Cottonwood, AZ · Yavapai County
Insurance Requirements and Indemnity Form
Event sponsors, vendors, or property owners use this form to agree to insurance and indemnification requirements for a City of Cottonwood event permit.
What this form is
This form sets out insurance coverage and indemnification requirements for event sponsors and vendors. As a condition of receiving the permit, the applicant must provide the City with written evidence of required insurance, including endorsements naming the City as an additional insured and waiving subrogation. The form asks the applicant or property owner to agree to the terms and provide an authorized signature and date.
Who needs it
An event sponsor, vendor, or property owner applying for a City of Cottonwood event permit needs to complete this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; it requires written evidence of insurance coverage, but no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Insurance Requirements and Indemnity Form.
- 2
Review The Requirements
Review the insurance coverage and indemnification terms for the event.
- 3
Gather Insurance Evidence
Obtain written evidence of required insurance coverage, including any required endorsements.
- 4
Sign And Date
Have an authorized event sponsor or vendor sign and date the form.
- 5
Submit To The City
Submit the form and written insurance evidence to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Insurance Requirements and Indemnity Form?
- No. The form requires an authorized signature and date, not notarization. You must provide written evidence of required insurance coverage, including specified endorsements.
- Who completes the Insurance Requirements and Indemnity Form?
- An event sponsor, vendor, or property owner applying for a City of Cottonwood event permit completes the form and signs it as an authorized sponsor or vendor.
- What insurance information does the form require?
- The form lists minimum liability coverage and says the City may require additional coverage based on the event. It also requires written evidence of required insurance, including endorsements naming the City as an additional insured and waiving subrogation.
- How do I submit the Insurance Requirements and Indemnity Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Insurance Requirements and Indemnity Form doesn’t need a notary — but if you have another Cottonwood form that does, a commissioned online notary can help.
