126-24 Exhibit A - ALPR.pdf

COUNTY OF ESSEX DEPARTNTNT OF PUBLIC WORKS DIVISION OF ENGNEERING INDEMNITY AND HOLD HARMLESS AGREEMENT For and in consideration of having been granted a permit for conducting physical improvements within an Essex County Right-of-Way on the Undersigned's premises, the Undersigned hereby indemnifies and holds harmless the County of Essex including but not limited to its Department of Public Works, Division of Engineering and their respective officers, employees, agents elected and appointed officiates from and against any and all claims, judgments, causes of adion, cost or expenses asserted against or incurred by them or any of them arising out of any accident or injury asserted against or incurred by them or any of them arising out of any accident or injury sustained by any person(s) at the location during the period and after the expiration of the issued permit occasioned by the work performed by the Undersigned. The Undersigned agrees and understands that a part of said consideration for this Agreement shall include the Undersigned’s promise that any rights to bring suit against the County and any rights to compensation therefrom on any matters arising from or otherwise related to the Undersigned’s participation in this improvement have been knowingly and willingly relinquished by the Undersigned under this Agreement. By affirming his/her signature to this document, the undersigned acknowledges that it understands the contents of this document and is voluntarily agreeing to its terms. The undersigned is authorized and holds the actual authority as the legally authorized owner/representative of the premises to enter this agreement. In witness whereof I/We have hereunto set my/our hand and seal the __________ Day of _________ in the year _____________ Property Location: _____________________________________________ Type of Improvement: _______________________________________ Owner/Representative’s Name: _______________________________ Signature of Legally Authorized Owner/Representative: ____________________________________ Printed Name: _________________________________________________