WP0042874 - Laserfiche WebLink

Home Browse Search

42 SITE Ab^REss: .d ! 11FJ/1�JJG FERMt1 : Plam- -_FT 1 ' t r .� I i � l _ R i I. ► li � Ii A 1 I i I t I _T_ ; s 1 1 . 1 I I f i 1 # I l i III I # I J ! l i l I 1 I i GIS Coordnratc c2tt>vda Longitude; 1,•the 0*,newA^pftWt L1cacued Well aitiie7Pinnp Cmwactcr agrees to indemnity;defend with counsel.teasonaWy apptevei by County,and hR,'d harmless the Ca my and:ts=CM.ol9dats,employees,agents,boards.and commissions(collectivey'Caun as WOWS: 1'. trdemnfy. a. Fmm&-4 against any and an claims,demands,actions,proceedings,lawsuits,losses:damages,luda""'ner is andW 113bili6es artOV, out of,reh t+ed to,or In connection wiVi the appllca1on and applied for well or pump or m anadc,set aside,void,or arna,J,in whole or in part approval or denial of the applied for pwmt by the County,'and any emkonnental teVkw dooments related to the appiied for pa"nJC b. For any and an costs and expenses kmmvd by the County on ac otant of arty Claim,except 10wre such indemnif'.;ti)n W pia lbhed by low,including but not lirr'fed to damages,coats',espansw,anomeys fees,or expert u4mess oasts that may be asserted by arty person or entity.private aftmey general fees claimed by or awarded to aaypatty agaklst the CChahb,and the Countys costs Ina rred in preparit an admLrttspatihv reard Which are not-paid bythe paddow. C, Except es to"ux C xm ys sore r*g.hgence or wilful misconduct Z. Defense: a. The county may parf6pata ordirect the deferce of any Claim.The County's actions in dater"of any claim shall riot rellewo me of art! obligation to indemrdfy,defend and hold harmless the County. b. Iii.the event of a disagreement between County and me regarding defense of arty Main%nice Cou nig shall have ttte ax1gt to ccntrd the RWatim and make Ittigmion deaslons,Includ!ng,but not United to,the manner in whlch V*defarm Is conducted. N Canty reasonably determines that having Common counsel presents such counsel with a oonifid of stt rOst.Or If f fall m promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County,then County MAY Util m the Office Of the County Goursef or emgkry sepa,ate outsde counsel to represent cr defend the County,and I shag pay the reasonable a torneys'fees and costs of such , I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPUCATION AND THAT THE WORK VALL BE DONE IN ACCORDANCE W" SAN JOAQUIN COUNTY ORDINANCES,'STATE LAWS,AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE.IS CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT i AM IN COMPLIANCE"VOTN ALL WORKERS CONIPENSA ON LAWS. ftopmrtrOwm a: LIM9 D,11JU s Comucrux 20 S"' E Dire 1�' Z•} -- – — �, AUTHORiZA ICON FOR OTHER Tf kN C-57 SIGNING PERMIT:APPLICATION I ,be by audiorizc na�...res� TA sign ties San Joaquin County W4&Boring Permit Application on my bebntl£I undemind tivs autherixation is-wild for ozone year and is Limited to the work ptan'dated cm the famtt page of this appticatiom 91MV430 tt6^.k1001 T hlaft �`��' •'� Scanned with CamScann,