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The sponsoring organization shall defend, indemnify and hold the City harmless from and <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 />CC -1 -- <br />�3y;z, e <br />Sig4ature D to <br />( 1Ieen -,T, P)AQ- <br />Printed <br />Name <br />Organiz&Jon-RepresenJng7 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) . Signature <br />1. TEAW i 2,5G i DA i(r-� <br />2. (!_ivkc-k z-aeke <br />3. <br />4. <br />5. <br />6. <br />7. <br />0 <br />Y a , -(t' c d b c f --, /,-00,5 e/-) /,v 0 �'� A-�T�c <br />0 <br />