HomeMy WebLinkAbout2004 - Indemnification and Hold Harmless and Permit Temporary in Nature - Bricklayers Beneficial Association - 20040318000843Return 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):
Parties:
Other:
Legal Description:
Assessor's Tax Parcel ID #'s: N/A
11 11111101111111111111 11
20040318000843
TUKWILA CITY 0 MISC 22.00
PAGE001 OF 004
KING
COUNTY,
ENT'D APR 0 2 2004
CITY OF TUKWILA
DOCUMENT RECORDING
COVER SHEET
INDEMNIFICATION AND HOLD HARMLESS
AND PERMIT TEMPORARY IN NATURE
RE: D03 -246
BRICKLAYERS BENEFICIAL ASSOCIATION
CITY OF TUKWILA
ALONG 52 AVENUE SOUTH AND
ADJACENT TO 15208 52 AVENUE SOUTH
Indemnification and Hold Harmless
and Permit Temporary in Nature
PERM IT T CENTER.
Reference Number(s) of Related Document(s): D03 -246
Grantor: Bricklayers Beneficial Association, a Washington State Corporation
Grantee: CITY OF TUKWILA, a municipal corporation of King County, Washington
Work Location:
Along 52n Ave. South and adjacent to 15208 52nd Ave. South
Abbreviated Work Description:
Work within the City Right -of -Way, including driveway access, utilities, sidewalk, underground poweer, and
street lighting.
NOW, THEREFORE, the parties agree as follows:
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.
RECEIVED
NOV 1 3 2003
TU KWILA
PUBLIC WORKS
E R 4 R_ EcT14 *1
R ECEIVED
C ITy of TIJKWII A
B 1
IN WITNESS WHEREOF, said individuals have caused this instrument to be executed this 6th day of
November 2003.
rULA L,3
Authorize j.Signature
Authorized ignature
STATE OF WASHINGTON)
)ss.
County of King
I certify that I know or have satisfactory evidence that Robert W Power Terry Hays
are the person who appeared before me, and said person acknowledged that
he /she signed this instrument, on oath stated that he /she was authorized to execute the
instrument and acknowledged it as the Treasurer Board Member of
Bricklayers' Beneficial Association a corporation, to be the free
and voluntary act of such party for the uses and purposes mentioned in this instrument.
Dated 11/06/03
o
Notary Public in and for the State of Washington
residing at Edmonds
My appointment expires 02/01/2005
DATED this r St day of
GRANTEE: CITY of TUKWILA
By: Trrtitss k
Print Name: James Morrow
Its: Public Works Director
STATE OF WASHINGTON)
)SS.
COUNTY OF KING
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.
,..ti A. D 1
--.ON F '9 Name: Alice, A. v e C{. C y
o I4OTAR pm: i
(seal) 0 cn
/a cp s ue
i
NOTARY PUBLIC, in and for the State of
Washington, residing at
2003
Renton
My commission expires: 6 /6-0V