COMMUNITY DEVELOPMENT DEPARTMEN I
<br /> SAN CANCELLATION
<br /> W � � � � AM � ON AST CONTRACT
<br /> FILE NUMBER * 200017�-------------
<br /> LEVINE ACT
<br /> Fthe
<br /> January 1 , 2023 , California Political Reform Act of 1974 , Government Code § 84308 , known I have read and understand
<br /> vine Act , prohibits any San Joaquin County Board of Supervisor member from participating in that this application is
<br /> any agenda item involving a discretionary land use permit or other entitlements if the Board member 7nthese provisions :
<br /> has received any political- contributions from the owner , applicant , or agent for the owner or applicant
<br /> totaling more than $250 i.n the 12 months before the decision (but not before January 1 , 2023 ) and for
<br /> the 12 months following the decision . The Act also prohibits an owner , applicant , or agent for the - owner Initial
<br /> or applicant from making a contribution of more than $ 250 to a member of the Board of Supervisors
<br /> while the item is pending and for the 12 months following the date a final decision is rendered . Date
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> I , the -Owner/Applicant/Agent agrees to indemnify , defend (with counsel reasonably approved by County) , and hold harmless the County
<br /> and its officers , officials , employees , agents , boards and commissions (collectively " County") as follows :
<br /> 1 .
<br /> INDEMNITY :
<br /> A . From and against any and all claims , demands , actions , proceedings , lawsuits , losses , damages , judgments and/or
<br /> liabilities arising out of , related to , or in - connection with the application and applied for project or to attack , set aside , void , or annul , in
<br /> whole or in part , an approval of the applied for project by the County , the adoption of environmental review documents related to the
<br /> applied for project , and any related development approvals or project conditions for the applied for project ( hereinafter " Claim " ) ;
<br /> B . For any and all costs and expenses incurred by the County on account of any Claim , except where such indemnification is
<br /> prohibited by law , including but not limited to damages , costs , expenses , attorney ' s fees , or expert witness costs that may be asserted
<br /> by any person or entity , private attorney general fees claimed by or awarded to any party against the County , and the County ' s costs
<br /> incurred in preparing an administrative record which are not paid by the petitioner.
<br /> C . Except as to the County ' s sole negligence or willful misconduct .
<br /> 2 . DEFENSE :
<br /> A . The County may participate or direct the defense of any Claim . The County ' s actions in defense of any claim shall not
<br /> re.lieve me of any obligation to indemnify , defend , and hold harmless the County .
<br /> R . In the event of a .disagreement between Co inty and me regarding riefenCe of any Claim , the C of inty shall have the
<br /> authority to control the litigation and make litigation decisions , including , but not limited to , the manner in which the defense is
<br /> conducted
<br /> C . If the County reasonably determines that having common counsel 'presents such counsel with a conflict of interest , or if I
<br /> fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County , then County may
<br /> utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County , and I shall pay the
<br /> reasonable attorneys ' fees and costs of such counsel .
<br /> I , further , certify under penalty of perjury that I am (check one ) :
<br /> ❑ Legal property owner ( owner includes partner , trustee , trustor , or corporate officer) of the property ( s ) involved in this application , or
<br /> ❑ Legal agent ( attach proof of the owner's consent to the application of the properties involved in this application ) and have been
<br /> authorized to file on their behalf , and that the foregoing application statements are true and correct .
<br /> — -- — -signature: — Date :
<br /> - F' rint Name : — A � ; -- - --
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
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<br /> 09/ 12/2023
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