Bellingham, WA · Whatcom County
Indemnification and Insurance Agreement
Permit applicants use this agreement to accept indemnification responsibilities and insurance requirements for a City of Bellingham permit involving public premises.
What this form is
This agreement records the permittee’s commitment to defend and indemnify the City for claims arising from use of the public premises authorized by the permit, subject to the agreement’s stated exception. It also requires commercial general liability insurance covering the City as an additional insured; liquor liability insurance is required if alcohol will be sold at the event. The permittee signs and dates the agreement.
Who needs it
A permittee seeking a City of Bellingham permit for use and occupation of public premises needs to complete and sign 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 agreement is signed and dated without a notary; the document requests no notarized or sworn attachment.
How to submit this form
- 1
Download The Agreement
Download the Indemnification and Insurance Agreement PDF.
- 2
Complete The Agreement
Enter the permit number and permittee information, then have an authorized representative sign and date it.
- 3
Gather Insurance Documents
Obtain the required commercial general liability coverage; obtain liquor liability insurance if alcohol will be sold at the event.
- 4
Submit To The City
Submit the agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Indemnification and Insurance Agreement require?
- It requires the permittee to accept the stated indemnification terms and obtain commercial general liability insurance covering the City as an additional insured. Liquor liability insurance is required if alcohol will be sold at the event.
- Who signs the agreement?
- The permittee’s authorized representative signs and dates the agreement. The form also provides a space for a business’s UBI number and a City approval section.
- Do I need a notary for the Indemnification and Insurance Agreement?
- No. The agreement is signed and dated without a notary, and the document does not request a notarized or sworn attachment.
- How do I submit the agreement?
- The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Indemnification and Insurance Agreement doesn’t need a notary — but if you have another Bellingham form that does, a commissioned online notary can help.