HomeMy WebLinkAbout2004 - Indemnification and Hold Harmless and Permit Temporary in Nature - Pellco Construction Inc - 20040318000841Return Address:
CITY OF TUKWILA
Bob Baker, CMC,
Deputy City Clerk
Office of the City Clerk
6200 Southcenter Blvd.
Tukwila, WA 98188
(206) 433 -1800
Document Title(s):
1110010011 000
20040318000841
TUKWILA CITY 0 MISC 23 00
PAGE001 OF 005
03/18/2004 11:37 ENT'D APR 0 2 2004
KING COUNTY WA
CITY OF TUKWILA
DOCUMENT RECORDING
COVER SHEET
INDEMNIFICATION AND HOLD HARMLESS
AND PERMIT TEMPORARY IN NATURE
RE: D03 -259
TUKWILA SCHOOL DISTRICT ADMIN. BLDG.
Parties: PELLCO CONSTRUCTION, INC.
Other: CITY OF TUKWILA
Legal Description: 4640 SOUTH 144 STREET
Assessor's Tax Parcel ID #'s: N/A
Reference Number(s) of Related Document(s):
Tukwila. €tkol h1 +irk AdYnivt, fall k bo3-259
Grantor /Borrower: Ac (yvsrwc; 1;ft
Grantee /Beneficiary: CITY OF TUKWILA, a municipal corporation of King County, Washington
Work Location:
Abbreviated Work Description:
NOW, THEREFORE, the parties agree as follows:
Indemnification and Hold Harmless
and Permit Temporary in Nature
TE /'J .ti
`err g 6 i /are.46 x.v.dosiz
The Permittee shall indemnify, defend and hold harmless the City, its officers,
agents and employees, from and against any and all claims, losses or liability,
including attorney's fees, arising from injury or death to persons or damage to
property occasioned by any act, omission or failure of the Permittee, its officers,
agents and employees, in using the City's right -of -way under this permit. This
indemnification and hold harmless shall not apply to any damage resulting from
the sole negligence of the City, its agents and employees. To the extent any of
the damages referenced by this paragraph were caused by or resulted from the
concurrent negligence of the City, its agents or employees, this obligation to
indemnify, defend and hold harmless is valid and enforceable only to the extent of
the negligence of the Permittee, its officers, agents, and employees. Further, the
right -of -way permit herein is wholly of a temporary nature and it vests no
permanent right to use whatsoever to the Permittee.
Page 1 of 4
Dated November lZ 2003
Aut4rized re
IN WITNESS WHEREOF, said individuals have caused this instrument to be executed
this /7 day of X✓ 2003.
a/u e. OE Aea c
AI ice Q. Dea.c
Notary Publi in and the State of Washington
residing at Ken er)
My appointment expires 6 /6 ON
Authorized Signature
STATE OF WASHINGTON)
)ss.
County of King
I certify that I know or have satisfactory evidence that /'4wJhae/ f Pel /i flex;
and
is /are the person(s) who appeared before me, and said individual(s)
acknowledged that he/:hc/thcy signed this instrument and acknowledged it to be
his /her/thrtrfree and voluntary act for the uses and purposes mentioned in this
instrument.
Page 2- of 4
c A. D�
i Q s s ON F t 1 t t l
$Q 'i
0 0.
PUBL%G
DATED this 2nd day of December 200 3
GRANTEE:
By:
Print Name:
Its:
STATE OF WASHINGTON
COUNTY OF KING
CITY of TUKWILA
James Morrow
Public Works Director
On this day, before me personally appeared JIM MORROW to me known to
be the PUBLIC WORKS DIRECTOR for the City of Tukwila, and executed this
instrument on behalf of the City of Tukwila in his capacity as PUBLIC WORKS
DIRECTOR and acknowledged that he is authorized to do so at his free and
voluntary act and deed, for the uses and purposes therein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day
and year first above written.
aeLti, CZ. &a,cc-
Name: Alice A. Deasy
(seal) ;`\ee °Eq
i :0 NOTARY i
;U y
PUBLIC
shI 616 -0°.• My commission expires: 6-16- 0 4
‘yOrwAS
NOTARY PUBLIC, in and for the State of
Washington, residing at Renfon
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(ed1 h 114/4Th
Ric Wa gllo8
EXHIBIT A
DEPICTION OF WORK LOCATIONS)
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