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____________________________________________hereby agrees to indemnify, defend and hold harmless ____________________________________ (as well as any officers, employees or agents thereof) from all actual or alleged claims, demands, causes of action, liabilities, losses, damages or injury, whether brought on by the individual or another entity, court of law or administrative action, which may arise from any acts, omissions, negligence or misconduct. This applies to any and all payments concerning legal fees, fines, court costs and related expenses.
_________________________________________
Signature and Date
_________________________________________
Signature and Date
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