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SITE ADDRESS: 8000 W Cotta Rd PERMIT #: I the OvmerlApplfcantlLicensed V:rell DrillenPump Contractor agrees to indemnify. defend vith counsel reasonably approved by County. and hold hamtless the County and Its officers, officials employees, agents, boards, and comnussrons (collectively 'County') as follows Indemnity- From ndemnityFrom and against any and as claims demands, actions, proceedings, lawsuits. losses, damages judgments androf liabilities arming out of, related to. or in connection with the application and applied for well or pump or to attack, set aside. veld, or annul. in vhole 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 Count/ on account of any Clain, except where such Indemnification is prohibited by law, including but not limited to damages, costs, expenses, altomey'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 pany 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 County's sole negligence or milful misconduct. Defense: a. The County may participate or direct the defense of any Claim. The County's actions in defense of any claim shall not relieve ria of any obligation to indemnify, defend, and hold namiless the County. b. to [tie 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 manner in which the defense is cenducted. If County r msonatly determines that navino common counsel presents such counsel with a conflict of interest, or if 1 fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County, then Counly may utilize the Office of the County Counsel of employ separate oulside rounsel to represent or defend the County, and I shall pay the reasonable attorneys' fees and rusts 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 ACTT WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANC WITH ALL WORKERS COMPENS ON OWS. ,7 PROPERTY OW R' (/ 7j SIGN: PRINT. �Z4 A' ` 4,I)AMt Dime Lirf.�at.f .R r'1 %IP'I 1\ I It %c % SIGN. PRINT: Austin Loock CEO DATE 31312022 AUTHORIZATION FOR OTHER THAN C-57 SIGNING PF.RMI'T APPLICA'T'ION I• itereb\ authorize _„!t-'T1xe+.�d n.u.nral H.yanxm.. � how ♦ins .� �..:i... ... .. to sign this San Joaquin County Well & Boring Permit Application on my hchall: I understand this authorization is valid fbr one year and is limited to lite wort: plan dated on the from page oPthis application.