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W it <br />REGULAR MEETING MARCH 6, 1989 <br />required personal property damage insurance and liability <br />insurance in an amount determined by the City. In all such <br />requirements, the City must be named as a co-insured. In <br />addition or alternatively, the Board may require that the sponsor <br />indemnify and hold the City harmless from any and all damages, <br />injuries, losses, claims or demands or costs proximately caused <br />by default, culpability or negligence of the sponsor in <br />connection with the event for which approval was granted. The <br />required Certificate of Insurance or Indemnification Agreement <br />must be filed with the Board not later than two (2) working days <br />prior to the scheduled event. <br />6. Nothing in this Resolution shall be construed to mandate <br />approval by the Board or to prevent the Board from imposing <br />additional conditions or restrictions (such as date and hours of <br />operations limitations) it deems necessary or desirable in <br />carrying out the general purposes of this Resolution. <br />Adopted this 6th day of March, 1989. <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />s/JOHN E. LESZCZYNSKI, PRESIDENT <br />s/PATRICIA DE CLERCQ <br />s/KATHERINE HUMPHREYS <br />ATTEST: <br />s/Sandra M. Parmetlee, Clerk <br />ATTACHMENT "A" <br />APPLICATION <br />FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC <br />RIGHT-OF-WAY FOR A PARTY OR SIMILAR EVENT <br />This application is made to the City of South Bend, Indiana, <br />Board of Public Works, for the use of the specified public <br />right-of-way by SPONSOR (a.k.a. "APPLICANT") for the holding of <br />the hereinafter described event. <br />1. SPONSOR requests approval to use the public right-of-way <br />described as: <br />for the holding of the following event <br />(description) <br />2. The event shall be held on <br />(day) <br />(month/date) 19_, and on no other date. <br />3. Starting time of the event is a.m./p.m. and the <br />estimated completion time is a.m./p.m. <br />4. In order to insure public safety during <br />SPONSOR requests that the City furnish materials <br />(i.e., barricades) necessary to restrict access <br />(street(s) from <br />to <br />(cross street(s)) <br />the event, the <br />and equipment <br />5. The SPONSOR has herein attached to this Application the <br />Certificate of Insurance or Indemnification Agreement required by <br />the Board pursuant to Resolution No. 10-1989. <br />1 <br />