HomeMy WebLinkAboutProcession - March of Dimes-17
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PERMIT/AGREEMENT
FOR A PROCESSION
1. Sponsor shall reimburse the Board for the actual cost to the City for the event, if deemed
necessary.
2. Sponsor shall provide to the Board a Certificate of Insurance showing a liability policy in
full force and effect with limits of $300,000.00 per occurrence and $5,000,000.00
aggregate and the City of South Bend listed as an additional named insured for this event.
3. Sponsor shall provide to the Board all additional licenses, permits and documentation
required for the event.
4. Sponsor agrees to abide by all terms and conditions of the Board's policy governing
walks, runs, parades or other similar event adopted by the Board on March 3, 1985.
5. In order to ensure public safety during the event, the Board agrees to furnish traffic
planning, materials, equipment and personnel as deemed necessary by the Police
Department Traffic Bureau, the Bureau of Traffic and Lighting, and, where applicable,
the Board of Park Commissioners.
6. Sponsor acknowledges that the police Department reserves the right to change this route
for safety purposes.
7. In consideration for approval by the Board and the use of the sidewalks for the purposes
set out above, the undersigned agrees and undertakes to hold the Civil City of South
Bend, Indiana, free and harmless from any liability loss, costs, costs, damages or
expenses, including attorney fees, which the Civil City of South Bend may suffer or
incur, as a result of any claims or actions which may be made by any person, including a
participant in said activity, arising out of the approval of the request to use the sidewalks
indicated in the City of South Bend. The undersigned certifies that he/she is authorized to
bind the above mentioned sponsor to the terms hereof
8. Notification of approvaUdenial of this request 3vill be issued by return of this form, upon
signed authorization by the Board of Public Works
I understand the above rules and regulations and that this application may be denied based on
any false or incomplete information.
Sponsor Signature
Printed Name r-
Title
RD OF PUBLIC WORKS APPROVAL
resident Member Member
ember Member Date
RETURN FORM TO: 2
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 • Fax: (574) 235-9171 a E-Mail; pubiicwks@southbendin.gov