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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: D y L 2/ 2O2 _ Event Date: 06/19/21 <br />Event Name: Stars and Stripes Forever Ride <br />Organization: American Legion Riders, Post #357 <br />Applicant (Contact) Name: Joseph Eshman _ <br />Applicant (Contact) Phone: (574)315-5621_ <br />Email: eagle12749@aol.com <br />Address: 19369 Kern Rd. <br />Alt. Phone: (574)231-9149 <br />City/State/ZIP: <br />South Bend, In., 46614 <br />Event Location (Please describe): <br />Staging at WALMART parking lot on Ireland Rd. starting at 8:00 AM. Riders will ave and sign in. The ride <br />leaves at 11:00 AM. It goes for approximately 60 miles and ends at the American Legion Post #357 at 5414 <br />West Sample St. <br />Length of Event (Dates/Times): <br />06/19/21, 11:00 AM till approximately 12:30 PM <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: American Legion Riders Post #357 _ 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: _0 1 ✓ 2.;,17- 0,4 <br />Authorized Organizer Signature <br />Joseph Eshman <br />Printed Name and Title <br />