Who completes this agreement?

The indemnitor named in a related contract, agreement, license, or permit completes the identifying information and signs the agreement.

Do I need a notary for the Hold Harmless Agreement?

No. This agreement is signed without a notary; it identifies the indemnitor by name and signature, and describes no notarized attachment or sworn step.

Rancho Palos Verdes, CA · Los Angeles County

No notary required

Hold Harmless Agreement

This agreement is for an indemnitor to sign in connection with a city contract, agreement, license, or permit.

What this form is

The Hold Harmless Agreement sets out the indemnitor’s obligations to defend and indemnify the listed indemnitees and waive certain rights of subrogation and contribution. It is used in connection with a contract, agreement, license, or permit identified on the document. It asks for the related contract, agreement, license, or permit number or description, the indemnitor’s name, and signature information.

Who needs it

An indemnitor named in a related city contract, agreement, license, or permit may need to complete and sign this agreement.

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 agreement is signed without a notary; it identifies the indemnitor by name and signature, with no notarized attachment or sworn step described.

How to submit this form

1
Download the Agreement
Download the Hold Harmless Agreement PDF.
2
Complete the Agreement
Enter the related contract, agreement, license, or permit number or description and the indemnitor’s name and signature information.
3
Check Related Requirements
Review the related contract, agreement, license, or permit for any additional requirements.
4
Submit to the City
Submit the agreement to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Hold Harmless Agreement do?: It states the indemnitor’s obligations to defend and indemnify the listed indemnitees and waive certain rights of subrogation and contribution in connection with a related agreement.
Who completes this agreement?: The indemnitor named in a related contract, agreement, license, or permit completes the identifying information and signs the agreement.
Do I need a notary for the Hold Harmless Agreement?: No. This agreement is signed without a notary; it identifies the indemnitor by name and signature, and describes no notarized attachment or sworn step.
How do I submit the Hold Harmless Agreement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Hold Harmless Agreement doesn’t need a notary — but if you have another Rancho Palos Verdes form that does, a commissioned online notary can help.