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Section K - Indemnity & Hold Harmless Agreement <br />• City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 12/5/2023 Event Date: 5/18/2024 <br />------------------------------- <br />Event Name: Girls on the Run Michiana 5K <br />Organization: <br />Girls on the Run Michiana <br />— -------------------------------------------------------- <br />Hannah <br />Applicant (Contact) Name: ------------Francis -------------------------- ----------- -------- -------- <br />Applicant (Contact) Phone: 920_858.6278 —_- <br />----_ Alt. Phone: __ <br />Email: hannah.francis@girlsontherun.org <br />-- ---------------------------------------------------- <br />Address: 51160 Bittersweet Rd., Ste 202 city/state/ZIP: Granger, IN 46530 <br />Event Location (Please describe): <br />Potawatomi Park and nearby neighborhoods <br />Length of Event (Dates/Times): 5/18/2024 5am to 1 pm <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: <br />Girls on the Run Michiana_ --- agrees to indemnify, defend <br />-------------------- <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: 12/5/2024 <br />Authorized Organizer Signature <br />Hannah Francis, 5K Director <br />• Printed Name and Title <br />