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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 /> 6/7 16 <br /> Signature Date <br /> ;A,4140-, i reFs-ci./4/1- <br /> Printed Name <br /> AAL 444 G/47 lIt--015V-( ;7 <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. <br /> Business/Residence ,r;-Si atu eof approval <br /> 1. 150 itueitev . C:41 <br /> 2. _ <br /> 3.1)41t II 41-1 5 <br /> 4. /15-6)z_ /.i� <br /> 5. 14-3( <br /> 6. <br /> 7. <br /> 59 <br />