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City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 12/1SOP Event Date: 9M/20.123 <br />Event Name: Girls on the Run Michiana 5K <br />Organization: Giric nn the Ri in Mi(,hiana <br />Applicant (Contact) Name: Annip r)irnll <br />Applicant (Contact) Phone: 574-532-0518 Alt Phone: <br />Email: annie diroll(ggirl nth r n org <br />Address: 51160 Bittersweet Rd. Suite 202 -City/State/ZIP: Granger, IN 46530 <br />Event Location (Please describe): <br />Potawatomi Park and nearby neighborhoods <br />Length of Event (Dates/Times): 5/20/23 5 a.m. to 12 <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 Michiana 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: 19/15/99 <br />Authorized Organizer Signature <br />Printed Name and Title <br />