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<br /> 1,the Owner/AppllcenUUcensed Weil Ddiler/Pump Contractor agrees to tndemnify,def@ttd with Counsel reasonably approved by County,and hold harmless
<br /> the County and its oRcers,officials,employees,agents,boards,and=MmWon$(coffectively'County")as follows:
<br /> 1. .indemnity:
<br /> a. From and against any and all claims,demands,actions,proceedings,lawsuits,losses,damages,judgments and/or liabWes arising out
<br /> of,related to,or in connection with the application and applied for well or pump or to agaric set aside,Void,or annul,in whole Orin 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 casts and expenses Incurred by the County on account of any Cialm,except wheresuch indemnification is prohibited by
<br /> law,Including but not limited to damages,costs,expenses,attorney's fees,or expert witness costs that may be asserted by arty person
<br /> or entity,private attorney general fees Calmed by or awarded to any party against the County,and the County's costs Incurred in preparing
<br /> an administrative record which 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 to defense of any claim shall not relieve me of any
<br /> obligation to indemnify,defend,and hold harmless the County.
<br /> b. In the event of a disagreement between County and me regarding deferse of any Claim,the County shall have the authority to control
<br /> the Ifllgation and make litigation decisions,including,but nat 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,or if I fail to promptly assume the defense of
<br /> any Claim or to promptly employ counsel reasonably satisfactory to the County,then County may utilize the Oft-ice of the County Counsel or employ separate
<br /> outside counsel to represent or defend the County,and I shall pay the reasonable attorneys'fees and costs of such counsel,
<br /> 1 HEREBY CERTIFY THAT t HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN
<br /> COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS CURRENT AND
<br /> ACTNE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL WORKERS
<br /> COMPENSATION LAWS.
<br /> SIGN: PRINT. dJ VJ_ DATE
<br /> YSCI:YSFa
<br /> RILL- IIbII'CONTRACTOR:
<br /> SIGN: �
<br /> PRINT: : / CJ�N � DATE
<br /> AUTHORIZATION FOR OTHER THAN C-57 SIGNING PERMIT APPLICATION
<br /> I� hereby authorize
<br /> (V—a•G37 Lkmtcd Amhorad Rn,.'e9mr, ,e) RrlotN 9=OfMlb=�.dACmt)
<br /> to sign this San Joaquin County Well&Boring Permit Application on my behalf,I understand this authorization is valid for one year and
<br /> is limited to the work plan dated on the front page of this application.
<br /> EHD 43woa
<br /> 11123!21 WELL DETIRUCTION PERNI,T
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