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Section K - Indemnity & Hob Harmless Azreement <br />City of South Bend Special Events Committee <br />Date: 4/8/21 <br />Event Name: Sunburst Maces <br />Indemnity & Hold Harmless Agreement <br />Event Date: 9/25/21 <br />Organization: Beacon Health System <br />Applicant (Contact) Name: Courtney Kipker <br />Applicant (Contact) Phone: (574) 514-4176 Alt Phone: (574) 647-2679 <br />Email: ckipker@beaconhealthsystem.org <br />Address: <br />111 W. Jefferson Blvd., Suite 300 City/State/ZIP: South Bend, IN 46601 <br />Event Location (Please describe): <br />Primary Plan: Races start at Four Winds Field (525 S. Lafayette Blvd.) and finish on the 50 -yard line of Notre <br />Dame Stadium. <br />Contingency Plan: Races both start and finish at Four Winds Field (525 S. Lafayette Blvd.) <br />Length of Event (Dates/Times): <br />9/25/21 7am-11:30am (start of first race to close of finish line) <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: <br />Beacon Health System — -------------- agrees to indemnify, defend <br />_ <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: —Y t- <br />/ t.l <br />- ----- <br />v� <br />Authorized Organizer Signature <br />i. Cef+�l[o . CFO <br />Printed Name and Title <br />