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Section K - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 3-2-21 Event Date: 4-24-21 <br />Event Name: Chet Waggoner Opening Day Parade- <br />Organization: <br />arade <br />Organization: Chet Waggoner Little League <br />Applicant (Contact) Name: Jamie Pluta <br />Applicant (Contact) Phone: 574-360-7276 <br />Email: 1plutalight@aol.com <br />Alt. Phone: <br />23066 Acacia Place South Bend IN 46628 <br />Address: ___ ___ __ City/State/ZIP: --------------------------------------- <br />Event <br />____________-_Event Location (Please describe): <br />Parade from Holy Cross School to Chet Waggoner Little League <br />Length of Event (Dates/Times): <br />4-24-21. from 8:00 AM to 8:30 AM <br />------------------------------------------ <br />Insurance <br />________-_______ <br />Insurance Amount: This event is insured for no less than $700,000 per occurrence and $1,000,000 in aggregate, <br />and the certificate of insurance includes a rider naming City of South Bend, Special Events Committee, and Board <br />of Public Works as additionally insured for the event. <br />Organization Name: Chet Waggoner Little League <br />g ___� agrees to indemnify, defend <br />and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, <br />including attorney fees, which the Civil City of South Bend, Indiana, may suffer or incur as a result of any claims <br />or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a <br />participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana, <br />through the Board of Public Works, to close a portion of the public right-of-way for the event described above, <br />or for any harm or damage alleged to have occurred because of the holding of the special event. The <br />undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. <br />Signed on this Date: 3-7-21 <br />------------------ <br />Authorized Organizer Signature <br />Jamie Pluta President Chet Waggoner Little League <br />Printed Name and Title <br />