NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
PDF 100 KB Posted
- Attached to
- New Sunshine Substation Construction
- Solicitation number
- 2025/2026/02
- 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) for an unspecified entity planning to conduct an activity on a state highway. The agreement requires the entity to defend, protect, and hold NMDOT harmless from any personal injury or property damage resulting from their activity, which will take place at a specific milepost and route to be determined.
The entity must obtain liability insurance coverage of $1,000,000 per occurrence, with NMDOT named as an additional insured. They are required to provide NMDOT with a satisfactory certificate of insurance prior to the event. Failure to timely submit the insurance certificate may result in cancellation of NMDOT's approval for closing a state highway for the roadway work permit. The document includes spaces for an authorized agent's signature, notarization, and commission expiration details.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .