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Attachment 34A: Local Government Indemnification as part of DOT MOU Process <br />Indemnification Agreement <br />In accordance with paragraph 5.A.(ix), Memorandum of Understanding (MOU), dated June 16, 2014, <br />by and between the State of Florida Department of Environmental Protection (FDEP) and the State of <br />Florida Department of Transportation (FDOT), collectively the parties, which addresses discharges of <br />petroleum pollutants from off-site source properties to state transportation facilities, the FDOT accepts this <br />Indemnification Agreement as executed by City of Casselberry (the Requestor), who has sought closure of <br />the Casselberry Police Department Site FDEP SITE ERIC 11185(site) from FDEP and FDOT. Petroleum <br />products have migrated from the Requestor's property into a portion of the FDOT's US HWY 17-92 ROW in <br />Casselberry, Seminole FL, (Transportation Facility), see attached Exhibit A. FDEP has requested FDOT <br />place a Map Note on its right-of-way map showing the location of the site's petroleum pollutants within the <br />Transportation Facility. FDOT is amenable to FDEP's request given the Requestor's willingness to execute <br />and perform this Indemnification Agreement. <br />THEREFORE, the City of Casselberry agrees to indemnify FDOT and to hold it harmless for any <br />damage that may occur to the Transportation Facility arising from or as a result of the site's petroleum <br />pollutants. The Requestor agrees to defend i demnify and hold FDOT harmless from any liability arising <br />from the site's petroleum pollut s. rt r, Requestor agrees to be responsible for any damage sustained <br />by FDOT as a result of the sj 's petrolq m pbllutants'� <br />Requestor's Signature <br />Requestor's Printed Name David Henson, Mayor/Commissioner <br />Requestor's Address City of Casselberry, 95 Triplet Lake Drive, Casselberry Florida 32707 <br />Requestor's Telephone Number/Email address 407-262-7700 , Ext. 1133/ dgardner@casselberry.org <br />Signed, Zsele7anda� ered ithe pr nc <br />Name: /, <br />Witness <br />Print Name: ®Y•i� �' I (pn��Vi <br />�J(X-- <br />Name <br />Witness <br />Print Name. C- &J I'- <br />Attest: <br />CITY O CASSELBERRY <br />By: <br />Donna G. Gar ner, CMC <br />City Clerk <br />As authorized for execution at the City <br />Commission <br />///_��''j[}e/eytin;�g'(� of: <br />Date: q A,PD - 4 <br />Date: <br />