Ross, CA · Marin County
Encroachment Permit Indemnification
This indemnification document records a permittee’s obligations for an encroachment and is completed by the permittee and other signers.
What this form is
This document sets out the permittee’s obligation to defend and indemnify the Town in connection with an encroachment, subject to the stated exception for claims arising from the Indemnitees’ active negligence or willful misconduct. It identifies the permittee, permit number, and encroachment location, and provides spaces for the date, printed names, signatures, and titles. The text does not state when the city requires it.
Who needs it
A permittee completing indemnification for an encroachment permit, along with the other signers whose names, signatures, and titles appear on the document.
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 indemnification is signed without a notary; the permittee and other signers sign and date it.
How to submit this form
- 1
Download The Document
Download the Encroachment Permit Indemnification PDF.
- 2
Complete The Permit Details
Enter the permittee’s name, permit number, and encroachment location.
- 3
Sign And Date
Provide the date and the printed names, signatures, and titles requested.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Encroachment Permit Indemnification cover?
- It describes the permittee’s obligation to defend and indemnify the Town for claims connected with the encroachment, subject to the exception stated in the document.
- What information and signatures does the document request?
- It has spaces for the permittee’s name, date, permit number, encroachment location, and the printed names, signatures, and titles of signers.
- Do I need a notary for the Encroachment Permit Indemnification?
- No. This document is signed without a notary; the permittee and other signers sign and date it.
- How do I submit the Encroachment Permit Indemnification?
- The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.