_________________________________ agrees to indemnify
[Name of Owner(s)]
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and hold harmless the Village of Amityville in connection with
the sewer connection(s) to be made at premises known as
(address)
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Owned by the undersigned; and further agrees to indemnify and
hold harmless any of its departments or agencies, its officers, employees,
agents or tenants of and from all damages or claims of damages to
a public sewer, water service main, water pipe to a highway or the
surface thereof; to public property; or to any other person or persons
arising from negligent acts of commission or omission in any way relative
to said sewer connection; or damage to any other municipal facility
in making connection with a public sewer; in opening a public sewer
or in making an opening or excavation in a public highway, street
or sidewalk or in maintaining, guarding, refilling, dewatering or
working in or about such openings or excavations; or used in connection
therewith.
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Signature
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Sworn to before
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me this __________
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day of ________________, 20___
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Notary Public
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