ContactCorcillilaw 2026

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4.3 out of 5

57 votes

The document is a Hold Harmless Agreement required by North Bay Village, Florida, for property owners when a contractor presents an Exemption Certificate for workers' compensation insurance. It outlines the owner's understanding of their liability regarding worker injuries and their agreement to hold the village harmless from any legal actions or expenses arising from the contractor's work on their property.

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Click ‘Get Form’ to open the ContactCorcillilaw document in the editor.
Begin by entering the 'Name of Contractor' in the designated field. Ensure that this is accurate as it identifies who will be performing the work.
Next, fill in the 'Property Address' where the work will take place. This is crucial for permit processing and liability considerations.
Review the statement regarding workers' compensation carefully. Acknowledge your understanding by signing in the 'Owner’s Signature' field.
Enter the date of signing in the 'Date' field to validate your agreement.
Finally, print your name clearly in the 'Print Owner’s Name' section to ensure proper identification.

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Versions	Form popularity	Fillable & printable
2022	4.3 Satisfied (57 Votes)
2011	4.6 Satisfied (64 Votes)

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