Get Pinellas County Rodent Control

RODENT TREATMENT PERMISSION/RELEASE FORM RETURN TO City of St. Petersburg Florida Sanitation Department Rodent Control Activity P. O. Box 2842 St* Petersburg FL 33731 Phone 727 893-7398 Fax 727 551-3289 FROM Owner/ Agent of Property Described Below SUBJECT Granting Permission to Place Rat Poison on OUTSIDE PREMISES I the undersigned am Owner or Agent of the property located at you must give proper street address for efficient poison placement. I hereby grant permission for the City of St* Petersburg through its authorized agents to treat said property for rodents by placing rat poison on the outside premises of the property. I hereby waive my right to any and all compensation for damages that may result from persons or animals ingesting or otherwise coming into contact with said poison* Furthermore I shall defend at my expense pay on behalf of hold harmless and indemnify the City its officers employees agents elected and appointed officials and volunteers collectively Indemnified Parties from and against any and all claims demands liens liabilities penalties fines fees judgments losses and damages collectively Claims whether or not a lawsuit is filed including but not limited to costs expenses and attorneys and experts fees at trial and on appeal and Claims for damage to property or bodily or personal injuries including death at any time resulting there from sustained by any persons or entities which Claims are alleged or claimed to have arisen out of or in connection with the placement of said rat poison at the abovestated address unless a court of competent jurisdiction has determined that the Indemnified Parties acted negligently or wrongfully in the placement of said poison at said address. If I am not the person in possession of the property at the above-stated address I understand that it is my responsibility to notify such person that I have authorized the City to place rat poison on the outside premises of the property. O. Box 2842 St* Petersburg FL 33731 Phone 727 893-7398 Fax 727 551-3289 FROM Owner/ Agent of Property Described Below SUBJECT Granting Permission to Place Rat Poison on OUTSIDE PREMISES I the undersigned am Owner or Agent of the property located at you must give proper street address for efficient poison placement. I hereby grant permission for the City of St* Petersburg through its authorized agents to treat said property for rodents by placing rat poison on the outside premises of the property. I hereby grant permission for the City of St* Petersburg through its authorized agents to treat said property for rodents by placing rat poison on the outside premises of the property. I hereby waive my right to any and all compensation for damages that may result from persons or animals ingesting or otherwise coming into contact with said poison* Furthermore I shall defend at my expense pay on behalf of hold harmless and indemnify the City its officers employees agents elected and appointed officials and volunteers collectively Indemnified Parties from and against any and all claims demands liens liabilities penalties fines fees judgments losses and damages collectively Claims whether or not a lawsuit is filed including but not limited to costs expenses and attorneys and experts fees at trial and on appeal and Claims for damage to property or bodily or personal injuries including death at any time resulting there from sustained by any persons or entities which Claims are alleged or claimed to have arisen out of or in connection with the placement of said rat poison at the abovestated address unless a court of competent jurisdiction has determined that the Indemnified Parties acted negligently or wrongfully in the placement of said poison at said address.