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Section K - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Date: 4/13/2021 ______-_____ Event Date: 6_/19/2021 <br />Event Name: Bacon Around the Bend 5K <br />Organization: Family Justice Center of -St. JosephCounty <br />Applicant (Contact) Name: Amy Stewart -Brown <br />Applicant (Contact) Phone: 317-690-8840 (cell) <br />Email: astewartbrown@fjcsjc.org <br />Address: 533 N Niles Ave <br />Event Location (Please describe): <br />533 N Niles Ave <br />Length of Event (Dates/Times): 3 hours <br />Alt. Phone: <br />City/State/ZIP: South Bend, IN 46617 <br />Insurance Amount: This event is insured for no less than $700,000 per occurrence and $1,000,000 in aggregate, <br />and the certificate of insurance includes a rider naming City of South Bend, Special Events Committee, and Board <br />of Public Works as additionally insured for the event. <br />Family Justice Center of St. Joseph County <br />Organization Name: Y agrees to indemnify, defend <br />and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, <br />including attorney fees, which the Civil City of South Bend, Indiana, may suffer or incur as a result of any claims <br />or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a <br />participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana, <br />through the Board of Public Works, to close a portion of the public right-of-way for the event described above, <br />or for any harm or damage alleged to have occurred because of the holding of the special event. The <br />undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. <br />April 13, 2021 r <br />Signed on this Date: A _ p � <br />rized Organizer Signature <br />Amy Stewart -Brown, Executive Director <br />Printed Name and Title <br />