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A Indemnification

VIEWS: 45 PAGES: 1

									                                        New Mexico
                                 Department of Transportation

                                           Form “A”

           INDEMNIFICATION AND HOLD HARMLESS AGREEMENT



                                                          , acting through its authorized agent,
                                                          , agrees to defend, protect, indemnify
 and hold the New Department of Transportation harmless from any personal injury or
 property damage suffered by the
                                                                     ,   its    members       and
 participants, the State, or any third parties resulting from the
                                                                                           to be
 held on                                                  , at            .m to           .m on
 the following route(s)

                                                                                         .
 Additionally agrees to obtain liability insurance covering the event in the policy amount
 of at least one (1) million dollars ($1,000,000.00) per occurrence with the New Mexico
 Department of Transportation named as an additionally insured.



 By:
        Authorized Agent

 SUBSCRIBED AND SWORN to before me this
 day of                    , 19                         .


                                                                Notary Public


 My Commission Expires:




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