Laserfiche WebLink
Section K - Indemnity & Hold Harmless Agreement <br />City of South Bend Special Events Committee <br />• Indemnity & Hold Harmless Agreement <br />Date: 2/7/2024 Event Date: 5/4/2024 <br />Event Name: <br />Organization: <br />Cinco de Mayo Festival <br />St. Adalbert Parish <br />Applicant (Contact) Name: Fr. Ryan Pietrocarlo, CSC <br />Applicant (Contact) Phone: <br />574- 288-5708 A 11 Phone: 574- 334-0049 <br />Email: rpietrocarlo@stadalbertschool.org <br />Address: 2505 W Grace St City/State/ZIP: South Bend, IN 46619 <br />Event Location (Please describe): <br />Length of Event (Dates/Times): 5/4/2024 from 12:00 - 8:OOpm <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 />Organization Name: St. Adalbert Parish <br />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 />Signed on this Date: J- IF o! <br />M <br />Authorized Orkanizer Signature <br />Fr. Ryan Pietrocarlo, CSC, Pastor <br />Printed Name and Title <br />