1449 Hold Harmless Agreement - Pressure Washing 113 Palmetto AveThe item(s) noted below is/are attached and forwarded to your office for the following action(s):
IN
Development Order
Final Plat (original mylars)
Letter of Credit
Maintenance Bond
❑ Mayor's signature
❑ Recording
❑ Rendering
Safe keeping (Vault)
Ordinance
Performance Bond
Resolution
Hold Harmless- Pressure Washing 113 Palmetto
Once completed, please:
❑ Return original
❑ Return copy
Special Instructions:
Please retain for the official CRA file
Please advise if you have any questions regarding the above.
Thank you!
Nicholas Mcray, Economic Dev. Director
From
\\SVC H-Onin icast\USERS\nicrayn\Templates\City Clerk Transmittal Memo.doc
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Date
HOLD HARMLESS AND INDEMNIFICATION
A LEMENT
The UNDERSIGNED Ze" ^e/r./gCr�, either as a the, representative of a business or
individually, whose current address op./
intending to be legally bound for himself/herself and his/her heirs, executors and administrators, waives
and releases any and all claims, or rights for any injuries, death or damages that the UNDERSIGNED
had, has or will have since the beginning of the earth until the end of the earth against the CITY OF
SANFORD, Florida, 300 N. Park Ave., Sanford, FL 2771, the elected and appointed officials of the CITY
of SANFORD, it's City Manager, department heads, division heads, supervisors and employees of the
CITY OF SANFORD, and their heirs, representatives, successors, executors, administrators and assigns,
for any and all injuries, death, damages suffered in connection with the following UNDERSIGNED
activijy4ks), either directly or indirectly:
UNDERSIGNED, either as a the representative of a business or individually, also agrees through the
signing of this document, intending to be legally bound for themselves and their heirs, executors and
administrators, covenants and agrees to Indemnify and Hold Harmless and defend the CITY OF
SANFORD, the elected and appointed officials of the CITY OF SANFORD, it's City Manager,
department heads, division heads, supervisors and employees of the CITY OF SANFORD, and their
heirs, representatives, successors, executors, administrators and assigns from and against any and all suits
and actions including attorneys fees and all costs of litigation and judgments, claims for damages or
injuries, including death, to persons or property of whatever kind or character, whether real, personal or
mixed, asserted or occurring from every name and description arising out of or incidental to the
UNDERSIGNED aforementioned activity(ies) with/for CITY OF SANFORD, Florida, whether or not due to
or caused by the negligence of the CITY OF SANFORD, excluding only the sole negligence of the CITY OF
SANFORD. This provision shall also pertain to any claims, suits actions against the CITY OF SANFORD by
any employee, associate, anyone directly or indirectly employed, hired or contracted by the UNDERSIGNED, the
heirs, representatives, successors, executors, administrators and assigns of the UNDERSIGNED.
This day of . ... . . ..... 1., 20L,<:J
/Author d Signature Ptint Name Title (President, Vice President, etc)
Signed in the presence of two witnesses or a Notary Public:
Vendor Release Hold Harmless and Indemnification Agrcementl.doc
HOLD HARMLESS AND INDEMNIFICATION
AGREEM NT
1---7
0
Pr/nt Name SignatureD to
Print Name Signature Date
Sworn to and subscribed before me on this _ day of 12007
Notary Public
My Commission Expires
Vendor Release Hold Harmless and Indemnification Agreementi.doc