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Section E - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 04/07/21 Event Date: 05/15/21 <br />— — ---- — — — <br />Event Name: Birthday Party ______ <br />Family Reunion W <br />Organization: -- y ---- --- ----- --- - -- --- <br />Leonard] Alcantara Hernandez <br />Applicant (Contact) Name: _ _�—___�� <br />Applicant (Contact) Phone_ _(574) 514-0779 Alt. Phone: <br />Email: alcantaraleonarda@gmail.com <br />-___-._ _--__ ___-_ _-_.--__ <br />Address: <br />430 S Phillipa _ _ city/state/zlP: South Bend IN 46619 <br />_-__-. _ _ <br />Event Location (Please describe): <br />Street Houses <br />Length of Event (Dates/Times): 05/15/213_00-8.00 <br />APPLICANT agrees to indemnify, defend and hold harmless the Civil City of South Bend, Indiana, from any <br />liability, loss, costs, damages or expenses, including attorney fees, which the Civil City of South Bend, may suffer <br />or incur as a result of any claims or actions which may be made against the City, its agents, employees, or <br />subdivisions by any person, including a participant in the activity, arising out of the approval of this request by <br />the Civil City of South Bend, Indiana, through the Board of Public Works, to close a portion of the public right-of- <br />way for the event described above, or for any harm or damage alleged to have occurred because of the holding <br />of the special event. The undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. <br />Signed on this Date: 04/07/21 <br />Authorized Organizer Signature <br />Leonarda Alcantara Hernandez <br />Printed Name and Title <br />