Special Event - Kids Triathlon-July 19 2025

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Section K - Indemnity & Hold Harmless Agreement • City of South Bend Special Events Committee Indemnity & Hold Harmless Agreement Date: 4/15/2025 Event Date: 7/19/2025 Event Name: Kids Thathlofl Organization: SBVPA Applicant (Contact) Name: Olivia Sanchez Applicant (Contact) Phone: 574 218 2049 Alt. Phone: Email: osanchez@southbendin.gov Address: 301 Saint Louis BLVD City/State/ZIP: South Bend/ Indiana/ 46614 Event Location (Please describe): The event will be done at Washington High School Length of Event (Dates/Times): 4/19/2025 6:00 AM - 12:00 PM Insurance Amount: This event is insured for no less than $700,000 per occurrence and $1,000,000 in aggregate, • and the certificate of insurance includes a rider naming City of South Bend, Special Events Committee, and Board of Public Works as additionally insured for the event. • Organization Name: SBVPA agrees to indemnity, defend and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, including attorney fees, which the Civil City of South Bend, Indiana, may suffer or incur as a result of any claims or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana, through the Board of Public Works, to close a portion of the public right-of-way for the event described above, or for any harm or damage alleged to have occurred because of the holding of the special event. The undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. Signed on this Date: Authorized Organizer Signature Printed Name and Title