Williamsport, PA · Lycoming County
Indemnification & Hold Harmless Agreement
Mobile food vendor representatives complete this agreement to address liability related to their vendor’s operation in the City of Williamsport.
What this form is
This agreement records a mobile food vendor representative’s promise to indemnify and hold harmless the City of Williamsport and associated people or entities for specified claims and losses connected with the vendor’s operation. It asks for the applicant’s name, vendor name, email, date, and signature, and includes a statement that the applicant has read and understands the release of liability.
Who needs it
A duly authorized representative of a mobile food vendor completes the agreement concerning the vendor’s operation within the City of Williamsport.
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 without a notary; the signer just signs and dates it, and the document identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Agreement
Download the Indemnification & Hold Harmless Agreement PDF.
- 2
Complete The Applicant Information
Enter the date, applicant first and last names, mobile food vendor name, and email.
- 3
Sign The Agreement
Read the agreement and compliance statement, then sign the applicant signature field.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Williamsport Indemnification & Hold Harmless Agreement?
- It records a mobile food vendor representative’s agreement to hold the City of Williamsport and associated people or entities harmless for specified claims and losses related to vendor operations.
- Who completes this agreement?
- A duly authorized representative of the mobile food vendor fills in the applicant and vendor information and signs the agreement.
- Do I need a notary for the Williamsport agreement?
- No. This agreement has no notary block; the signer just signs and dates it, and the document identifies no notarized or sworn attachment.
- How do I submit the Williamsport agreement?
- Submit it to the city department named on the form; check the city website for current contact details.