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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: n3 ?11�7,;1 / / n Event Date:O%`QI ZZ <br />Event Name: "51kIEC1 1 (� PG,-/v <br />Organization: <br />Applicant (Contact) Name: <br />Applicant (Contact) <br />Alt.Phone:r57y `.Z) SG R9 21 <br />Email\SkanCY10ri�f7_ iCfnlid-Cnv <br />Address: 2510 7�Q&kl-(v°( S)� City/State/ZIP: <br />Event Location (Please describe): <br />Length of Event (Dates/Times): O / / O I / /_ — <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: 02 l 31123 <br />Authorized Organizer Signature <br />Printed Name and Title <br />n <br />U <br />