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<br /> I,the Owner/Applicantil-icensed Well Driller/Pump Contractor 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,losses,damages,judgments and/or liabilities arising out
<br /> 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,
<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 costs and expenses incurred by the County on account of any Claim,except where such 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 any person
<br /> or entity,private attorney general fees claimed 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 in 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 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,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 Office 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 I 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. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE IS CURRENT AND
<br /> ACTIVE WIITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL WORKERS
<br /> COMPENSATIO LAWS.
<br /> PROPERTY OWN R', /t
<br /> SIGN: � ,
<br /> PRINT: !��I2 t�AOM4S DATE
<br /> LICFASED Rn ON7'RACTOA:
<br /> SIGN: PRINT: 1 1/11'� ''YA XII(I I✓ /�
<br /> V 1"IrJV DAm O''10•U2�j
<br /> AUTHORIZATION FOR OTHER THAN C-57 SIGNING PERMIT APPLICATION
<br /> 1, _ _ ____ ____,hereby authorize
<br /> rNatt ori'-57fi--d��.u,.,,z,,]V;,,-- (Ain Name or Auth dr AAcrl)
<br /> to sign this Sari 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.
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