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1711 of. iu. lis 1b 41b25y1:d11i EVERETT YMCA PAGE 03 <br /> 01/07/2008 15:22 FAX 425 257 8741 CITY OF EVERETT• <br /> wJ uua <br /> 6 <br /> • <br /> • <br /> Indemnity <br /> The sponsoring organi±ation 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 ciertify that the information provided on this application is tune and <br /> correct and that I aim duly authorized by Sponsoring Organization to make this <br /> application and to enter into this indemai on behalf of the Sponsoring Organization. <br /> • <br /> 01 Urc <br /> i , <br /> Signature Date <br /> Gt GP. 1 Team <br /> Printed Name <br /> • <br /> • <br /> EVex L fang/(Al ` '!`A C (4L �' �t 2. / e I d 3 <br /> Organization Repres6ting 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) 'gnature <br /> 2. r A 4 / ft <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7_ <br /> • <br /> • <br /> • <br /> 19 <br />