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Indemnification, Mold 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. <br />J /#: /t _- I Q <br />Signature U Date <br />Print4d Name Email <br />vk �,�;r�� X25 i �79 <br />Organization Represent g 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 Approval <br />1. <br />2. <br />3. <br />A <br />5. <br />6. <br />7. <br />15 <br />