
Guaranteed Ride Home
Terms and Conditions for Employee Participation and Release of
Liability
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By submitting this form, I request to participate in the North
Shore Transportation Management Association's (NSTMA) Guaranteed
Ride Home Program ("Program"). I have read and understand
the policies, procedures, rules and regulation of the Program,
and I agree to abide by them.
I understand that under the rules of the Program, transportation
will be provided to me by a third party vendor, who is retained
by the North Shore Transportation Management Association. I also
understand that the NSTMA, Northeast Transit Planning & Management
Corp, NSTMA member organizations and my employer are not responsible
for the performance of the transportation vendor.
I hereby agree and state that I am an eligible employee of a member
organization of the North Shore Transportation Management Association.
I agree that if I use the Program in an unauthorized manner, I
will promptly reimburse NSTMA for all damages resulting from the
unauthorized use of the Program. I further agree to use my best
judgment in participation in the Program and to faithfully adhere
to all safety instructions and recommendations, whether oral or
written. I hereby certify that I am a competent adult assuming
these risks of my own free will, being under no compulsion or duress.
I understand that my abuse of the Program may result in the loss
of my eligibility to use its services in the future.
I, by requesting to participate in the Program, hereby assume full
responsibility for all risk of injury or loss, including death,
which may result from my participation in this Program and hereby
agree to hold harmless, release, waive, forever discharge and covenant
not to sue or bring claim against NSTMA, Northeast Transit Planning & Management
Corp., NSTMA officers, agents, members and/or employees, and my
employer, from any and all claims and demands whatsoever which
the undersigned or any third person, and the representatives thereof
have or may have against the said company, officers, agents or
employees, by reason of any accident, illness, injury or death,
or damage to or loss or destruction of any property arising or
resulting directly or indirectly from my participation in the Program
and occurring during said participation, or any time subsequent
there to, whether or not such loss, injury or death is caused or
alleged to be caused in whole or in part by the negligent acts
or omissions of the company, their officers, agents or employees.
The terms of this release shall serve as a release and assumption
of risks for my heirs, executors, administrators and for all of
my family members.
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