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Section E - Indemni�t L& Hold Harmtess�oS <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date:7/7/25 Event Date: 8123125 <br />Event Name Parkovash Band Presents. NST Roots Concert <br />Organization: North Shore Triangle Neighborhood Assoc <br />Applicant (Contact) Name: Jo M Broden <br />Applicant (Contact) Phone: 574-855-8654 Alt. Phone: <br />Email: brodenjo7(ftmail com <br />Address: 201 W North Shore Dr City/state/ZIP: South Bend IN 46617 <br />Event Location (Please describe): <br />Parkovash Park <br />Length of Event (Dates/Times): 11.00 am to 900 Pm <br />isAPPLICANT 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: 7/8/25 <br />/yylti,sti `Vvtct-tlt-*�w.G.�' � �/ <br />orgarizer Signatcre <br />Jo M. Broden <br />Printed Name and Title <br />0 <br />