Cerritos Community College District
Hold Harmless and Indemnification Agreement
This agreement is between ____________________________________________ and Cerritos
(Applicant)
Community College District (herein after referred to as “District”).
_______________________________________________does hereby covenant and agree that
(Applicant of Activity)
The District, its’ officers, agents, employees, members or representatives shall not be liable for
any loss, damage, injury or liability of any kind to any person or property caused by or arising
from _____________________________________________. Nor shall the District be liable
(Activity)
for any loss, damage or injury from any cause whatsoever to the property or persons of
______________________________________ or any of its employees or agents resulting from
(Applicant of Activity)
the _______________________________________.
(Activity)
Notwithstanding anything to the contrary contained herein, _____________________________
(Applicant of Activity)
Agrees to defend, identify, and hold harmless the District, its officers, employees and agents
from any and all damages or liabilities arising out of or in connection with the
________________________.
(Activity)
______________________________ agrees to provide a policy of liability and property damage
(Applicant of Activity)
insurance in the minimum amount of $1 Million combined single limits.
PLEASE SIGN BELOW:
REPRESENTATIVE: _________________________________ TITLE: __________________
WITNESS: ________________________________________ DATE: __________________
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OFFICE USE ONLY
NAME OF EVENT: ________________________________________________________
DATE OF EVENT: ________________________________________________________
