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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: 04/27/2021-- Event Date: 06/26/2001 <br />Event Name: 3rd Annual Suicide Awareness Ruck March "22 -- <br />--------------------------------------------------------- - <br />------------ <br />Organization: 428th Military Police Company — <br />E. Kovatch <br />Applicant (Contact) Name: SFC Joseph <br />Applicant (Contact) Phone: 719-366-0488 Alt. Phone: 574-274-1197 <br />Email: joseph.e.kovatch.civ@mail.mil <br />Address: 2402 E. Rose St. <br />City/State/ZIP: South Bend, IN 46635 <br />Event Location (Please describe): <br />Starts at the Maple Lane Reserve Center on Rose St. and will end at the same location <br />(map of planned route included) <br />Length of Event (Dates/Times): 06/26/2021 from 0700_1300 <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: __--_----_ —_—_ _ _ 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: 04/27/2021 <br />KOVATCH.JOSEPH.EDWARD.1085110027 Datea2029p427y1KO9�-04'0SEPH.EDWARD.1085110027 <br />Authorized Organizer Signature <br />SFC Joseph E. Kovatch <br />Printed Name and Title <br />