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MHY-,3Ii-2EN6 15:23 EVERETTE EVENTS CENTER 425 322 2601 P.03/05 <br /> i 2 <br /> Indemnity <br /> The sponsoring organization shdefend, indemnify and hold the City harmless from and <br /> against any and all Claims for p sonal injury and property damage arising from, relating <br /> to, or resulting from the Event. a 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, emands, suits, losses, liability, action, or proceeding. <br /> Indemnification includes attorney's fees, expert witness fees, court costs and other legal <br /> expenses. <br /> 1 <br /> ° Also, as Applicant I certify that the information provided an this application is true and <br /> correct and that X am duly uthorized by_ Sponsoring Organi7ation to make this <br /> application and to enter into this demnity on behalf of the S •nsoring Organization. <br /> .,IPP,/,/2r /0 F/Off <br /> Signature Date <br /> i417t/M 5: C–a7ic <br /> Printed Name <br /> CVa elr EWA __La — fiEeRie4 322 2bo2 <br /> Organization Representing Phone No. <br /> List businesses/individuals impted by the event that you have contacted and ask them to <br /> sign off if they concur with the losurc. <br /> Busi_nesses/Individuals riot) =• I <br /> n :.° , <br /> 1, T s - - <br /> 2. ,4t >Du i �. ice# <br /> 3- MAC ) -J-tri 1i9 ey..4JSz'iv��' fffIlliWk <br /> • <br /> 6. , <br /> • <br /> 5 <br />