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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: 08/10/21 --- — Event Date: 09/12/21 <br />Event Name: Let's Go to Church Celebration <br />Organization: Olivet African Methodist Episcopal Church <br />-------------------------------------------------- <br />Applicant (Contact) Name: Alma C. Powell <br />-------------------- Applicant (Contact) (Contact) Phone: (574) 229-7714 (574) 287-267_2_ <br />------ ------Alt. Phone: ----------- <br />Email: abpowe112@hotmaii.com <br />---------- - ------------------------- <br />Address: 719-N_ Notre Dame Ave _— city/state/ZIP: South Bend, IN 46617 <br />Event Location (Please describe): <br />Event will be held in front of church. Lecturn and music will be setup on stair landing. Chairs <br />will be setup in street in front of 719 N. Notre Dame Ave. <br />Length of Event (Dates/Times): 09/12/21 10:45-1:00 <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: 08/10/21 <br />Authorized Organizer Signature <br />Alma C. Powell- Chief Steward <br />Printed Name and Title <br />