the Adopt-a-Spot Program as established by Keep Prince William Beautiful, and attached hereto and incorporated herein by reference. The Applicant with whom this agreement is entered agrees that it shall at all times defend, indemnify and hold harmless Keep Prince William Beautiful, and its directors, officers, employees and agents, from any and all responsibility, damage or liability of any kind whatsoever, which may arise in any manner from Applicant's, or its officers', directors' employees', agents', permittees' or invitees', participation in the Adopt-a-Spot Program, or in traveling to or from a Spot which may have been adopted in accordance with the requirements of the Program. Keep Prince William Beautiful will terminate the agreement at any time the applicants do not comply with this agreement or at any time the applicant's work effort is considered unsafe. Keep Prince William Beautiful reserves the right to revise or discontinue this program at any time. Please note that Prince William County employees are not to clean up on paid time. By accepting an Adopt-a-Spot through Keep Prince William Beautiful, I/we accept the commitment to clean up our Adopt-a-Spot once monthly each calendar year, with a minimum of nine (9) cleanups annually for two years. Furthermore we agree to submit reports in a timely manner following each clean up to the Keep Prince William Beautiful organization. Should I/we not be able to maintain our spot as indicated I/we agree to contact Keep Prince William Beautiful as soon as possible to discuss spot options. Please type name as proof of acknowlegement: