La Conner, WA · Skagit County
Hold Harmless Agreement Right-of-Way Contractor Use
This agreement sets safety, insurance, and liability terms for contractors doing work in Town of La Conner rights-of-way.
What this form is
Contractors use this agreement to accept responsibility for work or activity in Town of La Conner rights-of-way and to protect the Town from related claims, subject to the stated exception for the Town’s sole negligence. It asks for the contractor’s name and company, work description, completion date, debris or barricade removal date, and signature. The agreement also requires a certificate of insurance before use of the premises.
Who needs it
Contractors planning work or activity in Town of La Conner rights-of-way need this agreement and must provide the required certificate of insurance before using the premises.
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 and dated without a notary; the signer provides a certificate of insurance, but the document does not say it must be notarized or sworn.
How to submit this form
- 1
Download The Agreement
Download the Town of La Conner hold harmless agreement for right-of-way contractor use.
- 2
Complete The Agreement
Enter the user and company names, work description, completion date, debris or barricade removal date, and signature.
- 3
Gather The Insurance Certificate
Provide a certificate of insurance meeting the agreement’s stated requirements before using the premises.
- 4
Submit To The Town
Submit the agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the La Conner Right-of-Way Contractor Agreement?
- It sets liability, safety, debris removal, and insurance terms for contractor work or activity in Town of La Conner rights-of-way.
- What information and attachments does the agreement request?
- It requests the user’s name and company, work description, completion and removal dates, and signature. It also requires a certificate of insurance before use of the premises.
- Do I need a notary for the La Conner agreement?
- No. The agreement is signed and dated without a notary. It requires a certificate of insurance, but does not say that certificate must be notarized or sworn.
- How do I submit the agreement?
- Submit it to the city department named on the form; check the city website for current contact details.