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J r SITE ADDRESS: 3507 Wilmarth Road, Stockton, CA J • . ., PERMIT #• l.V V ; Plot Plan I, the Owner/ApplicantfUcensed Well DrillerfPump Contractor agrees to indemnify, defend with counsel reasonably approved by County, and hold harmless the County and its officers, officials, employees, agents• boards, and commissions (cofiectively "County') as follows: 1. Indemnity: a. From and against any and all claims, demands, actions, proceedings, lawsuits, losses, damages, judgments and/or liabilities arising Out of, related to, or in connection with the appiicatlon and applied for well or pump or to attack, set aside, void, or annul, in whole or in Part, approval or denial of the applied for permit by the County, and any environmental review documents related to the applied for permit; b. For any and all costs and expenses incurred by the County on account of any Clain, except where such indemnification Is prohibited by law, including but not limited to damages, costs, expenses, attorney's fees, or expert witness costs that may be asserted by any person or entity, private attorney general fees claimed by or awarded to any party against the County, and the County's costs incurred in preparing an administrative record which are not paid by the petitioner. C. Except as to the Courty's sole negligence or willful misconduct. Defense.- a. efense: a. The County may participate or direct the defense of any Claim. The County's actions in deferse of any claim shall not relieve me of any obligation to Indemnity, defend, and hold harmless the County. b. In the event of a disagreement between County and me regarding defense of any Claim, the County shall have the authority to control the litigation and make litigation decisions, including, but not limited to, the mariner in which the defense is conducted. If County reasonably determines that having common counsel presents such counsel with a conflict of Interest, or if I any Claim or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Offidefense of ce of the fall to promptly ptly assume Counselsume the dede employ separate outside counsel to represent or defend the County, and I $half pay the reasonable attemoys' fees and costs of such counsel. I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL WORKERS COMPENSATION LAWS. PROPERTYOWNI SIGN: LICENSED WELL SIGN: PRINT: FS U �I CKe ✓ DATE . 2/)-e /.A2 PRerr Laura AI'ista - Condor .Project Coordinator DATE 02/28/22 / AT10NYOR OTHER THAN C-57 G IT L1CAT ON - 1' , hereby authorize Name o C-57 eyed Aupgtiaod Nc? e•.�tiva ` to sl this San PICU&M ofAix im Ape[ County Well & Boring Permit Application on my behalf. I understand this authorization is v 'd for one year and is limited to the work plan dated on the front page of this application. FFm143-06 IU1512021 Peg. 2 or 2 Wall/PA VRani,