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Section E - Indemnity & Hold Harmless Agreement <br />• <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 61 g. 1 0'10015- Event Date: I U `ti r o'1,0` as <br />— <br />Event Name: NdD KI:S W,IZIL <br />Applicant (Contact) Name: <br />"I) <br />RS_C'] <br />0-dr <br />Applicant (Contact) Phone: <br />1�7 <br />q- 300- <br />3 15 X) <br />Alt Phone: .i 7 /� A 5— ( Q 1p C <br />Event Location (Please describe): <br />Length of Event (Dates/Times): �� ` 1 11✓ ,� <br />• APPLICANT agrees to indemnity, 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 />40 <br />13 <br />