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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:7/17/2024 _ EventDate:9/29/2024 _ <br />„Pnf Name: St Joseph County Crop Walk <br />Organization: Church World Services <br />Applicant (Contact) Name: Tom Whipkey <br />Applicant (Contact) Phone: 574 485-9245 Alt Phone: <br />Email. twhipkey@att.net _ <br />Address: 1139 Miner ST — city/state/zIP: South Bend IN 46617 <br />Event Location (Please descrihPi- <br />Starting at Zion UCC walkers will walk along the East Race and/or to Broadway Christian <br />Parish and back. <br />Length of Event (Dates/Times): 9/29/2024 1 pm-5pm <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 />11 <br />Organization Name: St Joseph County Crop Walk _— agreestoindemnify,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: 7/1 7/2024 <br />Thomas W W h i ke Digitally signed by Thomas W Whipkey <br />p y Date: 2019.07.29 06:18:16-04'00' <br />Authorized Organizer Signature <br />Thomas W Whipkey <br />Printed Name and Title <br />