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PERMITlAGREEM-U, lT <br />FORA PROCESSION <br />I. Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed <br />necessary, <br />2. Sponsor shall provide to the Board a Ceifificate of Insurance showing a liability policy in <br />full force and effect with limits of $300,000.00 per occurrence and $5,000,000.06 <br />aggregate and the City of South Bend listed as an additional named insured for this event. <br />3. Sponsor shall provido to the Board all additional licenses, permits and documentation <br />required for the event, <br />4. If this event results in closure of a residential street, all residents within, the affected area <br />must be notified of this event. The APPLICANT must make a reasonable attempt to <br />notify all residents that reside on the block. A. copy of a brochure or letter describing <br />the event purpose, ddte, and time must be distributed to all affected neighbors and <br />included with the application, <br />S. If this event results in closure of'a residential street, the applicant is responsible, prior to <br />the event, fok determining if there are any residents affected that could potentially need <br />assistance in accessing their residence. The applicant is responsible for providing said <br />resident access or transportation to their property. <br />6. Sponsor agrees to abide by all terms and conditions of the Board's policy governing <br />walks, runs, parades or other similar event adopted by the Board on March 3, 1985. <br />7. In order to ensure public safety during the event, the Board agrecs to furnish traffic <br />planning, materials, equipment and personnel as deemed necessary by the Police <br />Department Traffic Bureau, the Bureau of Traffic and Lighting, and, where applicable, <br />the: Board ofPark Commissioners. .--- -- ---.-.----.--.-.-- _ __._-._.. .: . .. . . <br />S, Sponsor arknowledges that the Police Department reserves the right to change this route <br />for safety purposes. <br />9. In consideration for approval by the Board and the use of the sidewalks for the purposes <br />set out above, the undersigned agrees and undertakes to hold the Civil City of South <br />Bend, Indiana, free and barmless from any liability loss, costs, costs, damages or <br />expenses, including attorney fees, which the Civil City of South Bend may suffer or <br />incur, as a result of any claims or actions which may be made by any person, including a <br />participant in said activity, arising out of the approval of the request to use the sidewalks <br />indicated in the City of South Bend. The undersigned certifies that helshe is authorized to <br />bind the above mentioned sponsor to the terms hereof. <br />10. Notification of ap-provalldonial of this request will be issued by Return of this form, upon, <br />signed authorization by the Board of Public Works <br />I understand the above rules and regulations and that this application may be denied based on <br />any false or incomplete information. <br />Sponsor Signature Lk�g <br />RETURN roRAI TO: <br />Board ofP ablic Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, M 46G0I <br />Phone: (574) 235-9251 a Fax; (574) 235-9171 <br />