Shrewsbury Township, MT · Monmouth County

No notary required

Hold Harmless/Indemnification and Insurance Agreement

Vendors use this agreement to accept responsibility for claims connected with participating in a Shrewsbury Township activity and provide proof of required insurance.

What this form is

This agreement documents a vendor’s responsibility for claims and costs connected with participation in a Shrewsbury Township activity. Vendors must provide a Certificate of Liability Insurance showing the listed coverage limits and naming the Township of Shrewsbury as an additional insured; the certificate is due when the agreement is executed.

Who needs it

Vendors participating in a Shrewsbury Township activity need to sign this agreement and provide the required Certificate of Liability Insurance.

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 and dated without a notary; the vendor must provide a Certificate of Liability Insurance when executing the agreement.

How to submit this form

  1. 1

    Download The Agreement

    Download the Hold Harmless/Indemnification and Insurance Agreement PDF.

  2. 2

    Complete The Agreement

    Fill in the activity and location details, then sign and date the agreement as the vendor.

  3. 3

    Gather Insurance Proof

    Get a Certificate of Liability Insurance with the listed coverage limits, naming the Township of Shrewsbury as an additional insured.

  4. 4

    Submit To The Township

    Submit the agreement and certificate to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Hold Harmless Agreement?
No. The agreement provides spaces for signatures and dates but no notary block. The vendor must provide a Certificate of Liability Insurance when executing it.
How do I submit the Hold Harmless Agreement?
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.
What insurance proof must the vendor provide?
The vendor must provide a Certificate of Liability Insurance showing at least $1,000,000 in workers’ compensation/employer’s liability, general liability, and umbrella liability coverage.
Who must be named as an additional insured?
The Certificate of Liability Insurance must indicate that the Township of Shrewsbury is named as an additional insured on all liability policies.

Need something notarized?

This Hold Harmless/Indemnification and Insurance Agreement doesn’t need a notary — but if you have another Shrewsbury Township form that does, a commissioned online notary can help.