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a a _ <br /> /� <br /> t t. 4f! <br /> • <br /> • <br /> Indemnification,Hold Harmless, and Certification <br /> • <br /> . A <br /> As a materia inducement and consideration for the City granting this approval, the <br /> Applicant, on behalf of the'sponsoring organization,hereby agrees to defend, indemnify <br /> and hold harmless the City from and against any and all Claims-for personal injury,death, <br /> • . property damage or destruction, arising from, relating to, or resulting from the Event that <br /> is the subject of this approval. <br /> "City"shall mean the City of Everett,its officers,employees and agents. <br /> "Claims" shall mean any actions, demands, suits, obligation or liability for payment of <br /> damages, fees, and costs, including, but not limited to, attorney's fees, expert witness <br /> fees,court costs and other legal expenses. <br /> Provided, however, this agreement to defend, indemnify and hold harmless the City shall <br /> not apply to Claims arising out of bodily injury or death or property damage or <br /> destruction caused by the sole negligence or willfull misconduct of the City. <br /> As Applicant, I certify that 1) the information provided on this application is true and <br /> correct; and 2) I am duly authorized by the sponsoring organization to make this <br /> application and enter into this agreement, on behalf of the sponsoring organization, to <br /> defend, indemnify and hold harmless the City. <br /> • <br /> Signature Date <br /> ( ;i is1 . <br /> Printed Name <br /> giseie.a61-•„G-LG$ e..Gadd (7b-,J) 0- 0R; <br /> • Organization Represent-41g Phone No. <br /> List businesses impacted by the event and ask them to sign off if they concur with the <br /> closure. <br /> Businesses Signature of approval <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 35 <br />