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SITEADDAEM: N.Union Rd,Manteca PERMIT# <br /> Plat Ptah: <br /> k <br /> 1 � <br /> I k <br /> 1 <br /> f <br /> 1 ' <br /> 1 i - <br /> I <br /> Gi5 Cmrdinale t a961ude Longitude <br /> 1,the OwnertApplirantiLicensed Weft Drifler/Pump Contractor agrees to mdemnify,defend with counsel reasonably approved by County,and told trarmle9s <br /> Me County and Its otfccrs.sffielals,employees,agents,boards,and comfnissioris icoiiectively`County')as follows: <br /> L indemnity: <br /> a. From and against any and all claims,demands,actions,proceedings,lawsuits,losses.damages,judgments andJor Iratzlib"arising out <br /> of,related to.or m connection will-,Ito appticahon and applied for wall or pump or to attack,set aside,void,or annul,in whole or to part, <br /> approval or denial of the applied for permit by the County.and any environmental review documents related to the applied for permit <br /> b. For any and all costs and expenses Incurred by the County an account of any Claim,except whom such indemnification Is prohibited by <br /> law,including but not united to damagra,costs-expenses,allomey3 fees•of expert wIMM arts that may IN 8954rtad by any person <br /> or entity,private attorney general fees claimed by or a rwftd to any party against the County,and the County's Crxats incurred in prepanng <br /> an adminisilmil re record wt»ch are not pail by the petitioner. <br /> G. Except as to the County s sale negligence or willful miscowuct <br /> 2. Oefense: <br /> a. The County may participate or direct the dafense of any Claim.The County's actions In defense of any claim Shag not relieve me of any <br /> obligation to indemnify,defend,and hold tui-mess the County. <br /> b. In the event rs a disagreement between County and me regarding defense of any Grain,the County shall have the authority to control <br /> the lityalion and make Uttgalusn decisions,including.WAR not limited to,the manner in which the defense is conducted. <br /> If Count'reasonably determine,that having Comment Counsel presents such counsel wilt a conflict of inlErasl,or if I fall to promptly assume the defense oil <br /> ;MY Claim Of to pnamptiy empfcy raunsai.reasonably satisfactory to the County,chert County may utik[e line Office of tho County Counsel or errVoy separate <br /> vutside counsel to ropresem or defend the County,and I shall pay the n:asonabfo attorneys'fees and costs of such counsel. <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE Wf i H SAN JOAQUIN <br /> COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGULATIONS, I ALSO CERTIFY THAT MY REQUIRED LICENSE IS CURRENT AND <br /> ACTIVE VATH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL WORKERS <br /> COMPENSATION LAWS. <br /> PROPER <br /> DATE <br /> StoN; n PRrxr:� <br /> I.aCF.\SF RlLt AI x-4 ni%T011; Q� <br /> sack: b atY"YPRarr.Hennings Bros.by Sean Roddy &w-m hilar. 1,2022 <br /> AUTHORIZATION FOR OTHER T14AN C-57 SIGNING PERMIT APPLICATION, <br /> 1, _•.hereby authorize <br /> nk'ina Ytf-4T i.inesmJ Atnt«n�l Rvpmv.y�r.r} ,3'rm�m ui A¢a�'wvsil A�n{r <br /> pct sigxa this Bart Joaquin County Well&Dkiring Permit Application on my behalf I undid stand this authorization is valid fur one yeUr and <br /> LS limited to the work plan dated an the front page of this application_ <br /> LHA 43-1111 WELL RM <br /> MTRUC f rON F`ErT <br /> arts)�t <br />