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201904040 <br />my cn-aLt',rneys in L fact under ihis document shall incur any <br />' <br />liability Lo me, my eaLaie, my heirs, successors o/ assigns. In <br />addition, no person who /c]ies in good faith upon any oral or <br />that co -attorneys in fact may make as <br />written representation my � - , <br />to (]) the laci LhuL this document and my attorney in fact's , <br />power are Lhcn in e[[ocL; (2) the scope of my attorney in fact's <br />authority grant ---d undc !his document; (3) my competency at the <br />Lime this document is executed; (4) the Lacc that this documeni <br />has not begn revoked; ot (')) the fact that | am alive and that my <br />attorney in fact continues |o serve as my attorney in fact shall <br />incur any liability |o me, my estate, my successors or <br />assigns for permitting my attorney in faci Lo exercise any such <br />authority. <br />2. If this document is revoked or amended for any reason, <br />I, my estate, my heirs, successors and assigns will hold any <br />person harmless from any loss suffered Or liability incurred as a <br />result of such person acting in good faith upon the instructions <br />of my co -attorneys in fact prior to the zeceipt of such person or <br />actual notice of such revocation or amendment. <br />3. The powers conferred no my co -attorneys in fact by this <br />document may be exercised by my co -attorneys in fact alone and my <br />co -attorney in fact's signature or act under the authority <br />granted in this document may be accepted by persons as fully <br />authorized by mu and with the same force and effect as it I were <br />personally present, competent, and acting on my own behalf and <br />shall inure Lo the benefit of and bind me, my estate, my heirs, <br />successors, assigns and personal representatives. <br />e. 1 anthorize all physicians who have treated me, and all <br />other providers of health care, including hospitals, to release <br />to my co -attorneys in fact or either of them all information or <br />photocopies of any records which my co -attorneys in fact may <br />request. It I am incompetent at the time my co -attorneys in fact <br />shall request such information, all persons are authorized to <br />treat such request tor information by my co -attorneys in fact as <br />the request of my Legal representative and to honor such requests <br />on LhaL basis. I hereby waive all privileges which may be <br />applicable to such information and records and to any <br />communication pertaining to me and made in the course of any <br />confidential relationship recognized by law. My co -attorneys in <br />fact may also disclose such information Co such persons as my co - <br />attorneys in fact shall deem appropriate. <br />f. Neither of my co -attorneys in fact h�ceundec shall <br />incur any liability to me, my estate, my heirs, successors, or <br />assigns for acting or refraining from acting hereunder except for <br />willful misconduct or gross negligence. <br />