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Section K - Indemnity & Hold Harmless Agreement <br />40 <br />• <br />• <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 1 b - Z1- 23 Event Date: in " A " `-4 <br />Event Name: y M C r S nnc, \ e\lu lC-e S �Cay\n\ <br />Organization: Rea` Sekuwe-SIR\'ZY\e�CA��S QY\U Z�--M2t\V\dSeo'U\cebOS <br />Applicant (Contact) Name: �77Mk Ke \ <br />Applicant (Contact) Phone: ��� Y ' 1 \�5 Alt. Phone: <br />Email\M lea\ SeWJ\C eS •Qn) \ <br />Address: 1\N .F)M� MV)AtCtav\ .• City/State/ZIP: )inn Prd� ice• ���oU'\ <br />Event Location (Please describe): <br />-\C�r � A \G aoWf\�W�\ area <br />� �aa� - <br />Length of Event (Dates/Times), - P, - 8 y �p ' 3O AM- � -bO '!�V <br />Qn� 4\eh e.r\a <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: Y'ca\ !�eq�U\C.eS . �(_ 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: L' a\- 0313 <br />Signature <br />Printed Name and Title <br />