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04/20/2007 16:07 FAX 425 257 8741 CITY OF EVERETT tJ003 <br /> 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 /> uSignature Date <br /> /'G/ J1 - acn_ <br /> Printed Name C ) <br /> i-eCf sy k Sc hbv L s$s 4�1 <br /> Organizatidd 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) Signature <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8 <br />