NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
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- Solicitation number
- ITB-2617
- Issued by
- Mckinley County, New Mexico
About this file
This is an Indemnification and Hold Harmless Agreement template issued by the New Mexico Department of Transportation (NMDOT) for use in authorizing activities on state highways. The agreement establishes the framework whereby an entity conducting an activity (such as a special event, roadway work, or similar undertaking) assumes liability for all personal injury and property damage claims arising from that activity, and agrees to defend and indemnify NMDOT and its participants. The entity must obtain liability insurance with minimum coverage of one million dollars ($1,000,000.00) per occurrence, naming NMDOT as an additional insured. A certificate of insurance in a form satisfactory to NMDOT must be provided prior to the event; failure to submit timely proof of insurance constitutes grounds for cancellation of NMDOT's approval for closure of a state highway or issuance of a roadway work permit. The agreement requires execution before a notary public.
The template is a standardized legal document designed to protect NMDOT from liability exposure when third parties conduct activities on state highways under NMDOT authorization. It contains blank fields for insertion of the entity name, authorized signatory, activity description, activity date, specific mileposts and routes affected, and notarization details. This agreement is a prerequisite for any activity requiring state highway closure or work authorization and represents a mandatory risk transfer mechanism whereby the conducting entity bears full responsibility for claims and maintains required insurance coverage throughout the activity period.
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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 .