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Section E - Indemnity & Hold Harmless Agreement <br />• <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: ?, 6 — 20 Z�3 Event Date: OLT ?. Z ae- <br />Event Name: .qlr4-kd4"- f; -ram <br />Organization: <br />Applicant (Contact) Name: Ble <br />Applicant (Contact) Phone: <br />Email: <br />Addre <br />Event Location (Please describe): <br />Alt. Phone: C2— <br />I3 <br />Length of Event (Dates/times): Ct, :Z. !_tri�� • t��%O l n o� rl ' Ov� <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: OCl �� 2Z//j3 <br />Authorized Organizer Signature <br />Printed Name and Title <br />C1 <br />