Exhibitor Appointed Contractor (EAC)
Contact and Indemnification Form

To be completed by the EAC's Only.
If you are an exhibitor setting up your own booth or using Freeman, you do not have to complete this form.
Questions: Contact Teresa Dallis tdallis@urtec.org 918-606-2441
Please note this form allows upload of liability insurance certificates 
Insurance requirements can be found in the Online Exhibitor Manual under Rules and Regulations.

EAC Information

Exhibitor Information

Please list all exhibitors that your company is building booths for.  Here is a link to the live floor plan to look at booth location and number.
List the authorized contact person(s) who will be on-site during move-in, exhibition hours, and move-out. This person(s) will be responsible and authorized to discuss and resolve any situation that may arise concerning your exhibit. This information is provided to Onsite Management and Security Teams.

Liability Insurance and Indemnification

All EAC's are required to provide proof of Liability Insurance. Specifics on coverage can be found in the Online Exhibitor Manual under the rules and regulations tab. Policy can be uploaded below. 

(“Indemnitor”) will defend, indemnify and hold harmless  The Unconventional Resources Technology Conference as managed by The American Association of Petroleum Geologists, its officers, directors, employees, agents, licensees, and representatives (“Indemnitees”) from and against and all liabilities, claims, judgments, damages, costs and expenses, including reasonable attorneys fees (collectively “Liabilities”), whether for bodily injury, property damage, or otherwise, arising out of, occasioned by, or in any way associated with any act or omission of Indemnitor, regardless of any contributory or concurrent negligence of the Indemnitees or any of them, except for such of the Liabilities as are caused by the sole negligence of The American Association of Petroleum Geologists.

The person signing this Indemnification Agreement on behalf of Indemnitor warrants that he or she is authorized to make the agreements set out above on behalf of Indemnitor, and has the authority to bind Indemnitor to this Indemnification Agreement.

I agree and understand that my typed electronic signature above shall have the same legal effect as my original signature and is being accepted as my signature pursuant to the Oklahoma Uniform Electronic Transactions Act, Oklahoma Statutes, Title 12A, Sec. 15-101 et seq.

Please click the Submit button to send.