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Indemnification, Hold Harmless, and Certification <br />As a material consideration to the City granting this approval, and without which the City would <br />not do so, the Applicant, on behalf of the sponsoring organization, hereby agrees to defend, <br />indemnify and hold harmless the City from and against any and all Claims for personal injury, <br />death, property damage or destruction, arising from, relating to, or resulting from the Event that <br />is the subject to this approval. <br />"City" shall mean the City of Everett, its officers, employees, agents, and volunteers. <br />"Claims" shall mean any actions, demands, suits, obligation or liability for payment of damages, <br />fees, and costs, including, but not limited to, attorney's fees, expert witness fees, court costs <br />and other legal expenses. <br />Provided, however, this agreement to defend, indemnify and hold harmless the City shall not <br />apply to Claims arising out of bodily injury or death or property damage or destruction caused by <br />the sole negligence or willful misconduct of the City. <br />As Applicant, I certify that 1) the information provided on this application is true and correct; and <br />2)1 am duly authorized by the sponsoring organization to make this application and enter into <br />this agreement, on behalf of the sponsoring organization, to defend, indemnify and hold <br />harmless the City j <br />�. <br />harmless <br />, 1 <br />44 <br />Signature Date <br />tUc-� -d 1.)(v7 a� M,-4 ^Poi i �!v""✓l L- S' 1 UC b E J <br />Printed Name <br />Email <br />Organization Representing Phone No(s). <br />List businesses impacted by the Event and ask them to sign off if they concur with the <br />closure. <br />Business Signature of Ap rova{ <br />3. <br />4. <br />5. <br />6. <br />7. <br />21 <br />5 <br />