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City of South Bend/Tire Rack <br />AMENDED-Indemnification Agreement2020 <br />TIRE RACKCITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />________________________________________________________________ <br />Signature <br />President <br />_________________________________________________________________ <br />Printed Name and Title <br />Member <br />_________________________________________________________________ <br />Street Address <br />Member <br />______________________________ <br />P.O. Box <br />___________________________________ <br />______________________________Member <br />City, State Zip <br />_________________________________________________________________ <br />TelephoneFax <br />Member <br />______________________________________________ <br />ATTEST: <br />Date <br />______________________________ <br />Linda Martin, Clerk <br />Signature Page to IndemnificationAgreement by and between Board of Public Works and Tire <br />Rack, dated ___________. <br />Page 2of 2 <br /> <br />