INDEMNIFICATION AGREEMENT FOR VALUE RECEIVED, receipt of which is hereby acknowledged, and for other good and valuable consideration, the undersigned hereby agrees forever to indemnify and hold harmless ____________________ from and against any and all claims, suits, damage or damages and/or loss or losses and/or action or actions of any kind as the result of and arising out of _________________________________________________________________ ___________________________________________. Dated: ______________________________ _____________________________ Witness Form 615