NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
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- Solicitation number
- ITB-2612
- 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) that establishes liability and insurance requirements for entities conducting activities on state highways. The agreement requires the sponsoring entity to defend and indemnify NMDOT from all personal injury, property damage, and third-party claims arising from specified activities conducted on designated state highway segments. The agreement applies to activities at identified mileposts along specified routes on a designated date. Entities must obtain and maintain comprehensive liability insurance with minimum coverage of one million dollars ($1,000,000.00) per occurrence, naming NMDOT as an additional insured. Sponsors must provide NMDOT with a certificate of insurance in a form acceptable to NMDOT prior to the event, with failure to timely submit the certificate serving as grounds for cancellation of highway closure approval.
The agreement is a standard form document requiring notarization and execution by an authorized representative of the sponsoring entity. The indemnification obligation is comprehensive and extends to NMDOT, its members and participants, and any third parties who may suffer harm as a result of the activities. The insurance requirement of $1,000,000.00 per occurrence must be evidenced by a certificate of insurance provided in advance of the activity, establishing compliance as a prerequisite condition to NMDOT's approval of any state highway closures associated with the roadway work permit.
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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 .