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r-I <br />L <br />• <br />Date: <br />Event <br />Section E - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Event Date: - L' -ZQ2-`7 <br />Organization: <br />Applicant(Contact)Name: ►/'�7USYt!iJrr��(' <br />Applicant (Contpct) Phone:67 41' l� 770J r q 29 Alt. PhoneA'`�' <br />Email: <br />Event Location (Please describe): <br />,rD _ rpoo <br />Length of Event (Dates/Times): <br />Rare Da�G <br />G-/ 2y <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 Dat �^�& <br />Authorized Organizer Signature <br />Printed Name and Title <br />