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. 4 <br /> Indemnity <br /> 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 /> ("1//L z / (-"1/646 4 7-2'f5 <br /> fi <br /> /1 <br /> Signature Date <br /> J-'lq W � <br /> i l o 1 <br /> Printed Name <br /> f44Z-,17-, VW), / ? 4 . ` <br /> f Orga ation 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 /> Bus'8ess-s I s' 's al (print) Sign.t r- Sj� <br /> 2. ' /� l- 7 644---rLi <br /> 3. _�tQt G=tr t cx { l n % <br /> 4. / • I'1'�20' c _ "AA 6— 4 ' ,W.�! 4 <br /> 5. / ./ ' ! 1 . / <br /> r I/d <br /> 6. / _ f_, , _ c v -C� jo;; (` eta e /1Ac y0 ' di Li$C7l <br /> 7. �' �7 <br /> 6 Pcur-- V._)' \,' ��In4l � 11/1 <br /> 2 900 b) ac' 4 go, / ,{,, ecij u v lti' ,b )c' 0___ <br /> I goo b i o c < c tcc / s Dom- 'idc„L ' . <br /> I -700 ti Gc,i. ' / ,Gwi) noryk_ siac_____ <br /> 7 <br />