WP0043613 - Laserfiche WebLink

Home Browse Search

SITE ADDRESS: 14600 Austin Road, Manteca, CA 95336 -- -- PERMIT #: I, Rte OWner/ApplicanULicensed Well Driller/Pump 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 (collectively "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 application 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 permll 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 Claim, except where such indemnifi-1; by law, including but riot limited to damages costs, expenses, attorney's fees, or expert witness costo by person or entity private attorney general fees claimed by or awarded to an g any y party In preparing an administrative record which! are not paid by the petitioner. against tt+� C (,red C. Except as to the County's sole negligence or willful misconduct. 2. Defense: 7 a. The County may participate or direct the defense of any Claim. The County's actions i Obligation to indemnify, defend, and hold harmless the County b. In the event of a disagreement between County and me regarding defense of any Clalthe �� If County reasonably dete m81litigationion arid make in w ne$ th t hav ng comon counsel presedirts such counsel ing. but not ewith a confld to, the ict ofrinte e any Claim or to promptly employ counsel reasonably satisfactory to the County then County may utilize separate outside counsel to represent or defend the County. and I shall pay the reasonable attorneys' fees an ��`),J I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL WITH SN JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CEF ,, MY REQUIREDELICENSE AS CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND 1HAT I AM IN COMPLIANCE WITH ALL WORKERS COMPENSATION LAWS. PROPERTY OWNER (SIGNATURE IS REQUIRED FOR WATER EXTRACTION WELL ON PRIVATE PROPERTY): SIGN: PRINT: DATE 1Il'1•.\slip 111i1.1. UI(11.1.4:IdPl'MI't'UN!-NA('1 ON: PRINT: - - -- to sign [Itis S• t J quin County k% ell K boring Permit Application on my behalf: I understand this authorization is valici fix one year and is limited to tha work plan dated on the front page ol'this .Ipplication. 1 IIINH bpHH. nT.,1;}, Page ] ul'? \I ill