Indemnity Document I/We the applicant: ___________________________________________________________ applicant agrees to take out and keep current during the permit period public liability “The insurance for a minimum of ten million dollars and further agrees to indemnify and to keep indemnified Council against all actions, costs, claims, charges, expenses, penalties, demands and damages whatsoever which may be brought or made against Council arising out of in relation to the permit.” Signature: ____________________________________________ Date: ___________________ Print name: ___________________________________________________________________ __________________________________________________________________ On behalf of: In the presence of: _____________________________________________________________ Name and address of witness: ___________________________________________________ .
Indemnity Document I/We the applicant: ___________________________________________________________ “The applicant agrees to take out and keep current during the permit period public liability insurance for a minimum of ten million dollars and further agrees to indemnify and to keep indemnified Council against all actions, costs, claims, charges, expenses, penalties, demands and damages whatsoever which may be brought or made against Council arising out of in relation to the permit.” Signature: ____________________________________________ Date: ___________________ Print name: ___________________________________________________________________ On behalf of: __________________________________________________________________ In the presence of: _____________________________________________________________ Name and address of witness: ___________________________________________________ .
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