Site_Inspection_Indemnification_Form.pdf
PDF 909 KB Posted
- Solicitation number
- REQ-202627
- Issued by
- Miami-Dade County, Florida
About this file
This is a Site Visit and Inspection Indemnification Agreement issued by the City of Homestead, Florida, in connection with Invitation to Quote (ITQ) #166813JB for the JD Redd Park Community Room Remodel project. The agreement requires all individuals conducting site visits, walk-through inspections, or related activities at the property within Homestead city limits to sign and have the document notarized before requesting site access. Signatories must covenant to defend, indemnify, and hold harmless the City of Homestead, its agents, servants, and employees from any liability, claims, damages, or losses arising from their own acts or omissions during property visits or inspections. Visitors must assume all risk of personal injury or property damage while on site and agree to conduct inspections in a manner that minimizes disruption to the property and any operations conducted thereon, with responsibility for repairing any damage caused during their visit.
The agreement must be executed, notarized, and emailed to jbaker@homesteadfl.gov prior to scheduling a site visit. The notarization section allows for either physical presence or online notarization and requires identification verification. The related ITQ seeks a qualified, experienced, and licensed Florida contractor to perform interior remodeling work at the community room facility. The project is federally assisted through the Department of Housing and Urban Development (HUD) via Community Development Block Grant (CDBG) funds, requiring contractor compliance with Presidential Executive Order 11246, Title VII of the Civil Rights Act of 1964, the Davis-Bacon Act, the Copeland Anti-Kickback Act, and applicable federal, state, and local ordinances. The contractor must pay workers the minimum wages specified in the attached Wage Determination Decision and ensure non-discrimination in employment. The City encourages participation from minority business enterprises (MBE), women-owned business enterprises (WBE), and disadvantaged business enterprises (DBE), and award may not be based solely on price.
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Text version
P a g e 1 | 1
CITY OF HOMESTEAD
SITE VISIT AND INSPECTION INDEMNIFICATION AGREEMENT
I, ________________________, during the course of my visit(s) to the work site location(s), located within the City of Homestead city limits (the “Property”), for Property site visit(s) or walk through inspection(s) or any related activity, in connection with this Invitation To Quote for ITQ# 166813JB JD Redd Park Community Room Remodel issued by the City of Homestead, hereby covenant and agree to defend, indemnify and hold harmless the City of Homestead and its agents, servants and employees, to the fullest extent allowed by law, from any and all liability, claims, demands or losses of any kind whatsoever asserted against the City of Homestead by any person or entity for any damages or injury, wherein said damages or injury in any way arise out of or are related to the City of Homestead’s acts, omissions or negligence or my acts or omissions during my visit(s) or inspection(s) of the Property. I hereby assume any and all risk of injury to myself or my property while on the Property. I further agree to conduct my visit(s) or inspection(s) of the Property in such a manner so as to minimize disruption of the Property and all operations or business conducted thereon, and agree to repair any damage to the Property caused by reason of my visit(s) or inspection(s) of the Property.
Executed this _______ day of ______________________, 2026.
Signature Print Name: _______________________
STATE OF FLORIDA )
COUNTY OF MIAMI-DADE )
The foregoing instrument was acknowledged before me by means of ____ physical presence or ____ online notarization, this _____ day of ______________________, 20___, by ________________________________________ as ________________________________________
(Name of person acknowledging) (Title) for _______________________________________.
(Company name)
Personally known to me _____ or has produced Identification _____, type of identification produced________________________________________.
(NOTARY SEAL HERE) SIGNATURE OF NOTARY PUBLIC
PRINT, TYPE/STAMP NAME OF NOTARY
Please email signed form to jbaker@homesteadfl.gov prior to requesting a site visit.
mailto:Bids@cityofhomestead.com
File details come from the government source that posted it. Updated .