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Hold harmless agreement

Workers Comp Hold Harmless Agreement - North Bay Village 2026

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The document is a Hold Harmless agreement from the City of North Bay Village's Building Department, stating that a property owner agrees to assume liability for any injuries to workers employed by a contractor who has claimed an exemption from Workers Compensation insurance. The owner acknowledges their understanding of Florida's workers compensation laws and agrees to relieve the city from any legal responsibility related to the issuance of a building permit for work at their property.

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Click ‘Get Form’ to open the Workers Comp Hold Harmless Agreement in the editor.
Begin by entering the 'Name of Contractor' in the designated field at the top of the form.
Next, fill in the 'Property Address' where the work will be performed. Ensure accuracy for proper documentation.
Read through the agreement carefully. This section outlines your understanding of Florida's Workers Compensation laws and your responsibilities as a property owner.
In the signature area, sign your name to confirm that you agree to hold harmless the City of North Bay Village from any liabilities related to this permit.
Date your signature appropriately and print your name clearly in the provided space below.

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