NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
PDF 100 KB Posted
- Solicitation number
- 2026-ITB-006
- Issued by
- Mckinley County, New Mexico
About this file
The document is an Indemnification and Hold Harmless Agreement from the New Mexico Department of Transportation (NMDOT), designed to provide legal protection for the agency during activities that involve closing or using state highways. The form requires an entity conducting an activity on a state highway to defend, protect, and indemnify NMDOT from any personal injury or property damage that might occur during the specified activity. The agreement mandates that the sponsoring entity obtain liability insurance of $1,000,000 per occurrence, with NMDOT named as an additional insured, and must provide a satisfactory certificate of insurance prior to the event.
The agreement serves as a risk mitigation tool for NMDOT, ensuring that any third-party activities on state highways are adequately covered financially and legally. Failure to provide the required insurance certificate can result in cancellation of NMDOT's approval for closing a state highway or obtaining a roadway work permit. The form includes spaces for the entity's details, the specific activity, date, route, and mileposts, as well as signature lines for an authorized agent and a notary public to formalize the agreement.
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Text version
NEW MEXICO DEPARTMENT OF TRANSPORTATION (NMDOT)
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
_____________________________________________________acting through its authorized agent, (entity) _____________________________________________________agrees to defend, protect, indemnify (person authorized to sign on behalf of entity) and hold harmless the New Mexico Department of Transportation (NMDOT) from all personal injury or property damage suffered by the _____________________________________, its members and (entity) participants, the NMDOT, or by third parties resulting from the________________________________ (activity) to be held on ______________________________ at or from milepost(s) _________________________ (date of activity) (mileposts) following route(s) ___________________________. Additionally the above agrees to obtain liability (route) insurance covering the event in the policy amount of one million dollars ($1,000,000.00) per occurrence, which names the NMDOT as an additional insured. Sponsor shall provide NMDOT with a certificate of insurance in a form satisfactory to NMDOT as evidence of the insurance coverage prior to the event.
Failure to timely provide a certificate of insurance shall be grounds for cancellation of NMDOT’s approval of the closing of a state highway for the roadway work permit.
Authorized Agent Signature__________________________________
SUBSCRIBED AND SWORN to before me this______________ day of ______________, 20___________
Notary Public Signature_______________________________________
My Commission Expires_______________________________________
File details come from the government source that posted it. Updated .