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-May. 28. 2008= 6.26AM4" :Structural Design Assoc 1ates:En, No. /966 N. j <br /> QJ o,cL3 <br /> J <br /> • <br /> Indemnification, )Bold Harmless, and Certification <br /> As a material inducement and consideration for the City granting this approval, the <br /> Applicant, on behalf of the sponsoring organization, hereby agrees to defend, indemnify <br /> and hold harmless the City from and against any and all Claims for personal injury,death, <br /> property damage or destruction, arising from, relating to, or resulting from the Event that <br /> is the subject of this approval. <br /> "City" shall mean the City of Everett, its officers, employees and agents. <br /> "Claims" shall mean any actions, demands, suits, obligation or liability for payment of <br /> damages, fees, and costs, including, but not limited to, attorney's fees, expert witness <br /> fees, court costs and other legal expenses. <br /> Provided, however, this agreement to defend, indemnify and hold harmless the City shall <br /> not apply to Claims arising out of bodily injury or death or property damage or <br /> destruction caused by the sole negligence or willfull misconduct of the City. <br /> As Applicant, 1 certify that I) the information providedon this application is true and <br /> correct; and 2) I am duly authorized by the sponsoring organization to make this <br /> application and enter into this agreement, on behalf of the sponsoring organization, to <br /> defend, indemnify and hold harmless the C'' . <br /> i <br /> 06 <br /> r. <br /> 0 5/08/Q5 <br /> 1' Signature Date <br /> _ GO+2.1S CC11N TON, <br /> Printed Name <br /> `31UGIUrAL. DES 1(. N MSSCI, 41C-331-OZ-93 <br /> Organization Representing Phone No. <br /> HOME 1401 RUC K.RF. AVE 425 -Z Z-z4n <br /> List businesses impacted by the event and ask them to sign off if they concur with the <br /> closure. <br /> Businesses / RES !DEN Signature pproval <br /> 1. t 3 2-1 g -& /, <br /> 2- I '') 2 ` I1 A , ._..-- . <br /> • <br /> 3- 1 '3 t '1 I► <br /> 4- I ' b 1 It - <br /> I el-D <br /> 6. //- ., -,, - j4.7.' di4ko,"tlit - . <br /> 7 <1� s=�� <br /> [41- 7) k ' t a yI . , ....:-.;Tar: .4 II ,•• <br /> 1'O , o '... 14.0 (Pr Q (poi <br /> t I . \- 31 Quc r <br />