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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: 07/08/2021 Event Date: 07/31/2021 <br />Event Name: 2021 Urban Adventure Games <br />Organization: <br />Urban Adventure Games, Inc. <br />------------------------------------ <br />Applicant (Contact) Name: _Emil y Sims <br />Applicant (Contact) Phone: 312718-4769 —_----- Alt. Phone: <br />Email racedirector@urbanadventuregames.com _------ --- --------------- <br />Address: PO Box 11463 --- ______City/State/ZIP: South Bend, IN 46634 -- <br />Event Location (Please describe): <br />Race start/finish at Howard Park <br />Length of Event (Dates/Times): July 31, 2021_ 8:00am_3.00pm <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 />Urban Adventure Games, Inc ._— 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: 07/11/2021 <br />Digitally signed by Emily Sims <br />DN: cn=Emily Sims, o, ou, email=esims@cfh.net, c=US <br />Date: 2021.07.11 14:18:11 -04'00' <br />Authorized Organizer Signature <br />Emily Sims, Race Director <br />Printed Name and Title <br />