Minerva, NY · Essex County
Indemnification and Contribution Agreement
This agreement sets out indemnification and safety obligations for people or organizations using Town of Minerva facilities.
What this form is
The agreement requires the facility user to indemnify, hold harmless, and defend the Town of Minerva against specified claims, losses, damages, and expenses arising from the user's activities. It also says the user must follow safety laws and regulations and pay for additional safety measures if required. The document has space for the user's name, signature, and date.
Who needs it
People or organizations using Town Hall, the pavilion, senior meal site, community center, or other Town of Minerva facilities should complete this agreement.
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 without a notary; it provides signature and date lines and identifies no sworn or notarized attachment.
How to submit this form
- 1
Download The Agreement
Download the Indemnification and Contribution Agreement for Town of Minerva facility use.
- 2
Complete The User Information
Enter the facility user's name in the space provided.
- 3
Sign And Date
The user signs and dates the agreement.
- 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
- Do I need a notary for the Indemnification and Contribution Agreement?
- No. This agreement has signature and date lines but no notary block, and it identifies no sworn or notarized attachment.
- Who should complete this agreement?
- The agreement is for users of Town Hall, the pavilion, the senior meal site, the community center, or other Town of Minerva facilities.
- What responsibilities does the agreement describe?
- It describes the user's indemnification obligations, requires compliance with safety laws and regulations, and assigns the cost of additional required safety measures to the user.
- How do I submit the agreement?
- The document does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Indemnification and Contribution Agreement doesn’t need a notary — but if you have another Minerva form that does, a commissioned online notary can help.