Certificate of Compliance Form

Agreement with the Commonwealth of Massachusetts Travel Guidelines

 
I certify that I have reviewed the Commonwealth of Massachusetts out of state traveler advisory and comply with current health and safety protocols for traveling to, from and within the Commonwealth of Massachusetts. I further certify that I understand all travelers should stay home if ill (with symptoms); maintain physical distance of at least 6' from anyone outside their household; wear a cloth mask when in public spaces; and wash or sanitize hands often.

I certify that: a. I am traveling for essential purposes as defined by the Commonwealth of Massachusetts, OR b. I have not left the Commonwealth of Massachusetts for any reason except essential travel in the past 10 days; OR c. I will quarantine for 10 days or produce a negative COVID-19 test result that has been administered up to 72-hours prior to my arrival in Massachusetts. If not obtained before entry to Massachusetts, a test may be obtained after arrival. However, all such arriving travelers should immediately begin the 10-day quarantine until a negative test result has been received. I acknowledge that I should stay in my quarantine location for the duration of the quarantine, including the time required to obtain a negative test result, OR d. It has been at least 14 days since my traveling party received the final COVID-19 vaccine dose, and therefore my party is exempt from the quarantine requirements. Please note that actual and physical proof of negative test results is not required for pre-arrival and stay at Beauport Hotel Gloucester.

2. I also certify that; I have not had close contact within the past 14 days with a person confirmed to have COVID-19.

3. I also certify that, I am traveling only with members of my household, and I will not gather with members outside of my household while in Massachusetts, unless all members have received full COVID-19 vaccination.
WAIVER/DISCLAIMER – RELEASE OF LIABILITY


The novel Coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Medical and scientific knowledge about COVID-19 continues to develop, and not all signs, symptoms or effects are known by Federal and State authorities. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in public activities and amenities at Beauport Hotel Gloucester could increase the risk of contracting COVID-19. The Hotel in no way warrants that COVID-19 infection will not occur through participation in the Hotel’s programming, amenities or facilities.

By signing this agreement, I acknowledge the contagious nature of COVID-19, acknowledge the lack of complete medical and scientific knowledge about COVID-19 and its symptoms, and acknowledge that I am fully aware that myself and/or my children or ward may be at higher risk of contracting COVID-19 and may be exposed or infected by COVID-19 as a result of entering on the Hotel property, open for the use of others, becoming a guest of the Hotel, participating in any of its programs, occupying a room at the Hotel or using any facilities at the Hotel during the COVID-19 pandemic and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I further acknowledge that I understand that the risk of becoming exposed to or infected by COVID-19 at the Hotel may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Hotel employees, guests, contractors, participants in activities, and others present on the Hotel property despite the best of actions taken by the Hotel, their staff, other guests or participants to adhere to policies, guidelines, signage and instructions.

By signing this agreement, I agree that I voluntarily assume all of the foregoing risks and accept sole responsibility for my safety and that of my children or ward while using any of the facilities at the Hotel and that myself and my children or ward will comply with all Hotel policies and rules, including but not limited to all guidelines, signage, and instructions posted on the Premises.

With full awareness and appreciation of the risks involved, I, for myself and my children, and on behalf of my children, family, spouse, estate, heirs, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, and covenant not to sue the Beauport Hospitality Group, its board members, officers, agents, servants, independent contractors, affiliates, employees, successors, and assigns (collectively the “Released Parties”) from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or my children or my ward related in any way to COVID-19 whether caused by the negligence of the Released Parties, any third-party using the Hotel, or otherwise, while participating in any activity while in, on, or around the Hotel and/or while using any Hotel facilities, tools, equipment, or materials.

I, for myself, and on behalf of my children, agree to indemnify, defend, and hold harmless the Released Parties from and against any and all costs, expenses, claims, actions, damages, costs or expenses of any kind arising out of or relating to my or my children's use of the Hotel, its facilities, tools, equipment or materials, whether caused by the negligence of the Released Parties or otherwise, specifically related to COVID-19.
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