Common use of Liability for Injuries Clause in Contracts

Liability for Injuries. If approved for telework, the employee understands that the employee remains liable for injuries to third persons and / or members of employee’s family on employee’s premises. Employee agrees to defend, indemnify, and hold harmless employer, its affiliates, employees, contractors and agents, from and against any and all claims, demands or injury to persons (including death) or damage to property caused, directly or indirectly, by the services provided herein by employee or by employee’s willful misconduct, negligent acts or omissions in the performance of the employee’s duties and obligation under this Agreement, except where such claims, demands, or liability arise solely from the gross negligence or willful misconduct of the employer. Additional Information and/agreement For information about WSDOT’s Employee Telework Program visit xxxxx://xxxx.xxxxx.xx.xxx/human-resources/telework. Approval Signatures Employee’s Signature Date Supervisor’s Name Supervisor’s Signature Date Cancellation/Denial Signatures Telework Denied Supervisor’s Name Supervisor’s Signature Telework canceled per Employee Employee Signature Effective Date Telework canceled per Supervisor Supervisor Signature Effective Date Describe reason for cancellation/denial and attach supporting documentation if applicable Telework Outside Washington, Idaho and Oregon HR Director Signature (Only required if outside WA, ID and OR) Date Comments

Liability for Injuries. If approved for telework, the employee understands that the employee remains liable for injuries to third persons and / or members of employee’s family on employee’s premises. Employee agrees to defend, indemnify, and hold harmless employer, its affiliates, employees, contractors and agents, from and against any and all claims, demands or injury to persons (including death) or damage to property caused, directly or indirectly, by the services provided herein by employee or by employee’s willful misconduct, negligent acts or omissions in the performance of the employee’s duties and obligation under this Agreement, except where such claims, demands, or liability arise solely from the gross negligence or willful misconduct of the employer. Additional Information and/agreement For information about WSDOT’s Employee Telework Program visit xxxxx://xxxx.xxxxx.xx.xxx/human-resources/telework. Approval Signatures Employee’s Signature Date Supervisor’s Name Supervisor’s Signature Date Cancellation/Denial Signatures Telework Denied Supervisor’s Name Supervisor’s Signature Telework canceled per Employee Employee Signature Effective Date Telework canceled per Supervisor Supervisor Signature Effective Date Describe reason for cancellation/denial and attach supporting documentation if applicable Out of State Telework Outside Washington, Idaho and Oregon HR Director Signature (Only required if outside WA, ID and OR) Date CommentsFor Human Resources Only: If approved for out of state forward copy to Payroll

Liability for Injuries. If approved for telework, the employee understands that the employee remains liable for injuries to third persons and / or members of employee’s family on employee’s premises. Employee agrees to defend, indemnify, and hold harmless employer, its affiliates, employees, contractors and agents, from and against any and all claims, demands or injury to persons (including death) or damage to property caused, directly or indirectly, by the services provided herein by employee or by employee’s willful misconduct, negligent acts or omissions in the performance of the employee’s duties and obligation under this Agreement, except where such claims, demands, or liability arise solely from the gross negligence or willful misconduct of the employer. Additional Information and/agreement For information about WSDOT’s Employee Telework Program visit xxxxx://xxxx.xxxxx.xx.xxx/human-resources/telework. Approval Signatures Employee’s Signature Date Supervisor’s Name Supervisor’s Signature Date Cancellation/Denial Signatures Telework Denied Supervisor’s Name Supervisor’s Signature Telework canceled per Employee Employee Signature Effective Date Telework canceled per Supervisor Supervisor Signature Effective Date Describe reason for cancellation/denial and attach supporting documentation if applicable Telework Outside Washington, Idaho and Oregon HR Deputy Director Signature (Only required if outside WA, ID and OR) Date Comments