Exhibitor Waiver and Insurance Certification

to be completed by all exhibitors and participants

In order to comply with our insurance company, we require you to confirm the following:

I, _____________________________________ (print name here) hold free and harmless the directors, officers, members and volunteers of The Canadian Antique & Classic Boat Society operating as ACBS–Toronto and The Antique & Classic Boat Society – Toronto, the owners and staff of Muskoka Wharf, the Town of Gravenhurst from any and all actions, claims, liabilities, assertions of liability which in any manner arise or be alleged to arise from any and all activities connected directly or indirectly with the Boat Show listed above, whether such action, claim, liability or assertion of liability resulted directly or indirectly from the negligent acts or omissions of said directors, officers, members, sponsors, and volunteers or others connected with the Boat Show.

Further, I certify that I have effective insurance, including a minimum of $1 million public liability insurance to cover any damage to my property, or liability for any damages to others, or their property arising from any use of my property during this event.

Insurance Company:  __________________________________________________

Policy Number:  ________________________________

Signature:  _____________________________________________________

Date:  ___________________________________________________