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
This document is an Indemnification and Hold Harmless Agreement from the New Mexico Department of Transportation (NMDOT), which requires an entity to obtain a roadway work permit for an unspecified activity. The agreement mandates that the entity defending the permit must protect and indemnify NMDOT from any personal injury or property damage that may occur during the specified activity, which will take place at a designated date and location involving specific mileposts and route(s).
The key financial and insurance requirements include obtaining liability insurance coverage of one million dollars ($1,000,000.00) per occurrence, with NMDOT named as an additional insured. The entity must provide NMDOT with a satisfactory insurance certificate prior to the event, and failure to timely submit this documentation will result in cancellation of NMDOT's approval for closing a state highway for the roadway work permit. The document is designed to be completed and signed by an authorized agent, then notarized 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 .