Island Park, NY · Nassau County
Indemnification Hold Harmless Agreement
This agreement sets out a vendor or contractor’s promise to indemnify and hold harmless the Village of Island Park, and is signed by the vendor or contractor before a notary.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The agreement states that a vendor or contractor will indemnify and hold harmless the Incorporated Village of Island Park and its officers, employees, and agents for specified claims connected with the vendor’s or contractor’s work, goods, or services. The form includes spaces for the firm, address, contractor’s signature, printed name and title, and a notarial jurat. The form text does not state when the Village requires submission, so check with the Village if you are unsure.
Who needs it
A vendor or contractor completing an undertaking, supplying goods or services, or performing work for the Incorporated Village of Island Park may need to sign this agreement.
Why it needs a notary
The form carries a “Sworn to before me” jurat, so the contractor whose signature appears on the agreement signs or swears to it before the notary.
How to get this notarized
- 1
Download The Agreement
Get the Indemnification Hold Harmless Agreement from the Village of Island Park.
- 2
Complete The Form
Enter the firm and address, and provide the contractor’s signature, printed name, and title as requested.
- 3
Book An Online Notary
Schedule a remote signing session with a commissioned online notary.
- 4
Sign On Video
Appear for the video session and sign or swear to the agreement before the notary.
- 5
Submit To The Village
Send the completed notarized agreement to the Village as instructed.
Preview the form
The blank PDF straight from Island Park. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the hold harmless agreement notarized?
- Complete the agreement, then book an online session with a commissioned online notary. Sign or swear to the document during the video session and submit it as directed by the Village.
- Do I need to sign this agreement in front of a notary?
- The form includes a “Sworn to before me” jurat and a Notary Public space. The contractor signing the agreement must appear before a notary to complete that section.
- Can I use an online notary for this form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, in effect since 2023. Confirm with the city, town or village if unsure whether it will accept a remotely notarized form.
- Who signs the hold harmless agreement?
- The form provides for a contractor’s signature and printed name and title, along with the firm and address. The contractor signer completes the jurat before the notary.
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