Valley Stream, NY · Nassau County
Independent Contractor Insurance and Indemnification Requirements
This agreement sets insurance and indemnification requirements for independent contractors and subcontractors providing work, products, or services to the Incorporated Village of Valley Stream.
What this form is
Independent contractors and subcontractors use this document to review insurance coverage requirements and agree to indemnify and hold harmless the Incorporated Village of Valley Stream. It specifies required insurance evidence, coverage limits and endorsements, and includes signature lines for the contractor/vendor and witnesses. The document does not explain when a particular contract requires it or provide a submission location.
Who needs it
Independent contractors and subcontractors providing work, products, goods, or services to the Incorporated Village of Valley Stream should review and sign 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 document is signed without a notary; the contractor/vendor signs and dates the agreement, and witness signature lines are provided.
How to submit this form
- 1
Download The Agreement
Download the contractor insurance and indemnification requirements PDF.
- 2
Review The Requirements
Review the insurance coverage requirements and indemnification language.
- 3
Complete The Signature Lines
The independent contractor/vendor signs and dates the agreement; witness signature lines are provided.
- 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 agreement cover?
- It sets out insurance coverage and evidence requirements for independent contractors and subcontractors, and includes an indemnification and hold harmless agreement for the Village.
- Who should sign this agreement?
- The independent contractor or vendor signs the agreement. Signature lines are also provided for witnesses.
- Do I need a notary for this contractor agreement?
- No. This document is signed without a notary; the contractor/vendor signs and dates the agreement, and witness signature lines are provided.
- How do I submit the signed 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.
Need something notarized?
This Independent Contractor Insurance and Indemnification Requirements doesn’t need a notary — but if you have another Valley Stream form that does, a commissioned online notary can help.