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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: February 12, 2024 Event Date: June 1, 2024 <br />Event Name: Sunburst Races <br />Organization: Beacon Health System <br />Applicant (Contact) Name: Courtney Klpker, Travis Bladecki <br />Applicant (Contact) Phone: 574.514.4176 (Courtney) Alt. Phone: 219.393.9511 (Travis) <br />Email: ckipker@beaconhealthsystem.org; travis@mrmevents.co <br />Address: 111 W. Jefferson Blvd., Suite 300 city/state/ZIP: South Bend, IN 46601 <br />Event Location (Please describe): <br />Races start and finish at Century Center; course maps show specifics for all routes. <br />Length of Event (Datesfrimes): 6/1/24 7 AM start time; finish line closes @ 11 AM <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: Beacon Health System 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: 2/12/24 <br />Courtne Ki ker Digitally signed by Courtney Kipker <br />Y Date: 2024.02.12 15:13:20-05'00' <br />Authorized Organizer Signature <br />Courtney Kipker, Sunburst Races Director <br />0 <br />Printed Name and Title <br />