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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: 5I l "J I�-� Event Date: 'l 10, 12,3 <br />Event Name: Nil ahloolr -& c - QdAl I <br />Organization: <br />Applicant (Contact) Name: WSl l C.AC_ Ll r1 'eY <br />Applicant (Contact) Phone: 5rl'-f' R50 CLo72. Alt. Phone: <br />Email: WVeLdvY)a.n 6bm '0&& nel- <br />Address: 11V ne- l City/State/ZIP: & &nA It-i 4 UUI5 <br />Event Location (Please describe): <br />1-10 Wc_.yone S� — w%I a 1no�Je food +aaok�s <br />wn& b owln a- V)ou 5R— <br />Length of Event (Dates/Times): 1 L — <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:.5i 1157123 <br />Signature <br />M <br />and Title <br />0 <br />