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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: -L-0-1---202.1 -------------- Event Date: Z_Q3_ 202 -1 ----------- <br />Event Name:— 1-%L-SSVVAL-------- ---------- -------- —----------- ----------- —------------- ----- <br />Organization: _-- <br />--- —--- ------- —`------------------------------------- <br />Applicant (Contact) Name: IL(ht�—----------------- ------------ —---- ------------ <br />Applicant (Contact) Phone: �Z�-1��5- �y—__—_—_ Alt. Phone: —_—_------_ <br />Email: —s�i LYji4Y2�4X144_gMQOK_S-Q\C ------------------------------------------- <br />Address: _�S�OjnV�------- ---------- City/State/ZIP: <br />Event Location (Please describe): <br />Length of Event (Dates/Times):7=0�202�_=2\0__--____—___ <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: __G -- 1_ -2-LI`_--_--__ <br />5 <br />Authorized Organizer Signature <br />Printed Name and Title <br />