Indemnification_2026_Contractor.doc
DOC document 38 KB Posted
- Solicitation number
- 2026-RFP-049
- Issued by
- Polk County, Florida
About this file
This is an indemnification agreement form for contractors performing work for the City of Lakeland, Florida. The document establishes the contractor's obligation to defend, indemnify, and hold harmless the City, its officers, directors, agents, and employees from all liabilities, damages, losses, and costs arising from acts of negligence, gross negligence, or intentional wrongful misconduct during performance of the work. The indemnification applies to the contractor, any subcontractors, and persons or organizations employed by them. The agreement applies either to a specified timeframe (up to five years) for all contracts and purchase orders performed for the City during that period, or to specific projects identified by bid number, purchase order/requisition number, or contract date. The contractor must select one applicability option and complete the corresponding dates or project identifiers on the form.
The agreement includes a waiver of subrogation requirement, whereby the contractor and subcontractors agree to waive rights of recovery against others and must request policy endorsements from insurers when necessary to permit such waiver. Acceptance of the final payment by the contractor constitutes a release of all claims and liability to the City. The document contains a savings clause stating that if any terms conflict with Florida Statutes Sections 725.06 and 725.08, the agreement shall be modified to comply with Florida law to the greatest extent permitted. The form requires acknowledgment before a notary public and signature by an authorized representative of the contracting organization. The form was revised December 30, 2025, and is executed by Joyce Dias, Risk & Purchasing Director for the City of Lakeland.
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Text version
Hold Harmless/Indemnification
Contractor To the fullest extent permitted by laws and regulations, and in consideration of the amount stated on any Purchase Order, the Contractor shall defend, indemnify, and hold harmless the City, its officers, directors, agents, guests, invitees, and employees from and against all liabilities, damages, losses, and costs, direct, indirect, or consequential (including but not limited to reasonable fees and charges of engineers, architects, attorneys, and other professionals and court and arbitration costs) arising out of or resulting from any acts of negligence, gross negligence or intentional wrongful misconduct in the performance of the work by the Contractor, any Subcontractor, or any person or organization directly or indirectly employed by any of them to perform or furnish any of the work or anyone for whose acts any of them may be liable.
In any and all claims against the City, or any of its officers, directors, agents, or employees by any employee of the Contractor, any Subcontractor, any person or organization directly or indirectly employed by any of them to perform or furnish any of the work or anyone for whose acts any of them may be liable, this indemnification obligation shall not be limited in any way by any limitation on the amount or type of damages, compensation, or benefits payable by or for the Contractor or any such Subcontractor or other person or organization under workers’ or workmen’s compensation acts, disability benefit acts, or other employee benefit acts, nor shall this indemnification obligation be limited in any way by any limitation on the amount or type of insurance coverage provided by the City, the Contractor, or any of his Subcontractors. To the extent this Indemnification conflicts with any provision of Florida Law or Statute, this indemnification shall be deemed to be amended in such a manner as to be consistent with such Law or Statute.
Check One and Complete: It is the express intent of the Contractor that this agreement shall apply for the timeframe or project(s) indicated below.
Timeframe: You may select up to five (5) years. This agreement is applicable to all contracts, purchase orders, and other work performed for the City of Lakeland within the dates specified.
_______________________________ to _______________________________.
(Date) (Date)
(OR)
Project(s): Agreement is limited to Bid # _______________, PO/REQ # ______________, or Contract dated ______________________.
Subrogation: The Contractor and his Subcontractors agree by entering into this contract to a Waiver of Subrogation for each required policy herein. When required by the insurer, or should a policy condition not permit Contractor or Subcontractor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Contractor or Subcontractor agrees to notify the insurer and request the policy be endorsed with a Waiver of Transfer of Rights of Recovery Against Others, or its equivalent. This Waiver of Subrogation requirement shall not apply to any policy, which includes a condition specifically prohibiting such an endorsement, or voids coverage should Contractor or Subcontractor enter into such an agreement on a pre-loss basis.
Release of Liability: Acceptance by the Contractor of the last payment shall be a release to the City and every officer and agent thereof, from all claims and liability hereunder for anything done or furnished for, or relating to the work, or for any act or neglect of the City or of any person relating to or affecting the work of which Contractor has knowledge at the time.
Savings Clause:
The parties agree that to the extent the written terms of this Indemnification conflict with any provisions of Florida laws or statutes, in particular Sections 725.06 and 725.08 of the Florida Statutes, the written terms of this indemnification shall be deemed by any court of competent jurisdiction to be modified in such a manner as to be in full and complete compliance with all such laws or statutes and to contain such limiting conditions, or limitations of liability, or to not contain any unenforceable, or prohibited term or terms, such that this Indemnification shall be enforceable in accordance with and to the greatest extent permitted by Florida Law.
Name of Organization
BY:
Signature of Owner or Officer
E-mail Address
STATE OF : ________________________
Organization Phone Number
COUNTY OF: ________________________
The foregoing instrument was acknowledged before me, by means of physical presence, this _____ day of _____________, 2026.
by ______________________________, of _____________________________________.
Printed Name of Owner / Officer
Corporate or Company Name
If Applicable - DBA’s or Subsidiaries.
He/She is personally known to me or has produced ________________________________ as
State Drivers License Number identification, and did _______ / did not ______ take an oath.
Signature of Person Taking Acknowledgment
Printed Name of Person Taking Acknowledgment
Notary Seal
CITY OF LAKELAND
BY:_______________________________________
DATE:
Joyce Dias, Risk & Purchasing Director Revised: December 30, 2025
File details come from the government source that posted it. Updated .