NMDOT_Indemnification_and_Hold_Harmless_Agreement.pdf
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- Solicitation number
- 2025-RFP-002
- 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), designed to provide legal protection for the agency during an unspecified activity involving a third-party entity. The form requires the participating entity to agree to defend, protect, and indemnify NMDOT from any personal injury or property damage that may occur during an activity at a specific location, involving designated route(s) and milepost(s). The agreement mandates that the sponsoring entity obtain liability insurance coverage of $1,000,000 per occurrence, with NMDOT named as an additional insured, and requires submission of a certificate of insurance prior to the event.
The document is a standard legal form that provides NMDOT with comprehensive liability protection, with specific provisions that allow the department to cancel approval of a state highway closure or roadway work permit if the insurance certificate is not timely provided. The form includes spaces for the entity's name, authorized agent's signature, activity details, route information, and requires notarization, indicating a formal and legally binding process for managing potential risks associated with activities on state transportation infrastructure. While the specific activity is not detailed in this document, the agreement represents a standard risk management protocol for the New Mexico Department of Transportation when third-party entities seek to conduct activities on or near state transportation routes.
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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 .