Name of Library: ___________________________________________________________________
Dates of Exhibit: From_________________ To_________________
Exhibit Set-Up Date/Time: ___________________________________________________________
Exhibit Space: ____________________________________________________________________
Exhibit Removal Date/Time:_________________________________________________________

Name of Contact Person/
Name of Organization preparing exhibit:________________________________________________
Exhibit Content/Purpose: _____________________________________________________________

I have read, understood and agree to abide by and uphold all rules and policies of the Contra Costa County Library and the
branch library governing the use of library exhibit cases, and I understand that failure to do so will result in loss of future
privileges for the use of library exhibit cases.
    (Description of exhibit contents)



I agree that __________________________shall defend, indemnify, save, and hold harmless Contra Costa County and its officers
                                            (name of person)
and employees from any and all claims, costs, and liability for any damages, sickness, death, or injury to person(s) or property,
including without limitation all consequential damages, from any cause whatsoever arising directly or indirectly from or connected with
the operations or services of ________________________or its agents, servants, employees, or subcontractors hereunder, save and
                                                    (name of person)
except claims or litigation arising through the sole negligence or sole willful misconduct of Contra Costa County or its officers or
employees and that_________________________ shall reimburse Contra Costa County for any expenditures, including
                                                      (name of person)
reasonable attorneys fees. Contra Costa County may make by reason of the matters that are the subject of this indemnification, and if
requested by Contra Costa County, will defend any claims or litigation to which this indemnification applies at the sole cost and
expense of________________________
                                                    (name of person)
I agree that Contra Costa County and its officers and employees are not responsible for any theft of or damage to. any or all of the
exhibit or display.
Signature ___________________________Date _____________________________________
Name of Organization____________________________________________________
Position in organization____________________________________________________
Home address _______________________________________Phone ________________________
Business address_____________________________________ Phone ________________________

                                                               --For Library Use Only--

Exhibit Case Use
Approved  __
Not Approved__  Reason___________________________________________________

Librarian in Charge______________________________________Date______________