Indemnification_2026_Vendor.doc
DOC document 37 KB Posted
- Attached to
- Congestion Relief Alternative for SR99 State and local contract opportunity
- Solicitation number
- 2026-RFP-009
- Issued by
- Polk County, California
About this file
This is an indemnification agreement form for vendors contracting with the City of Lakeland, Florida. The document establishes the vendor's obligation to defend, indemnify, and hold harmless the City, its officers, directors, agents, and employees from all liabilities, damages, losses, and costs—including direct, indirect, and consequential damages—arising from acts of negligence, recklessness, or intentional wrongful misconduct related to the product or services provided. The indemnification extends to claims by vendor employees or third parties employed by the vendor, and explicitly states that the obligation shall not be limited by workers' compensation, disability benefits, or insurance coverage limitations. The vendor must select either a timeframe (up to five years) during which the agreement applies to all contracts and purchase orders with the City, or limit the agreement to a specific bid, purchase order, or contract number.
The agreement includes a waiver of subrogation provision requiring vendors to request policy endorsements from insurers to waive their right to recover against other parties, provided such endorsements do not void coverage. Upon acceptance of final payment from the City, the vendor releases the City from all claims and liability related to the work performed. A savings clause ensures that if any provision conflicts with Florida Statutes Sections 725.06 and 725.08, the agreement shall be modified to comply with state law and enforceability requirements. The document requires notarization and must be signed by the vendor's owner or officer, with the signature acknowledged before a notary public. The form was revised December 30, 2025, and is applicable to the General Employee Wage Study contract opportunity with the City of Lakeland.
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Text version
Hold Harmless/Indemnification
Vendor To the fullest extent permitted by laws and regulations, and in consideration of the amount stated on any Purchase Order, the Vendor 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, recklessness or intentional wrongful misconduct related to the product by the Vendor or any person or organization directly or indirectly employed by Vendor in furnishing the product 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 Vendor, any person or organization directly or indirectly employed by Vendor in furnishing the product 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 Vendor 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 or the Vendor. 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 Vendor 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 Vendor agrees 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 Vendor to enter into a pre-loss agreement to waive subrogation without an endorsement, then Vendor 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 Vendor enter into such an agreement on a pre-loss basis.
Release of Liability: Acceptance by the Vendor 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.
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 .