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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: tD I I 1-0 LS Event Date: <br />Event Name: Monroe Street Block Party <br />Organization: <br />n/a <br />Applicant (Contact) Name: Benjamin Valle <br />July 19, 2025 <br />Applicant (Contact) Phone: 815-276-1403 Alt. Phone: <br />Email: thevalles2l@gmail.com <br />Address: <br />1413 E. Monroe Street <br />Event Location (Please describe): <br />City/State/ZIP: <br />South Bend, IN 46615 <br />Monroe Street, between Twyckenham Drive and Sunnyside Avenue <br />Length of Event (Dates/Times): <br />3:00 - 7:OOpm with a half hour before/after for setup and cleanup <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: (o L 1 "1-3"L�g— <br />Authorized Organizer Signature <br />Printed Name and Title <br />• <br />0 <br />