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Authorization and Hold Harmless Agreement

We agree to indemnify and hold Skipco Financial Adjusters, Inc. harmless from and against any and all claims, damages, losses and actions resulting from or arising out of Skipco Financial Adjusters, Inc.'s efforts to collect the above claim, except, however, such as may be caused by or arise out of negligence or unauthorized acts by Skipco Financial Adjusters, Inc., it's employee's or agents. Nothing contained herein shall be construed to authorize the violation of the laws of the State of Ohio.

I am assigning this claim for collection to Skipco Financial Adjusters, Inc. I am duly authorized by my company to make such an assignment. By typing my name in the box below and pressing the submit button below, I am digitally signing this authorization.