NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
PDF 100 KB Posted
- Solicitation number
- 2026-ITB-003
- Issued by
- Quay County, New Mexico
About this file
The document is an Indemnification and Hold Harmless Agreement issued by the New Mexico Department of Transportation (NMDOT), which is a standard legal form designed to protect the state transportation agency during activities that involve using or closing state highways. The form requires an entity conducting an activity on state routes to obtain liability insurance of $1,000,000 per occurrence, name NMDOT as an additional insured, and provide a certificate of insurance prior to the event. The agreement covers potential personal injury or property damage that might occur during the specified activity, with the entity agreeing to defend and hold NMDOT harmless from any claims.
This specific agreement template is flexible, allowing various entities to fill in details such as the specific activity, date, route, and mileposts involved. The key requirement is obtaining comprehensive liability coverage and providing proof of insurance to NMDOT. Failure to timely submit the insurance certificate can result in cancellation of NMDOT's approval for closing a state highway or obtaining a roadway work permit. While the form is standardized, it provides a crucial risk management mechanism for the state transportation department when third parties utilize state transportation infrastructure for events or 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 .