Renovation Request Form

Name

First Name

Last Name

Address

Phone

(###)

###

####

Renovation or construction waiver form

I (We) The above shareholder's Residing at the address listed above agree To indemnify and hold harmless High Meadow Cooperative #1, Inc., its employees, the Board of Directors, and agent for any work done at the above address. I (we) will be responsible for any damage done to the common areas of the Cooperative Corporation, and any damage done to neighboring units and/or my unit.

Description of work planned

Shareholder Name

Signature

Your electronic signature below signifies you have read the above statement and agree.

Shareholder Name

Signature

Your electronic signature below signifies you have read the above statement and agree.

Date

YYYY