South Gate, CA · Los Angeles County
Hold Harmless and Indemnification Agreement
Property owners use this agreement to accept responsibility for certain claims related to permitted work or access to City of South Gate property.
What this form is
This agreement records a property owner’s promise to indemnify, defend, and hold harmless the City of South Gate and related parties from specified claims and expenses. It refers to work or access to City property permitted under a permit number and asks for the permit number, property owner’s name, signature, and date. The owner also acknowledges responsibility for performing the work authorized under the permit.
Who needs it
A property owner associated with a permit for work or access to City of South Gate property uses 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; the property owner just signs and dates it.
How to submit this form
- 1
Download the Agreement
Download the Hold Harmless and Indemnification Agreement for South Gate.
- 2
Complete the Agreement
Enter the permit number and property owner’s name, then sign and date the agreement.
- 3
Submit to the City
Submit the signed 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 and Indemnification Agreement cover?
- It records the property owner’s agreement to indemnify, defend, and hold harmless the City and related parties from specified claims and expenses tied to permitted work or access to City property.
- What information does the agreement ask for?
- The agreement has spaces for a permit number, property owner’s name, signature, and date. It also states that the owner will perform the work authorized under the permit.
- Do I need a notary for the Hold Harmless and Indemnification Agreement?
- No. This agreement is signed without a notary; the property owner just signs and dates it.
- How do I submit the 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 and Indemnification Agreement doesn’t need a notary — but if you have another South Gate form that does, a commissioned online notary can help.