Riverbank, CA · Stanislaus County
Hold Harmless Agreement for Contractors
Utility companies and contractors sign this agreement to accept specified responsibilities for claims related to a City of Riverbank encroachment permit.
What this form is
This agreement records a utility company’s or contractor’s commitment to defend, indemnify, and hold the City of Riverbank and its officials, employees, and agents harmless for specified claims related to an encroachment permit. The document identifies responsibilities for permit-related claims and litigation expenses, and requires the signer to acknowledge and agree to its provisions. It asks for the signer’s name, company, signature, and date.
Who needs it
A utility company or contractor seeking an encroachment permit and agreeing to the provisions stated in the document should sign it.
How to submit it
The document names the Development Services Department at 6707 Third Street, Riverbank, CA 95367. It does not specify a submission method.
About notarization
This document is signed without a notary; it asks the utility company or contractor to acknowledge the provisions and sign and date the agreement.
How to submit this form
- 1
Download The Agreement
Download the Hold Harmless Agreement for contractors.
- 2
Complete The Agreement
Enter the signer’s name and utility company or contractor, then acknowledge the provisions.
- 3
Sign And Date
Sign and date the agreement.
- 4
Submit To The City
The document lists the Development Services Department at 6707 Third Street, Riverbank, CA 95367.
Frequently asked questions
- Do I need a notary for the Hold Harmless Agreement?
- No. The document asks the utility company or contractor to acknowledge its provisions, sign, and date it; it does not require a notary.
- Who signs this agreement?
- The utility company and/or contractor signs the agreement and provides the signer’s name, company, signature, and date.
- How do I submit the Hold Harmless Agreement?
- The document lists the Development Services Department at 6707 Third Street, Riverbank, CA 95367, but does not state a submission method.