CITY OF LAWNDALE
14717 BURIN AVENUE
LAWNDALE, CALIFORNIA 90260
PH. (310) 970-2100 FAX (310) 644-4556
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
This agreement is issued in consideration of the City approval of the sponsor’s application. The named insured must still provide a Certificate of Insurance, naming the City as an additional insured and meet the City’s required minimum limits of insurance. An additional insured endorsement shall also be provided and signed by the insurance carrier.
The named insured agrees to the following:
This agreement is effective ______________________________ at 12:01 a.m.
Named Insured _________________________________________________________________
I, _________________________________ (print/type name), warrant that I have authority to bind the above listed sponsor and by my signature hereon do so bind this sponsor.
By ____________________________________________________
Signature of Authorized Representative
Approved _______________________________________________
City Manager - Date