Fill and Sign the Modifications Unit Form

Application to Condominium Association to make Alterations and/or Modifications to Condominium Unit and Indemnification Agreement To: ________________________ (Name of Condominium Unit Owner) From: ______________________________ (Name of Officer of Condominium Association) Date: _________________ Attached please find the Application for Change or Alteration that you requested. Please complete it fully and return it in the enclosed envelope. If a contractor is performing the work, please include a certificate of insurance from the contractor, naming the ___________________ ___________________ (Name of Condominium Association) (hereinafter called Association ) as the certificate holder. This information can be faxed to our office at ____________________ (Fax Number) . We must have the insurance certificate prior to any work being started. We also need the Hold Harmless and Indemnification Agreement signed and returned with your application. Applications will not be processed without a signed Agreement. If you have any questions, please do not hesitate to call ______________________ (Telephone Number) . Thank you for your cooperation. ________________________________ (Name of Condominium Association) Application for Change or Alteration Name of Unit Owner ____________________________________ Date _________________ Address _________________________________________ Phone No. _________________ E-Mail __________________________________________ 1. Draw a simple sketch below to indicate location, dimensions, materials, color and other pertinent information, or attach a copy of your plans or brochure. 2. Please include a certificate of insurance from all contractors performing work within the Condominium. These certificates must be submitted with the Application in order to receive approval. 3. Owner hereby grants permission to the Management of the Association to Owner’s Unit to inspect the proposed work and the work in progress 4. Owner agrees to and understands the following: A. Owner is required to obtain all city, county, state, and any other necessary permits before work can begin. B. Applications will not be processed unless Owner is current in his/her Association fees. C. No work can begin until Association approval is obtained. Witness my signature this _________________ (date) . _________________________________ (Printed Name of Unit Owner) ____________________________ (Signature of Unit Owner) Hold Harmless and Indemnification Agreement The undersigned _______________________ (Name of Unit Owner) hereby agrees to save and indemnify and hold harmless the _____________________________ (Name of Association) at __________________________________ (Name of Condominium) against all property damage and bodily injury liability claims and judgments or demands arising from accidents to persons or property occasioned by the Owner, and his/her agents or employees, due to work performed on or at his/her residence of (e.g., Unit ____) ___________________ at the _______________________________ (Name of Condominium) as described on the Application for Change or Alteration form above. This Indemnification Agreement includes any and all expense, legal or otherwise, which may be incurred by the _______________________ (Name of Association) and/or __________________________ (Name of Condominium) , their agents, servants or employees, in defense of any claim, action or suit arising out of the above-mentioned request and work. Witness my signature this _____________________ (date) . _________________________________ (Printed Name of Unit Owner) _________________________________ (Signature of Unit Owner)