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3 <br /> Indemnification,Hold Harmless, and Certification <br /> As a material 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 /> OL\ou 441 0 7/2.0 3 <br /> Signature Date <br /> Printed Name <br /> Lown `fes-z-3,05 7 <br /> Organization Representing 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. ere Nu-vi2w <br /> 2. bV.nre{ M;sS oat ?rf��_ <br /> 3.�r a� tJa-u's C°`^„s v1, °' � • <br /> 4.i bov �t <br /> 5. 'el s fo Co. 4 � 4 <br /> 6. At-f-e r e, <br /> 7. <br /> 7jS'(..,�.&— r4? `T1 y <br /> ff, cs y �-— <br /> ,/!il/�r�Z Lawn'cJ ^4 j'Zr f k—t-; /M <br /> q. 1,tv,2` e.e G led,-) <br /> 5 <br />