Fill and Sign the In Consideration of the Sum of Ten Dollars and Other Form

INDEMNITY AGREEMENT FOR AND IN CONSIDERATION of Ten and no/100 Dollars ($10.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, _______________________ AND ________________________ ("Indemnitors") do hereby covenant and agree to defend, indemnify and hold harmless, absolutely and unconditionally, ________________________ (" _________________________") from and against any and all damages, losses, claims, demands, actions, causes of actions, costs, expenses, liabilities and obligations of any kind whatsoever, including, but not limited to, attorney's fees, arising out of, related to, or connected with the following: [identify event] This Agreement shall be binding upon and inure to the benefit of the successors, assigns, heirs, executors, administrators and legal representatives of the respective parties hereto and shall be governed by, and construed in accordance with, the laws of the State of ______________. If any provision of this Agreement is held invalid, such invalidity shall not affect the validity or enforceability of the remaining provisions of this Agreement. Should it become necessary for ______________ to enforce this Agreement by employing an attorney, Indemnitors agree to pay all reasonable attorney's fees and costs of court incurred by _________________________.IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date set forth beside the signature of each party. INDEMNITORS: INDEMNITEE:Sign: _________________________________Sign: ______________________________Sign: _________________________________Date: ____________________Date: ____________________