Indemnification_2026_Vendor.doc
DOC document 37 KB Posted
- Attached to
- ANNUAL 69KV CIRCUIT BREAKER MULTI-YEAR AGREEMENT
- Solicitation number
- 2026-ITB-127
- Issued by
- Polk County, Florida
About this file
This is an Indemnification Agreement form for vendors contracting with the City of Lakeland, Florida. The document establishes the hold harmless and indemnification requirements that vendors must accept as a condition of doing business with the city. The vendor agrees to defend, indemnify, and hold harmless the City of Lakeland, its officers, directors, agents, and employees from all liabilities, damages, losses, and costs arising from acts of negligence, recklessness, or intentional wrongful misconduct related to products or services provided. The indemnification obligation applies to claims by vendor employees or any person employed directly or indirectly by the vendor and extends to all damages regardless of limitations imposed by workers' compensation acts, disability benefit acts, or insurance coverage limitations. The agreement specifies that the vendor must select either a timeframe of up to five years for all contracts and purchase orders performed for the city within specified dates, or limit the agreement to specific bid numbers, purchase order/requisition numbers, or contract dates. The related contract opportunity is an Annual 69kV Circuit Breaker Multi-Year Agreement with the City of Lakeland for the purchase of circuit breakers (Part Numbers 1092690 and 1092691), which constitutes a one-year contract with options for four additional one-year renewals, not to exceed five years total.
The indemnification agreement requires vendors to execute a Waiver of Subrogation for each required insurance policy and to notify insurers to endorse policies with a Waiver of Transfer of Rights of Recovery Against Others when permitted. Acceptance of the final payment from the City of Lakeland constitutes a complete release to the city and its officers from all claims and liability related to work performed or furnished. The agreement includes a savings clause providing that if any terms conflict with Florida Statutes Sections 725.06 and 725.08, the terms shall be modified to comply with Florida law to the greatest extent permitted. The form requires notarization with the vendor's signature, printed name, organization name, email address, and phone number, along with a notary public's acknowledgment including the notary seal. No specific pricing terms, set-asides, funding amounts, or other financial details are specified in this indemnification document, as it serves as a standard template for vendor compliance with the City of Lakeland's contracting requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ANNUAL_69KV_CIRCUIT_BREAKER_MULTI-YEAR_AGREEMENT.pdf | ||
| SUB-CB-069-T-1.pdf | ||
| PSM_-_Contractor_Audit_Form.pdf | ||
| Indemnification_2026_Contractor.doc | DOC document | |
| Human_Trafficking_Affidavit.docx | DOCX document | |
| Indemnification_2026_Contractor_-_FDOT.docx | DOCX document | |
| Indemnification_2026_Consultant.doc | DOC document | |
| Indemnification_2026_Consultant_-_FDOT.docx | DOCX document |
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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
Revised: June 3, 2026
File details come from the government source that posted it. Updated .