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I, the OwnerlAppcceatiLensed Well DrllletiPamp Cordractcr agcees to indemnify defend vi th Lounwal reasonably approved by Countyand toad twinlos the County and its officers. otnaats employees agents, boards and cemn %tions (loWeCUvefy "County) as folom I ,noamnty a F -on and against any and al da" demands act-.rs, proceedings, lawsuits, losset, darnapat, jUdWrl" artdlif Imbue ad" oul of rela!ed to. or m connection wvlh ;t* applicator and spotted tar well of pump or b attack am soft ytstd, or acral, In Wmfe rX In part, approval cr drtniai of the applied for pem111 by t' -e Couny, and any wwYwarMMal re View doGarlarIllis Fatah tit h wpkd b permd b Fcr any a id a cost; and expenses Irruried by the Cr, tnty on accasart of any CMtrt, enapl tahets SUM kWsnv+lldon IN pmrejw by saw, -I;tuding ..I not tkmi!ed to damages costs expenses, atsorroy's fees, or espM wWi m cods to nay be smarted by arty person or entity, private atter-,ay gerefal fees daimed W or awarded to any party agaqlal V* CaAW. rind she Ccaady'a cwls IrcUned In prepartrfg an edminaUalive record wh'ch ere not pad by the petitioner C Except as to the County's sole negligence or w Ilrul misconduct 2 Defense a. The County may part :.,pate of drect the defense of any Claim. The Countya aoa m In deMnae of any d I - I t a. "at resew Rita of any obllgahon to-cemrfy defend and hold `18"-ess the County b in the event of a disagreamenl betAeen C:nunN and ma rtgardwV deserre of arty Clam, the Canty sr '3w this nAwift to cion" Lhe IfIgaWn and mate -:ligation deustu,ns Including but not Lmikd to, Ne nwvlrw In vAtch the dpfa^3.e If Courdy teasonably determines that having , ommen counsel p-esents such cour" with a coria of Iraanat. ! • ,f I t 1 i : , - -,. yVy assume ft detVlea Ot arty Claim or to pfempty, employ counsel reasonawy s3hsfaUury !o the Candy, than County may UtRX6 the Ufl,ce 0 114 c4unty Crewel or employ, separilr. nc'side Solln!el la repre!po! of deferd the County and I shall pay the wisonabla waorceys' Hoes end coefa of such could I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE &TH SM JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS I ALSO CERTIFY THAT MY REQUIRED L CENSE IS CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM .N COMPLIANCE. WITH A: L. WORKERS COMPENSATION LAWS. Pw.,,F'a:v OWNER: PWNT'_R8 Rood aaI1Q,r,—_.�] /OL L. D�'r r ION F04 OTHER THAN C-57 outhorizill t hcre! � P s, Rae..(C.I7 erM AAgrtNa waren Ire tAow� pr m sign this San Joaquin Co ell & Baring Permit Application on Aw behalf. l understand this auttmnzation is valid t,y-rf,e year and is limited to the work plan dated on the front page of this application INDW)M IO -15 1I rw 1.11