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 document issued by the New Mexico Department of Transportation (NMDOT) that applies to activities conducted on state highways within New Mexico. The agreement requires an entity conducting an activity on NMDOT roadways to defend, protect, indemnify, and hold harmless NMDOT from all personal injury, property damage, or third-party claims resulting from the specified activity. The entity must obtain liability insurance in the amount of one million dollars ($1,000,000.00) per occurrence, naming NMDOT as an additional insured. The sponsor must provide NMDOT with a certificate of insurance in a form acceptable to NMDOT prior to the event. Failure to timely provide the certificate of insurance constitutes grounds for cancellation of NMDOT's approval for any state highway closures related to roadway work permits.
The agreement is executed by an authorized agent of the entity conducting the activity and must be notarized. The document requires completion of specific fields identifying the entity, authorized signatory, the nature of activity, date of activity, location (route and mileposts), and the notarizing official's information. This indemnification requirement is a standard protective measure for NMDOT to mitigate liability exposure related to third-party activities on state transportation infrastructure.
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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 .