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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: June 16 2025 Event Date: August 16 2025 <br />Event Name: <br />Organization: <br />Applicant (Contact) Name: <br />Applicant (Contact) Phone: 16741235-9002 Alt. Phone: <br />Email: Imoss9iisludebakennuseum ora <br />Address: 201 Chapin Street City/State/ZIP: South Bend IN 46601 <br />Event Location (Please describe): <br />The event will lake place on the Museum Campus of the Studebaker National Museum and The History Museum <br />with larger vehicles parked out front on Thomas Street to Laurel Street. <br />Length of Event (Dates/Times): August 16th 2025 9:30am-1 30Pm <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 his Date: June 16. 2025 <br />Organizer Signature <br />Ot- II,YQ, vk Ae 0SS IQuCo+iotn -*- wdi/- a0arl-irR+-6r <br />Printed Name and Title <br />2 <br />