NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
PDF 100 KB Posted
- Solicitation number
- ITB-2604
- Issued by
- Quay 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 protect the department from potential personal injury or property damage during an unspecified activity. The agreement requires the participating entity to defend, protect, and indemnify NMDOT from any damages that may occur during the activity, which will take place at a specified date, location, and route.
The key financial requirement is for the participating entity to obtain liability insurance coverage of $1,000,000 per occurrence, with NMDOT named as an additional insured. The entity must provide a certificate of insurance to NMDOT prior to the event, and failure to do so may result in cancellation of NMDOT's approval for closing a state highway or obtaining a roadway work permit. The document includes spaces for an authorized agent's signature, notarization, and commission expiration, indicating it is a formal legal document meant to mitigate potential risks for the transportation department.
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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 .