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Section E - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />�y Indemnity & Hold <br />pHarmless Agreement <br />Date: _�! �L �---------- Event Date: I __1 n— -------- <br />Event Name: <br />Organization: <br />Applicant (Contact) Name:_C_4Y_k <br />------------- <br />Applicant (Contact) Phone: _�:�[D� `---Alt. Phone:zy—_�Da <br />Email: <br />Address: __y02, _L�_Jf� n/&f�L�T--- City/State/ZIP: <br />Event Location (Please describe): <br />Length of Event (Dates/Times): <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: <br />Authorized Organizer Signature <br />Printed Name and Title <br />