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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: & mL.` Event Date: <br />Event Name: �lM �Y S i- 0fS f �PAr�s <br />Organization: <br />Applicant(Contact)Name: 2&Z-z.rl' lqso' - <br />Applicant (Contacctt)Phone: <br />� 3,r'V 33<© Alt. Phone: <br />Email: <br />Address: ��1 i�.�• E/i'feY City/State/ZIP:u�'C <br />Event Location (Please describe): 1,4/j"fP-V �/ _ �,D�tir �yy`�(� La- lam' <br />Length of Event (Dates/Times): /o" OQ ZM — //. Oo �i+? <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: & ` //a <br />3- <br />CA - <br />Authorized Organizer Signature <br />Printed Name and Title <br />is <br />