NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
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- Solicitation number
- ITB-2611
- Issued by
- San Juan County, New Mexico
About this file
This is an Indemnification and Hold Harmless Agreement issued by the New Mexico Department of Transportation (NMDOT) for entities conducting activities on state highways. The agreement requires the sponsoring entity to defend, protect, indemnify, and hold harmless NMDOT from all personal injury, property damage, or third-party claims resulting from specified activities at designated highway locations and milepost sections. The entity must obtain liability insurance with a minimum coverage of one million dollars ($1,000,000.00) per occurrence, naming NMDOT as an additional insured. The sponsoring entity is required to provide NMDOT with a certificate of insurance in a form acceptable to NMDOT prior to the scheduled event date. Failure to provide timely proof of insurance constitutes grounds for NMDOT to cancel approval of any state highway closure related to a roadway work permit.
The agreement requires notarization by an authorized agent of the sponsoring entity and must be executed before the activity commences. No pricing, award dates, term lengths, or renewal options are addressed in this agreement, as it serves solely as a risk mitigation and insurance verification instrument. The document functions as a prerequisite requirement for entities seeking approval to conduct activities or work on New Mexico state highways, ensuring adequate financial protection and liability coverage for NMDOT against potential damages or claims arising from such activities.
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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 .