Hold Harmless Agreement Form printable pdf download

Hold Harmless Agreement Form

HOLD HARMLESS AGREEMENT FORM #2

AGREEMENT

THIS AGREEMENT, made and entered into this

day of

, 20

by and between,

(Hereinafter the “Owner”), the owner of certain real property, more particularly described

as recorded in Deed Book

at Page

, and the Board of Supervisors of

Fairfax County, Virginia (hereinafter the “County”),

Witnesseth that:

WHEREAS, part of the above-described property of the Owner crosses the 100 year flood plain

as designated and adopted by the County; and

WHEREAS, the County has advised and warned the Owner of the location and existence of the

flood plain; and

WHEREAS, the Owner nonetheless wishes and elects to build at its own risk within that flood

plain;

NOW, THEREFORE, in consideration of the mutual covenants herein contained and other good

and valuable consideration, the parties hereto agree as follows:

1. � The County hereby permits the Owner to construct or cause to be constructed a house

on the above-described property having access through that flood plain as shown on

Attachment A.

2. � The Owner, its executors, administrators, assigns and any other successors-in-interest

shall indemnify and hold the County, its agents, and employees harmless for any and all

damages, accidents, casualties, injuries, costs, charges, liabilities, occurrences or claims

which might arise or be asserted against the County by reason of the construction,

existence, presence of flooding of the access to the described property or any

appurtenances thereto.

In the event a claim is asserted against the County or its agents or employees, the

County shall promptly notify the Owner, and the Owner or its successors-in-interest shall

defend such claim or suit at its own expense. If any judgment or claims are allowed

against the County or its agents or employees, the Owner or its successors-in-interest

shall pay all costs and expenses in connection therewith.

3. � It is expressly understood and agreed that the maintenance of the access shall be solely

the responsibility of the Owner or its successors in interests.

4. � This Agreement shall constitute a covenant real running with the land and shall be

recorded amongst the land records of Fairfax County, Virginia.

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Updated Feb 2015 �

Hold Harmless Agreement Form