Stormwater Management Agreement Form Page 2

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indemnify and hold harmless the County and its agents and employees for any and all damages, accidents,
casualties, occurrences or claims which might arise or be asserted against the County from the construction,
presence, existence or maintenance of the stormwater management facilities by the Landowner or the County.
In the event a claim is asserted against the County, its agents or employees, the County shall promptly notify
the Landowner and the Landowner shall defend at his own expense any suit based on such claim. If any judgment
or claims against the County, its agents or employees shall be allowed, the Landowner shall pay all costs and
expenses in connection therewith.
8. This Agreement shall be recorded among the land records of Fairfax County, Virginia, and shall
constitute a covenant running with the land, and shall be binding on the Landowner, it administrators, executors,
assigns, heirs and any other successors in interest.
IN WITNESS of all of which, the parties hereto have caused this Agreement to be executed under seal on
their behalf.
_________________________________________
___ __________________________________
Landowner
Landowner
By: __________________________________________
__________________________________________
Signature
Signature
_____________________________________________
__________________________________________
(Print or type name and title)
(Print or type name and title)
Address: (type or print) ___________________________________________________________________________________
_______________________________________________________________________________________________________
STATE OF _________________________________________
COUNTY/CITY OF ___________________________________
I, ________________________________________________, Notary Public in and for the State and County/City
aforesaid, do hereby certify that ___________________________________________________________________
_______________________________________ whose name(s) is (are) signed to the foregoing agreement, this day
personally appeared before me in my State and County/City aforesaid and acknowledged the same.
Given under my hand this ________ day of ______________________, _____________.
My commission expires: _______________
_________________________________________________
Notary Public
BOARD OF SUPERVISORS OF FAIRFAX COUNTY, VIRGINIA
By: ______________________________________________________
Director, Land Development Services
Department of Public Works and Environmental Services
COMMONWEALTH OF VIRGINIA:
COUNTY OF FAIRFAX:
This __________ day of _____________________, __________, appeared before me in my State and
County aforesaid, ___________________________________________________ Director, Land Development
Services, Department of Public Works and Environmental Services, and acknowledged signature.
My commission expires: ________________
_______________________________________________
NOTARY PUBLIC
Approved As To Form:
___________________
County Attorney
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