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Date: 3/30/2021 <br />Section K - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Event Date: 08/7/2021 <br />Event Name: LIVESTRONG at the YMCA 5K and 1 Mile Family Fun Run <br />Organization: YMCA of Greater Michiana_O'Brien Center/YMCA Partnership <br />Applicant(Contact)Name: Crystal Jodarskl__ <br />Applicant (Contact) Phone: 574-233-7760_ at Phone: 920-495-1123 <br />Email cjodarski@ymcagm.org <br />City/State/ZIP <br />Address: : _ <br />321 East Walter Str. South Bend IN 46614 <br />Event Location (Please describe): <br />Potawatomi Park; Mishawaka Ave. at Greenlawn Ave. <br />Length of Event (DatesTSam - 1lam, <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 />agrees to indemnify. Organization Name: The YMCA of Greater Michiana — _----_ __—_ B fy, 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: 3/30/2021 <br />Signature <br />I Jodarski - 3/30/2021 <br />Printed Name and Title <br />