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k; <br />r <br />V� <br />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 />harm) ss the City. <br />v 0 V1;Ja J- 5%•- 5 L5 <br />H <br />Si nat re Date <br />� ff n� <br />c�CP �1C41-e VV JVVM C -k P-t/Y <br />Printed Narne Email <br />L u 4M —2 - <br />Organization Representing Phone No(s). <br />List businesses impacted by the Event and ask them to sign off if they cOncu�r with the <br />Closure. <br />21 <br />Business <br />vf,;, , Signature of Approval <br />-1 <br />J2. <br />�Q 1 ��J `�J tt lJtf l�f�Y 1 _ C_���� _ ��'s �_a } 4�i �l y�1 d�r��— 1 <br />3. <br />c <br />I�i�y� <br />tia ti. <br />6. <br />! <br />� k <br />`- V' 'l i � , .i - _CEJ i_ <br />�l �!• r � j C..���-�?'ir� -' �'J� �r�<?✓I--.";•;:C:;z% <br />21 <br />