Liability Release Form

The form below must be completed before we can start your home assessment.

Agoura Hills Fire Safe Council Liability Release Form

The Home Hardening Program is provided free of charge from the Agoura Hills Fire Safe Council (AHFSC). Upon request, a Wildfire Safety Liaison will conduct the home assessment with the resident. The assessment provides a safety record for the resident and is also used for educational purposes and data analysis.

I the Home Owner or Renter understand that the goal of this assessment is to:

1. Improve my awareness of existing conditions/and or hazards in and around my home that may be susceptible to wildfire
2. Receive retrofit or modification recommendations from the assessor to lessen my home's (and its occupants') risk from wildfire
3. Prevent injuries and loss of life
4. Prevent property damage and loss
5. Provide data and applicable information to the Agoura Hills Fire Safe Council to be used for wildfire mitigation efforts

In exchange for participation in this assessment, I agree for myself (and if applicable), members of my family, and others residing on my property to the following:

• I understand that the Home Hardening Assessment is merely an advisory service, free of charge, and not an inspection of applicable code enforcement.
• I understand that neither the Agoura Hills Fire Safe Council nor the Wildfire Safety Liaison (assessor) from the AHFSC is responsible for making modifications or changes to the property.
• I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) to my family or other persons residing in the home and further release and discharge the Agoura Hills Fire Safe Council's and assessor(s) for injury, loss, or damage, whether caused by the fault of myself, my family, the AHFSC, or other parties.
• I agree that participation in this assessment will not guarantee that a fire, injury, death, and/or property damage or loss will not occur.
• I understand that modifications I make to my home based on the recommendations of the assessment do not guarantee that a fire, injury, death, and/or property damage or loss will not occur.
• I agree to indemnify and defend the Agoura Hills Fire Safe Council and assessor(s) against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, should any arise from this assessment.
• I understand that I am voluntarily participating in this service and that the service is neither required by the city nor the fire department. I will not be reprimanded or prosecuted should I choose not to make the recommended adjustments.

I the undersigned hereby understand and agree to all of the conditions above regarding my home assessment. I also acknowledge that I am the homeowner or designated agent of the homeowner.
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