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S •}' f <br /> ' <br /> 2 <br /> Indemnity 4 or • <br /> t, . <br /> jr* _ <br /> The sponsoring organization shall defend,indemnify and hold the City harmlesss7I n and1 <br /> against any and all Claims for personal`injury and property damage arising from, relating) <br /> to, or resulting from the Event. The sponsoring organization shall not defend, indemnify, <br /> and hold the City harmless from Claims arising out of the sole negligence or sole willful <br /> misconduct of the City. "City" includes the City, its officers, employees and agents. <br /> "Claims" include any actions, demands, suits, losses, liability, action, or proceeding. <br /> Indemnification includes attorney's fees, expert witness fees, court costs and other legal <br /> expenses. <br /> Also, as Applicant I certify that the information provided on this application is true and <br /> correct and that I am duly authorized by Sponsoring Organization to make this <br /> application and to enter into this indemnity on behalf of the Sponsoring Organization. <br /> 01/ <br /> gnature Date <br /> eh► r 1 A <br /> Printed Name <br /> hut, P,Dmrni})-ep_ 1125,s„,sK qa// x WAS <br /> Organization Representing Phone No. <br /> List businesses/individuals impacted by the event that you have contacted and ask them to <br /> sign off if they concur with the closure. <br /> Businesses/Individuals (print) /.ignatur <br /> 1. . V f7 �.0 mss- ! .- - <br /> 2. <br /> 3. L'vt,-,././ -rp d ;l l.;,.7 Assd� �...(rr4 A , e <br /> 4. a.vlL,c, l4 - Jo nb4.d r- ew ' ` <br /> 5. <br /> 6. <br /> 7. <br /> 5 <br />