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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: 9/�oJ Z 3 Event Date: Zo161 Z3 <br />T <br />Event Name: (I�le v UA52ec --�p Remgr-1r4b(ee elw;re <br />�1 <br />Organization: l C. T�ricer frk- M— /2m <br />Applicant (Contact) Name: 0-_I U"n ll, <br />Applicant (Contact) Phone: 5--7q - 7Ye- Alt. Phone: <br />Email: Q4(up hnSr,n Ccen54car <br />Address: 8(Z e. JeiJiterry, il�c) City/State/ZIP: <br />Event Location (Please describe): <br />Length of Event (Dates/Times): (o, ?.023 - 2.'0C A41 -7V00 ipM <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 maybe 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: J <br />M, <br />Authorized Organizer <br />Printed Name and Title <br />U <br />