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Section E - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />• Indemnity & Hold Harmless Agreement <br />Date:�d7'OJt'p(rJ Event Date:Ob-0.9096 <br />Event Name: GfrkcLrx4ion -i' hrkLN' <br />Organization: <br />Applicant(Contact)Name: J[CO- lQL 7StiAlllSLY) <br />Applicant (Contact) Phone: 5A -3()Io " 1079 Alt. Phone: <br />mJ • tt< <br />dUpesfrrwrkah Bend:!�Z�j <br />Event Location (Please describe): UJIPSEAU W0 - SZ <br />Length of Event (Dates/Times): 0 10-07-90 a5 - "I OLM <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 Date: <br />Authorized Organizer Signature <br />Printed Name and Title <br />