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02/01/2013 10:39PM 2093340427 LODIREBUILDERS PAGE 02/02 Dec 28 21,10:12a SnE ADOREw: PERmrr ;v: P.2 tt;eCa enty d ]��rt0llk�nsetl Well Dnl*DPuiv Contn�or agrees to indemnity, defend wth awnsal reasonably approved by Ga ofAoers, (Rials, ilrnplogtaea, agents, board& 8W oomnl5zions (aollc� eu4Jy'Comty} w fdlowg: nty, and hold harrrt16e9 IndermiNy: a, Rnm and agdr.st err/ ell clfirra, oemaCtcis, actlaxa, preoeedtnDs. 18.rsu �, Ja�4 out of, re4Yed ta, ar In connection w M the sWeetion and applied for weft ar pump Or to . judgments and/or ffahiBte9 ariskfg PA appowal or danlal of the apprred for Wn try the ick set aside. vow, or ar,,.g. i, WJ, ar in Panrt Courtly. and arty 6wratmenfsl raulew doeurnef>tt relafad 14 the applied for b. ay flaw, land al cost and but not eg3ar�ed to kooj ed by the Co my on anooaxrt 01 any darn. OXCOpl whet; such ircernnf =Son is prohibited peracn W a08t% e> ees, ettarr r+y t. fees, or atipett wll w costs that mey he 68se+ted by any p me may, PA'GW Wkyney 9arWal fees claimed by or awarded to any Party agettat the County, and the County§ ooats insured Pe1i9 an administrative mcwd tYhlCh are not paid by the pad6oner. C. Except 89 to rhe COw1YS ado negAgance, or w -if n miscandu -- Dofenee- a. The County may Pareoipate or Brea the Manse of any path. The COa t^ adiona in defense of eny claim shA nol refave :na of a obkstion to indmnnffy, defend, and hWd harnss ethe county. ny o. In the event of a *agreenwnt between County and me regarding defense of any Claim. rte County shell have the authority to control the IiljgapM and make Rada Qracislona, *Judng, but not limited tn, the manner ra vAch be &fiense 13 wnduct,ed Ir trowrbj reaeonabty determ"a that havlrtg OORrnm wur" presents such oouned with a ect"ct of In�ertst, or T I 159A to promptly assume the defense as arty CJeim or b promptly employ counsel masormbly sadafactory to the CourIty, then Counts may utilize the Office of the County Counsel or employ Begarale outside wurnsel bo raprvasent or defend the County, and t shell pay the n%aams&e attornays'teer and coat of such cvrmsal. 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPUCAVON ANDTHAT THE WORK V BE 13 ME IN ACCORDANCE SMAWS, AND RULES AND RECWITH & JbAGIAN COUNTY ORDINANCES, STATE LULATKN S. I AC60 CERTIFY THAT MY REOUMM LICENSE IS CURRENT AND ACTIVE WITH THE CALJFORMA CONTRACTORS STATE LICENSE BOARD AND THAT I AN IN COt LIANCE W1M ALL WORKERS COMPLNUAT110N LAVH PINK:_ � � �� G G r A DAT, I 1- Z � -� 21 Prafrr• DATE / —zo'ZZ AUT HORIZATnON FOR OTS THAN C_57 SIGNING PERMIT APPUCATION , hereby autholiae Ialaor of G371wmd A*),ip�.=y�e�x hal Aix of wMhaieG A� co sign dds San Joaquin Ccwty Well & Boring Permit Apphc sties on any behalf: I widerwind this awhotiza�on is valid for ori y� and limited to the work plerx dated ort the front peg! ofthis application. w.e a r Vwp ro �