South Gate, CA · Los Angeles County
Hold Harmless and Indemnification
This agreement is for permittees to submit to the City of South Gate, accepting specified indemnification responsibilities and providing required insurance information.
What this form is
The agreement requires a permittee to indemnify, defend, and hold harmless the City and/or another City agency for certain claims arising from negligent performance. It also lists insurance coverage and documentation requirements, including presenting an insurance certificate before contract award and work begins. The city will not issue permits until completed paperwork is received and approved.
Who needs it
A permittee handling work under an agreement with the City of South Gate needs to complete and submit this document and the required insurance paperwork.
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 document is signed without a notary; it lists no sworn or notarized attachment, so the signer signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the Hold Harmless and Indemnification PDF.
- 2
Complete The Agreement
Fill in the requested permittee, company, contact, signature, and date information.
- 3
Gather Insurance Paperwork
Prepare the insurance certificate and other insurance documentation described in the agreement.
- 4
Submit To The City
Submit the completed paperwork 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 require?
- It describes the permittee’s indemnification responsibilities and lists insurance coverage and documentation requirements for work under the agreement.
- Who completes this agreement?
- The permittee provides identifying and contact information, then signs and dates the agreement for submission to the City.
- Do I need a notary for the Hold Harmless and Indemnification agreement?
- No. This document is signed without a notary and lists no sworn or notarized attachment; the signer 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. The document says completed paperwork must be received and approved before permits are issued.
Need something notarized?
This Hold Harmless and Indemnification doesn’t need a notary — but if you have another South Gate form that does, a commissioned online notary can help.