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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: 8-11-21 _ Event Date: 5-21-22 <br />Event Name: Girls on the Run 5K <br />--------------------------- <br />Girls on the Run <br />Organization: ----__ <br />Applicant (Contact) Name:Paula Turk <br />Applicant (Contact) Phone: 574-293=1683--_ <br />Email: Paula@StoneSoupPromotions.com <br />Address: 10 Melrose Manor <br />Event Location (Please describe): <br />Potatomi Park <br />Alt. Phone: 650-464-3467 <br />City/state/ZIP: Elkhart, IN 46516 <br />Length of Event (Dates/Times):05/21/22 from 5:00 am - 11:00 am <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: Girls on the Run __ 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: Amy Cooper Collier <br />Authorized Organizer Signature <br />Amy Cooper Collier, Executive Director <br />Printed Name and Title <br />