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$ <br /> Indemnification,Hold Harmless,and Certification <br /> As a material inducement and consideration for the City granting this approval,the Applicant,on <br /> behalf of the sponsoring organization,hereby agrees to defend, indemnify and hold harmless the <br /> City from and against any and all Claims for personal injury, death, property damage or <br /> destruction, arising from, relating to, or resulting from the Event that is the subject of this <br /> 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 damages, <br /> fees, and costs,including,but not limited to, attorney's fees, expert witness fees, court costs and. <br /> 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; <br /> and 2) I am duly authorized by the sponsoring organization to make this application and enter <br /> • into this agreement,.on behalf of the sponsoring organization, to defend, indemnify and, hold <br /> harmless the City. <br /> ;0161A (19 <br /> Signature Date <br /> ChriSFM llft <br /> • Printed Name <br /> firm- Bcofist aura) 4 -25 qItote <br /> Organization Representing Phone No. • <br /> List businesses/residences impacted by this event. You must also obtain an approval signature <br /> from each business/resident indicating they concur with the closure.n. • <br /> Business/ResidenceSignature.of approval <br /> 1. ArMt 'f dire s t&JlCassic ,0 /A,�- -�' <br /> 2, j c , <br /> 3. <br /> 4. <br /> 5. • <br /> RECEIVED7. <br /> MAY 19 MB <br /> 'c <br /> 19 <br /> ' j <br />