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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: 04/27/2024 Event Date: 10/5/2024 <br />Event Name: Clark Run 5K <br />Organization: Stanley Clark School <br />Applicant (Contact) Name: Tom Carter <br />Applicant (Contact) Phone: 574-286-5594 Alt. Phone: <br />Email: scarter829@gmail.com <br />Address: 3123 Miami Street City/State/ZIP: South Bend, IN, 46614 <br />Event Location (Please describe): <br />Stanley Clark School <br />Length of Event (Dates/Times): 8:30 AM (Registration), 10:00 AM (Procession), 12:00 PM (Closure) <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: Stanley Clark School 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 anyclaims <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: 04/27/2024 <br />Authorized Organizer Signature <br />Tom Carter - Race Director <br />0 Printed Name and Title <br />