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REVOCABLE PERMIT <br />RECOGNITION OF USE OF CITY STREET LIGHTS FOR THE INSTALLATION OF BANNERS <br />AND PROVISIONS ALLOWING TEMPORARY CONTINUANCE OF SAME <br />Notice to: <br />Herein, "APPLICANT". <br />04 SOU Tit BEn" <br />u` c <br />r, y? <br />1065 <br />The installation of banners upon City of South Bend street lights will be permitted to renal n and continue under the <br />following terms and conditions for a period of five (5) years: <br />]) The installation shall be done from a bucket truck, from the pavement, not on the public sidewalk; <br />2) The applicant shall be liable for any and all damage to the light pole, resulting from the installation, <br />and/or the removal of the banner; <br />3) The installation shall be done in conjunction with the South Bend Street Department and shall not <br />interfere with any street signs already in place on the pole; <br />4) Until such time as the BOARD OF PUBLIC WORKS (BOARD) of the CITY OF SOUTH BEND <br />(CITY) shall determine that such installation is in any way impairing or interfering with the highway <br />or with the free and safe flow of traffic thereon; <br />5) Said installation shall not in any way prejudice or preclude the CITY'S rights with respect to the future <br />use of the portion of the right-of-way; <br />6) The installation as it now exists shall in no manner be added to or enlarged in its present scope or <br />dimensions; <br />7) In the event of change of ownership of the fixture or any other item of personal property which <br />constitutes the aforesaid encroachment, this permit shall become null and void; <br />8) The CITY shall not be liable to APPLICANT for any damages caused to APPLICANT that arise out of <br />or is incidental to any activity and/or incidences authorized by this permit; <br />9) In consideration of the granting of this Permit by the BOARD, APPLICANT shall indemnify, hold <br />harmless and defend the CITY from and against any and all actions or causes of action which the <br />CITY may suffer or incur by reason of bodily injury, including death, to any person or persons, or by <br />reason of damage to or destruction of any property, including the loss thereof, arising out of or in any <br />manner connected with any activity and/or incidences authorized by this permit and/or any activities <br />and/or incidences incidental thereto, or which the CITY may sustain or incur in connection with any <br />litigation,. investigation, or- other expenditures. incidental thereto, -including any suit instituted by the - -_ <br />CITY to enforce the obligation of this agreement of indemnity. <br />It is the intent of the parties hereto that the APPLICANT shall indemnify the CITY under this <br />indemnification clause to the fullest extent permitted by law, except that APPLICANT shall not <br />indemnify CITY for any damage or expense caused by the sole negligence of the CITY. <br />This approval shall be binding upon everyone past or present, claiming any interest in and to the <br />aforementioned installation. <br />ACCEPTANCE OF TERMS AND CONDITIONS <br />I accept and agree to be bound by all of the terms and conditions of this permit. <br />Date: 10-17-2016 Signature: :E.,,,,Jy T?� <br />Title <br />Executive Director <br />Approved by the BOARD of Public Works this day of 20 <br />Board Member Board Member Board Member <br />Board Member Board Member <br />