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Section E - Indemnity & Hold Harmless Agreement <br />• <br />r <br />L <br />11 <br />Date: July 24, 2_0_25 _ <br />Event Name: Block Party <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Event Date: Sept. 1, 2025 <br />Organization: <br />Applicant (Contact) Name: James M. Lewis. <br />Applicant (Contact) Phone: (574) 276-0726 <br />Alt. Phone: _ <br />(574) 274-3520 <br />Email: j_aygreta_@gmail.com__ <br />Address: <br />633 N. Coquillard Dr. City/State/ZIP: South Bend, IN 46617 <br />Event Location (Please describe): <br />Labor Day Block Party on N. Coquillard between Rockne and Cherry Tree <br />Length of Event (Dates/Times): 9/1/2025 from <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 />this DKte: _ Z Xzs <br />)M . Mevl�S . fm li ca.j <br />Printed Name and Title <br />