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SITU AnDRESS: _ PERMIT f:�
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<br /> 1,the OwneriApplicant/Licensed 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 I
<br /> a. From and against any and all claims,demands,actions,proceedings,lawsuits,losses,damages,judgments and/or liabilities arising
<br /> 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
<br /> part, approval or denial of the applied for permit by the County,and any environmental review documents related to the applied for
<br /> permit;
<br /> e such indemnification
<br /> b. For any and all costs and expenses incurred by the County on account of any Claim,exceindemnification is prohibited
<br /> by law, including but not limited to damages,costs,expenses,attorney's fees,or expert witness costs that may be asserted by any
<br /> person or entity,private attomey general fees claimed by or awarded to any party against the County,and the County's costs incurred
<br /> in preparing 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 /> br 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 Clairn or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Office of the County Counsel or employ
<br /> separate outside counsel to represent or defend the County,and I shall pay the reasonable attorneys'fees and costs of such counsel.
<br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN
<br /> JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS, I ALSO CERTIFY THAT MY REQUIRED LICENSE IS
<br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT i AM IN COMPLIANCE WITH ALL
<br /> WORKERS COMPENSATION LAWS,
<br /> PROPERTY OWNER(SIGNA/IT..U'R IS REQUIRED FOR WATER EXTRACTION WELL ON PRIVATE PROPERTY):
<br /> SIGN: _ "dM w PRINT:Jordan W.JoneS DATE Q�26/2J.
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<br /> SIGN: PRtN'r: LdL.'_Z.LLC.t�+C;CCX/ DATE..... ''..�`_ :_...,�._.._
<br /> AU"I HORI7ATION FOR OTHER THAN C-57 SIGNING I)I Rmi,r APPLICATION
<br /> hereby authorize ............ ..... ............................._._..._.._.____..._. ._.-.._..._.___._..._.....
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<br /> it,,qpi this San Joaquin C'ounly Well&Boring Perinit,Application on Iny behalf, l understand thi authorization is valid for one year and
<br /> I,,Iiniitt:d to the:work plan dated()it the front page of this application.
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