Transportation & Accompaniment Acknowledgment, Assumption of Risk, and Liability Waiver
1. Parties
This Agreement is entered into by and between:
Sinecera Care, LLC (“Sinecera Care”)
The undersigned Client (Senior) and/or Authorized Advocate (“Client”)
2. Nature of Services
Client acknowledges that Sinecera Care provides:
Non-medical, non-emergency transportation
Companionship and accompaniment services
Assistance with errands, appointments, and social activities
Services are provided by independent contractors (“Neighbors”) using their personal vehicles.
Sinecera Care does not provide:
Medical care or medical transportation
Emergency services
Specialized mobility transport (e.g., wheelchair lift, stretcher transport)
Heavy lifting or physical transfer assistance
3. Independent Contractor Acknowledgment
Client understands and agrees:
Neighbors are independent contractors, not employees of Sinecera Care
Neighbors use their own vehicles and personal auto insurance
Sinecera Care does not own, maintain, or control these vehicles
4. Assumption of Risk
Client understands that participation in transportation services involves inherent risks, including but not limited to:
Motor vehicle accidents
Injury during entering or exiting a vehicle
Slips, trips, or falls during accompaniment
Delays due to traffic, weather, or other conditions
Client voluntarily assumes all such risks, whether known or unknown.
5. Limitation of Services
Client agrees:
Services are non-medical in nature
Neighbors are not trained healthcare providers
Physical assistance is limited to light support only
Client agrees to disclose any conditions that may affect safety, including:
Mobility limitations
Fall risk
Cognitive impairment
6. Release of Liability
To the fullest extent permitted by law, Client releases and holds harmless:
Sinecera Care, LLC
Its owners, officers, and representatives
from any and all claims, demands, damages, or causes of action arising out of or related to:
Transportation services
Actions or omissions of Neighbors
Use of personal vehicles
except in cases of gross negligence or willful misconduct.
7. Insurance Acknowledgment
Client understands:
The Neighbor’s personal auto insurance is the primary coverage in the event of an accident
Sinecera Care may carry additional insurance, but such coverage is secondary and limited
7B. Driver Qualification & Insurance Conditions
Client acknowledges that Sinecera Care maintains specific insurance-related requirements for all drivers, including:
Drivers are required to maintain clean motor vehicle records, which are reviewed initially and on an annual basis
Drivers use their personal vehicles for Sinecera Care services on an occasional basis only, not exceeding a limited portion of their total driving activity
Drivers do not operate as commercial transportation providers and do not regularly transport passengers or goods for hire
Client understands that:
Transportation services are provided on a limited, non-commercial basis
Drivers are not professional transportation carriers (such as taxi or rideshare operators)
Services are designed to support companionship and independence, not function as a primary transportation service
8. No Guarantee of Safety or Outcomes
Client acknowledges that:
Sinecera Care does not guarantee uninterrupted, error-free, or risk-free services
Conditions such as weather, traffic, or unforeseen circumstances may impact service delivery
9. Emergency Situations
Client understands:
Neighbors are not emergency responders
In an emergency, Neighbors may contact 911 or appropriate services
Client agrees that Sinecera Care is not liable for outcomes related to emergency situations.
10. Indemnification
Client agrees to indemnify and hold harmless Sinecera Care from any claims arising from:
Client’s failure to disclose relevant medical or mobility conditions
Unsafe conditions at pickup/drop-off locations
11. Authorization for Advocate
If signed by an Advocate, the Advocate represents that they have legal authority to act on behalf of the Client.
12. Acknowledgment and Agreement
By signing below, Client acknowledges that they have:
Read and understood this Agreement
Had the opportunity to ask questions
Voluntarily agreed to its terms
Client Information
Name: ____________________________
Signature: _________________________
Date: _____________________________
Advocate (if applicable)
Name: ____________________________
Relationship: ______________________
Signature: _________________________
Date: _____________________________