NEW JERSEY CHAPTER APWA ROADEO June 14, 202 ....

APWA                 

The 1st Annual APWA – New Jersey Chapter Equipment Roadeo is quickly approaching and we would like to invite you to consider being a part of this exciting event. This will be the first time such an event is being held by our chapter. The Roadeo will be held at the Gloucester Township Community Park on June 14, 2021. This will be an outdoor event. THIS EVENT WILL BE HELD RAIN OR SHINE.

Due to the ongoing COVID-19 pandemic, social distancing will be observed. Masks must be worn when in close proximity of others. Food truck vendors will be onsite for refreshments.

Competition equipment will be provided. You do not need to bring anything but your own personal protective equipment.

Considering participating? Individuals will be tested on their driving ability while navigating through an obstacle course. Competition will include skills tests for backhoe, skid steer, and mini excavator. Participants may complete in one, two or all three of the three equipment skills tests. Skills test examples are:

ROADEO COURSES

 

Backhoe:  Test your skills in one of 3 models to complete a timed event.  6 tennis balls will be spread out on top of a traffic cone.  Operator must remove ball from top of cone one at a time and placing into a trash can. 

 

Mini Excavator:  Test your skills in one of 3 models to complete a timed event.  6 tennis balls will be spread out on top of a traffic cone.  Operator must remove ball from top of cone one at a time and placing into a trash can. 


Skid Steer:  Test your skills in one of 3 models to complete a timed event.  Operate a wheeled skid steer through an obstacle course.  During event must remove a basketball from top of a cone and place into a trash can.

 

There is no fee to participate in this event; however, competition spots are limited and advance registration is required. Contestants must be current employees of a municipal or county public works agency. Equipment will be sanitized between competitors. Three equipment events will run concurrently. Safety is number one! These events are for trained and skilled operators.  Limited to 25 contestants in each event.

Contestants will be registered for the competition in advance of the event by completion of the registration form, on a first come, first serve basis. Please register by June 7, 2021. One contestant per agency; an alternate may also be registered in the event an alternate is needed or there is space to accommodate an additional competitor. RETURN FORM VIA EMAIL TO: JLELI@SOE.RUTGERS.EDU

Sign in 8:30 am, first scheduled competitor to begin at 9:00 am. We will do our best to end the competition by noon. Parking is free. PLEASE BRING YOUR OWN SAFETY VEST!!!

Entry Form (must be received by June 7, 2021RETURN FORM VIA EMAIL TO: JLELI@SOE.RUTGERS.EDU

Individual Name:

Work Address:

Agency Representing:

Mobile Phone Number:

Email Address:

Driver’s License Number:

Supervisor verification of competency in operating the backhoe, skid steer and mini excavator, and authorization to participate:

Supervisor printed name: _______________________________________________

Supervisor signature: ___________________________________________________

Date: _________________________________________________________________

I wish to compete in: ____Skid Steer ____Backhoe ____Mini Excavator

ALTERNATE Individual Name:

Work Address:

Agency Representing:

Mobile Phone Number:

Email Address:

Driver’s License Number:

Supervisor verification of competency in operating the backhoe, skid steer and mini excavator, and authorization to participate:

Supervisor printed name: _______________________________________________

Supervisor signature: ___________________________________________________

Date: _________________________________________________________________

I wish to compete in: ____Skid Steer ____Backhoe ____Mini Excavator

Waiver, Release, and Assumption of Risk- for competitors only

By signing below, I acknowledge that I have read the Waiver, Release, and Assumption of Risk and fully understand its terms, conditions, and meaning. In return for allowing my participation in the “New Jersey Chapter Equipment Roadeo” activities, I voluntarily assume all risk and responsibility for my physical condition and for my injuries or damages to my person or property which I might sustain in that participation. I further voluntarily release and discharge the New Jersey Chapter of the American Public Works Association, its officers, members, or guests, for any injury or damage to my person or property due to negligence, carelessness or any other fault. It is further understood that this Waiver, Release, and Assumption of Risk is binding on my heirs, personal representatives, legal representatives, successors and assigns. I assume full responsibility for my actions and behavior during the contest and while at the event.

