Hammond, NY · St. Lawrence County
Contractor Hold Harmless Agreement
Contractors providing services to the Town of Hammond use this agreement to document insurance, indemnification, and safety obligations before work begins.
What this form is
The agreement records the services a contractor will provide and sets out insurance coverage, indemnification, and workplace safety responsibilities. Contractors must provide a certificate of insurance before work commences, and the indemnification and safety agreement must also be signed and returned before work starts. It includes signature and date lines for an authorized Town representative and the contractor.
Who needs it
Contractors providing services to the Town of Hammond need this agreement and must provide the required insurance certificate before starting work.
How to submit it
The form lists the Town of Hammond at PO Box 219, Hammond, NY 13646, and provides fax number 315/324.5302. It says the signed indemnification and safety agreement must be returned before work commences.
About notarization
This agreement is signed and dated without a notary; the required certificate of insurance is an attachment, and the document does not say it must be notarized.
How to submit this form
- 1
Download The Agreement
Download the Contractor Hold Harmless Agreement PDF.
- 2
Complete The Agreement
Describe the services, then have the contractor and an authorized Town representative sign and date the agreement.
- 3
Gather The Insurance Certificate
Provide a certificate of insurance showing the coverages and limits listed in the agreement.
- 4
Return The Signed Agreement
Return the signed indemnification and safety agreement before work commences; the form lists the Town's mailing address and fax number.
Frequently asked questions
- Do I need a notary for the Contractor Hold Harmless Agreement?
- No. The agreement has signature and date lines but no notary requirement. It requires a certificate of insurance before work begins.
- How do I submit the Contractor Hold Harmless Agreement?
- The form lists PO Box 219, Hammond, NY 13646, and fax 315/324.5302. It says the signed indemnification and safety agreement must be returned before work commences.
- What insurance does the agreement require?
- It lists commercial general liability, business automobile liability, workers' compensation, employers' liability, and New York State disability insurance coverage.
- When must the insurance certificate be provided?
- The agreement says a certificate of insurance evidencing the required coverages and limits must be provided before work commences.