Shrewsbury Township, MT · Monmouth County
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
Download The Agreement
Download the Hold Harmless/Indemnification and Insurance Agreement PDF.
- 2
Complete The Agreement
Fill in the activity and location details, then sign and date the agreement as the vendor.
- 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
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.
