Clarks Summit, PA · Lackawanna County
Hold Harmless Agreement
This agreement lets a person or organization request permission from Clarks Summit Borough to place a banner above State Street.
What this form is
Use this agreement when requesting Borough permission to place a banner above State Street. It identifies the applicant, banner purpose, and hanging and removal dates, and sets out the applicant’s responsibilities and agreement to hold the Borough harmless. It also requires a $100 deposit payable to the Borough and includes banner hanging standards in Attachment A.
Who needs it
A person or organization requesting permission from Clarks Summit Borough to place a banner above State Street needs 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 agreement provides signature, printed-name, and title lines, and the signer dates it.
How to submit this form
- 1
Download the Agreement
Download the Hold Harmless Agreement for a banner request in Clarks Summit.
- 2
Complete the Agreement
Fill in the requested applicant, banner purpose, and hanging and removal date information.
- 3
Review Attachment A
Read the banner hanging standards included as Attachment A.
- 4
Sign and Submit
Sign and date the agreement, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Hold Harmless Agreement?
- No. The agreement provides signature, printed-name, and title lines, and asks the signer to date it; it does not include a notary block.
- Who uses the Hold Harmless Agreement?
- A person or organization requesting Borough permission to place a banner above State Street uses this agreement to state its responsibilities and agree to hold the Borough harmless.
- What does the agreement require for a banner?
- It describes the applicant’s responsibility for placement and removal, specifies a $100 deposit payable to the Borough, and includes hanging standards in Attachment A.
- How do I submit the Hold Harmless Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.