MOU - Servces Related to Weather Amnesty for Chronically Homeless - Rescue Incorporated dba Hope Ministries

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REIMBURSEMENT REQUEST Pursuant to the Memorandum of Understanding, dated November 12, 2019 (the "MOU"), between the City of South Bend, Indiana (the "City"), acting by and through its Board of Public Works (the "BPW") and Rescue Incorporated d/b/a Hope Ministries ("Hope"), the City donated the Donation Amount (as defined in the MOU) to Hope to be used in furtherance and support of Hope's weather amnesty efforts. In accordance with the terms of the MOU, Hope hereby requests that the BPW Representative, acting by the authority granted in the MOU, approve the disbursement to Hope of Dollars ($.,—........................_......�._•00 o reimburse of the remainder of the Donation Amount t Hope for its Permitted Expenditures (as defined in the MOU) evidenced by the documents attached hereto as Exhibit l (the "Supporting Documents"). In submitting this request, Hope hereby warrants and agrees as follows: 1. Hope has incurred the following expenses, which are reflected in the Supporting Documents, solely for purposes of advancing Hope's weather amnesty efforts and not for advancing or facilitating Hope's religious activities or the religious activities of any other organization: 2. Hope waives and releases any and all present and future liabilities of and claims against the City, the BPW, or any of their respective officers, agents, employees, successors, or assigns (collectively, the "City Parties") related to or arising out of the donation of the City Funds to Hope or Hope's use of the City Funds. Hope agrees to indemnify and hold the City Parties harmless from any liability, loss, costs, damages, or expenses, including attorneys' fees, which the City Parties may suffer or incur as a result of any claims or actions brought by any person or entity arising out of the donation of the City Funds to Hope or the use, occupancy, or condition of any real or personal property acquired by Hope using the City Funds. If any such claim or action is brought against any of the City Parties, Hope will defend such action or proceedings at its own expense and pay any judgment rendered therein. The undersigned represents and warrants that he or she is duly authorized to execute this instrument on Hope's behalf and to bind Hope to its terms. Further, the undersigned affirms, under penalties of perjury, that the statements contained in this instrument are true and accurate. RESCUE INCORPORATED, doing business as Hope Ministries, an Indiana non-profit corporation By: Printed: Its: Date: