Organization Corporation Hold Harmless Agreement printable pdf download

Bedminster Township Recreation Department

One Miller Lane

Bedminster, NJ 07921

●

(908) 212-7014

Organization/Corporation Hold-Harmless Agreement

“I/We”, “Me/My” shall mean one of the following:

An ORGANIZATION Name:____________________________________ or

CORPORATION Name:_____________________________________

“You/Your” shall mean the municipal corporation known as the Township of Bedminster, its agents, servants, employees or

contractors.

I sign this Hold-Harmless as my voluntary act and by this act agree to hold You harmless and indemnify You from any claims,

suits or other actions arising from, caused by, or which are the alleged result of any act or omission of any organization,

corporation, guest, invitee, licensee, visitor or other person present on the premises listed above in order to participate in,

organize, assist, enjoy, supervise or in any other way further the activity to be held (as described in this Field/Park Permit

Application) on the dates specified.

I state that the activity listed in this application will not include the consumption of alcoholic beverages, but should any person

described in Paragraph 3 consume alcohol or allow or permit others to consume alcohol then I agree to be bound by the terms

of Paragraph 5 below.

I state that the activity listed in this application will include the consumption of alcoholic beverages and that because of such

consumption I have the following additional duties to perform for the Township of Bedminster related to the use of the site listed

in this application:

That I am solely responsible for the dispensing and consuming of alcohol, including the prudent and responsible

dispensing and consuming of alcohol by all persons involved in the activity described below, including but not limited

to those persons described in Paragraph 3 above.

To acknowledge by the signing of this Hold Harmless that You have no authority, control, or participation in the

dispensation or consuming of alcohol on the site and date listed above and that I will take no step(s), actions(s), or

measure(s) to convey the idea that You in any way have promoted, assisted, or participated in the dispensing and

consuming of alcoholic beverages on the site(s) and date(s) listed in this application.

That I will not allow persons under the age of 21 to dispense or consume alcohol at the site during the activity to be

held on Township of Bedminster property;

To comply with all municipal Ordinances relating to the consumption of alcoholic beverages, including but not limited

to obtaining any necessary permits.

I shall also provide the Township of Bedminster with a Certificate of Insurance and proof of “Special Events Insurance” and that

I shall provide to that municipal officer as soon as practicable and not less than five (5) business days before the date of the

planned activity. Said liability insurance shall be written with a company maintaining a rating of at least “A-“ according to A.M.

Best. Said liability policy shall be in an amount of not less than one million dollars ($1,000,000) per occurrence. IF

ALCOHOLIC BEVERAGES ARE BEING SERVED, SAID LIABILITY POLICY(IES) SHALL BE IN AN AMOUNT OF NOT LESS

THAN THREE MILLION DOLLARS ($3,000,000) PER OCCURRENCE INCLUDING PROOF OF HOST LIQUOR LIABILITY

AND/OR LIQUOR LIABILITY. It is understood the Township of Bedminster will be listed as an additional insured on that

Liability Policy and Certificate of Insurance. In the event said certificate is not provided as set before, I recognize the

activity/event must be cancelled and not be held as scheduled.

(For Corporations Only) I also agree that I am obligated to reimburse the Township of Bedminster for all reasonable

attorney’s fees incurred by the Township of Bedminster to enforce the terms of this Hold-Harmless or to defend You against the

claim, suit, demand for subrogation, or other action which a court of competent jurisdiction later determines should have been

defended by Me or My sole cost and expense pursuant to this Hold-Harmless Agreement.

Legal Signatures:

a. Individual on behalf of ORGANIZATION: _________________________________

_________________________________ or

(Organization Name)

b. Individual/Title on behalf of CORPORATION: _____________________________

_____________________________

(Corporation Name)

Organization Corporation Hold Harmless Agreement

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