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SITE ADDRESS: 1700 N. Union Road, Manteca, CA 95336 <br />— _�__------_-- PERMIT #: <br />I . the OwnetlAppllcant/Licensed Well Drilter/Pump Contractur agrees to indemnify, defend with counsel reasonably approved by County. and hold harmless <br />the County and its officers. officials, employees, agents, boards, and Commissions (collectively "County") as follows: <br />1. Indemnity: <br />a. From and against any and all claims, demands, actions. proceedings, lawsuits, lasses, damages Iudgments and/or liabilities arising <br />out of, related to. or in connection with the application and applied for well or pump ur to attack, set aside, void, or armul, in whole or In <br />part, approval or denial Of the applied for permit by the County, and any environmental review documents related to the applied fol <br />permit; <br />b. For any and all Costs and expenses incurred by the County on account of any Claim, except where such Indemnification is prohibited <br />law, including but not borne m <br />to daages, <br />person or entity, private attorney costs, expenses attorney's fees, or expert witness costs that rmay be asserted by any <br />person general fees claimed by or awarded to any party against the County, and the County s costs incurred <br />in preparing an administrative record whictr are not paid by the petitioner. <br />C. Except as to the County's sole negligence or willful misconduct <br />2. Defense: <br />a. The County may participate or direct the defense of any Claim The County's actions in defense of any claim shall not rel <br />obligation to Indemnify, defend, and hold harmless the County eve me of any <br />b. In the event of a disagreement between County and me regarding defense Of any Claim the County shall have the authority to control <br />the litigation and make litigation decisions, including but not limited to, the manner in which the defense Is conducted. <br />If County reasonably determines that having common counsel presents such Counsel with a conflict of interest, of if I fad to promptly assume the defense of <br />any Claim or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Office of the County Counsel or employ <br />separate outside counsel to represent or defend the County, anti I shall pay the reasonable 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 WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />PROPERTY OWNER (SIGNATURE 15 REQUIRED FOR WATER EXTRACTION WELL ON PRIVATE PROPERTY): <br />SIGN: PRINT: <br />\\ <br />DATE _- <br />Ir'F\�fl 1 "' <br />FFR1r1,11i-Ix. (W117 <br />11'x•11 1'4"41 Ywnlll <br />