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• 4 <br /> Indemnification, Hold Harmless, and Certification <br /> As a material consideration to the City granting this approval, and without which the City would <br /> not do so, the Applicant,on behalf of the sponsoring organization, hereby agrees to defend, <br /> indemnify and hold harmless the City from and against any and all Claims for personal injury, <br /> death, property damage or destruction, arising from, relating to, or resulting from the Event that <br /> is the subject to this approval. <br /> "City" shall mean the City of Everett, its officers, employees, agents, and volunteers. <br /> "Claims"shall mean any actions, demands, suits, obligation or liability for payment of damages, <br /> fees, and costs, including, but not limited to, attorney's fees, expert witness fees, court costs <br /> and other legal expenses. <br /> Provided, however, this agreement to defend, indemnify and hold harmless the City shall not <br /> apply to Claims arising out of bodily injury or death or property damage'or destruction caused by <br /> the sole negligence or willful misconduct of the City. <br /> As Applicant, I certify that 1) the information provided on this application is true and correct; and <br /> 2) I am duly authorized by the sponsoring organization to make this application and enter into <br /> this agreement,on behalf of the sponsoring organization, to defend, indemnify and hold <br /> harmss the City '` <br /> A RoA , I G <br /> i nature de <br /> /10 lilt\ p__10L. ' Date <br /> rf date 11d ro.6 iv\ imp , <br /> Printed Name Email <br /> IARI-t—i-er Pe. 6,4€41.61' 17A-- 4)-5 — S -7'7 —3 e Sy <br /> Organization Representing Phone tlo(s). <br /> List businesses impacted by the Event and ask them to sign Off if they concur with the <br /> closure. <br /> Business �, /.r) .e- Signature of Approval <br /> 1. -- �v <br /> 2. <br /> 3. <br /> 4, <br /> 5. <br /> 6. _.. - --------- - -____ <br /> 1 <br />