DuPont, WA · Pierce County
Right of Way Indemnification Agreement
This agreement sets indemnification terms for using DuPont’s right-of-way and is completed by the permittee and the City of DuPont.
What this form is
A permittee signs this agreement in exchange for the right to use the City of DuPont right-of-way. It sets out the permittee’s duty to indemnify the City and attest to adequate funds or insurance; the City may also require insurance. The agreement asks for the permittee’s name, signature, and date, and includes signature and date lines for the City Administrator.
Who needs it
A permittee seeking to use the City of DuPont right-of-way completes the agreement with the City.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The agreement does not specify a submission method.
About notarization
This document is signed without a notary; the permittee and City Administrator sign and date it, and any required insurance endorsement is not described as notarized.
How to submit this form
- 1
Download The Agreement
Download the Right of Way Indemnification Agreement.
- 2
Complete The Permittee Details
Enter the permittee’s name and complete the date, signature, and printed-name fields.
- 3
Gather Insurance Documentation
If the City requires insurance, provide a copy of the additional insured endorsement as stated in the agreement.
- 4
Submit To The City
Submit the signed agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Right of Way Indemnification Agreement cover?
- It sets indemnification terms for a permittee’s use of the City of DuPont right-of-way and includes an attestation about adequate funds or insurance.
- Who signs this agreement?
- The permittee signs and prints their name. The City Administrator also has signature, printed-name, and date lines.
- Do I need a notary for the Right of Way Indemnification Agreement?
- No. The document has signature and date lines but no notary block; the permittee and City Administrator sign and date it. Any required insurance endorsement is not described as notarized.
- How do I submit the Right of Way Indemnification Agreement?
- The agreement does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Right of Way Indemnification Agreement doesn’t need a notary — but if you have another DuPont form that does, a commissioned online notary can help.