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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: 08/26/21 <br />Event Name: Best. Fireworks. Ever. <br />Event Date: 09/10/21 <br />Organization: City of South Bend, Venues Parks and Arts <br />Applicant (Contact) Name: Amanda Parker <br />Applicant (Contact) Phone: 574-235-5636 <br />Email: aparker@southbendin.gov <br />Address: 301 S. St. Louis Blvd. <br />Alt. Phone: 574-309-6950 <br />City/State/ZIP: South Bend, IN 46617 <br />Event Location (Please describe): <br />DTSB. Road closure needed: E Jefferson Blvd Bridge between E Wayne St & S Niles Ave <br />fireworks <br />Length of Event (Dates/Times): 09/10/21 - 8 pm to 9:30 pm <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: City of South Bend Venues Parks & Arts 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: 08/26/21 <br />Authorized Organizer Signature <br />Amanda Parker, Special Events Coordinator <br />Printed Name and Title <br />