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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: 7/19/2021 -- _ Event Date: 8/15/202 1 <br />Event Name: Blessing of Backpack Worship Service <br />Sunnyside Presbyterian <br />Organization: <br />----------------------------------------------------------------- <br />Applicant (Contact) Name: _Ericka Ducret <br />Applicant (Contact) Phone: 574-383-0862 <br />Email: ericka1747@yahoo.com <br />Address: 115 S. Frances St <br />Alt. Phone: <br />City/State/ZIP: South Bend, IN 46617 <br />Event Location (Please describe): <br />This will be held on the lawn of Sunnyside Presbyterian <br />Length of Event (Dates/Times): 815/2021 9:30 AM- 11:45 PM <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: 7/19/2021 <br />Ericka Ducret <br />Authorized Organizer Signature <br />Ericka Ducret; Elder <br />Printed Name and Title <br />Digitally signed by Ericka Ducret <br />Date: 2021.07.19 13:19:30 -04'00' <br />