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is <br />is <br />Section K - Indemnity & Hold Harmless Agreement <br />Date: May 13, 2024 <br />Event Name: Kids Triathlon <br />City of South Bend Special Events Committee <br />Indemnity & Hold Harmless Agreement <br />Event Date: July 20, 2024 <br />Organization:South Bend Olivia Sanchez Venues Parks and Arts <br />------------------------------------------- <br />Applicant (Contact) Name: ............... <br />Applicant Applicant (Contact) Phone:(574)235-9358 ----___ <br />Alt. Phone: (574)235-9667 <br />Email: osanchez@southbendin.gov <br />-------------------------------------------------------------------------- <br />301 S. Saint Louis Blvd . South Bend, IN 46617 <br />Address:_—_ _________ City/State/ZIP:____________— <br />Event Location (Please describe): <br />This event will be taking place at Riley <br />Length of Event(Dates/Times):8.00am-12:00pm <br />--�---------------------------------------------------____-- <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: <br />Venues Parks and Arts - ---- ---agrees to indemnify, defend <br />______ _ _ <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: May 13, 2024 <br />Authorized Organizer Signature <br />Olivia Sanchez -Special Events Manager <br />Printed Name and Title <br />