Village Of Hempstead'S Hold Harmless Agreement (Page 2 of 2) in pdf

Village Of Hempstead'S Hold Harmless Agreement Page 2

this Agreement shall be deemed waived by the VILLAGE unless said waiver is in

writing and signed by the Mayor of the VILLAGE.

Permit Seeker represents that it is sufficiently staffed, skilled and experienced in

the type of services set forth herein, and further represents that it is staffed with

personnel who are duly licensed and qualified under all applicable federal, state

and local laws to engage in the activities as set forth herein.

The term of this Agreement shall be the date and the times set forth parade

/event request form.

The terms of this Agreement may not be changed, except by a written

amendment executed by the VILLAGE and the Permit Seeker.

This Agreement subsumes and replaces any and all prior written and/or oral

Agreements by Permit Seeker to release, hold harmless and indemnify the

VILLAGE with regard to the subject matter of this Agreement.

This Agreement and the representations and warranties contained herein shall

inure to the benefit of the VILLAGE, its employees, agents and/or

subcontractors, and shall bind the Permit Seeker, its successors and/or assigns.

The Permit Seeker represents that it shall comply with all applicable local, state

and federal laws while conducting its activities in connection with this Agreement.

____________________________________

Permit Seeker

By Name: ______________________________

Title: _______________________________

State of New York }

} ss.:

County of Nassau }

On this ____ day ________________________ of, 200__, before me personally

came _____________________, personally known to me or proved to me on the

basis of satisfactory evidence to be the __________________________ of

_____________________, whose name is subscribed to the above instrument

and acknowledged to me that he/she executed the same in his/her official

capacity as ____________________ of _____________________.

____________________________

Notary Public

Village Of Hempstead'S Hold Harmless Agreement Page 2