The undersigned, in consideration (be it whole or partial) of being allowed to display artistic articles or wares upon the premises of the Medicine Lodge Lincoln Library do hereby specifically state that I am aware that such articles will be insured by the Medicine Lodge Lincoln Library while upon the premises, with the exception that the Library’s insurance policy provides for a $250.00 deductible. I do hereby specifically waive and agree to hold harmless and indemnify the said Medicine Lodge Lincoln Library a/k/a Lincoln Library a/k/a of any and all liability for payment of the $250.00 deductible for damage to and/or destruction of any artistic objects or wares which I place in said Library for display purposes or for any other purposes while such objects or wares are on the Library premises or covered by the Library’s insurance.
DATED this _____ day of ______, 20___, at Medicine Lodge, Kansas.

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