Friday Harbor, WA · San Juan County
Indemnification Agreement
This agreement is for an authorized company representative to sign when work or use of publicly owned property is authorized by a Town permit.
What this form is
The Indemnification Agreement records an authorized company representative’s agreement to defend, indemnify, and hold harmless the Town of Friday Harbor and its officers, officials, employees, and agents for specified claims connected with permit-authorized use or work on publicly owned property. It asks for the representative’s name and signature, the organization’s name, and dates; the Town also has a space to record its acceptance and date.
Who needs it
An authorized representative of a company should complete this agreement when a Town permit authorizes use or work on publicly owned property.
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 authorized representative signs and dates it, and the Town records its acceptance and date.
How to submit this form
- 1
Download The Agreement
Download the Indemnification Agreement PDF.
- 2
Complete The Agreement
Enter the authorized representative’s name and organization, then sign and date the agreement.
- 3
Review The Town Acceptance
The form includes a space for the Town of Friday Harbor to record its acceptance and date.
- 4
Submit To The Town
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Indemnification Agreement do?
- It records a company representative’s agreement to defend, indemnify, and hold harmless the Town and its officers, officials, employees, and agents for specified claims connected with permit-authorized use or work on publicly owned property.
- Who completes the agreement?
- An authorized representative of the company named on the form completes it. The form includes spaces for the representative’s signature and date, the organization’s name, and the Town’s acceptance and date.
- Do I need a notary for the Indemnification Agreement?
- No. The document is signed without a notary; the authorized representative signs and dates it, and the Town records its acceptance and date.
- How do I submit the Indemnification Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.