SPECIMEN OF INDEMNITY BOND

For engaging sub-contractor

Whereas the (write here name of main contractor) has taken the contract for
construction of __________________________________, and the work has to be
completed with the help of sub-contractors but the sub-contractors have also to obtain
licence under the Contract Labour (Regulation & Abolition) Act, 1970 and its rules,
which can be granted if the Principal Employer grants a certificate under Form-V of
the said rules.

So on the request of (write here name of main contractor), the (write

here name of PE) having its registered office at (write here address of PE) has agreed
to issue certificate in Form-V in respect of the sub-contractors mentioned below. M/s
(write here name of main contractor), therefore, undertake to fully indemnify the
(write here name of PE) from any financial implication whatsoever that arise due to
the grant of certificate in respect of sub-contractors of (write here name of main
contractor), in Form-V under Contract Labour (Regulation & Abolition) Act, 1970
and its rules.

1.
2. Write here the names of
3. sub-contractors of the main contractor
4.

For and on behalf of the main contractor

(Name of the Organization)
 SPECIMEN OF INDEMNITY BOND
For Workmen’s Compensation

Whereas M/s. ……………………………………………………… has been awarded the

contract for ………………………………………………………………….
………………………………… at (write here name of PE).
Whereas the above mentioned contractor has been engaged (write here name of PE) having
its registered office at (write here address of PE) to execute the job covered under (write
here name of PE) letter of Award No……………………………………………. dated
……………. to execute the job on the terms and conditions stipulated therein.
In pursuance of the above, I/We, ………………………………………
…………………………………… (Designation) …………..…………………
………………………………………….., (Name of the Agency with office Address)
…………………………………………………………………………………………………
………………, hereby affirm and declares as follows :
That the contractor undertakes that in the even of any claim made by its workmen, workmen
of its subcontractor(s) for Compensation payable under the Workmen Compensation Act,
1923 and where the Principal Employer i.e. (write here name of PE) is liable to pay
compensation under Sec 12 (2) of Workmen’s Compensation Act 1923, the contractor shall
keep the (write here name of PE) fully indemnified and free from all claims and demands
and all actions and proceedings initiated against (write here name of PE) in respect of the
aforesaid contract.

In witness whereof, I/We, ……………………..………………………………………

…………………………………… (Designation) …………..………………… (Name of the
Agency…………………………………………………………) on behalf of the contractor
executed this indemnity bond on ……………………………. mentioned above.

Signature of the Competent Person of the contractor

Witnesses :
1)………………………………………………
2) ………………………………………………
 SPECIMEN OF INDEMNITY BOND
For release of Final & Security Bill
The Indemnity Bond executed at (write here name of PE) site by
M/s…………………………... …………………………………………(write here
name of contractor) having its office at Vill :…………………………. P.O. :
……………………………, P.S. ……………………………, Dist. : ……………….
……………………….., herein referred to as the executant : “Contractor” (which
terms shall include all its executors, administrators and successors in the Office) vide
the Code No. ………………..
Whereas, the executant is the Proprietor and duly authorized to sign the Indemnity
Bond in favour of the contractor. Whereas the executant “Contractor” by this
indemnity bond indemnifies (write here name of PE) having its registered office at
(write here address of PE) and all its executors, administrators and its permitted
assignees.

Whereas the above mentioned contractor was engaged by (write here name of PE) to
execute the job covered under the (write here name of PE)’s Work Order No.
……………………………….. …………………… dated …………………………
to execute job on the terms and conditions stipulated therein.

Whereas (write here name of PE) has ensured to the job entrusted to the contractor
vide Work Order No. …………………………………………………………….
Dated ……………… to its satisfaction.

Whereas (write here name of PE), having ensured that the contractor has complied
with all the statutory applications under the Labour Laws of the land has agreed to
release the final bill.

Whereas the contractor having completed the job on …………………………… and

supplied to (write here name of PE) for release of the Security Deposit bill in favour
of …………………………………………………. Vide Code No.
…………………………

In pursuance of the above, I

(……………………………………………………………) do hereby affirm and
declare as follows :
1) That the contractor has paid all the dues to labours and other all statutory
levies to the Government and there is no outstanding dues to any of the
Parties i.e. Labours, statutory levies to the Government or to the (write
here name of PE)
2) That the contractor also undertakes that in the event of any claim made by
its employee for the payment of unpaid wages, leave wages, P.F.
Contribution , compensation payable under the Workmen’s Compensation
Act, and the Gratuity under the Payment of Gratuity Act or any other
outstanding dues in regard to the aforesaid contract awarded by (write here
name of PE), the contractor shall reimburse to (write here name of PE)
such lost amount as the (write here name of PE) is required to pay.
 3) That the contractor also undertakes to keep (write here name of PE) fully
indemnified and free from all claims and demands and all actions &
proceedings initiated against (write here name of PE) in respect of the
aforesaid work order.
In witness whereof ……………………………………………… (Name of the
Proprietor/partner/authorized person/Contractor) on behalf of the contractor has
executed this Indemnity Bond on this ………………… day of
……………………….. mentioned above.

(Proprietor)
(Signature & Seal of the agency)

Witnesses:
1).

2).
 SPECIMEN OF INDEMNITY BOND
For PF Compliance

Whereas M/s. ……………………………………………………… has been

awarded the contract for
………………………………………………………………….
………………………………… at (write here name of PE).
Whereas the above mentioned contractor has been engaged (write here name of
PE) to execute the job covered under (write here name of PE)’s letter of Award
No……………………………………………. dated ……………. To execute
the job on the terms and conditions stipulated therein.
In pursuance of the above, I/We, ………………………………………
…………………………………… (Designation) …………..…………………
………………………………………….., (Name of the Agency with office
Address)
…………………………………………………………………………………
………………………………, hereby affirm and declares as follows :
That the contractor undertakes that in the even of any claim made by its
workmen, workmen of its subcontractor(s) for Provident Fund Contribution
payable under the Employees’ Provident Fund & Misc. Provision Act, 1952
and where the Principal Employer i.e. (write here name of PE) having its
registered office at (write here address of PE) is liable to pay Panel Damages
under the above statute, the contractor shall keep the (write here name of PE)
fully indemnified and free from all claims and demands and all actions and
proceedings initiated against (write here name of PE) in respect of the aforesaid
contract.

In witness whereof, I/We, ……………………..

……………………………………… ……………………………………
(Designation) …………..………………… (Name of the
Agency…………………………………………………………) on behalf of
the contractor executed this indemnity bond on …………………………….
mentioned above.

Signature of the Competent Person of the contractor

Witnesses :
1)………………………………………………
2) ………………………………………………