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<br /> SITE.ADDRESS: ..., PERMIT :-�,
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<br /> I.the OvmertAppl!cant/Licensed Well DrillerlPump 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
<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 /> b. For any and all costs and expenses incurred by the County on account of any Claim,extept where such indemnification 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 attorney 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 /> t. 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
<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 1 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,,T''tII/R'IS REQUIRED FOR WATER EXTRACTION WELL ON PRIVATE PROPERTY):
<br /> SIGN: �(IM K/ PRINT:Jordan W.Jones DATE.._02/26125......_ _
<br /> vt i i t) 1i,1.E'r ()N1RA{TtaR:
<br /> SIGN PHINT:.. 13[.!L.t✓r,l- �./l�Ck�i DATE 6_
<br /> AUTHORIZATION FOR OT CER T IAN C-51 SIGNING PERMIT APPLICATION
<br /> herebyauthorize ..___...._..........__.___.____........_.................................._. _..__.......
<br /> ,:,cm t��"t„�nu.t A�i!.rtir d Reix untauso i i;i'+.,nk of Arii o ed Agont
<br /> Yen this San Joaquin County Well k Boring Perinit Application Dn Iny behalf. I understand this authorization is valid t<)r otw year and
<br /> i,hinitcd to the work plan dated an the front page of this application,
<br /> 1!iiYi+:;r..:i+'•3i f4;:1 Pegr?o(2 'N,it
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