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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: 07/13/2021 Event Date: 7/31/2021 <br />Event Name: South Bend Venues Parks & Arts Kid's Triathlon <br />Organization: South Bend Venues Parks & Arts <br />Fields <br />Applicant (Contact) Name: Bridget _— <br />Applicant (Contact) Phone: 574)235=5904 _—_------_ Alt. Phone: 574)292-4231— <br />Email: bnoonan@southbendin.gov <br />--------- ------------------------- <br />Address: 219S St. Louis Blvd_ -- -- City/State/ZIP: South Bend, IN 46617 <br />Event Location (Please describe): <br />Potawatomi Park <br />Length of Event (Dates/Times): 7/31/2021 5_30am_11 30am <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 />South Bend Venues Parks & Arts <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: 07/13/2021 <br />Bridget Fields <br />Authorized Organizer Signature <br />Digitally signed by Bridget Fields <br />Date: 2021.07.13 20:50:59 -04'00' <br />Bridget Fields, Special Events Coordinator <br />Printed Name and Title <br />