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Section E - Indemnity & Hold HarmtgL%AZa emeoj <br />City of South Bend Special Events Committee <br />Date:7/7/25 _ <br />Indemnity 6 Hold Harmless Agreement <br />Event Date: 8123/25 <br />Event Name.Parkovash Band Presents: NST Roots Concert <br />Organization: North Shore Triangle Neighborhood Assoc <br />Applicant (Contact) Name: JO M lirocien <br />Applicant (Contact) Phone: 574-855-8654 Alt. Phone: <br />Email: brodenjo7Agmail. 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 t0 9.00 Dm <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: 7/8/25 <br />Organizer Signature <br />Jo M. Broden <br />Printed Name and Title <br />40 <br />