WAIVERS/ WAIVER OF LIABILITY/ HOLD HARMLESS AGREEMENT
- In consideration of my voluntary membership and enrollment in Ukarimu, I hereby agree and consent that my continued membership is subject to my continued residence in the United States of America. Should my residence change, I consent that my membership shall only continue if I continue meeting the obligations of my membership to Ukarimu.
- I further hereby agree and consent that my continued membership is subject to my performance and compliance. Should my membership be revoked for reasons of non-performance and non-compliance, I consent that there will be no refunds of any kind. If I terminate my membership, there shall be no refunds of any kind.
- I further hereby agree and covenant to either submit my replenish contribution as determined by the number of dependents I have as indicated on my application form within 30 days after being notified of the death of an individual covered or pay my monthly subscription as determined by the number of dependents I have as indicated on my application form. This amount may vary from time to time based on the membership of the fund. If the payment is not received by the deadline date, there will be a $5.00 late fee per week up to one month of that deadline. Thereafter membership shall be terminated with immediate effect and the said party may only rejoin the organization after one open enrollment cycle and a four month (120 days) waiting period thereafter.
- Continued membership is subject to my performance and compliance per all guidelines. Should my membership be revoked by the fund administrators for reasons of non-performance and/or non-compliance, I consent that there shall be no refunds of any kind. If I terminate my membership, there shall be no refunds of any kind.
- A member that withdraws voluntarily shall not be eligible to rejoin whatsoever.
- Membership/enrollment fee is non-transferable and/or non- refundable.
- You agree to provide proof of your relationship to a dependent that has died and you are filing claim. The proof being defined as: official death certificate (due to urgency faxed or e-mailed and notarized copies may be okay), an affidavit declaring the truth of the loss of relatives outside the USA. The beneficiary shall sign a document confirming receipt of benefits check.
- Legal names of dependents and corresponding dates of birth must be on the application form provided by the member at the time of enrollment (the list of member details shall be kept confidential). Any dependent that has no date of birth provided shall not be covered.
- Dependent members shall be limited to spouse, children, siblings by birth, and parents by blood. Legally adopted children with proper documentation shall be covered.
- I understand and agree that step parents, step brothers, and/or step sisters shall not be covered by this program.
- You may add qualifying dependents through birth of a child and/or marriage within 30 days of such occurrence.
- All members shall desist from undue influence and/or encourage fraudulent activities of any nature.
- I further hereby affirm that it is my understanding that only members of my immediate family are included in my application form and are covered by Ukarimu.
- I further agree that it is my sole responsibility to update my membership data with any new members of my family limited to newborn children and spouse in the event of marriage after the initial application submission. Otherwise, once the application and the waiver is agreed upon, and duly checked it may not be amended whatsoever. Forgetting is not a reason.
- I further hereby agree and consent that the company at its discretion may verify any reported death. I agree to submit all requested documents that may be required before and/or after the funds are disbursed depending on the request.
- I further hereby agree that my membership to Ukarimu is non-transferable and/or non- refundable.
- I further hereby confirm that I have read and understood these stipulations and undertake to abide with such as written.
- In the event a dead person is claimed by either two or more members of Ukarimu, Ukarimu shall issue only one payment (benefit amount) to cover that one death (one event). The members who jointly have that claim shall advise the Executive Board to whom among them shall receive the benefit. Otherwise such benefit shall be split equally amongst such members.
- Such benefit shall not be paid out until I file a Claim form available online. I shall provide within three months (90 days) a certified (notarized) copy of both the death certificate and burial permit of the deceased.
- Notwithstanding all terms and provisions, I further hereby consent that nothing shall be paid to me during the administrative period of said fund. Accordingly, unless otherwise stated the benefits shall accrue no earlier than 120 days from the end of the enrollment month (period) or from the date the application was submitted, whichever comes later.
- It is my express intent that this Release and Hold Harmless Agreement shall bind my spouse and members of my family if I am alive, and my heirs, assigns and personal representative if I am deceased, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the company Ukarimu. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of California.
IN SIGNING THIS WAIVER/RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waivers, Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I have voluntarily executed the Release for full, adequate, and complete consideration fully intending to be bound by the same.