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equipment On Hand <br />use in determinallon <br />T, "I <br />Ir % v- & -* ke <br />41-Ny4 <br />r 4,,t,&C ) <br />e. %A O%e <br />NOD v.&- +air <br />Serv4c- <br />LVR- <br />$ f-Iter 5 <br />( r t& 4 �-er +T�400 <br />�0 t � �' i b ► �� �► �' is �t <br />1 <br />By S1a111I1g and <br />submitting this application, 1/we agree to <br />follow all City of, South <br />Bend Prevailing <br />Specifications and <br />Special Provisions (enclosed in the Sewer <br />Insurmlce <br />Program Policy <br />as <br />Exhibit G} <br />By signikQ� and submitting this application for pre -qualification, Uwe understand that as a Contractor under <br />the City Sewer Insurance Program, I/we sham be directly and solely liable to a Homeowner for any darnage <br />to any Homeowner's person or properly caused by the Contractor's acts, conduct or omissions arising fi-om <br />or within the scope of this Program. I/we small rcicase and fully indemnify the City from any claim or caiise <br />of action of any kind which Horneowncr may make against the City for any act, conduct or omission by t ie <br />Contractor under this Prograin. indemnification includes butt is not limited to Contractor's payment of any <br />legal fees or legal expense incurred by the City in defending such Homeowner claim, <br />cry► zAee e.i <br />15 <br />signaelfre <br />