Wesley Hills, NY · Rockland County
Hold Harmless Agreement
Contractors use this agreement to hold the Village of Wesley Hills harmless from certain claims arising from construction activities at a specified premises.
What this form is
This agreement records a contractor’s promise to hold the Village of Wesley Hills harmless from property damage or personal injury claims arising from construction activities at a specified premises, except claims arising from Village negligence. The text says the contractor has received the necessary permit or permission from the Village Building Department. It asks for the signer’s name, organization, premises, contractor name, date, and signatures.
Who needs it
A contractor undertaking construction activities at a Wesley Hills premises after receiving the necessary permit or permission may need to 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 document is signed without a notary; the signer just signs and dates the agreement.
How to submit this form
- 1
Download The Agreement
Download the Hold Harmless Agreement PDF.
- 2
Complete The Agreement
Enter the signer’s name, organization, premises, contractor name, and date, then sign.
- 3
Gather Attachments
The agreement text does not identify any required attachments.
- 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
- What does the Wesley Hills Hold Harmless Agreement cover?
- It covers certain property damage and personal injury claims arising from a contractor’s construction activities at the specified premises, except claims arising from Village negligence.
- Who completes the agreement?
- The agreement identifies a contractor undertaking construction activities at a premises after receiving the necessary permit or permission from the Village Building Department.
- Do I need a notary for the Hold Harmless Agreement?
- No. This document is signed without a notary; the signer just signs and dates the agreement.
- How do I submit the Hold Harmless Agreement?
- The document does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Hold Harmless Agreement doesn’t need a notary — but if you have another Wesley Hills form that does, a commissioned online notary can help.