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st, ," .0 Y f r, I <br /> H S <br /> n i 6 113 # T )1 e , <br /> , 't+ 2 <br /> A <br /> Indemnity <br /> The sponsoring organization shall defend, indemnify and hold the City harmless from and <br /> } i • <br /> against any and all Claims for personal injury ury and property-damage arising from,gelating <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 /> , <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 inde ity on be if of the Sponsoring Organization. <br /> h <br /> N �,.Q_�V . Ntf�� b kS S /36107 <br /> (\Q 0" 6-ck1C1G . SR©Y\SO•A Signa e Date <br /> tri �LO ctOY \5 <br /> � VA1 0. S <br /> . CX60Q . �' �`oy 6'\ Printed Name <br /> VV <br /> ��h o�� C ] Organization Representing • Phone No. <br /> i V4`�`b`'` S' UvW\,' oQ�,�i SL c� <br /> �' o i,�Q d,n-�.r4 t-` ' I. .fid , a14 cculA ISG:, e i^1 <br /> �List businesses/individuals impacted by the event that you have contactedand ask them to ���k � L <br /> sign off if they concur with the closure. <br /> usirr s's /Individuals (print) Si. 0' e <br /> 1. \L4 (\\r�t i� �a S . 3. / v <br /> 2 u A �41,,.. Ste\\ deMarlYeAr • <br /> 3. rt �1� ( �.: s� �s :'i <br /> 4. D4.01.46/,_0„,,, _ �" ^' .4G c .i►, ?4iv i.,11,.(_ <br /> 5. Jip�}L a-- -'i •t-, 6. gaa-flik/Cc_ ___/k,b <br /> ��, el <br /> ._7 '-.M4' 7' ,.) ,,, <br /> s . Weth, or . <br /> 9 . eR c t �e1 Li II sial z,- e� '- <br /> 10. c i* c f: I-I, 14-010 'LV,i, X4A-.70.- <br /> .. moi,4, Ker A <br /> WI <br /> , , G� <br /> tfri <br /> f 5 . r i 4-h l- 16i(9-6/1-3 -..•% <br />