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Hold Harmless Agreement Sample 1
Hold Harmless Agreement Sample
This is a
S A M P L E
only. You should consult your attorney for specific
language to meet your specific needs. Additionally, you should refer to your general
liability policy for any specific requirements
.
.
.
Insured’s Name and Address
INDEMINIFICATION
, HOLD HARMLESS AND INSURANCE AGREEMENT
A.
INDEMNIFICATION AND HOLD HARMLESS
To the extent permitted by law,
________________________________________________________________(“Subcontractor”)
agrees to defend, indemnify and hold harmless __________________
____ (“General Contractor”)
and______________________________________________________(“Owner”), (if any)
its/their officers, directors, agents and employees from and against any and all claims, suits, liens,
judgments, damages, losses and expenses includ
ing reasonable legal fees and costs arising in
whole or in part and in any manner from acts, omissions, breach or default of Subcontractor, in
connection with performance of any work by Subcontractor, its officers, directors, agents,
employees and subcontr
actors.
B.
INSURANCE
•
Subcontractor hereby agrees that it will obtain and keep in force an insurance
policy/policies to cover its liability hereunder in the minimum amounts of $1,000,000 per
occurrence (or another appropriate agreed upon amount) and will def
end and hold
harmless _______________________ (General Contractor) and owner for personal
injury, bodily injury and property damage.
•
Said liability policies shall name _________________ (General Contractor) and owner
as additional insured’s and shall be primary to any other insurance policies.
•
Subcontractor will obtain and keep in force Workers Compensation insurance including
Employees Liability to the full statutory limits.
•
Subcontractor shall furnish to ____________________(General Contractor) Certif
icates
of Insurance evidencing that the aforesaid insurance coverage is in full force.
Subcontractor:________________________________________________________________________
Signature:_________________________________________________________
Date:____________
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Download
Hold Harmless Agreement Sample
PDF | 14 KB | 1 Pages
Related Templates
Hold Harmless Agreement Sample 2
PDF | 19 KB | 1 Page
Hold Harmless Agreement Sample 3
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