Signed this _________________day of ___________________, 2021.

 

SIGNATURE___________________________________________________________

 

PRINT FULL NAME______________________________________________________

Supervisor

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American Public Works Association Volunteer Agreement, Waiver and Release- for all

In consideration of being provided the opportunity to volunteer and/or participate in the American Public Works Association New Jersey Chapter (APWA) activities and events, I acknowledge and agree as follows.  For purposes of this Waiver and Release, volunteers and participants shall be referred to as “Participants”; volunteering and participation shall be referred to as “Participation” and the activities and events of the Chapter shall be referred to as “Activities”:

 

  1. There is risk of injury from Participating in Activities, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of injury does exist and I knowingly appreciate, understand, and assume all such risks; both known and unknown, even if arising from the negligence of APWA or others. and I hereby assume full responsibility for my Participation and for any damage arising out of Participation; and

 

  1. I expressly relieve the APWA from any duty of care, which is or may be owed to me as a result of Participation; and

 

  1. I willingly agree to comply with the stated and customary terms and conditions for Participation.  If I observe any unusual significant hazard during my presence or Participation, I will remove myself from Participation and bring such to the attention of the nearest official immediately; and

 

  1. In addition to the above, I understand and agree to the following precautions in relation to the COVID-19 pandemic:

To refrain from Participating and to notify the person in charge of the Activity, if at the time of or within 14 days after the  Activity: (a) I am experiencing any symptoms of illness such as a fever, cough, or shortness of breath; (b) I have traveled internationally in the past 14 days; (c) I have traveled to a highly impacted area within the United States in the past 14 days; (d) I believe that I have been exposed to a person with a confirmed or suspected case of COVID-19; and (e) I have been diagnosed with COVID-19 and not yet cleared as noncontagious by my healthcare provider, and/or state or local public health authorities.

To follow APWA, CDC and other recommended guidelines, including but not limited to guidelines from state and local authorities, while engaging in Activities, including, without limitation, requirements set forth on the attached Rules Attachment, e.g., practicing social distancing, trying to maintain separation of six feet from others to the extent possible, wearing a mask, frequent hand washing/sanitizing and otherwise limiting my exposure to the coronavirus and Covid 19.

I further acknowledge that I understand the extremely contagious nature of Covid 19 and voluntarily assume the risk that by my participation I may be exposed to or infected with Covid 19, and that such exposure or infection may involve the risk of serious injury, illness, permanent disability and/or death. I understand that the risk of becoming exposed to the Coronavirus or being infected with Covid-19 may result from the actions, omissions, or negligence of others, including the APWA, and I hereby expressly assume all such risks and dangers whether presently known or unknown.

  1. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless and agree to indemnify and defend the American Public Works Association, its officers, officials, agents, employees, directors, affiliates, partners, successors, predecessors, assigns, and any other person(s) acting on its behalf as well as all other Participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners or lessors of premises used to conduct the Activity, and their officers, officials, agents, employees, directors, affiliates, partners, successors, predecessors, assigns, and any other person acting on their behalf (Releasees), from and in respect of any and all injury, disability, death or loss or damage to personal property caused by participation in the Event, whether arising from the negligence of the releases or otherwise. I acknowledge that this release shall apply to any injury, illness, disability or death resulting from my participation including, without limitation, resulting from exposure to the coronavirus or from becoming infected by COVID-19 during such Participation.

 

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights, including the right to assert a claim of negligence against releases relating to participation in the event, by signing it and sign it freely and voluntarily without any inducement.

Print Name of Participant                            Signature of Participant                                                                                                       Date

 

____________________________         _________________________      _______________

 

 

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