Valley Stream, NY · Nassau County
Independent Contractor Insurance and Indemnification Agreement
Independent contractors and vendors use this agreement to document insurance requirements and indemnify the Incorporated Village of Valley Stream.
What this form is
This document sets out insurance coverage and indemnification requirements for independent contractors, vendors, and their subcontractors working for the Incorporated Village of Valley Stream. It specifies required insurance evidence, coverage provisions, and the contractor’s agreement to indemnify and hold the Village harmless. The contractor or vendor signs and dates the agreement; the document does not state when the city requires it.
Who needs it
Independent contractors, vendors, and subcontractors working for the Incorporated Village of Valley Stream need to review these requirements and complete the 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 and dated without a notary; the document does not identify any attachment or related step requiring notarization or an oath.
How to submit this form
- 1
Download The Agreement
Download the contractor insurance and indemnification agreement PDF.
- 2
Review The Requirements
Review the insurance coverage, evidence, and indemnification requirements in the document.
- 3
Complete And Sign
The independent contractor or vendor signs and dates the agreement and provides the requested printed name and address.
- 4
Submit To The Village
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the contractor insurance and indemnification agreement cover?
- It lists insurance requirements for independent contractors, vendors, and subcontractors, and includes an agreement to indemnify and hold the Incorporated Village of Valley Stream harmless.
- Who uses this agreement?
- Independent contractors and vendors working for the Incorporated Village of Valley Stream, as well as their subcontractors, are covered by the document's requirements.
- Do I need a notary for the contractor insurance and indemnification agreement?
- No. The document includes signature and date lines but no notary block; it does not identify any attachment or related step requiring notarization or an oath.
- How do I submit the agreement?
- The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Independent Contractor Insurance and Indemnification Agreement doesn’t need a notary — but if you have another Valley Stream form that does, a commissioned online notary can help.