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SITE ADDRESS: 2271 W. Louise Ave, Manteca, CA 95337 -------- - _._____ _ PERMIT #: I. me vwner/Applicant/Licensed Well Driller/Pump Contfactor agrees to Indemnity, defend with counsel reasonably approved by County, and hold harmless the (Jaunty and its otflcefs, officials, employees, agents. boards and CornnTisSIOns tcollectively ,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 nT connection with the application and applied for well or pump or to attack, set aside, void. or annul. In whole or in partapproval or denial of the applied for pei nil by the County and any environmental review documents related to the applieu fol permit: b. For any and all costs and expenses incurred by the County on account of any Cann. except where such Indemnification Is prohibited by law. inc-luding but not limited to damages. costs, expenses, attorney'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 party against the County and the County costs ince red in preparing an administrative record which, are riot paid by the petitioner C. Except as to the County's sole negligence or wdlful m!sconducl Z. 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 nle of any obligation to indemnify defend, and hold harmless the County b. In the event of a disagreement between County and me regarding defense of any Claire, the Counly shall have the authority to control the liligatiOn and make litigation decisions including, but not limited to, the manner in which the defense Is conducted. If County reasonably determines that having cunTmOn counsel presents such counsel with a conflict of Interest. or If I fail to promptly assume the defense of any Claim Or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County, and I shall pay the reasonable attorneys fees and costs 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 ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL WORKERS COMPENSATION LAWS. PROPERTY OV/NER (SIGNATURE IS REOUIRED FOR WATER EXTRACTION WELL ON PRIVATE PROPERTY): .SIGN: PRINT: MOO lymp P Yrml